By Anonymous - October 3, 2016

AHS2
> Hospitalization and History Forms
> HHF6

HHF6: Page 2

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Notes

* Variable names are not yet converted: currently listed variable names are non-existent placeholders.

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Questions

Question 3 (Second hospitalization)

Variable name Description
HOSPNAME2
Hospital name
HOSPADDR2
Address
HOSPCITY2
City
HOSPSTATE2
State
HOSPZIP2
Zipcode
HOSPMMYY2
Month and year
HOSPCOND2
Medical condition that caused admission

Question 4 (Any cancer/tumors diagnosed during hospitalizations)

Variable name Description
CADXTXHOSP
Diagnosed with cancer during hospitalization
CADXTXHOSP1
Diagnosed in 1st hospitalization
CADXTXHOSP2
Diagnosed in 2nd hospitalization
CADXTXHOSP3
Diagnosed in 3rd hospitalization
Variable name Description
MIDXTX
Diagnosed with myocardial/infarction-related during hosp
MIDXTXHOSP1
Diagnosed in 1st hospitalization
MIDXTXHOSP2
Diagnosed in 2nd hospitalization
MIDXTXHOSP3
Diagnosed in 3rd hospitalization

Question 6 (First cancer or tumor diagnosed NOT requiring hospitalization)

Variable name Description
CADX
Tumors diagnosed not requiring hospitalization
CALOC1
Location of tumor
CADXMMYY1
Month and year of diagnosis
DRNAME1
Physician name
DRADDR1
Address
DRCITY1
City
DRSTATE1
State
DRZIP1
Zipcode

Question 7 (Diagnosed)

Variable name Description
PDDXY
Parkinson's Disease -- Year of first diagnosis
PDMED1
PD medication taken 1
PDMED2
PD medication taken 2
PDMED3
PD medication taken 3
MSDXY
Multiple Sclerosis -- Year of first diagnosis
MSMED1
MS medication taken 1
MSMED2
MS medication taken 2
MSMED3
MS medication taken 3
DMDXY
Diabetes -- Year of first diagnosis
DMMED1
DM medication taken 1
DMMED2
DM medication taken 2
DMMED3
DM medication taken 3