By Anonymous - October 3, 2016
AHS2
> Hospitalization and History Forms
> HHF5
HHF5: Page 1
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Notes
* Variable names are not yet converted: currently listed variable names are non-existent placeholders.
Image
Questions
Question 1 (Been Hospitalized)
| Variable name | Description | Notes |
|---|---|---|
| HYN |
Hospitalized Y/N |
Question 2 (First Hospitalization Since HHF5)
| Variable name | Description | Notes |
|---|---|---|
| HOSPNAME1 |
HOSPITAL NAME | |
| HOSPADR1 |
ADDRESS | |
| HOSPCITY1 |
CITY | |
| HOSPSTATE1 |
STATE | |
| HOSPZIP1 |
ZIPCODE | |
| HOSPMOYR1 |
MONTH AND YEAR | |
| HOSPCAUSE1 |
REASON FOR HOSPITALIZATION |