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hhf1:page_3

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AHS2 > Hospitalization and History Forms > HHF1

HHF1: Page 3

Notes

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

Image

Questions

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
hhf1/page_3.txt · Last modified: 2019/06/12 21:10 by msamardzija