By Anonymous - November 14, 2014

Baseline Page: A6

Previous Page: A5
| Next Page: A7
(v1) / B1
(v2/3)

Notes

* Page is completely different between version 1 and versions 2/3, though the V1 content is the same as the V2/V3 page A5

Images

Version 1 Version 2 Version 3
Baseline Questionnaire - Version 1 - Page A6 Baseline Questionnaire - Version 2 - Page A6 Baseline Questionnaire - Version 3 - Page A6

Variable List

Question 11 (v1) - Specific Medications

Variable Name Description Notes
A06Q11A
Aspirin - Never used or less than 2 years A05Q11A
on page A5
in V2/3
ASPIRN05
Aspirin - Dose during last 5 years On page A5
in V2/3
ASPIRN10
Aspirin - Dose between 6-10 years ago On page A5
in V2/3
ASPIRN15
Aspirin - Dose between 11-15 years ago On page A5
in V2/3
ASPIRN20
Aspirin - Dose between 16-20 years ago On page A5
in V2/3
A05Q11B
Statins - Never used or less than 2 years A05Q11B
on page A5
in V2/3
CHOL05
Statins - Dose during last 5 years On page A5
in V2/3
CHOL10
Statins - Dose between 6-10 years ago On page A5
in V2/3
CHOL15
Statins - Dose between 11-15 years ago On page A5
in V2/3
CHOL20
Statins - Dose between 16-20 years ago On page A5
in V2/3
A05Q11C
High blood pressure meds - Never used or less than 2 years A05Q11C
on page A5
in V2/3
HBP05
High blood pressure meds - Dose during last 5 years On page A5
in V2/3
HBP10
High blood pressure meds - Dose between 6-10 years ago On page A5
in V2/3
HBP15
High blood pressure meds - Dose between 11-15 years ago On page A5
in V2/3
HBP20
High blood pressure meds - Dose between 16-20 years ago On page A5
in V2/3
A05Q11D
Constipation meds - Never used or less than 2 years A05Q11D
on page A5
in V2/3
CONSTP05
Constipation meds - Dose during last 5 years On page A5
in V2/3
CONSTP10
Constipation meds - Dose between 6-10 years ago On page A5
in V2/3
CONSTP15
Constipation meds - Dose between 11-15 years ago On page A5
in V2/3
CONSTP20
Constipation meds - Dose between 16-20 years ago On page A5
in V2/3

Question 12/13/14/15 (v2/3) - Bone Fractures

Variable Name Description Notes
FRACT12
Number of fractures since age 35 On page A7
in V1
FRACT13
Number of fractures since age 35 due to MAJOR accidents On page A7
in V1
FRACT14
Number of fractures since age 35 due to MINOR accidents On page A7
in V1
HIP
Years since fracture of hip On page A7
in V1
THIGH
Years since fracture of leg, above knee On page A7
in V1
LEG
Years since fracture of leg, below knee On page A7
in V1
ANKLE
Years since fracture of ankle On page A7
in V1
ARMELBOW
Years since fracture of upper arm/elbow On page A7
in V1
WRIST
Years since fracture of wrist On page A7
in V1
FINGERS
Years since fracture of fingers or toes On page A7
in V1
OTHERFRY
Years since fracture of other location On page A7
in V1
OTHERFRL
Location of other fracture On page A7
in V1
FRACT15
Number of fractures since age 35 due to bone cancer, Paget's, or multiple myeloma On page A7
in V1

Question 16 (v2/v3) - Screening Tests

Variable Name Description Notes
TESTFECE
Years since test on feces for blood (occult blood test) On page A7
in V1
TESTCOLN
Years since colonoscopy/sigmoidoscopy On page A7
in V1
TESTPSA
Years since PSA blood test On page A7
in V1
TESTDRE
Years since digital rectal exam for enlarged prostate On page A7
in V1
TESTMAM
Years since mammogram On page A7
in V1
TESTPAP
Years since Pap smear On page A7
in V1