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FRAMINGHAM HEART STUDY - CODING MANUAL
ORIGINAL COHORT EXAM 25
COHORT: ORIGINAL
DATA COLLECTION TIME FRAME: EXAM 25
SAS DATASET NAME: EX0_25S.SSD01
#RECORDS: 703
The value ranges and observation number stated in the manual are based
on the original data set. In some cases, observation may be deleted
due to participant consent form restrictions. If observations have
been deleted from this data set, the ranges or observation number may
differ from those stated in this manual.
******************************************************************************
Log kept at end of manaul of all updates
New changes made within manual
Version 1: 02-08-2007
FRO09 changed to FR009
FR05 changed to FR054
Version 2: 08-22-2007
recoded variable FR183
******************************************************************************
NUMERICAL DATA - PART 1
-------------------------
VARIABLE INFORMATION
-------- -----------
IDTYPE STUDY GROUP
deleted - use random id
ID PARTICIPANT ID NUMBER
deleted - use random id
SEX SEX OF PARTICIPANT
1 MALE
2 FEMALE
deleted - redundant, use most current basic file
FR001 SITE OF EXAM
0 HEART STUDY
1 NURSING HOME
2 RESIDENCE
3 OTHER
. UNKNOWN (0)
deleted - to preserve confidentiality
FR002 NURSING HOME OR RESIDENCE LEVEL OF CARE
0 NONE
1 SKILLED CARE 24 HRS
2 SKILLED CARE 8-16 HRS
3 SELF CARE
. UNKNOWN (14)
deleted - to preserve confidentiality
FR003 MARITAL STATUS
1 SINGLE
2 MARRIED
3 WIDOWED
4 DIVORCED
5 SEPERATED
. UNKNOWN (10)
FR004 EXAMINER'S ID NUMBER
19-601
. UNKNOWN (4)
deleted - used for administrative purposes only
FR005 WEIGHT (TO NEAREST POUND)
70-266
. UNKNOWN (69)
FR006 HEIGHT (INCHES, TO NEXT LOWER 1/4 INCH)
53.75-74.50
. UNKNOWN (202)
FR007 PROXY USED TO COMPLETE THIS EXAM
0 NO
1 YES
. UNKNOWN (13)
FR008 PROXY - RELATIONSHIP
0 NO PROXY USED TO COMPLETE THIS EXAM
1 1ST DEGREE RELATIVE (SPOUSE,CHILD)
2 OTHER RELATIVE
3 FRIEND
4 HEALTH CARE PROFESSIONAL
5 OTHER
. UNKNOWN (14)
FR009 PROXY - HOW LONG HAVE YOU KNOWN THE PARTICIPANT (YEARS)
0-70
0 NO PROXY USED TO COMPLETE THIS EXAM
. UNKNOWN (20)
*** Version 1: 02-08-2007
changed FRO09 to FR009
FR010 PROXY - HOW LONG HAVE YOU KNOWN THE PARTICIPANT (MONTHS)
0-10
0 NO PROXY USED TO COMPLETE THIS EXAM
. UNKNOWN (20)
FR011 PROXY - ARE YOU CURRENTLY LIVING IN THE SAME HOUSEHOLD WITH
THE PARTICIPANT
0 NO OR NO PROXY USED TO COMPLETE THIS EXAM
1 YES
. UNKNOWN (14)
FR012 PROXY - HOW OFTEN DID YOU TALK WITH THE PARTICIPANT DURING
THE PRIOR 11 MONTHS
0 NO PROXY USED TO COMPLETE THIS EXAM
1 ALMOST EVERY DAY
2 SEVERAL TIMES A WEEK
3 ONCE A WEEK
4 ONE TO THREE TIMES PER MONTH
5 LESS THAN ONCE A MONTH
. UNKNOWN (14)
FR013 TECHNICIAN SYSTOLIC BLOOD PRESSURE (TO NEAREST 2MM HG)
NOTE: ON OFFSITE VISITS (FR001 = 1, 2, 3) TECH BLOOD PRESSURES
WERE NOT DONE
84-230
. UNKNOWN (206)
FR014 TECHNICIAN DIASTOLIC BLOOD PRESSURE (TO NEAREST 2MM HG)
NOTE: ON OFFSITE VISITS (FR001 = 1, 2, 3) TECH BLOOD PRESSURES
WERE NOT DONE
20-110
. UNKNOWN (211)
FR015 TECHNICIAN ID NUMBER
NOTE: ON OFFSITE VISITS (FR001 = 1, 2, 3) TECH BLOOD PRESSURES
WERE NOT DONE
22-601
. UNKNOWN (208)
deleted - used for administrative purposes only
EXAM 25 PROCEDURES SHEET:
FR016 EXAM 25 PROCEDURES - BLOOD LIPIDS
*DO NOT USE: REFER TO BLOOD LIPID VALUES FOR COUNTS
(FR437, FR438, FR439)
0 NO
1 YES
. UNKNOWN (703)
deleted - data is known to be unreliable
FR017 EXAM 25 PROCEDURES - ECG DONE
0 NO
1 YES
. UNKNOWN (0)
deleted - data is known to be unreliable
COGNITIVE FUNCTION - PART 1
---------------------------
VARIABLE INFORMATION
-------- -----------
FR018 EXAMINER'S ID NUMBER
22-601
. UNKNOWN (2)
deleted - used for administrative purposes only
FR019 MMSE - TODAY'S DATE (MONTH,DAY,YEAR)
0 MONTH, DAY AND YEAR INCORRECT
1 1 OF 3 CORRECT
2 2 OF 3 CORRECT
3 3 OF 3 CORRECT
6 NO TRY
. UNKNOWN (4)
deleted - redundant, use most current mmse file
FR020 MMSE - SEASON
0 INCORRECT
1 CORRECT
6 NO TRY
. UNKNOWN (5)
deleted - redundant, use most current mmse file
FR021 MMSE - DAY OF THE WEEK
0 INCORRECT
1 CORRECT
6 NO TRY
. UNKNOWN (5)
deleted - redundant, use most current mmse file
FR022 MMSE - TOWN, COUNTY, & STATE WE ARE IN
0 TOWN, COUNTY AND STATE INCORRECT
1 1 OF 3 CORRECT
2 2 OF 3 CORRECT
3 3 OF 3 CORRECT
6 NO TRY
. UNKNOWN (5)
deleted - redundant, use most current mmse file
FR023 MMSE - NAME OF THIS PLACE
0 INCORRECT
1 CORRECT
6 NO TRY
. UNKNOWN (5)
deleted - redundant, use most current mmse file
FR024 MMSE - FLOOR OF THE BUILDING WE ARE ON
0 INCORRECT
1 CORRECT
6 NO TRY
. UNKNOWN (7)
deleted - redundant, use most current mmse file
FR025 MMSE - REPEAT THE THREE OBJECTS
0 3 OF 3 OBJECTS INCORRECT
1 1 OF 3 CORRECT
2 2 OF 3 CORRECT
3 3 OF 3 CORRECT
6 NO TRY
. UNKNOWN (7)
deleted - redundant, use most current mmse file
FR026 MMSE - SPELL 'WORLD' IN REVERSE ORDER
XXXXXXX - CHARACTER VARIABLE
. UNKNOWN (56)
deleted - redundant, use most current mmse file
FRO27 MMSE - REMEMBER THE THREE OBJECTS
0 3 OF 3 OBJECTS INCORRECT
1 1 OF 3 CORRECT
2 2 OF 3 CORRECT
3 3 OF 3 CORRECT
6 NO TRY
. UNKNOWN (8)
deleted - redundant, use most current mmse file
COGNITIVE FUNCTION - PART II
----------------------------
VARIABLE INFORMATION
-------- -----------
FR028 EXAMINER'S ID NUMBER
22-601
. UNKNOWN (7)
deleted - used for administrative purposes only
FR029 MMSE - NAMING WATCH
0 INCORRECT
1 CORRECT
6 NO TRY
. UNKNOWN (7)
deleted - redundant, use most current mmse file
FR030 MMSE - NAMING PENCIL
0 INCORRECT
1 CORRECT
6 NO TRY
. UNKNOWN (9)
deleted - redundant, use most current mmse file
FR031 MMSE - REPEAT "NO IFS, ANDS, OR BUTS"
0 INCORRECT
1 CORRECT
6 NO TRY
. UNKNOWN (10)
deleted - redundant, use most current mmse file
FR032 MMSE - READ THE FOLLOWING AND DO WHAT IT SAYS
0 INCORRECT
1 CORRECT
6 NO TRY OR LOW VISION
. UNKNOWN (10)
deleted - redundant, use most current mmse file
FR033 MMSE - WRITE A SENTENCE
0 INCORRECT
1 CORRECT
6 NO TRY OR LOW VISION
. UNKNOWN (10)
deleted - redundant, use most current mmse file
FR034 MMSE - COPY THIS DRAWING
0 INCORRECT
1 CORRECT
6 NO TRY OF LOW VISION
. UNKNOWN (10)
deleted - redundant, use most current mmse file
FR035 MMSE - FOLD PAPER AND PUT IN YOUR LAP (3 STEPS)
0 INCORRECT
1 1 OF 3 CORRECT
2 2 OF 3 CORRECT
3 3 OF 3 CORRECT
6 NO TRY OR LOW VISION
. UNKNOWN (17)
deleted - redundant, use most current mmse file
FACTORS POTENTIALLY AFFECTING MENTAL STATUS TESTING:
FR036 FACTORS POTENTIALLY AFFECTING MENTAL STATUS TESTING:
ILLITERACY OR LOW EDUCATION
0 NO
1 YES
2 MAYBE
. UNKNOWN (20)
FR037 FACTORS POTENTIALLY AFFECTING MENTAL STATUS TESTING:
NOT FLUENT IN ENGLISH
0 NO
1 YES
2 MAYBE
. UNKNOWN (18)
FR038 FACTORS POTENTIALLY AFFECTING MENTAL STATUS TESTING:
POOR EYESIGHT
0 NO
1 YES
2 MAYBE
. UNKNOWN (16)
FR039 FACTORS POTENTIALLY AFFECTING MENTAL STATUS TESTING:
POOR HEARING
0 NO
1 YES
2 MAYBE
. UNKNOWN (16)
FR040 FACTORS POTENTIALLY AFFECTING MENTAL STATUS TESTING:
DEPRESSION
0 NO
1 YES
2 MAYBE
. UNKNOWN (21)
FR041 FACTORS POTENTIALLY AFFECTING MENTAL STATUS TESTING:
APHASIA
0 NO
1 YES
2 MAYBE
. UNKNOWN (20)
FR042 FACTORS POTENTIALLY AFFECTING MENTAL STATUS TESTING:
COMA
0 NO
1 YES
2 MAYBE
. UNKNOWN (20)
FR043 FACTORS POTENTIALLY AFFECTING MENTAL STATUS TESTING:
PARKINSONISM
0 NO
1 YES
2 MAYBE
. UNKNOWN (20)
FR044 FACTORS POTENTIALLY AFFECTING MENTAL STATUS TESTING:
OTHER
0 NO
1 YES
2 MAYBE
. UNKNOWN (15)
FUNCTIONAL PERFORMANCE
----------------------
VARIABLE INFORMATION
-------- -----------
FR045 EXAMINER'S ID NUMBER
22-601
. UNKNOWN (2)
deleted - used for administrative purposes only
FR046 WHERE DO YOU LIVE NOW
0 PRIVATE RESIDENCE
1 NURSING HOME
2 OTHER INSTITUTION (HOME-SELF CARE RETIREMENT VILLAGE)
. UNKNOWN (3)
deleted - to preserve confidentiality
FR047 DOES ANYONE LIVE WITH YOU
0 NO
1 YES
. UNKNOWN (5)
FR048 SPOUSE LIVES WITH YOU
0 NO
1 YES, LESS THAN 3 MONTHS PER YEAR
2 YES, MORE THAN 3 MONTHS PER YEAR
. UNKNOWN (6)
FR049 SIGNIFICANT OTHER LIVES WITH YOU
0 NO
1 YES, LESS THAN 3 MONTHS PER YEAR
2 YES, MORE THAN 3 MONTHS PER YEAR
. UNKNOWN (7)
FR050 CHILDREN LIVE WITH YOU
0 NO OR NO ONE LIVE WITH YOU
1 YES, LESS THAN 3 MONTHS PER YEAR
2 YES, MORE THAN 3 MONTHS PER YEAR
. UNKNOWN (6)
FR051 FRIENDS LIVE WITH YOU
0 NO
1 YES, LESS THAN 3 MONTHS PER YEAR
2 YES, MORE THAN 3 MONTHS PER YEAR
. UNKNOWN (7)
FRO52 RELATIVES LIVE WITH YOU
0 NO
1 YES, LESS THAN 3 MONTHS PER YEAR
2 YES, MORE THAN 3 MONTHS PER YEAR
. UNKNOWN (7)
FR053 PETS LIVE WITH YOU
0 NO
1 YES, LESS THAN 3 MONTHS PER YEAR
2 YES, MORE THAN 3 MONTHS PER YEAR
. UNKNOWN (8)
FR054 ARE YOU EMPLOYED NOW
0 NO
1 YES, FULL TIME
2 YES, PART TIME
. UNKNOWN (3)
*** Version 1: 02-08-2007
changed FR05 to FR054
FR055 DURING THE PAST 6 MONTHS (180 DAYS) WERE YOU SO SICK THAT
YOU WERE UNABLE TO CARRY OUT YOUR USUAL ACTIVITIES
0-180
. UNKNOWN (69)
FR056 IN GENERAL, HOW IS YOUR HEALTH NOW
1 EXCELLENT
2 GOOD
3 FAIR
4 POOR
. UNKNOWN (36)
FR057 COMPARE YOUR HEALTH TO MOST PEOPLE YOUR OWN AGE
1 BETTER
2 ABOUT THE SAME
3 WORSE, THAN PEOPLE OWN AGE
. UNKNOWN (61)
ACTIVITIES OF DAILY LIVING - PART 1
-----------------------------------
VARIABLE INFORMATION
-------- -----------
FR058 EXAMINER'S ID NUMBER
22-601
. UNKNOWN (3)
deleted - used for administrative purposes only
FOR VARIABLES FR059-FR069
NOTE: DURING THE COURSE OF A NORMAL DAY, CAN YOU DO THE FOLLOWING ACTIVITIES
INDEPENDENTLY OR DO YOU NEED HUMAN ASSISTANCE OR THE USE OF A DEVICE
FR059 ACTIVITIES 1 - DRESSING (UNDRESSING AND REDRESSING)
*SEE NOTE ABOVE
0 NO HELP NEEDED, INDEPENDENT
1 USES DEVICE, INDEPENDENT
2 HUMAN ASSISTANCE NEEDED, MINIMALLY DEPENDENT
3 DEPENDENT
4 DO NOT DO DURING A NORMAL DAY
. UNKNOWN (4)
FR060 ACTIVITIES 1 - BATHING (INCLUDING GETTING IN AND OUT OF
TUB AND SHOWER) *SEE NOTE ABOVE
0 NO HELP NEEDED, INDEPENDENT
1 USES DEVICE, INDEPENDENT
2 HUMAN ASSISTANCE NEEDED, MINIMALLY DEPENDENT
3 DEPENDENT
4 DO NOT DO DURING A NORMAL DAY
. UNKNOWN (4)
FR061 ACTIVITIES 1 - EATING *SEE NOTE ABOVE
0 NO HELP NEEDED, INDEPENDENT
1 USES DEVICE, INDEPENDENT
2 HUMAN ASSISTANCE NEEDED, MINIMALLY DEPENDENT
3 DEPENDENT
4 DO NOT DO DURING A NORMAL DAY
. UNKNOWN (4)
FR062 ACTIVITIES 1 - TRANSFERRING (GETTING IN AND OUT OF A CHAIR)
*SEE NOTE ABOVE
0 NO HELP NEEDED, INDEPENDENT
1 USES DEVICE, INDEPENDENT
2 HUMAN ASSISTANCE NEEDED, MINIMALLY DEPENDENT
3 DEPENDENT
4 DO NOT DO DURING A NORMAL DAY
. UNKNOWN (4)
FR063 ACTIVITIES 1 - TOILETING ACTIVITIES (USING BATHROOM
FACILITIES AND HANDLE CLOTHING) *SEE NOTE ABOVE
0 NO HELP NEEDED, INDEPENDENT
1 USES DEVICE, INDEPENDENT
2 HUMAN ASSISTANCE NEEDED, MINIMALLY DEPENDENT
3 DEPENDENT
4 DO NOT DO DURING A NORMAL DAY
. UNKNOWN (8)
FR064 ACTIVITIES 1 - BLADDER CONTINENCE
*SEE NOTE ABOVE
0 NO HELP NEEDED, INDEPENDENT
1 USES DEVICE, INDEPENDENT
2 HUMAN ASSISTANCE NEEDED, MINIMALLY DEPENDENT
3 DEPENDENT
4 DO NOT DO DURING A NORMAL DAY
5 USES SPECIAL PRODUCTS
. UNKNOWN (6)
FR065 ACTIVITIES 1 - BOWEL CONTINENCE
*SEE NOTE ABOVE
0 NO HELP NEEDED, INDEPENDENT
1 USES DEVICE, INDEPENDENT
2 HUMAN ASSISTANCE NEEDED, MINIMALLY DEPENDENT
3 DEPENDENT
4 DO NOT DO DURING A NORMAL DAY
5 USES SPECIAL PRODUCTS
. UNKNOWN (6)
FR066 ACTIVITIES 1 - WALKING ON LEVEL SURFACE ABOUT 50 YARDS
*SEE NOTE ABOVE
0 NO HELP NEEDED, INDEPENDENT
1 USES DEVICE, INDEPENDENT
2 HUMAN ASSISTANCE NEEDED, MINIMALLY DEPENDENT
3 DEPENDENT
4 DO NOT DO DURING A NORMAL DAY
. UNKNOWN (9)
FR067 ACTIVITIES 1 - WALKING UP AND DOWN ONE FLIGHT STAIRS
*SEE NOTE ABOVE
0 NO HELP NEEDED, INDEPENDENT
1 USES DEVICE, INDEPENDENT
2 HUMAN ASSISTANCE NEEDED, MINIMALLY DEPENDENT
3 DEPENDENT
4 DO NOT DO DURING A NORMAL DAY
. UNKNOWN (9)
FR068 ACTIVITIES 1 - USING A TELEPHONE
*SEE NOTE ABOVE
0 NO HELP NEEDED, INDEPENDENT
1 USES DEVICE, INDEPENDENT
2 HUMAN ASSISTANCE NEEDED, MINIMALLY DEPENDENT
3 DEPENDENT
4 DO NOT DO DURING A NORMAL DAY
. UNKNOWN (5)
FR069 ACTIVITIES 1 - PREPARING AND TAKING OWN MEDICATIONS
*SEE NOTE ABOVE
0 NO HELP NEEDED, INDEPENDENT
1 USES DEVICE, INDEPENDENT
2 HUMAN ASSISTANCE NEEDED, MINIMALLY DEPENDENT
3 DEPENDENT
4 DO NOT DO DURING A NORMAL DAY
8 TAKES NO MEDICATIONS REGULARLY
. UNKNOWN (4)
ACTIVITIES - PART II
--------------------
VARIABLE INFORMATION
-------- -----------
FR070 ACTIVITIES II - EXAMINER'S ID NUMBER
22-601
. UNKNOWN (5)
deleted - used for administrative purposes only
FR071 ACTIVITIES II - ARE YOU IN BED OR IN A CHAIR FOR MOST OR
ALL OF THE DAY (ON THE AVERAGE)?
(NOTE: LIFESTYLE QUESTION, NOT DUE TO HEALTH)
0 NO
1 YES
. UNKNOWN OR NOT SURE (18)
FR072 ACTIVITIES II - DO YOU NEED A SPECIAL AID (WHEELCHAIR, CANE,
WALKER) TO GET AROUND?
0 NO
1 YES, ALWAYS
2 YES, SOMETIMES
. UNKNOWN (4)
FR073 SPECIAL AID - DO YOU USE A CANE OR WALKING STICK
0 NO
1 YES, ALWAYS
2 YES, SOMETIMES
. UNKNOWN (7)
FR074 SPECIAL AID - DO YOU USE A WHEELCHAIR
0 NO
1 YES, ALWAYS
2 YES, SOMETIMES
. UNKNOWN (12)
FR075 SPECIAL AID - DO YOU USE A WALKER
0 NO
1 YES, ALWAYS
2 YES, SOMETIMES
. UNKNOWN (12)
FR076 SPECIAL AID - OTHER (WRITE IN)
0 NO
1 YES, ALWAYS
2 YES, SOMETIMES
. UNKNOWN (14)
USE OF NURSING AND COMMUNITY SERVICES:
FR077 HAVE YOU BEEN ADMITTED TO A NURSING HOME (OR SKILLED FACILITY)
IN THE PAST TWO YEARS
0 NO
1 YES
. UNKNOWN (17)
FR078 IN PAST TWO YEARS HAVE YOU BEEN VISITED BY A NURSING SERVICE,
OR USED HOME, COMMUNITY, OR OUTPATIENT PROGRAMS
0 NO
1 YES
. UNKNOWN (17)
FR079 IN PAST TWO YEARS HAVE YOU BEEN VISITED BY A NURSING SERVICE,
OR USED HOME, COMMUNITY, OR OUTPATIENT PROGRAMS -
VISITED BY HOME HEALTH AIDES IN THE PAST MONTH ONLY
0 NONE
1 LESS THAN 1 PER MONTH
2 1 TO 5 TIMES PER MONTH
3 6 TO 15 TIMES PER MONTH
4 15 TO 30 TIMES PER MONTH
. UNKNOWN (19)
FR080 IN PAST TWO YEARS HAVE YOU BEEN VISITED BY A NURSING SERVICE,
OR USED HOME, COMMUNITY, OR OUTPATIENT PROGRAMS -
VISITED BY HOME HEALTH AIDES IN THE PAST TWO YEARS
0 NONE
1 LESS THAN 1 PER MONTH
2 1 TO 5 TIMES PER MONTH
3 6 TO 15 TIMES PER MONTH
4 15 TO 30 TIMES PER MONTH
. UNKNOWN (21)
FR081 IN PAST TWO YEARS HAVE YOU BEEN VISITED BY A NURSING SERVICE,
OR USED HOME, COMMUNITY, OR OUTPATIENT PROGRAMS -
RECEIVED HOMEMAKER VISITS IN THE PAST MONTH ONLY
0 NONE
1 LESS THAN 1 PER MONTH
2 1 TO 5 TIMES PER MONTH
3 6 TO 15 TIMES PER MONTH
4 15 TO 30 TIMES PER MONTH
. UNKNOWN (20)
FR082 IN PAST TWO YEARS HAVE YOU BEEN VISITED BY A NURSING SERVICE,
OR USED HOME, COMMUNITY, OR OUTPATIENT PROGRAMS -
RECEIVED HOMEMAKER VISITS IN THE PAST TWO YEARS
0 NONE
1 LESS THAN 1 PER MONTH
2 1 TO 5 TIMES PER MONTH
3 6 TO 15 TIMES PER MONTH
4 15 TO 30 TIMES PER MONTH
. UNKNOWN (19)
FR083 IN PAST TWO YEARS HAVE YOU BEEN VISITED BY A NURSING SERVICE,
OR USED HOME, COMMUNITY, OR OUTPATIENT PROGRAMS -
USED VISITING NURSES IN THE PAST MONTH ONLY
0 NONE
1 LESS THAN 1 PER MONTH
2 1 TO 5 TIMES PER MONTH
3 6 TO 15 TIMES PER MONTH
4 15 TO 30 TIMES PER MONTH
. UNKNOWN (19)
FR084 IN PAST TWO YEARS HAVE YOU BEEN VISITED BY A NURSING SERVICE,
OR USED HOME, COMMUNITY, OR OUTPATIENT PROGRAMS -
USED VISITING NURSES IN THE PAST TWO YEARS
0 NONE
1 LESS THAN 1 PER MONTH
2 1 TO 5 TIMES PER MONTH
3 6 TO 15 TIMES PER MONTH
4 15 TO 30 TIMES PER MONTH
. UNKNOWN (21)
FR085 IN PAST TWO YEARS HAVE YOU BEEN VISITED BY A NURSING SERVICE,
OR USED HOME, COMMUNITY, OR OUTPATIENT PROGRAMS -
USED REHABILITATION SERVICES (SUCH AS PHYSICAL THERAPY,
OCCUPATIONAL THERAPY, SPEECH THERAPY) IN THE PAST MONTH ONLY
0 NONE
1 LESS THAN 1 PER MONTH
2 1 TO 5 TIMES PER MONTH
3 6 TO 15 TIMES PER MONTH
4 15 TO 30 TIMES PER MONTH
. UNKNOWN (19)
FR086 IN PAST TWO YEARS HAVE YOU BEEN VISITED BY A NURSING SERVICE,
OR USED HOME, COMMUNITY, OR OUTPATIENT PROGRAMS -
USED REHABILITATION SERVICES SUCH AS (PHYSICAL THERAPY,
OCCUPATIONAL THERAPY, SPEECH THERAPY)IN PAST TWO YEARS
0 NONE
1 LESS THAN 1 PER MONTH
2 1 TO 5 TIMES PER MONTH
3 6 TO 15 TIMES PER MONTH
4 15 TO 30 TIMES PER MONTH
. UNKNOWN (21)
FR087 IN PAST TWO YEARS HAVE YOU BEEN VISITED BY A NURSING SERVICE,
OR USED HOME, COMMUNITY, OR OUTPATIENT PROGRAMS -
USED CARDIAC REHABILITATION IN PAST MONTH ONLY
0 NONE
1 LESS THAN 1 PER MONTH
2 1 TO 5 TIMES PER MONTH
3 6 TO 15 TIMES PER MONTH
4 15 TO 30 TIMES PER MONTH
. UNKNOWN (18)
FR088 IN PAST TWO YEARS HAVE YOU BEEN VISITED BY A NURSING SERVICE,
OR USED HOME, COMMUNITY, OR OUTPATIENT PROGRAMS -
USED CARDIAC REHABILITATION IN PAST TWO YEARS
0 NONE
1 LESS THAN 1 PER MONTH
2 1 TO 5 TIMES PER MONTH
3 6 TO 15 TIMES PER MONTH
4 15 TO 30 TIMES PER MONTH
. UNKNOWN (19)
FR089 IN PAST TWO YEARS HAVE YOU BEEN VISITED BY A NURSING SERVICE,
OR USED HOME, COMMUNITY, OR OUTPATIENT PROGRAMS -
USED MEALS ON WHEELS IN PAST MONTH ONLY
0 NONE
1 LESS THAN 1 PER MONTH
2 1 TO 5 TIMES PER MONTH
3 6 TO 15 TIMES PER MONTH
4 15 TO 30 TIMES PER MONTH
. UNKNOWN (19)
FR090 IN PAST TWO YEARS HAVE YOU BEEN VISITED BY A NURSING SERVICE,
OR USED HOME, COMMUNITY, OR OUTPATIENT PROGRAMS -
USED MEALS ON WHEELS IN PAST TWO YEARS
0 NONE
1 LESS THAN 1 PER MONTH
2 1 TO 5 TIMES PER MONTH
3 6 TO 15 TIMES PER MONTH
4 15 TO 30 TIMES PER MONTH
. UNKNOWN (20)
FR091 IN PAST TWO YEARS HAVE YOU BEEN VISITED BY A NURSING SERVICE,
OR USED HOME, COMMUNITY, OR OUTPATIENT PROGRAMS -
USED COMMUNITY DAY PROGRAMS IN PAST MONTH ONLY
0 NONE
1 LESS THAN 1 PER MONTH
2 1 TO 5 TIMES PER MONTH
3 6 TO 15 TIMES PER MONTH
4 15 TO 30 TIMES PER MONTH
. UNKNOWN (18)
FR092 IN PAST TWO YEARS HAVE YOU BEEN VISITED BY A NURSING SERVICE,
OR USED HOME, COMMUNITY, OR OUTPATIENT PROGRAMS -
USED COMMUNITY DAY PROGRAMS IN PAST TWO YEARS
0 NONE
1 LESS THAN 1 PER MONTH
2 1 TO 5 TIMES PER MONTH
3 6 TO 15 TIMES PER MONTH
4 15 TO 30 TIMES PER MONTH
. UNKNOWN (20)
FR093 IN PAST TWO YEARS HAVE YOU BEEN VISITED BY A NURSING SERVICE,
OR USED HOME, COMMUNITY, OR OUTPATIENT PROGRAMS -
USED OTHER NURSING OR COMMUINITY IN THE PAST MONTH ONLY
0 NONE
1 LESS THAN 1 PER MONTH
2 1 TO 5 TIMES PER MONTH
3 6 TO 15 TIMES PER MONTH
4 15 TO 30 TIMES PER MONTH
. UNKNOWN (18)
FR094 IN PAST TWO YEARS HAVE YOU BEEN VISITED BY A NURSING SERVICE,
OR USED HOME, COMMUNITY, OR OUTPATIENT PROGRAMS -
USED OTHER NURSING OR COMMUNITY IN THE PAST TWO YEARS
0 NONE
1 LESS THAN 1 PER MONTH
2 1 TO 5 TIMES PER MONTH
3 6 TO 15 TIMES PER MONTH
4 15 TO 30 TIMES PER MONTH
. UNKNOWN (20)
ACTIVITIES II - CONTINUED
-------------------------
VARIABLE INFORMATION
-------- -----------
FR095 ACTIVITIES II - EXAMINER'S ID NUMBER
22 - 601
.UNKNOWN (6)
deleted - used for administrative purposes only
ROSOW-BRESLAU QUESTIONS:
FR096 ROSOW-BRESLAU - ABLE TO DO HEAVY WORK AROUND THE HOUSE
LIKE SHOVEL SNOW, OR WASH WINDOWS, WALLS OR FLOORS
WITHOUT HELP
0 NO, UNABLE TO DO
1 YES, INDEPENDENT
2 DOES, NOT DO
. UNKNOWN (7)
FR097 ROSOW-BRESLAU - ABLE TO WALK A HALF MILE WITHOUT HELP
(4-6 BLOCKS)
0 NO, UNABLE TO DO
1 YES, INDEPENDENT
2 DOES, NOT DO
. UNKNOWN (14)
FR098 ROSOW-BRESLAU - IF YOU HAD TO COULD YOU DO ALL THE
HOUSEKEEPING YOURSELF (LIKE WASHING CLOTHS AND CLEANING)
0 NO, UNABLE TO DO
1 YES, INDEPENDENT
2 DOES, NOT DO
. UNKNOWN ((6)
FR099 ROSOW-BRESLAU - IF YOU HAD TO, COULD YOU DO ALL THE
COOKING YOURSELF
0 NO, UNABLE TO DO
1 YES, INDEPENDENT
2 DOES, NOT DO
. UNKNOWN (7)
FR100 ROSOW-BRESLAU - IF YOU HAD TO, COULD YOU DO ALL THE GROCERY
SHOPPING YOURSELF
0 NO, UNABLE TO DO
1 YES, INDEPENDENT
2 DOES, NOT DO
. UNKNOWN (8)
FR101 ROSOW-BRESLAU - DO YOU DRIVE
0 NO
1 YES, CURRENTLY
2 YES, NOT NOW
. UNKNOWN (6)
FR102 ROSOW-BRESLAU - REASON FOR NOT DRIVING NOW
1 HEALTH
2 OTHER NON-HEALTH REASON
3 NEVER LICENSED
8 N/A, CURRENT DRIVER
. UNKNOWN (48)
ACTIVITIES - PART III
---------------------
VARIABLE INFORMATION
-------- -----------
FR103 EXAMINER ID NUMBER
22 - 601
. UNKNOWN (5)
deleted - used for administrative purposes only
NAGI QUESTIONS -
FR104 NAGI QUESTIONS -
FOR EACH ACTIVITY THAT SUBJECT HAD A LOT OF DIFFICULTY DOING
OR WAS UNABLE TO DO (CODES 3 OR 4) ASK FOR REASON(S) -
PULLING OR PUSHING LARGE OBJECTS LIKE A LIVING ROOM CHAIR
0 NO DIFFICULTY
1 A LITTLE DIFFICULTY
2 SOME DIFFICULTY
3 A LOT OF DIFFICULTY
4 UNABLE TO DO
5 DON'T DO ON MD ORDERS
. UNKNOWN (40)
FR105 NAGI QUESTIONS -
FOR EACH ACTIVITY THAT SUBJECT HAD A LOT OF DIFFICULTY DOING
OR WAS UNABLE TO DO (CODES 3 OR 4) ASK FOR REASON(S) -
EITHER STOOPING, CROUCHING, OR KNEELING
0 NO DIFFICULTY
1 A LITTLE DIFFICULTY
2 SOME DIFFICULTY
3 A LOT OF DIFFICULTY
4 UNABLE TO DO
5 DON'T DO ON MD ORDERS
. UNKNOWN (18)
FR106 NAGI QUESTIONS -
FOR EACH ACTIVITY THAT SUBJECT HAD A LOT OF DIFFICULTY DOING
OR WAS UNABLE TO DO (CODES 3 OR 4), ASK FOR REASON(S) -
REACHING OR EXTENDING ARMS BELOW SHOULDER LEVEL
0 NO DIFFICULTY
1 A LITTLE DIFFICULTY
2 SOME DIFFICULTY
3 A LOT OF DIFFICULTY
4 UNABLE TO DO
5 DON'T DO ON MD ORDERS
. UNKNOWN (10)
FR107 NAGI QUESTIONS -
FOR EACH ACTIVITY THAT SUBJECT HAD A LOT OF DIFFICULTY DOING
OR WAS UNABLE TO DO (CODES 3 OR 4), ASK FOR REASON(S) -
REACHING OR EXTENDING ARMS ABOVE SHOULDER LEVEL
0 NO DIFFICULTY
1 A LITTLE DIFFICULTY
2 SOME DIFFICULTY
3 A LOT OF DIFFICULTY
4 UNABLE TO DO
5 DON'T DO ON MD ORDERS
. UNKNOWN (18)
FR108 NAGI QUESTIONS -
FOR EACH ACTIVITY THAT SUBJECT HAD A LOT OF DIFFICULTY DOING
OR WAS UNABLE TO DO (CODES 3 OR 4), ASK FOR REASON(S) -
EITHER WRITING, HANDLING, OR FINGERING SMALL OBJECTS
0 NO DIFFICULTY
1 A LITTLE DIFFICULTY
2 SOME DIFFICULTY
3 A LOT OF DIFFICULTY
4 UNABLE TO DO
5 DON'T DO ON MD ORDERS
. UNKNOWN (10)
FR109 NAGI QUESTIONS -
FOR EACH ACTIVITY THAT SUBJECT HAD A LOT OF DIFFICULTY DOING
OR WAS UNABLE TO DO (CODES 3 OR 4), ASK FOR REASON(S) -
STANDING IN ONE PLACE FOR LONG PERIODS, SAY 15 MINUTES
0 NO DIFFICULTY
1 A LITTLE DIFFICULTY
2 SOME DIFFICULTY
3 A LOT OF DIFFICULTY
4 UNABLE TO DO
5 DON'T DO ON MD ORDERS
. UNKNOWN (41)
FR110 NAGI QUESTIONS -
FOR EACH ACTIVITY THAT SUBJECT HAD A LOT OF DIFFICULTY DOING
OR WAS UNABLE TO DO (CODES 3 OR 4), ASK FOR REASON(S) -
SITTING FOR LONG PERIODS, SAY 1 HOUR
0 NO DIFFICULTY
1 A LITTLE DIFFICULTY
2 SOME DIFFICULTY
3 A LOT OF DIFFICULTY
4 UNABLE TO DO
5 DON'T DO ON MD ORDERS
. UNKNOWN (11)
FR111 NAGI QUESTIONS -
FOR EACH ACTIVITY THAT SUBJECT HAD A LOT OF DIFFICULTY DOING
OR WAS UNABLE TO DO (CODES 3 OR 4), ASK FOR REASON(S) -
LIFTING OR CARRYING WEIGHTS UNDER 10 POUNDS
(LIKE A BAG OF POTATOES)
0 NO DIFFICULTY
1 A LITTLE DIFFICULTY
2 SOME DIFFICULTY
3 A LOT OF DIFFICULTY
4 UNABLE TO DO
5 DON'T DO ON MD ORDERS
. UNKNOWN (73)
FR112 NAGI QUESTIONS -
FOR EACH ACTIVITY THAT SUBJECT HAD A LOT OF DIFFICULTY DOING
OR WAS UNABLE TO DO (CODES 3 OR 4), ASK FOR REASON(S) -
LIFTING OR CARRYING WEIGHTS OVER 10 POUNDS
(LIKE A VERY HEAVY BAG OF GROCERIES)
0 NO DIFFICULTY
1 A LITTLE DIFFICULTY
2 SOME DIFFICULTY
3 A LOT OF DIFFICULTY
4 UNABLE TO DO
5 DON'T DO ON MD ORDERS
. UNKNOWN (107)
FR113 NAGI QUESTIONS -
FOR EACH ACTIVITY THAT SUBJECT HAD A LOT OF DIFFICULTY DOING
OR WAS UNABLE TO DO (CODES 3 OR 4), ASK FOR REASON(S) -
GETTING IN AND OUT OF CAR
0 NO DIFFICULTY
1 A LITTLE DIFFICULTY
2 SOME DIFFICULTY
3 A LOT OF DIFFICULTY
4 UNABLE TO DO
5 DON'T DO ON MD ORDERS
. UNKNOWN (59)
FR114 NAGI QUESTIONS -
FOR EACH ACTIVITY THAT SUBJECT HAD A LOT OF DIFFICULTY DOING
OR WAS UNABLE TO DO (CODES 3 OR 4), ASK FOR REASON(S) -
PUTTING ON SOCKS OR STOCKINGS
0 NO DIFFICULTY
1 A LITTLE DIFFICULTY
2 SOME DIFFICULTY
3 A LOT OF DIFFICULTY
4 UNABLE TO DO
5 DON'T DO ON MD ORDERS
. UNKNOWN (35)
FALLS AND FRACTURES
-------------------
VARIABLE INFORMATION
-------- -----------
FR115 EXAMINER'S ID NUMBER
22 - 601
. UKNOWN (6)
deleted - used for administrative purposes only
FR116 IN THE PAST YEAR HAVE YOU ACCIDENTALLY FALLEN AND HIT
THE FLOOR OR GROUND?
(NOTE: CODE AS NO IF DURING SPORTS ACTIVITY)
0 NO
1 YES
2 MAYBE
. UNKNOWN (9)
FR117 (IF YES OR MAYBE TO FR116)
HOW MANY TIMES DID YOU FALL IN THE PAST YEAR?
0 - 9
. UNKNOWN (17)
FR118 FRACTURES - SINCE YOUR LAST CLINIC VISIT HAVE YOU
BROKEN ANY BONES?
0 NO
1 YES
2 MAYBE
. UNKNOWN (8)
FR119 FRACTURES - IF YES TO FR118, YEAR BROKE LEFT CLAVICLE
(COLLAR BONE)
0 DID NOT BREAK LEFT CLAVICLE
1997
. UNKNOWN (19)
deleted - to preserve confidentiality
FR120 FRACTURES - IF YES TO FR118, YEAR BROKE RIGHT CLAVICLE
(COLLAR BONE)
0 DID NOT BREAK RIGHT CLAVICLE
1997 - 1998
. UNKNOWN (19)
deleted - to preserve confidentiality
FR121 FRACTURES - IF YES TO FR118, YEAR BROKE LEFT UPPER ARM
(HUMERUS) OR ELBOW
0 DID NOT BREAK LEFT UPPER ARM OR ELBOW
1997 - 1998
. UNKNOWN (19)
deleted - to preserve confidentiality
FR122 FRACTURES - IF YES TO FR118, YEAR BROKE RIGHT UPPER ARM
(HUMERUS) OR ELBOW
0 DID NOT BREAK RIGHT UPPER ARM OR ELBOW
1996 - 1999
. UNKNOWN (18)
deleted - to preserve confidentiality
FR123 FRACTURES - IF YES TO FR118, YEAR BROKE LEFT FOREARM OR
WRIST
0 DID NOT BREAK LEFT FOREARM OR WRIST
1997 - 1998
. UNKNOWN (19)
deleted - to preserve confidentiality
FR124 FRACTURES - IF YES TO FR118, YEAR BROKE RIGHT FOREARM OR
WRIST
0 DID NOT BREAK RIGH FOREARM OR WRIST
1997 - 1999
. UNKNOWN (20)
deleted - to preserve confidentiality
FR125 FRACTURES - IF YES TO FR118, YEAR BROKE LEFT HAND
0 DID NOT BREAK LEFT HAND
1997
. UNKNOWN (18)
deleted - to preserve confidentiality
FR126 FRACTURES - IF YES TO FR118, YEAR BROKE RIGHT HAND
0 DID NOT BREAK RIGHT HAND
1999
. UNKNOWN (19)
deleted - to preserve confidentiality
FR127 FRACTURES - IF YES TO FR118, YEAR BROKE BACK (IF DISC DISEASE
ONLY CODE AS NO)
0 DID NOT BREAK BACK
1997 - 1998
. UNKNOWN (18)
deleted - to preserve confidentiality
FR128 FRACTURES - IF YES TO FR118, YEAR BROKE PELVIS
0 DID NOT BREAK PELVIS
1997 - 1999
. UNKNOWN (18)
deleted - to preserve confidentiality
FR129 FRACTURES - IF YES TO FR118, YEAR BROKE LEFT HIP
0 DID NOT BREAK LEFT HIP
1997 - 1998
. UNKNOWN (19)
deleted - to preserve confidentiality
FR130 FRACTURES - IF YES TO FR118, YEAR BROKE RIGHT HIP
0 DID NOT BREAK RIGHT HIP
1996 - 1998
. UNKNOWN (19)
deleted - to preserve confidentiality
FR131 FRACTURES - IF YES TO FR118, YEAR BROKE LEFT LEG
0 DID NOT BREAK LEFT LEG
1997 - 1999
. UNKNOWN (18)
deleted - to preserve confidentiality
FR132 FRACTURES - IF YES TO FR118, YEAR BROKE RIGHT LEG
0 DID NOT BREAK RIGHT LEG
. UNKNOWN (19)
deleted - to preserve confidentiality
FR133 FRACTURES - IF YES TO FR118, YEAR BROKE LEFT FOOT
0 DID NOT BREAK LEFT FOOT
. UNKNOWN (19)
deleted - to preserve confidentiality
FR134 FRACTURES - IF YES TO FR118, YEAR BROKE RIGHT FOOT
0 DID NOT BREAK RIGHT FOOT
1996
. UNKNOWN(19)
deleted - to preserve confidentiality
FR135 FRACTURES - IF YES TO FR118, YEAR BROKE LEFT TOE
0 DID NOT BREAK LEFT TOE
1998
. UNKNOWN (19)
deleted - to preserve confidentiality
FR136 FRACTURES - IF YES TO FR118, YEAR BROKE RIGHT TOE
0 DID NOT BREAK RIGHT TOE
1996 - 1998
. UNKNOWN (19)
deleted - to preserve confidentiality
FR137 FRACTURES - IF YES TO FR118, YEAR BROKE OTHER
0 DID NOT BREAK OTHER
1996 - 1999
. UNKNOWN (16)
deleted - to preserve confidentiality
FR138 FRACTURES - SPECIFY OTHER LOCATION
CHARACTER VARIABLE
(APPEARS AS KEYED FROM THE PAPER FORM)
. UNKNOWN (686)
CES-D SCALE
-----------
NOTE FOR VARIABLES FR140-FR159:
THE QUESTIONS BELOW ASK ABOUT YOUR FEELINGS. FOR EACH OF THE FOLLOWING
STATEMENTS, PLEASE SAY IF YOU FELT THAT WAY DURING THE PAST WEEK.
VARIABLE INFORMATION
-------- -----------
FR139 EXAMINER'S ID NUMBER
22 - 601
. UNKNOWN (12)
deleted - used for administrative purposes only
FR140 CESD - I WAS BOTHERED BY THINGS THAT USUALLY DON'T BOTHER ME
**SEE NOTE ABOVE**
0 RARELY OR NONE OF THE TIME (LESS THAN ONE DAY)
1 SOME OR A LITTLE OF THE TIME (1-2 DAYS)
2 OCCASIONALLY OR MODERATE AMOUNT OF TIME (3-4 DAYS)
3 MOST OR ALL OF THE TIME (5-7 DAYS)
. UNKNOWN (75)
FR141 CESD - I DID NOT FEEL LIKE EATING; MY APPETITE WAS POOR
**SEE NOTE ABOVE**
0 RARELY OR NONE OF THE TIME (LESS THAN ONE DAY)
1 SOME OR A LITTLE OF THE TIME (1-2 DAYS)
2 OCCASIONALLY OR MODERATE AMOUNT OF TIME (3-4 DAYS)
3 MOST OR ALL OF THE TIME (5-7 DAYS)
. UNKNOWN (73)
FR142 CESD -I FELT THAT I COULD NOT SHAKE OFF THE BLUES, EVEN
WITH HELP FROM MY FAMILY AND FRIENDS
**SEE NOTE ABOVE**
0 RARELY OR NONE OF THE TIME (LESS THAN ONE DAY)
1 SOME OR A LITTLE OF THE TIME (1-2 DAYS)
2 OCCASIONALLY OR MODERATE AMOUNT OF TIME (3-4 DAYS)
3 MOST OR ALL OF THE TIME (5-7 DAYS)
. UNKNOWN (75)
FR143 CESD - I FELT THAT I WAS JUST AS GOOD AS OTHER PEOPLE
**SEE NOTE ABOVE**
0 RARELY OR NONE OF THE TIME (LESS THAN ONE DAY)
1 SOME OR A LITTLE OF THE TIME (1-2 DAYS)
2 OCCASIONALLY OR MODERATE AMOUNT OF TIME (3-4 DAYS)
3 MOST OR ALL OF THE TIME (5-7 DAYS)
. UNKNOWN (100)
FR144 CESD - I HAD TROUBLE KEEPING MY MIND ON WHAT I WAS DOING
**SEE NOTE ABOVE**
0 RARELY OR NONE OF THE TIME (LESS THAN ONE DAY)
1 SOME OR A LITTLE OF THE TIME (1-2 DAYS)
2 OCCASIONALLY OR MODERATE AMOUNT OF TIME (3-4 DAYS)
3 MOST OR ALL OF THE TIME (5-7 DAYS)
. UNKNOWN (76)
FR145 CESD - I FELT DEPRESSED **SEE NOTE ABOVE**
0 RARELY OR NONE OF THE TIME (LESS THAN ONE DAY)
1 SOME OR A LITTLE OF THE TIME (1-2 DAYS)
2 OCCASIONALLY OR MODERATE AMOUNT OF TIME (3-4 DAYS)
3 MOST OR ALL OF THE TIME (5-7 DAYS)
. UNKNOWN (74)
FR146 CESD - I FELT EVERYTHING I DID WAS AN EFFORT **SEE NOTE ABOVE**
0 RARELY OR NONE OF THE TIME (LESS THAN ONE DAY)
1 SOME OR A LITTLE OF THE TIME (1-2 DAYS)
2 OCCASIONALLY OR MODERATE AMOUNT OF TIME (3-4 DAYS)
3 MOST OR ALL OF THE TIME (5-7 DAYS)
. UNKNOWN (76)
FR147 CESD - I FELT HOPEFUL ABOUT THE FUTURE **SEE NOTE ABOVE**
0 RARELY OR NONE OF THE TIME (LESS THAN ONE DAY)
1 SOME OR A LITTLE OF THE TIME (1-2 DAYS)
2 OCCASIONALLY OR MODERATE AMOUNT OF TIME (3-4 DAYS)
3 MOST OR ALL OF THE TIME (5-7 DAYS)
. UNKNOWN (133)
FR148 CESD - I THOUGHT MY LIFE HAD BEEN A FAILURE
**SEE NOTE ABOVE**
0 RARELY OR NONE OF THE TIME (LESS THAN ONE DAY)
1 SOME OR A LITTLE OF THE TIME (1-2 DAYS)
2 OCCASIONALLY OR MODERATE AMOUNT OF TIME (3-4 DAYS)
3 MOST OR ALL OF THE TIME (5-7 DAYS)
. UNKNOWN (75)
FR149 CESD - I FELT FEARFUL **SEE NOTE ABOVE**
0 RARELY OR NONE OF THE TIME (LESS THAN ONE DAY)
1 SOME OR A LITTLE OF THE TIME (1-2 DAYS)
2 OCCASIONALLY OR MODERATE AMOUNT OF TIME (3-4 DAYS)
3 MOST OR ALL OF THE TIME (5-7 DAYS)
. UNKNOWN (72)
FR150 CESD - MY SLEEP WAS RESTLESS **SEE NOTE ABOVE**
0 RARELY OR NONE OF THE TIME (LESS THAN ONE DAY)
1 SOME OR A LITTLE OF THE TIME (1-2 DAYS)
2 OCCASIONALLY OR MODERATE AMOUNT OF TIME (3-4 DAYS)
3 MOST OR ALL OF THE TIME (5-7 DAYS)
. UNKNOWN (75)
FR151 CESD - I WAS HAPPY **SEE NOTE ABOVE**
0 RARELY OR NONE OF THE TIME (LESS THAN ONE DAY)
1 SOME OR A LITTLE OF THE TIME (1-2 DAYS)
2 OCCASIONALLY OR MODERATE AMOUNT OF TIME (3-4 DAYS)
3 MOST OR ALL OF THE TIME (5-7 DAYS)
. UNKNOWN (80)
FR152 CESD - I TALKED LESS THAN USUAL **SEE NOTE ABOVE**
0 RARELY OR NONE OF THE TIME (LESS THAN ONE DAY)
1 SOME OR A LITTLE OF THE TIME (1-2 DAYS)
2 OCCASIONALLY OR MODERATE AMOUNT OF TIME (3-4 DAYS)
3 MOST OR ALL OF THE TIME (5-7 DAYS)
. UNKNOWN (80)
FR153 CESD - I FELT LONELY **SEE NOTE ABOVE**
0 RARELY OR NONE OF THE TIME (LESS THAN ONE DAY)
1 SOME OR A LITTLE OF THE TIME (1-2 DAYS)
2 OCCASIONALLY OR MODERATE AMOUNT OF TIME (3-4 DAYS)
3 MOST OR ALL OF THE TIME (5-7 DAYS)
. UNKNOWN (72)
FR154 CESD - PEOPLE WERE UNFRIENDLY **SEE NOTE ABOVE**
0 RARELY OR NONE OF THE TIME (LESS THAN ONE DAY)
1 SOME OR A LITTLE OF THE TIME (1-2 DAYS)
2 OCCASIONALLY OR MODERATE AMOUNT OF TIME (3-4 DAYS)
3 MOST OR ALL OF THE TIME (5-7 DAYS)
. UNKNOWN (75)
FR155 CESD - I ENJOYED LIFE **SEE NOTE ABOVE**
0 RARELY OR NONE OF THE TIME (LESS THAN ONE DAY)
1 SOME OR A LITTLE OF THE TIME (1-2 DAYS)
2 OCCASIONALLY OR MODERATE AMOUNT OF TIME (3-4 DAYS)
3 MOST OR ALL OF THE TIME (5-7 DAYS)
. UNKNOWN (78)
FR156 CESD - I HAD CRYING SPELLS **SEE NOTE ABOVE**
0 RARELY OR NONE OF THE TIME (LESS THAN ONE DAY)
1 SOME OR A LITTLE OF THE TIME (1-2 DAYS)
2 OCCASIONALLY OR MODERATE AMOUNT OF TIME (3-4 DAYS)
3 MOST OR ALL OF THE TIME (5-7 DAYS)
. UNKNOWN (73)
FR157 CESD - I FELT SAD **SEE NOTE ABOVE**
0 RARELY OR NONE OF THE TIME (LESS THAN ONE DAY)
1 SOME OR A LITTLE OF THE TIME (1-2 DAYS)
2 OCCASIONALLY OR MODERATE AMOUNT OF TIME (3-4 DAYS)
3 MOST OR ALL OF THE TIME (5-7 DAYS)
. UNKNOWN (73)
FR158 CESD - I FELT THAT PEOPLE DISLIKED ME **SEE NOTE ABOVE**
0 RARELY OR NONE OF THE TIME (LESS THAN ONE DAY)
1 SOME OR A LITTLE OF THE TIME (1-2 DAYS)
2 OCCASIONALLY OR MODERATE AMOUNT OF TIME (3-4 DAYS)
3 MOST OR ALL OF THE TIME (5-7 DAYS)
. UNKNOWN (78)
FR159 CESD - I COULD NOT "GET GOING" **SEE NOTE ABOVE**
0 RARELY OR NONE OF THE TIME (LESS THAN ONE DAY)
1 SOME OR A LITTLE OF THE TIME (1-2 DAYS)
2 OCCASIONALLY OR MODERATE AMOUNT OF TIME (3-4 DAYS)
3 MOST OR ALL OF THE TIME (5-7 DAYS)
. UNKNOWN (78)
BERKMAN SOCIAL NETWORK QUESTIONNAIRE
------------------------------------
VARIABLE INFORMATION
-------- -----------
NOTE FOR VARIABLES FR160-FR172
THE FOLLOWING TWO PAGE QUESTIONAIRE ASKS ABOUT YOUR SOCIAL SUPPORT. PLEASE
READ THE FOLLOWING QUESTIONS AND CIRCLE THE RESPONSE THAT MOST CLOSELY
DESCRIBES YOUR CURRENT SITUATION.
FR160 BERKMAN - HOW MANY CLOSE FRIENDS DO YOU HAVE; PEOPLE THAT
YOU FEEL AT EASE WITH, CAN TALK TO ABOUT PRIVATE MATTERS?
** SEE NOTE ABOVE **
0 NONE
1 1 OR 2
2 3 TO 5
3 6 TO 9
4 10 OR MORE
. UNKNOWN (77)
FR161 BERKMAN - HOW MANY OF THESE CLOSE FRIENDS DO YOU SEE AT
LEAST ONCE A MONTH? ** SEE NOTE ABOVE **
0 NONE
1 1 OR 2
2 3 TO 5
3 6 TO 9
4 10 OR MORE
. UNKNOWN (84)
FR162 BERKMAN - HOW MANY RELATIVES DO YOU HAVE; PEOPLE YOU
FEEL AT EASE WITH, CAN TALK TO ABOUT PRIVATE MATTERS?
** SEE NOTE ABOVE **
0 NONE
1 1 OR 2
2 3 TO 5
3 6 TO 9
4 10 OR MORE
. UNKNOWN (78)
FR163 BERKMAN - HOW MANY OF THESE RELATIVES DO YOU SEE AT
LEAST ONCE A MONTH? ** SEE NOTE ABOVE **
0 NONE
1 1 OR 2
2 3 TO 5
3 6 TO 9
4 10 OR MORE
. UNKNOWN (78)
FR164 BERKMAN - DO YOU PARTICIPATE IN ANY GROUPS SUCH AS A
SENIOR CENTER, SOCIAL OR WORK GROUP, CHURCH CONNECTED
GROUP, SELF-HELP GROUP, OR CHARITY, PUBLIC SERVICE OR
COMMUNITY GROUP? ** SEE NOTE ABOVE **
0 NO
1 YES
. UNKNOWN (58)
FR165 BERKMAN - ABOUT HOW OFTEN DO YOU GO TO RELIGIOUS MEETINGS
OR SERVICES? ** SEE NOTE ABOVE **
0 NEVER OR ALMOST NEVER
1 ONCE OR TWICE A YEAR
2 EVERY FEW MONTHS
3 ONCE OR TWICE A MONTH
4 ONCE A WEEK
5 MORE THAN ONCE A WEEK
. UNKNOWN (65)
FR166 BERKMAN - DO YOU HAVE MEDICARE OR MEDICAID?
** SEE NOTE ABOVE **
0 NO
1 YES
. UNKNOWN (61)
FR167 BERKMAN - DO YOU HAVE HEALTH INSURANCE? ** SEE NOTE ABOVE **
0 NO
1 YES
. UNKNOWN (82)
FR168 BERKMAN - IS THERE SOMEONE AVAILABLE TO YOU WHOM YOU CAN COUNT
ON TO LISTEN TO YOU WHEN YOU NEED TO TALK?** SEE NOTE ABOVE **
0 NONE OF THE TIME
1 A LITTLE OF THE TIME
2 SOME OF THE TIME
3 MOST OF THE TIME
4 ALL OF THE TIME
. UNKNOWN (86)
FR169 BERKMAN - IS THERE SOMEONE AVAILABLE TO GIVE YOU GOOD
ADVICE ABOUT A PROBLEM? ** SEE NOTE ABOVE **
0 NONE OF THE TIME
1 A LITTLE OF THE TIME
2 SOME OF THE TIME
3 MOST OF THE TIME
4 ALL OF THE TIME
. UNKNOWN (96)
FR170 BERKMAN - IS THERE SOMEONE AVAILABLE TO YOU WHO SHOWS
YOU LOVE AND AFFECTION? ** SEE NOTE ABOVE **
0 NONE OF THE TIME
1 A LITTLE OF THE TIME
2 SOME OF THE TIME
3 MOST OF THE TIME
4 ALL OF THE TIME
. UNKNOWN (87)
FR171 BERKMAN - CAN YOU COUNT ON ANYONE TO PROVE YOU WITH EMOTIONAL
SUPPORT (TALKING OVER PROBLEMS OR HELPING YOU MAKE A DIFFICULT
DECISION)? ** SEE NOTE ABOVE **
0 NONE OF THE TIME
1 A LITTLE OF THE TIME
2 SOME OF THE TIME
3 MOST OF THE TIME
4 ALL OF THE TIME
. UNKNOWN (92)
FR172 BERKMAN - DO YOU HAVE AS MUCH CONTACT AS WOULD LIKE WITH
SOMEONE YOU FEEL CLOSE TO, SOMEONE IN WHOM YOU CAN TRUST
AND CONFIDE? ** SEE NOTE ABOVE **
0 NONE OF THE TIME
1 A LITTLE OF THE TIME
2 SOME OF THE TIME
3 MOST OF THE TIME
4 ALL OF THE TIME
. UNKNOWN (94)
SCREEN 1: FIRST EXAMINER - HOPITALIZATIONS
--------------------------------
VARIABLE INFORMATION
-------- -----------
FR0173 FIRST EXAMINER'S ID NUMBER
42D - 601
. UNKNOWN (0)
deleted - used for administrative purposes only
FR174 HOSPITALIZATIONS (NOT JUST E.R.) IN INTERIM
0 NO
1 YES, HOSPITALIZATION
2 YES, MORE THAN 1 HOSPITALIZATION
. UNKNOWN (2)
FR175 E.R. VISIT IN INTERIM
0 NO
1 YES, 1 VISIT
2 YES, MORE THAN 1 VISIT
. UNKNOWN (4)
FR176 DAY SURGERY IN INTERIM
0 NO
1 YES
. UNKNOWN (7)
FR177 ILLNESS WITH VISIT TO DOCTOR IN INTERIM
0 NO
1 YES, 1 VISIT
2 YES, MORE THAN 1 VISIT
. UNKNOWN (8)
FR178 CHECK UP IN INTERIM BY DOCTOR
0 NO
1 YES
. UNKNOWN (5)
FR179 DATE OF THIS FHS EXAM
JUNE 6, 1997 - DECEMBER 13, 1999
. UNKNOWN (0)
deleted - redundant, use most current basic file
SCREEN 2: FIRST EXAMINER - CARDIOVASCULAR MEDICATIONS
-----------------------------------------------------
VARIABLE INFORMATION
-------- -----------
FR180 TAKE ASPIRIN REGULARLY
0 NO
1 YES
. UNKNOWN (1)
FR181 IF YES TO FR180, NUMBER OF ASPIRIN TAKEN REGULARYLY
0 - 4
. UNKNOWN (3)
FR182 IF YES TO FR180, ASPIRIN FREQUENCY
0 NEVER
1 DAY
2 WEEK
3 MONTH
4 YEAR
. UNKNOWN (3)
FR183 IF YES TO FR180, USUAL ASPIRIN DOSE
0 DOES NOT TAKE ASPIRIN
081 BABY
160 HALF DOSE
325 NL
500 EXTRA OR LARGER
. UNKNOWN (4)
*** Version 2 08-22-2007
added 0 as a valid code
FR184 CURRENTLY RECEIVING MEDICATION FOR THE TREATMENT OF
HYPERTENSION?
0 NO
1 YES
. UNKNOWN (8)
FR185 ANY OF THE CARDIOVASCULAR MEDICATIONS BELOW ON
THIS PAGE?
0 NO
1 YES
. UNKNOWN (1)
FR186 CARDIOVASCULAR MEDICATIONS - CARDIAC GLYCOSIDES
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (6)
FR187 CARDIOVASCULAR MEDICATIONS - NITROGLYCERINE
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (8)
FR188 CARDIOVASCULAR MEDICATIONS -
LONGER ACTING NITRATES (ISORDIL, CARDILATE)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (6)
FR189 CARDIOVASCULAR MEDICATIONS - CALCIUM CHANNEL BLOCKERS (SPECIFY)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (7)
FR190 CARDIOVASCULAR MEDICATIONS - CALCIUM CHANNEL BLOCKER GROUP
0 DOES NOT TAKE CALCIUM CHANNEL BLOCKERS
1 VERAPAMIL
2 DILTIAZEM
3 NIFEDIPINE
4 NICARDIPINE
5 ISRADIPINE
6 AMLODIPINE
7 FELODIPINE
8 NIMODIPINE
9 MIBEFRADIL
10 NISOLDIPINE
11 BEPRIDIL
12 OTHER
. UNKNOWN (13)
FR191 CARDIOVASCULAR MEDICATIONS -
TABLET SIZE OF CALCIUM CHANNEL BLOCKER (MG)
0 - 360
. UNKNOWN (24)
FR192 CARDIOVASCULAR MEDICATIONS -
NUMBER OF TIMES CALCIUM CHANNEL BLOCKER TAKEN PER DAY
0 - 4
. UNKNOWN (20)
FR193 CARDIOVASCULAR MEDICATIONS - BETA BLOCKERS (SPECIFY)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (6)
FR194 CARDIOVASCULAR MEDICATIONS - BETA BLOCKER GROUP
0 DOES NOT TAKE BETA BLOCKERS
1 PROPRANOLOL
2 TIMOLOL
3 NADOLOL
4 ATENOLOL
5 METOPROLOL
6 PINDOLOL
7 ACEBUTOLOL
8 LABETALOL
9 OTHER
. UNKNOWN (8)
FR195 CARDIOVASCULAR MEDICATIONS - DOSE OF BETA BLOCKER
0 - 600
. UNKNOWN (21)
FR196 CARDIOVASCULAR MEDICATIONS - LOOP DIURETICS (LASIX, ETC)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (3)
FR197 CARDIOVASCULAR MEDICATIONS -
THIAZIDE/K-SPARING DIURETICS (DYAZIDE, MAXIDE, ETC)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (3)
FR198 CARDIOVASCULAR MEDICATIONS - THIAZIDE DIURETICS
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (3)
FR199 CARDIOVASCULAR MEDICATIONS -
K-SPARING DIURECTICS (ALDACTONE, TRIAMTERENE)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (3)
FR200 CARDIOVASCULAR MEDICATIONS - POTASSIUM SUPPLEMENTS
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (3)
FR201 CARDIOVASCULAR MEDICATIONS -
ALPHA-1 AGONIST (CLONIDINE, WYTENSIN, GUANABENZ)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (3)
FR202 CARDIOVASCULAR MEDICATIONS -
ALPHA-2 BLOCKERS (PRAZOSIN, TERAZOSIN, DOXAZOSIN)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (2)
FR203 CARDIOVASCULAR MEDICATIONS -
RENIN-ANGIOTENSIN BLOCKING DRUGS (ACE)
(CAPTOPRIL, ENALAPRIL, LISINOPRIL)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (3)
FR204 CARDIOVASCULAR MEDICATIONS -
PERIPHERAL VASODILATORS (HYDRALAZINE, MINOXIDIL,ETC)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (3)
FR205 CARDIOVASCULAR MEDICATIONS - OTHER ANTI-HYPERTENSIVES (SPECIFY)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (3)
FR206 CARDIOVASCULAR MEDICATIONS -
ANTIARRHYTHMICS (QUINIDINE, PROCAINAMIDE NORPACE,
DISOPYRAMIDE, ETC.)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (3)
FR207 CARDIOVASCULAR MEDICATIONS -
ANTIPLATELET (ANTURANE, PERSANTINE, ETC.)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (3)
FR208 CARDIOVASCULAR MEDICATIONS -
ANTICOAGULANTS (COUMADIN, WARFARIN, ETC.)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (2)
FR209 CARDIOVASCULAR MEDICATIONS - OTHER CARDIAC MEDICATIONS
(SPECIFY)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (3)
SCREEN 3: FIRST EXAMINER - OTHER MEDICATIONS
----------------------------------
VARIABLE INFORMATION
-------- -----------
FR210 OTHER MEDICATIONS - ANTI CHOLESTEROL DRUGS (RESINS -- E.G.
QUESTRAN, COLESTID)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (3)
FR211 OTHER MEDICATIONS - ANTI CHOLESTEROL DRUGS (NIACIN OR
NICOTINIS ACID)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (3)
FR212 OTHER MEDICATIONS - ANTI CHOLESTEROL DRUGS (FIBRATES -- E.G.
GEMFIBROZIL)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (3)
FR213 OTHER MEDICATIONS - ANTI CHOLESTEROL DRUGS (STATINS -- E.G.
LOVASTATIN, PRAVASTATIN)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (3)
FR214 OTHER MEDICATIONS - ANTI CHOLESTEROL DRUGS (OTHER-SPECIFY)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN(4)
FR215 OTHER MEDICATIONS - ANTIGOUT -- URIC ACID LOWERING
(ALLOPURINOL, PROBENECID, ETC.)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (2)
FR216 OTHER MEDICATIONS - ANTIGOUT - (COLCHICINE)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (2)
FR217 OTHER MEDICATIONS - THYROID EXTRACT (DESSICATED THYROID)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (2)
FR218 OTHER MEDICATIONS - THYROXINE (SYNTHROID, ETC)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (2)
FR219 OTHER MEDICATIONS - INSULIN
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (5)
FR220 OTHER MEDICATIONS - TOTAL UNITS OF INSULIN A DAY
0 - 52
. UNKNOWN (6)
FR221 OTHER MEDICATIONS - ORAL HYPOGLYCEMICS (SPECIFY BRAND)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (2)
FR222 OTHER MEDICATIONS - ORAL/PATCH ESTROGEN
(FOR WOMEN USERS ALSO SEE ESTROGEN SECTION)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (1)
FR223 OTHER MEDICATIONS - ORAL GLUCOCORTICOIDS
(PREDNISONE, CORTISONE, ETC)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (2)
FR224 OTHER MEDICATIONS - NON-STEROIDAL ANTI-INFLAMMATORY AGENTS
(NSAIDS)
(MOTRIN, IBUPROFEN, NAPROSYN, INDOCIN, CLINORIL)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (2)
FR225 OTHER MEDICATIONS - ANALGESIC-NARCOTICS (DEMEROL, CODEINE,
DILAUDID, ETC)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (2)
FR226 OTHER MEDICATIONS - ANALGESIC-NON NARCOTICS
(ACETAMINOPHEN, ETC)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (2)
FR227 OTHER MEDICATIONS - ANTIHISTAMINES
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (2)
FR228 OTHER MEDICATIONS - ANTIULCER (TAGAMET, RANITIDINE, PROBANTHINE
H ION INHIBITORS)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (2)
FR229 OTHER MEDICATIONS - ANTI-ANXIETY, SEDATIVE/HYPNOTICS ETC
(LIBRIUM, VALIUM ETC)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (2)
FR230 OTHER MEDICATIONS - SLEEPING PILLS
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (2)
FR231 OTHER MEDICATIONS - ANTI-DEPRESSANTS
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (2)
FR232 OTHER MEDICATIONS - EYE DROPS
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (2)
FR233 OTHER MEDICATIONS - ANTIBIOTICS
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (2)
FR234 OTHER MEDICATIONS - ANTI-PARKINSON DRUGS (SINEMET, L-DOPA
SYMMETREL, COGENTIN, ETC)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (2)
FR235 OTHER MEDICATIONS - ANTICONVULSANTS (DILANTIN, PHENOBARBITAL
TEGRETOL, MYSOLINE, ETC)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (2)
FR236 OTHER MEDICATIONS - BRONCHODILATORS AND AEROSOLS
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (2)
FR237 OTHER MEDICATIONS - OSTEOPOROSIS MEDICATIONS
(ALENDRONATE (FOSAMAX), CALCITONIN, ETIDRONATE,
EVISTA (RALOXIFERE))
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (10)
FR238 OTHER MEDICATIONS - OTHERS SPECIFY (INCLUDE VITAMINS)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
. UNKNOWN (3)
SCREEN 4: PHYSICIAN BLOOD PRESSURE READINGS
-------------------------------------------
VARIABLE INFORMATION
-------- -----------
FR239 PHYSICIAN BLOOD PRESSURE (FIRST READING)
SYSTOLIC (TO NEAREST 2 MM HG)
84 - 212
. UNKNOWN (8)
FR240 PHYSICIAN BLOOD PRESSURE (FIRST READING)
DIASTOLIC (TO NEAREST 2 MM HG)
30 - 110
. UNKNOWN (13)
SCREEN 5: MEDICAL HISTORY - GENITOURINARY AND THYROID DISEASE
-------------------------------------------------------------
VARIABLE INFORMATION
-------- -----------
MEDICAL HISTORY -- GENINTOURINARY AND THYROID DISEASE
FR241 FEMALE GENITOURINARY
ESTROGEN REPLACEMENT IN INTERIM (E.G. PREMARIN)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
8 MAN
. UNKNOWN (0)
FR242 FEMALE GENITOURINARY
DOSE/DAY OF PREMARIN CONJUGATED ESTROGENS, OR OTHER
ORAL ESTROGEN
0 NO
1 0.3 MG
2 0.625 MG
3 0.9 MG
4 1.25 MG
5 2.5 MG
6 OTHER (WRITE IN)
8 MAN
. UNKNOWN (5)
FR243 FEMALE GENITOURINARY
PATCH DOSE OF ESTROGEN
0 NO
1 0.5 MG/WK
2 OTHER (WRITE IN)
8 MAN
. UNKNOWN (2)
FR244 FEMALE GENITOURINARY
NUMBER OF DAYS A MONTH TAKING ESTROGEN
0 - 30
8 MAN
. UNKNOWN (3)
FR245 FEMALE GENITOURINARY
ESTROGEN CREAM USE IN INTERIM
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
8 MAN
. UNKNOWN (3)
FR246 FEMALE GENITOURINARY
PROGESTIN REPLACEMENT IN INTERIM (E.G. PROVERA)
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
8 MAN
. UNKNOWN (0)
FR247 FEMALE GENITOURINARY
DOSE/DAY OF PROGESTIN
0 NO
1 1.25 MG
2 2.5 MG
3 5.0 MG
4 10.0 MG
5 OTHER (WRITE IN)
8 MAN
. UNKNOWN (6)
FR248 FEMALE GENITOURINARY
NUMBER OF DAYS PER MONTH TAKING PROGESTINS
0 - 30
8 MAN
. UNKNOWN (2)
FR249 MALE GENITOURINARY
PROSTATE TROUBLE IN INTERIM
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
8 WOMAN
. UNKNOWN (1)
FR250 MALE GENITOURINARY
PROSTATE SURGERY IN INTERIM
0 NO
1 YES, NOW
2 YES, NOT NOW
3 MAYBE
8 WOMAN
. UNKNOWN (1)
FR251 MEDICAL HISTORY - THYROID
INTERIM DIAGNOSIS OF A THYROID CONDITION?
0 NO
1 YES
. UNKNOWN (4)
FR252 SMOKING HISTORY
SMOKED CIGARETTES REGULARLY IN THE LAST YEAR?
0 NO
1 YES
. UNKNOWN (1)
FR253 SMOKING HISTORY
HOW MANY CIGARETTES DO/DID YOU SMOKE A DAY?
0 - 30
1 ONE OR LESS
. UNKNOWN (2)
SCREEN 6: RESPIRATORY QUESTIONS
-------------------------------
VARIABLE INFORMATION
-------- -----------
FR254 RESPIRATORY SYMPTOMS -
DO YOU USUALLY COUGH ON MOST DAYS FOR
3 CONSECUTIVE MONTHS OR MORE DURING THE YEAR?
0 N0
1 YES, NEW IN INTERIM
2 YES, OLD
. UNKNOWN (7)
FR255 RESPIRATORY SYMPTOMS -
DO YOU USUALLY BRING UP PHLEGM FROM YOUR
CHEST ON MOST DAYS FOR 3 CONSECUTIVE MONTHS OR MORE
DURING THE YEAR?
0 NO
1 YES
. UNKNOWN (7)
FR256 RESPIRATORY SYMPTOMS - HAVE YOU HAD ASTHMA IN THE INTERIM?
0 NO
1 YES, NEW
2 YES, OLD
. UNKNOWN (3)
FR257 RESPIRATORY SYMPTOMS - HAVE YOU HAD WHEEZING OR WHISTLING IN
YOUR CHEST AT ANY
TIME IN THE LAST 12 MONTHS?
0 NO
1 YES
. UNKNOWN (10)
FR258 RESPIRATORY SYMPTOMS - NIGHT COUGH
0 NO
1 YES
. UNKNOWN (9)
FR259 RESPIRATORY SYMPTOMS - DYSPNEA ON EXERTION
0 NO
1 CLIMBING STAIRS OR VIGOROUS EXERTION
2 RAPID WALKING OR MODERATE EXERTION
3 ANY SLIGHT EXERTION
. UNKNOWN (39)
FR260 RESPIRATORY SYMPTOMS -
DYSPNEA HAS INCREASED OVER THE PAST TWO YEARS
0 NO
1 YES
. UNKNOWN (46)
FR261 RESPIRATORY SYMPTOMS -
SLEEP ON 2 OR MORE PILLOWS TO HELP YOU BREATHE
0 NO
1 YES
. UNKNOWN (15)
FR262 RESPIRATORY SYMPTOMS -
HAVE YOU AWAKENED SUDDENLY VERY SHORT OF
BREATH, GASPING OR CHOKING (PND) CODE MOST SEVERE
SYMPTOMS IN INTERIM
0 NEVER
1 1 OR 2X/YEAR
2 FEW NIGHTS/MONTHS UNDER SPECIAL CIRCUMSTANCES
3 AT LEAST ONCE WEEKLY BUT IRREGULAR PATTERN
4 3 TO 5 NIGHTS/WEEK
5 5 TO 7 NIGHTS/WEEK
. DON'T KNOW OR UNKNOWN (7)
FR263 RESPIRATORY SYMPTOMS - ANKLE EDEMA BILATERALLY
0 NO
1 YES
2 MAYBE
. UNKNOWN (1)
FR264 RESPIRATORY SYMPTOMS -
BEEN TOLD THAT YOU HAVE HAD HEART FAILURE
OR CONGESTIVE HEART FAILURE IN THE INTERIM
0 NO
1 YES
2 MAYBE
. UNKNOWN (10)
FR265 RESPIRATORY SYMPTOMS - BEEN HOSPITALIZED FOR HEART FAILURE IN
INTERIM
0 NO
1 YES
2 MAYBE
. UNKNOWN (9)
FR266 RESPIRATORY EXAMINIER'S OPINIONS -
CONGESTIVE HEART FAILURE
0 NO
1 YES
2 MAYBE
. UNKNOWN (4)
deleted - redundant, use most current soe file
FR267 RESPIRATORY EXAMINER'S OPINIONS -
CHRONIC BRONCHITIS (COUGH THAT PRODUCES
SPUTNUM AT LEAST 3 MONTHS IN PAST 12 MONTHS)
0 NO
1 YES
2 MAYBE
. UNKNOWN (2)
FIRST EXAMINER - CORONARY HEART DISEASE OPINIONS IN INTERIM
-----------------------------------------------------------
VARIABLE INFORMATION
-------- -----------
FR268 ANY CHEST DISCOMFORT SINCE LAST EXAM
0 NO
1 YES
2 MAYBE
. UNKNOWN (8)
FR269 CHEST DISCOMFORT WITH EXERTION OR EXCITEMENT
0 NO
1 YES
2 MAYBE
. UNKNOWN (14)
FR270 CHEST DISCOMFORT WHEN QUIET OR RESTING
0 NO
1 YES
2 MAYBE
. UNKNOWN (13)
FR271 CHEST DISCOMFORT - DATE OF ONSET - MONTH
0 - 12
0 NO CHEST DISCOMFORT SINCE LAST EXAM
. UNKNOWN (98)
deleted - to preserve confidentiality
FR272 CHEST DISCOMFORT - DATE OF ONSET - YEAR
0 - 1999
0 NO CHEST DISCOMFORT SINCE LAST EXAM
. UNKNOWN (61)
deleted - to preserve confidentiality
FR273 CHEST DISCOMFORT - USUAL DURATION - MINUTES
0 - 720
0 NO CHEST DISCOMFORT SINCE LAST EXAM
. UNKNOWN (33)
FR274 CHEST DISCOMFORT - LONGEST DURATION - MINUTES
0 - 900
0 NO CHEST DISCOMFORT SINCE LAST EXAM
1 1 MINUTE OR LESS
900 15 HOURS OR MORE
. UNKNOWN (33)
FR275 CHEST DISCOMFORT - LOCATION
0 NO
1 CENTRAL STERNUM AND UPPER CHEST
2 L UP QUADRANT
3 L LOWER RIBCAGE
4 R CHEST
5 OTHER
6 COMBINATION
. UNKNOWN (10)
FR276 CHEST DISCOMFORT - RADIATION
0 NO
1 LEFT SHOULDER OR L ARM
2 NECK
3 R SHOULDER OR ARM
4 BACK
5 ABDOMEN
6 OTHER
7 COMBINATION
. UNKNOWN (14)
FR277 CHEST DISCOMFORT - FREQUENCY - NUMBER
IN PAST MONTH
0 - 60
0 NONE OR NO CHEST DISCOMFORT SINCE LAST EXAM
. UNKNOWN (18)
FR278 CHEST DISCOMFORT - FREQUENCY - NUMBER
IN PAST YEAR
0 - 365
0 NONE OR NO CHEST DISCOMFORT SINCE LAST EXAM
. UNKNOWN (37)
FR279 CHEST DISCOMFORT - TYPE
0 NO CHEST DISCOMFORT SINCE LAST EXAM
1 PRESSURE, HEAVY, VISE
2 SHARP
3 DULL
4 OTHER
. UNKNOWN (17)
FR280 CHEST DISCOMFORT - RELIEF BY NITROGLYCERINE
IN <15 MINUTES
0 NO OR NO CHEST DISCOMFORT SINCE LAST EXAM
1 YES
8 NOT TRIED
. UNKNOWN (14)
FR281 CHEST DISCOMFORT - RELIEF BY REST IN <15
MINUTES
0 NO OR NO CHEST DISCOMFORT SINCE LAST EXAM
1 YES
8 NOT TRIED
. UNKNOWN (21)
FR282 CHEST DISCOMFORT - RELIEF SPONTANEOUSLY
IN <15 MINUTES
0 NO OR NO CHEST DISCOMFORT SINCE LAST EXAM
1 YES
8 NOT TRIED
. UNKNOWN (17)
FR283 CHEST DISCOMFORT - RELIEF BY OTHER CAUSE
IN <15 MINUTES
0 NO OR NO CHEST DISCOMFORT SINCE LAST EXAM
1 YES
8 NOT TRIED
. UNKNOWN (18)
FR284 CHD FIRST OPINIONS- ANGINA PECTORIS IN INTERIM
0 NO
1 YES
2 MAYBE
9 UNKNOWN (14)
deleted - redundant, use most current soe file
FR285 CHD FIRST OPINIONS- ANGINA PECTORIS
SINCE REVASCULARIZATION PROCEDURE
0 NO
1 YES
2 MAYBE
9 UNKNOWN (14)
deleted - redundant, use most current soe file
FR286 CHD FIRST OPINIONS- CORONARY INSUFFICIENCY IN INTERIM
0 NO
1 YES
2 MAYBE
9 UNKNOWN (10)
deleted - redundant, use most current soe file
FR287 CHD FIRST OPINIONS- MYOCARDIAL INFARCTION IN INTERIM
0 NO
1 YES
2 MAYBE
9 UNKNOWN (11)
deleted - redundant, use most current soe file
FIRST EXAMINER -- SYNCOPE HISTORY IN INTERIM
--------------------------------------------
VARIABLE INFORMATION
-------- -----------
FR288 SYNCOPE HISTORY -
HAVE YOU FAINTED OR LOST CONSCIOUSNESS IN THE INTERIM?
(IF DUE TO STROKE, SKIP TO FR338 (SCREEN 11)?
IF EVENT IMMEDIATELY PRECEDED BY HEAD INJURY OR
ACCIDENT CODE 0=NO.
0 NO
1 YES
2 MAYBE
9 UNKNOWN (2)
FR289 SYNCOPE HISTORY - NUMBER OF EPISODES IN PAST TWO YEARS
0 - 6
. UNKNOWN (3)
FR290 SYNCOPE HISTORY - DATE OF FIRST EPISODE - MONTH
0 - 12
0 DID NOT HAVE FAINTING OR LOSS OF
CONSCIOUSNESS IN THE INTERIM
. UNKNOWN (20)
deleted - to preserve confidentiality
FR291 SYNCOPE HISTORY - DATE OF FIRST EPISODE - YEAR
0 - 1999
0 DID NOT HAVE FAINTING OR LOSS OF
CONSCIOUSNESS IN THE INTERIM
. UNKNOWN (10)
deleted - to preserve confidentiality
FR292 SYNCOPE HISTORY - USUAL DURATION OF LOSS OF CONSCIOUSNESS
0 - 200 (NOTE FROM DATA MANAGMENT - UNITS NOT GIVEN
ON THE FORM - ASSUMED TO BE MINUTES)
0 DID NOT HAVE FAINTING OR LOSS OF
CONSCIOUSNESS IN THE INTERIM
. UNKNOWN (27)
FR293 SYNCOPE HISTORY - DID YOU HAVE ANY INJURY THAT WAS CAUSED BY
THE EVENT?
0 NO
1 YES
2 MAYBE
. UNKNOWN (3)
FR294 SYNCOPE HISTORY - ER/HOSPITALIZATION OR SAW M.D.
0 NO
1 HOSPITAL/EMERGENCY ROOM
2 SAW M.D.
. UNKNOWN (4)
(IF HOSPITALIZED, GIVE NAME OF HOSPITAL. IF SAW M.D., GIVE
NAME OF M.D.)
FR295 SYNCOPE OPINIONS - SYNCOPE
0 NO
1 YES
2 MAYBE
3 PRESYNCOPE
. UNKNOWN (5)
FR296 SYNCOPE OPINIONS - CARDIAC SYNCOPE
0 NO
1 YES
2 MAYBE
. UNKNOWN (17)
FR297 SYNCOPE OPINIONS - VASOVAGAL SYNCOPE
0 NO
1 YES
2 MAYBE
. UNKNOWN (19)
FR298 SYNCOPE OPINIONS - OTHER (SPECIFY)
0 NO
1 YES
2 MAYBE
. UNKNOWN (23)
FR299 SYNCOPE OPINIONS - SEIZURE DISORDER
0 NO
1 YES
2 MAYBE
. UNKNOWN (9)
FIRST EXAMINER -- CEREBROVASCULAR AND NEUROLOGICAL HISTORY AND OPINIONS
-----------------------------------------------------------------------
VARIABLES INFORMATION
--------- -----------
FR300 CEREBROVASCULAR - SUDDEN MUSCULAR WEAKNESS
0 NO
1 YES
2 MAYBE
. UNKNOWN (14)
FR301 CEREBROVASCULAR - SUDDEN SPEECH DIFFICULTY
0 NO
1 YES
2 MAYBE
. UNKNOWN (16)
FR302 CEREBROVASCULAR - SUDDEN VISUAL DEFECT
0 NO
1 YES
2 MAYBE
. UNKNOWN (24)
FR303 CEREBROVASCULAR - DOUBLE VISION
0 NO
1 YES
2 MAYBE
. UNKNOWN (23)
FR304 CEREBROVASCULAR - SUDDEN LOSS OF VISION IN ONE EYE
0 NO
1 YES
2 MAYBE
. UNKNOWN (23)
FR305 CEREBROVASCULAR - UNCONSCIOUSNESS
0 NO
1 YES
2 MAYBE
. UNKNOWN (11)
FR306 CEREBROVASCULAR - NUMBNESS, TINGLING
0 NO
1 YES
2 MAYBE
. UNKNOWN (22)
FR307 CEREBROVASCULAR - NUMBNESS AND TINGLING IS POSITIONAL
0 NO
1 YES
2 MAYBE
. UNKNOWN (27)
FR308 CEREBROVASCULAR - CT OF MRI SCAN (HEAD) SINCE LAST EXAM
(ALSO INDICATE DATE AND PLACE)
0 NO
1 YES
2 MAYBE
. UNKNOWN (5)
FR309 CEREBROVASCULAR - SEEN BY NEUROLOGIST SINCE LAST EXAM
(WRITE IN WHO AND WHEN)
0 NO
1 YES
2 MAYBE
. UNKNOWN (5)
DETAILS FOR "SERIOUS" CEREBROVASCULAR EVENT IN INTERIM:
FR310 CEREBROVASCULAR DETAILS - EXAMINER'S OPINION THAT "SERIOUS"
OR "SIGNIFICANT" CEREBROVASCULAR EVENT TOOK PLACE IN INTERIM
0 NO
1 YES
2 MAYBE
. UNKNOWN (21)
(IF YES OR MAYBE, FILL IN FR311 - 320)
deleted - redundant, use most current soe file
FR311 CEREBROVASCULAR DETAILS - DATE - MONTH
0 - 12
0 NO "SERIOUS" OR "SIGNIFICANT" CEREBROVASCULAR EVENT
TOOK PLACE IN THE INTERIM
. UNKNOWN (24)
deleted - redundant, use most current soe file
FR312 CEREBROVASCULAR DETAILS - DATE - YEAR
0 - 1999
0 NO "SERIOUS" OR "SIGNIFICANT" CEREBROVASCULAR EVENT
TOOK PLACE IN THE INTERIM
. UNKNOWN (24)
(ALSO WRITE WHO MADE THE OBSERVATIONS)
deleted - redundant, use most current soe file
FR313 CEREBROVASCULAR DETAILS - ONSET TIME
0 NO "SERIOUS" OR "SIGNIFICANT" CEREBROVASCULAR EVENT
TOOK PLACE IN THE INTERIM
1 ACTIVE
2 DURING SLEEP
3 WHILE ARISING
. UNKNOWN (28)
FR314 CEREBROVASCULAR DETAILS - EXACT/APPROXIMATE TIME (USE 24-HOUR
MILITARY TIME) - HOUR
0 - 22
. UNKNOWN (34)
FR315 CEREBROVASCULAR DETAILS - EXACT/APPROXIMATE TIME (USE 24-HOUR
MILITARY TIME) - MINUTES
0 - 45
. UNKNOWN (34)
FR316 CEREBROVASCULAR DETAILS - DURATION (USE FORMAT DAYS/HOURS/
MINUTES) - DAYS
0 - 40
. UNKNOWN (40)
NOTE: FR316+FR317+FR318 = TOTAL DURATION
OF CEREBROVASCULAR SYMPTOM
FR317 CEREBROVASCULAR DETAILS - DURATION (USE FORMAT DAYS/HOURS/
MINUTES) - HOURS
0 - 2
. UNKNOWN (40)
NOTE: FR316+FR317+FR318 = TOTAL DURATION
OF CEREBROVASCULAR SYMPTOM
FR318 CEREBROVASCULAR DETAILS - DURATION (USE FORMAT DAYS/HOURS/
MINUTES) - MINUTES
0 - 30
. UNKNOWN (40)
NOTE: FR316+FR317+FR318 = TOTAL DURATION
OF CEREBROVASCULAR SYMPTOM
FR319 CEREBROVASCULAR DETAILS - HOSPITALIZED OR SAW M.D.
0 NO
1 HOSPITALIZED
2 SAW M.D.
. UNKNOWN (24)
FR320 CEREBROVASCULAR DETAILS - NUMBER OF DAYS STAYED AT (INDICATE
LOCATION)
0 - 35
. UNKNOWN (27)
CEREBROVASCULAR DISEASE OPINION:
FR321 CEREBROVASCULAR DISEASE OPINIONS- STROKE IN INTERIM
0 NO
1 YES
2 MAYBE
. UNKNOWN (14)
deleted - redundant, use most current soe file
FR322 CEREBROVASCULAR DISEASE OPINIONS- TRANSIENT ISCHEMIC ATTACK IN
INTERIM (TIA)
0 NO
1 YES
2 MAYBE
. UNKNOWN (13)
deleted - redundant, use most current soe file
FR323 CEREBROVASCULAR DISEASE OPINIONS- PARKINSONISM IN INTERIM
0 NO
1 YES
2 MAYBE
. UNKNOWN (10)
FR324 CEREBROVASCULAR DISEASE OPINIONS- OTHER, SPECIFY
0 NO
1 YES
2 MAYBE
. UNKNOWN (9)
FIRST EXAMINER -- PERIPHERAL VASCULAR HISTORY AND OPINION
----------------------------------------------------------
VARIABLE INFORMATION
-------- -----------
FR325 PERIPHERAL VASCULAR HISTORY - CAN YOU WALK 50 FEET WITHOUT
HELP?
0 ABLE TO WALK 50 FEET W/O HELP
1 NEEDS HELP
2 CAN'T WALK
. UNKNOWN (5)
FR326 PERIPHERAL VASCULAR HISTORY - DO YOU HAVE LOWER LIMB DICOMFORT
WHILE WALKING?
0 NO
1 YES
2 CAN'T WALK
. UNKNOWN (19)
VASCULAR SYMPTOMS:
FR327 VASCULAR SYMPTOMS - DISCOMFORT IN LEFT CALF WHILE
WALKING
0 NO
1 YES
. UNKNOWN (53)
FR328 VASCULAR SYMPTOMS - DISCOMFORT IN RIGHT CALF WHILE
WALKING
0 NO
1 YES
. UNKNOWN (54)
FR329 VASCULAR SYMPTOMS - DISCOMFORT IN LEFT LOWER
EXTREMITY (NOT CALF) WHILE WALKING
0 NO
1 YES
. UNKNOWN (53)
FR330 VASCULAR SYMPTOMS - DISCOMFORT IN RIGHT LOWER
EXTREMITY (NOT CALF) WHILE WALKING
0 NO
1 YES
. UNKNOWN (54)
FR331 VASCULAR SYPMTOMS - OCCURS WITH FIRST STEPS
0 NO OR NO LOWER LIMB DISCOMFORT WHILE WALKING
1 YES
. UNKNOWN (53)
FR332 VASCULAR SYMPTOMS - AFTER WALKING A WHILE
0 NO OR NO LOWER LIMB DISCOMFORT WHILE WALKING
1 YES
. UNKNOWN (53)
FR333 VASCULAR SYMPTOMS - RELATED TO RAPIDITY OF WALKING
OR STEEPNESS
0 NO OR NO LOWER LIMB DISCOMFORT WHILE WALKING
1 YES
. UNKNOWN (64)
FR334 VASCULAR SYMPTOMS - FORCED TO STOP WALKING
0 NO OR NO LOWER LIMB DISCOMFORT WHILE WALKING
1 YES
. UNKNOWN (54)
FR335 VASCULAR SYMPTOMS - TIME FOR DISCOMFORT TO BE
RELIEVED BY STOPPING (MINUTES)
0 NO RELIEF WITH STOPPING OR
NO LOWER LIMB DISCOMFORT WHILE WALKING
88 NOT APPLICABLE
. UNKNOWN (58)
FR336 PERIPHERAL VASCULAR HISTORY - NUMBER OF DAYS/MONTH OF LOWER
LIMB DISCOMFORT
0 - 30
88 NOT APPLICABLE
. UNKNOWN (69)
FR337 INTERMITTENT CLAUDICATION - OPINIONS
0 NO
1 YES
2 MAYBE
. UNKNOWN (48)
deleted - redundant, use most current soe file
FIRST EXAMINER -- CHD AND COMPLICATIONS
---------------------------------------
VARIABLES INFORMATION
--------- -----------
FR338 CARDIOVASCULAR PROCEDURES
(IN THE INTERIM ONLY, NOT LIFETIME)
EXERCISE TOLERANCE TEST (MOST RECENT ONLY)
0 NO
1 YES
2 MAYBE
. UNKNOWN (1)
(IF YES, FILL IN FR389)
FR339 CARDIOVASCULAR PROCEDURES
(IN THE INTERIM ONLY, NOT LIFETIME)
YEAR AND LOCATION EXERCISE TOLERANCE TEST DONE
0 - 1999
0 NOT DONE
. UNKNOWN (3)
deleted - to preserve confidentiality
FR340 CARDIOVASCULAR PROCEDURES
(IN THE INTERIM ONLY, NOT LIFETIME)
CORNONARY ARTERIOGRAM (MOST RECENT ONLY)
0 NO
1 YES
2 MAYBE
. UNKNOWN (2)
(IF YES OR MAYBE, FILL IN FR341)
FR341 CARDIOVASCULAR PROCEDURES
(IN THE INTERIM ONLY, NOT LIFETIME)
YEAR CORONARY ARTERIOGRAM DONE (MOST RECENT ONLY)
0 - 1999
0 NOT DONE
. UNKNOWN (5)
deleted - to preserve confidentiality
FR342 CARDIOVASCULAR PROCEDURES
(IN THE INTERIM ONLY, NOT LIFETIME)
CORONARY ARTERY ANGIOPLASTY
0 NO
1 YES
2 MAYBE
. UNKNOWN (1)
(IF YES OR MAYBE, FILL IN FR343 AND FR344)
FR343 CARDIOVASCULAR PROCEDURES
(IN THE INTERIM ONLY, NOT LIFETIME)
YEAR CORONARY ARTERY ANGIOPLASTY FIRST DONE
0 - 1999
0 NOT DONE
. UNKNOWN (2)
deleted - to preserve confidentiality
.
FR344 CARDIOVASCULAR PROCEDURES
(IN THE INTERIM ONLY, NOT LIFETIME)
CORONARY ARTERY ANGIOPLASTY - TYPE OF PROCEDURE
0 NONE
1 BALLOON
2 OTHER
. UNKNOWN (4)
FR345 CARDIOVASCULAR PROCEDURES
(IN THE INTERIM ONLY, NOT LIFETIME)
CORONARY BYPASS SURGERY
0 NO
1 YES
2 MAYBE
. UNKNOWN (1)
(IF YES, FILL IN FR346)
FR346 CARDIOVASCULAR PROCEDURES
(IN THE INTERIM ONLY, NOT LIFETIME)
YEAR CORONARY BYPASS SURGERY FIRST DONE
0 - 1998
0 NOT DONE
. UNKNOWN (1)
deleted - to preserve confidentiality
FR347 CARDIOVASCULAR PROCEDURES
(IN THE INTERIM ONLY, NOT LIFETIME)
PERMANENT PACEMAKER INSERTION
0 NO
1 YES
2 MAYBE
. UNKNOWN (1)
(IF YES, FILL IN FR348)
FR348 CARDIOVASCULAR PROCEDURES
(IN THE INTERIM ONLY, NOT LIFETIME)
YEAR PERMANENT PACEMAKER INSERTION FIRST DONE
0 - 1998
0 NOTE DONE
. UNKNOWN (1)
deleted - to preserve confidentiality
FR349 CARDIOVASCULAR PROCEDURES
(IN THE INTERIM ONLY, NOT LIFETIME)
CAROTID ARTERY SURGERY
0 NO
1 YES
2 MAYBE
. UNKNOWN (1)
(IF YES, FILL IN FR350)
FR350 CARDIOVASCULAR PROCEDURES
(IN THE INTERIM ONLY, NOT LIFETIME)
YEAR CAROTID ARTERY SURGERY FIRST DONE
0 - 1999
0 NOT DONE
. UNKNOWN (1)
deleted - to preserve confidentiality
.
FR351 CARDIOVASCULAR PROCEDURES
(IN THE INTERIM ONLY, NOT LIFETIME)
THORACIC AORTA SURGERY
0 NO
1 YES
2 MAYBE
. UNKNOWN (1)
(IF YES, FILL IN FR352)
FR352 CARDIOVASCULAR PROCEDURES
(IN THE INTERIM ONLY, NOT LIFETIME)
YEAR THORACIC AORTA SURGERY FIRST DONE
0 NOT DONE
. UNKNOWN (1)
deleted - to preserve confidentiality
FR353 CARDIOVASCULAR PROCEDURES
(IN THE INTERIM ONLY, NOT LIFETIME)
ABDOMINAL AORTA SURGERY
0 NO
1 YES
2 MAYBE
. UNKNOWN (1)
(IF YES, FILL IN FR354)
FR354 CARDIOVASCULAR PROCEDURES
(IN THE INTERIM ONLY, NOT LIFETIME)
YEAR ABDOMINAL AORTA SURGERY FIRST DONE
0 - 1998
0 NOT DONE
. UNKNOWN (1)
deleted - to preserve confidentiality
FR355 CARDIOVASCULAR PROCEDURES
(IN THE INTERIM ONLY, NOT LIFETIME)
FEMORAL OR LOWER EXTREMITY SURGERY
0 NO
1 YES
2 MAYBE
. UNKNOWN (2)
(IF YES, FILL IN FR356)
FR356 CARDIOVASCULAR PROCEDURES
(IN THE INTERIM ONLY, NOT LIFETIME)
YEAR FEMORAL OR LOWER EXTREMITY SURGERY FIRST DONE
0 - 1998
0 NOT DONE
. UNKNOWN (2)
deleted - to preserve confidentiality
FR357 CARDIOVASCULAR PROCEDURES
(IN THE INTERIM ONLY, NOT LIFETIME)
LOWER EXTREMITY AMPUTATION
0 NO
1 YES
2 MAYBE
. UNKNOWN (1)
(IF YES, FILL IN FR358)
deleted - to preserve confidentiality
FR358 CARDIOVASCULAR PROCEDURES
(IN THE INTERIM ONLY, NOT LIFETIME)
YEAR LOWER EXTREMITY AMPUTATION FIRST DONE
0 - 1998
0 NOT DONE
. UNKNOWN (1)
deleted - to preserve confidentiality
FR359 CARDIOVASCULAR PROCEDURES
(IN THE INTERIM ONLY, NOT LIFETIME)
VALVE SURGERY
0 NO
1 YES
2 MAYBE
. UNKNOWN (1)
(IF YES, FILL IN FR360)
FR360 CARDIOVASCULAR PROCEDURES
(IN THE INTERIM ONLY, NOT LIFETIME)
YEAR VALVE SURGERY FIRST DONE, AND TYPE
0 - 1998
0 NOT DONE
. UNKNOWN (1)
deleted - to preserve confidentiality
FIRST EXAMINER -- CANCER SITE OR TYPE
-------------------------------------
VARIABLE INFORMATION
-------- -----------
FR361 CANCER SITE OR TYPE - HAVE YOU, SINCE YOUR LAST CLINIC VISIT,
HAD CANCER OR A TUMOR?
0 NO AND SKIP TO NEXT SCREEN (FR380)
1 YES
2 MAYBE
. UNKNOWN (3)
deleted - redundant, use most current cancer file
FR362 CANCER SITE OR TYPE - ESOPHAGUS
0 NO
1 YES, CANCEROUS
2 MAYBE, POSSIBLE CANCER
3 BENIGN
. UNKNOWN (5)
deleted - redundant, use most current cancer file
FR363 CANCER SITE OR TYPE - STOMACH
0 NO
1 YES, CANCEROUS
2 MAYBE, POSSIBLE CANCER
3 BENIGN
. UNKNOWN (5)
deleted - redundant, use most current cancer file
FR364 CANCER SITE OR TYPE - COLON
0 NO
1 YES, CANCEROUS
2 MAYBE, POSSIBLE CANCER
3 BENIGN
. UNKNOWN (4)
deleted - redundant, use most current cancer file
FR365 CANCER SITE OR TYPE - RECTUM
0 NO
1 YES, CANCEROUS
2 MAYBE, POSSIBLE CANCER
3 BENIGN
. UNKNOWN (5)
deleted - redundant, use most current cancer file
FR366 CANCER SITE OR TYPE - PANCREAS
0 NO
1 YES, CANCEROUS
2 MAYBE, POSSIBLE CANCER
3 BENIGN
. UNKNOWN (5)
deleted - redundant, use most current cancer file
FR367 CANCER SITE OR TYPE - LARYNX
0 NO
1 YES, CANCEROUS
2 MAYBE, POSSIBLE CANCER
3 BENIGN
. UNKNOWN (5)
deleted - redundant, use most current cancer file
FR368 CANCER SITE OR TYPE - TRACHEA/BRONCHUS/LUNG
0 NO
1 YES, CANCEROUS
2 MAYBE, POSSIBLE CANCER
3 BENIGN
. UNKNOWN (6)
deleted - redundant, use most current cancer file
FR369 CANCER SITE OR TYPE - LEUKEMIA
0 NO
1 YES, CANCEROUS
2 MAYBE, POSSIBLE CANCER
3 BENIGN
. UNKNOWN (5)
deleted - redundant, use most current cancer file
FR370 CANCER SITE OR TYPE - SKIN
0 NO
1 YES, CANCEROUS
2 MAYBE, POSSIBLE CANCER
3 BENIGN
. UNKNOWN (4)
deleted - redundant, use most current cancer file
FR371 CANCER SITE OR TYPE - BREAST
0 NO
1 YES, CANCEROUS
2 MAYBE, POSSIBLE CANCER
3 BENIGN
. UNKNOWN (5)
deleted - redundant, use most current cancer file
FR372 CANCER SITE OR TYPE - CERVIX/UTERUS
0 NO
1 YES, CANCEROUS
2 MAYBE, POSSIBLE CANCER
3 BENIGN
. UNKNOWN (5)
deleted - redundant, use most current cancer file
FR373 CANCER SITE OR TYPE - OVARY
0 NO
1 YES, CANCEROUS
2 MAYBE, POSSIBLE CANCER
3 BENIGN
. UNKNOWN (5)
deleted - redundant, use most current cancer file
FR374 CANCER SITE OR TYPE - PROSTATE
0 NO
1 YES, CANCEROUS
2 MAYBE, POSSIBLE CANCER
3 BENIGN
. UNKNOWN (5)
deleted - redundant, use most current cancer file
FR375 CANCER SITE OR TYPE - BLADDER
0 NO
1 YES, CANCEROUS
2 MAYBE, POSSIBLE CANCER
3 BENIGN
. UNKNOWN (5)
deleted - redundant, use most current cancer file
FR376 CANCER SITE OR TYPE - KIDNEY
0 NO
1 YES, CANCEROUS
2 MAYBE, POSSIBLE CANCER
3 BENIGN
. UNKNOWN (5)
deleted - redundant, use most current cancer file
FR377 CANCER SITE OR TYPE - BRAIN
0 NO
1 YES, CANCEROUS
2 MAYBE, POSSIBLE CANCER
3 BENIGN
. UNKNOWN (5)
deleted - redundant, use most current cancer file
FR378 CANCER SITE OR TYPE - LYMPHOMA
0 NO
1 YES, CANCEROUS
2 MAYBE, POSSIBLE CANCER
3 BENIGN
. UNKNOWN (5)
deleted - redundant, use most current cancer file
FR379 CANCER SITE OR TYPE - OTHER/UNKNOWN
0 NO
1 YES, CANCEROUS
2 MAYBE, POSSIBLE CANCER
3 BENIGN
. UNKNOWN (5)
deleted - redundant, use most current cancer file
PHYSICIAN BLOOD PRESSURE READINGS
---------------------------------
VARIABLE INFORMATION
-------- -----------
FR380 PHYSICIAN BLOOD PRESSURE (SECOND READING)
SYSTOLIC (TO NEAREST 2 MM HG)
90 - 222
. UNKNOWN (8)
FR381 PHYSICIAN BLOOD PRESSURE (SECOND READING)
DIASTOLIC (TO NEAREST 2 MM HG)
28 - 110
. UNKNOWN (11)
ELECTROCARDIOGRAPH PART I
-------------------------
VARIABLE INFORMATION
-------- -----------
FR382 EXAMINER ID NUMBER AND LAST NAME
42 - 186
. UNKNOWN (0)
deleted - used for administrative purposes only
FR383 ECG PART I - ECG DONE
0 NO
1 YES
. UNKNOWN (0)
(IF YES, FILL IN THE REST OF THE SCREEN)
RATES AND INTERVALS:
FR384 ECG - VENTRICULAR RATE PER MINUTE
38 - 129
. UNKNOWN (3)
FR385 ECG - P-R INTERVAL (HUNDREDTHS OF A SECOND)
11 - 44
. FULLY PACED, ATRIAL FIB, OR UNKNOWN (73)
FR386 ECG - QRS INTERVAL (HUNDREDTHS OF A SECOND)
6 - 18
. FULLY PACED, OR UNKNOWN (19)
FR387 ECG - Q-T INTERVAL (HUNDREDTHS OF A SECOND)
29 - 52
. FULLY PACED, OR UNKNOWN (19)
FR388 ECG - QRS ANGLE (PUT PLUS OR MINUS SIGN AS NEEDED.
EG: -045 FOR MINUS 45 DEGREES, AND +090 FOR PLUS 90 DEGREES)
-110 TO 150
. FULLY PACED, OR UNKNOWN (18)
RHYTHM:
FR389 ECG - RHYTHM
0 OR 1 NORMAL SINUS (INCLUDING S.TACH, S.BRADY,
S.ARRHY, 1 DEGREE AV BLOCK)
3 2ND DEGREE AV BLOCK, MOBITZ I (WENCKEBACH)
4 2ND DEGREE AV BLOCK, MOBITZ II
5 3RD DEGREE AV BLOCK / AV DISSOCIATION
6 ATRIAL FIBRILLATION / ATRIAL FLUTTER
7 NODAL
8 PACED
9 OTHER OR COMBINATION OF ABOVE (LIST SPECIFIC ITEM(S))
. UNKNOWN (3)
FR390 ECG - VENTRICULAR CONDUCTION ABNORMALITIES - IV BLOCK
0 NO
1 YES
. FULLY PACED OR UNKNOWN (20)
(IF YES, FILL IN 391 - 393)
FR391 ECG - VENTRICULAR CONDUCTION ABNORMALITIES
IV BLOCK- PATTERN
0 NO IV BLOCK
1 LEFT
2 RIGHT
3 INDETERMINATE
. UNKNOWN (20)
FR392 ECG - VENTRICULAR CONDUCTION ABNORMALITIES
IV BLOCK - COMPLETE
(QRS INTERVAL = .12 SECONDS OR GREATER)
0 NO
1 YES
. UNKNOWN (20)
FR393 ECG - VENTRICULAR CONDUCTION ABNORMALITIES
IV BLOCK- INCOMPLETE
(QRS INTERVAL = .10 OR .11 SECONDS)
0 NO
1 YES
. UNKNOWN (20)
FR394 ECG - VENTRICULAR CONDUCTION ABNORMALITIES - HEMIBLOCK
0 NO
1 LEFT ANT.
2 LEFT POST.
. FULLY PACED OR UNKNOWN (20)
FR395 ECG - VENTRICULAR CONDUCTION ABNORMALITIES - WPW SYNDROME
0 NO
1 YES
2 MAYBE
. FULLY PACED OR UNKNOWN (21)
FR396 ECG - ARRHYTHMIAS - ATRIAL PREMATURE BEATS
0 NO
1 ATR
2 ATR ABER
. UNKNOWN (28)
FR397 ECG - ARRHYTHMIAS - VENTRICULAR PREMATURE BEATS
0 NO
1 SIMPLE
2 MULTIFOC
3 PAIRS
4 RUN
5 R ON T
. UNKNOWN (6)
FR398 ECG - ARRHYTHMIAS - NUMBER OF VENTRICULAR PREMATURE BEATS
IN 10 SECONDS (SEE 10 SECOND RHYTHM STRIP)
0 - 7
. UNKNOWN (4)
ELECTROCARDIOGRAPH PART II
--------------------------
VARIABLE INFORMATION
-------- -----------
FR399 ECG - MI - ANTERIOR
0 NO
1 YES
2 MAYBE
. FULLY PACED OR UNKNOWN (39)
FR400 ECG - MI - INFERIOR
0 NO
1 YES
2 MAYBE
. FULLY PACED OR UNKNOWN (27)
FR401 ECG - MI - TRUE POSTERIOR
0 NO
1 YES
2 MAYBE
. FULLY PACED OR UNKNOWN (37)
FR402 ECG - LVH - R>20MM IN ANY LIMB LEAD
0 NO
1 YES
. FULLY PACED, COMPLETE LBBB, OR UNKNOWN (50)
FR403 ECG - LVH - R>11MM IN AVL
0 NO
1 YES
. FULLY PACED, COMPLETE LBBB, OR UNKNOWN (50)
FR404 ECG - LVH - R IN LEAD I PLUS S>= 25MM IN LEAD III
0 NO
1 YES
. FULLY PACED, COMPLETE LBBB, OR UNKNOWN (50)
FR405 ECG - LVH - MEASURED VOLTAGE - R AVL IN MM
(AT 1 MV = 10 MM STANDARD) BE SURE TO CODE THESE VOLTAGES
0 - 25
. UNKNOWN (18)
FR406 ECG - LVH -
MEASURED VOLTAGE - S V3 IN MM (AT 1 MV = 10 MM STANDARD)
BE SURE TO CODE THESE VOLTAGES
0 - 34
. UNKNOWN (19)
FR407 ECG - LVH -
R IN V5 OR V6 - S IN V1 OR V2:
R>= 25MM
0 NO
1 YES
. FULLY PACED, COMPLETE LBBB, OR UNKNOWN (48)
FR408 ECG - LVH -
R IN V5 OR V6 - S IN V1 OR V2:
S>= 25MM
0 NO
1 YES
. FULLY PACED, COMPLETE LBBB, OR UNKNOWN (48)
FR409 ECG - LVH -
R IN V5 OR V6 - S IN V1 OR V2:
R OR S>= 30MM
0 NO
1 YES
. FULLY PACED, COMPLETE LBBB, OR UNKNOWN (48)
FR410 ECG - LVH -
R IN V5 OR V6 - S IN V1 OR V2:
R + S>= 35MM
0 NO
1 YES
. FULLY PACED, COMPLETE LBBB, OR UNKNOWN (48)
FR411 ECG - LVH - INTRINSICOID DELFECTION >= .05 SEC.
0 NO
1 YES
. FULLY PACED, COMPLETE LBBB, OR UNKNOWN (46)
FR412 ECG - NONSPECIFIC S-T SEGMENT ABNORMALITY
0 NO
1 ST DEPRESSION
2 ST FLATTENING
3 OTHER
. FULLY PACED OR UNKNOWN (21)
FR413 ECG - NONSPECIFIC T-WAVE ABNORMALITY
0 NO
1 T INVERSION
2 T FLATTENING
3 OTHER
. FULLY PACED OR UNKNOWN (21)
FR414 ECG - U-WAVE PRESENT
0 NO
1 YES
2 MAYBE
. FULLY PACED OR UNKNOWN (23)
FR415 ECG - ATRIAL ENLARGEMENT
0 NO
1 LEFT
2 RIGHT
3 BOTH
. ATRIAL FIB OR UNKNOWN (70)
FR416 ECG - RVH
0 NO
1 YES
2 MAYBE
. FULLY PACED OR UNKNOWN (121)
. FOR RVH, COMPLETE RBBB
FR417 ECG - LVH
0 NO
1 LVH WITH STRAIN
2 LVH WITH MILD S-T SEGMENT ABN
3 LVH BY VOLTAGE ONLY
. FULLY PACED OR UNKNOWN, COMPLETE LBBB (57)
NON-CARDIOVASCULAR DIAGNOSIS FIRST EXAMINER OPINIONS:
FR418 NON-CARDIOVASCULAR - DIABETES MELLITUS
0 NO
1 YES
2 MAYBE
. UNKNOWN (3)
deleted - redundant, use most current diabetes file
FR419 NON-CARDIOVASCULAR - URINARY TRACT DISEASE
0 NO
1 YES
2 MAYBE
. UNKNOWN (13)
FR420 NON-CARDIOVASCULAR - PROSTATE DISEASE
0 NO
1 YES
2 MAYBE
. UNKNOWN (2)
FR421 NON-CARDIOVASCULAR - RENAL DISEASE
0 NO
1 YES
2 MAYBE
. UNKNOWN (15)
FR422 NON-CARDIOVASCULAR - EMPHYSEMA
0 NO
1 YES
2 MAYBE
. UNKNOWN (4)
FR423 NON-CARDIOVASCULAR - CHRONIC BRONCHITIS
0 NO
1 YES
2 MAYBE
. UNKNOWN (5)
FR424 NON-CARDIOVASCULAR - PNEUMONIA
0 NO
1 YES
2 MAYBE
. UNKNOWN (11)
FR425 NON-CARDIOVASCULAR - ASTHMA
0 NO
1 YES
2 MAYBE
. UNKNOWN (12)
FR426 NON-CARDIOVASCULAR - OTHER PULMONARY DISEASE
0 NO
1 YES
2 MAYBE
. UNKNOWN (15)
FR427 NON-CARDIOVASCULAR - GOUT
0 NO
1 YES
2 MAYBE
. UNKNOWN (11)
FR428 NON-CARDIOVASCULAR - DEGENERATIVE JOINT DISEASE
0 NO
1 YES
2 MAYBE
. UNKNOWN (16)
FR429 NON-CARDIOVASCULAR - RHEUMATOID ARTHRITIS
0 NO
1 YES
2 MAYBE
. UNKNOWN (13)
FR430 NON-CARDIOVASCULAR - GALLBLADDER DISEASE
0 NO
1 YES
2 MAYBE
. UNKNOWN (15)
FR431 NON-CARDIOVASCULAR - OTHER NON C-V DIAGNOSIS
(FOR CANCER, SEE SPECIAL SCREEN)
0 NO
1 YES
2 MAYBE
. UNKNOWN (7)
CALCULATED VARIABLES
--------------------
VARIABLE INFORMATION
-------- -----------
FR432 BODY MASS INDEX (ROUNDED TO HUNDREDTHS)
13.79 - 52.87
. UNKNOWN (202)
FR433 ELEVATED BLOOD PRESSURE
0 NO
1 YES (by (SBP1>=160 OR DBP1>=95) AND
(SBP2>=160 OR DBP2>=95))
. UNKNOWN (11)
deleted - definition has changed over time
FR434 TREATMENT FOR BLOOD PRESSURE
0 NO
1 YES (BY MEDS AND PHYSICIAN OPINION)
. UNKNOWN (8)
FR435 HYPERTENSION
0 NO
1 YES (BY ELEVATED BP OR TREATMENT FOR BP)
. UNKNOWN (8)
deleted - definition has changed over time
FR436 CALCULATED AGE
78 - 104
. UNKNOWN (0)
deleted - redundant, use most current basic file
LAB VARIABLES
-------------
VARIABLE INFORMATION
-------- -----------
FR437 BLOOD ANALYSYS - TOTAL CHOLESTEROL
86 -331
. UNKNOWN (202)
FR438 BLOOD ANALYSIS - HDL CHOLESTEROL
18 - 131
. UNKNOWN (203)
FR439 BLOOD ANALYSIS - TRIGYCERLIDE
31 - 1048
. UNKNOWN (202)
FR440 BLOOD ANALYSIS - CREATININE
0.6 - 8.9
. UNKNOWN (203)
jh_8/24/2006 at 5:07 pm
*********************************************************************************
Version 1: 02-08-2007
changed variable name FRO09 to FR009
changed varialbe name FR05 to FR054
Version 2: 08-22-2007
added a new valid code for variable FR183
**********************************************************************************
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