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AHS2 > Hospitalization and History Forms > HHF5

HHF5: Page 2

Notes

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

Notes

5/5A Difference: Date added to Q6

Image

Questions

Question 3 (Second Hospitalization)

Variable name Description Notes
HOSPNAME2 HOSPITAL NAME
HOSPADR2 ADDRESS
HOSPCITY2 CITY
HOSPSTATE2 STATE
HOSPZIP2 ZIPCODE
HOSPMOYR2 MONTH AND YEAR
HOSPCAUSE2 MEDICAL CONDITION

Question 4 (Any Cancer/Tumors Diagnosed During Hospitalizations)

Variable name Description Notes
HOSPCANDX DIAGNOSED WITH CANCER DURING HOSPITALIZATION
HOSPCANDX1 DIAGNOSED IN 1ST HOSP
HOSPCANDX2 DIAGNOSED IN 2ND HOSP
HOSPCANDX3 DIAGNOSED IN 3RD HOSP
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 6 (Cancer or Tumor Diagnosed NOT Requiring Hospitalization)

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 7 (Drs visits and medical tests Since HHF4)

Variable name Description Notes
PCPVISIT How often did you visit a primary doctor in the last 2 years?
SPEVISIT How often did you visit a specialist (e.g. cardiologist, rhumatologist, etc) in the last 2 years?
DENVISIT How often did you visit a dentist in the last 2 years?
ALTMED How often did you visit an alternative medicine provider in the last 2 years?
SURGOUT Have you had an outpatient surgical procedure (excluding cosmetic surgeries) in the last 2 years?
SURGIN Have you had an in-hospital surgical procedure (excluding cosmetic surgeries) in the last 2 years?
EDTX Have you had treatment in an emergency room or at urgent care in the last 2 years?
XRAYMRI Have you had an X-ray (excluding dental X-rays), CAT Scan or MRI in the last 2 years?
hhf5/page_2.txt · Last modified: 2019/06/12 21:13 by msamardzija