By cnwest - May 23, 2016
AHS2
> Hospitalization and History Forms
> HHF1
HHF1: Page 3
Notes
* Variable names are not yet converted: currently listed variable names are non-existent placeholders.
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Questions
Question 6 (Hospitalizations heart attack related?)
| Variable name | Description | Notes |
|---|---|---|
| MI |
DIAGNOSED WITH MIOCARDIAL/INFARCTION-RELATED DURING HOSP | |
| MIY1 |
DIAGNOSED IN 1ST HOSP | |
| MIY2 |
DIAGNOSED IN 2ND HOSP | |
| MIY3 |
DIAGNOSED IN 3RD HOSP |
Question 7 (Cancer/Tumor DX w/in 2yrs w/o hospital stay)
| Variable name | Description | Notes |
|---|---|---|
| DRCANDX |
TUMORS DIAGNOSED NOT REQUIRING HOSPITALIZATION | |
| DRCANLOC1 |
LOCATION OF TUMOR | |
| DXMOYR1 |
MONTH AND YEAR OF DIAGNOSIS | |
| DRNAME1 |
PHYSICIAN NAME | |
| DRADR1 |
ADDRESS | |
| DRCITY1 |
CITY | |
| DRSTATE1 |
STATE | |
| DRZIP1 |
ZIPCODE |
Question 8 (MORE THAN ONE CANCER NOT Requiring Hospitalization)
| Variable name | Description | Notes |
|---|---|---|
| MORECAN |
IF YOU HAVE ONE MORE CANCER NOT REQUIRING HOSPITALIZATION |
Question 9a (New Comorbid conditions)
| Variable name | Description | Notes |
|---|---|---|
| DIAB |
DIABETES | |
| STROKE |
STROKE | |
| HIPFX |
HIP FRACTURE | |
| WRISTFX |
WRIST FRACTURE | |
| NODX |
NONE |
Question 9b (Screening and medical test)
| Variable name | Description | Notes |
|---|---|---|
| PSA |
PSA TEST | |
| PROSBIOP |
PROSTATE BIOPSY | |
| BREASTBIOP |
BREAST BIOPSY | |
| CONEBIOP |
CERVICAL BIOPSY | |
| NOSCR |
NONE |