By Anonymous - October 3, 2016
AHS2
> Hospitalization and History Forms
> HHF6
HHF6: 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 |
|---|---|---|
| HOSPYN |
Hospitalized Y/N |
Question 2 (First Hospitalization Since HHF5)
| Variable name | Description |
|---|---|
| HOSPNAME1 |
Hospital Name |
| HOSPADDR1 |
Address |
| HOSPCITY1 |
City |
| HOSPSTATE1 |
State |
| HOSPZIP1 |
Zipcode |
| HOSPMMYY1 |
Month and Year |
| HOSPCOND1 |
Reason for hospitalization |