Data Dictionary for latcev

Number of Blaise fields: 882

Seq # Var Question Data Type/Coding
1 versiondate Version Date
1 versiondate Version Date
2 formdescr Form Description
2 formdescr Form Description
3 formno Form Number String[8]
3 formno Form Number String[8]
4 version Version Number String[10]
4 version Version Number String[10]
5 projid ^formdescr Form: ^formno Version: ^version (^versiondate) Enter project ID number. String[8]
5 projid ^formdescr Form: ^formno Version: ^version (^versiondate) Enter project ID number. String[8]
6 visit String[2]
6 visit String[2]
7 baseyear 1993 .. 2025
7 baseyear 1993 .. 2025
8 autodate Automatic Date. Date type
8 autodate Automatic Date. Date type
9 autotime Automatic Time. TimeType
9 autotime Automatic Time. TimeType
10 autolog Automatic Logged Date. Date type
10 autolog Automatic Logged Date. Date type
11 intid INTERVIEWER ID 100 .. 997
11 intid INTERVIEWER ID 100 .. 997
12 compid Laptop ID String[20]
12 compid Laptop ID String[20]
13 dateint Date of interview Date type
13 dateint Date of interview Date type
14 gender Enter participant's gender. 1= Male 2= Female
14 gender Enter participant's gender. 1= Male 2= Female
15 q1drg Now I would like to ask you about medicines. 1. During the past two weeks, HAVE YOU TAKEN ANY MEDICINE PRESCRIBED by a doctor? 1= Yes 2= No
15 q1drg Ahora me gustaría preguntarle sobre medicaciones. 1. Durante las últimas dos semanas, ¿Ha tomado alguna medicación recetada por un médico? 1= Yes 2= No
16 q2drg 2. Ahora, acerca de los suplementos nutricionales que no son comunmente prescritos por un doctor tales como complejos vitamínicos incluyendo: multivitamínicos, vitamina C, vitamina A, vitamina D, o vitamina E, pudiera decirme si durante las últimas dos semanas ha tomado alguna de éstas? 1= Yes 2= No
16 q2drg 2. Now, about supplements not usually prescribed by a doctor such as vitamin preparations including multivitamins, vitamin C, vitamin A, vitamin D, or vitamin E . . . During the past two weeks have you taken any of these or any other vitamin preparations? 1= Yes 2= No
17 q3drg 3. We are also interested in other medicines or supplements not prescribed by a doctor such as aspirin, Tylenol, Bufferin, Anacin, headache pills or pain killers, laxatives or bowel medicines, cold medicines, cough medicines, sleep medicines, antacids or stomach medicines, ointments or salves . . . During the past two weeks have you taken any of these or any other medicines from the drug store? 1= Yes 2= No
17 q3drg 3. También estamos interesados en otras medicinas o suplementos no recetados por un doctor como aspirina, Tylenol, Bufferin, Anacin, pastillas para el dolor de cabeza o calmantes para el dolor, laxantes o medicinas para el intestino, medicinas para el resfriado, medicinas para la tos, medicinas para el sueño, antiácidos o medicinas para el estómago, pomadas o ungüentos.. . . durante las últimas dos semanas, ha tomado una de estas o cualquier otras medicaciones de la farmacia? 1= Yes 2= No
18 q4drg 4. ¿Podría ver todas estas medicaciones que ha tomado durante las últimas dos semanas? [INTERVIEWER RECORD ALL MEDICINES TAKEN WITHIN THE PAST 2 WEEKS WHETHER AVAILABLE FOR INSPECTION OR NOT] [ENTER TOTAL NUMBER OF MEDICINES TO BE RECORDED] 0 .. 50
18 q4drg 4. May I please see all these medicines for the past two weeks? [INTERVIEWER RECORD ALL MEDICINES TAKEN WITHIN THE PAST 2 WEEKS WHETHER AVAILABLE FOR INSPECTION OR NOT] [ENTER TOTAL NUMBER OF MEDICINES TO BE RECORDED] 0 .. 50
19 name00 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
19 name00 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
20 stren00 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
20 stren00 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
21 drgnm00 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
21 drgnm00 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
22 seen00 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
22 seen00 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
23 dosage00 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
23 dosage00 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
24 recd00 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
24 recd00 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
25 name01 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
25 name01 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
26 stren01 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
26 stren01 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
27 drgnm01 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
27 drgnm01 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
28 seen01 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
28 seen01 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
29 dosage01 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
29 dosage01 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
30 recd01 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
30 recd01 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
31 name02 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
31 name02 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
32 stren02 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
32 stren02 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
33 drgnm02 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
33 drgnm02 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
34 seen02 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
34 seen02 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
35 dosage02 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
35 dosage02 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
36 recd02 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
36 recd02 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
37 name03 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
37 name03 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
38 stren03 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
38 stren03 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
39 drgnm03 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
39 drgnm03 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
40 seen03 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
40 seen03 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
41 dosage03 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
41 dosage03 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
42 recd03 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
42 recd03 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
43 name04 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
43 name04 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
44 stren04 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
44 stren04 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
45 drgnm04 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
45 drgnm04 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
46 seen04 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
46 seen04 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
47 dosage04 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
47 dosage04 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
48 recd04 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
48 recd04 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
49 name05 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
49 name05 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
50 stren05 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
50 stren05 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
51 drgnm05 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
51 drgnm05 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
52 seen05 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
52 seen05 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
53 dosage05 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
53 dosage05 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
54 recd05 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
54 recd05 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
55 name06 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
55 name06 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
56 stren06 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
56 stren06 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
57 drgnm06 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
57 drgnm06 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
58 seen06 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
58 seen06 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
59 dosage06 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
59 dosage06 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
60 recd06 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
60 recd06 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
61 name07 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
61 name07 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
62 stren07 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
62 stren07 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
63 drgnm07 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
63 drgnm07 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
64 seen07 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
64 seen07 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
65 dosage07 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
65 dosage07 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
66 recd07 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
66 recd07 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
67 name08 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
67 name08 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
68 stren08 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
68 stren08 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
69 drgnm08 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
69 drgnm08 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
70 seen08 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
70 seen08 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
71 dosage08 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
71 dosage08 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
72 recd08 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
72 recd08 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
73 name09 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
73 name09 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
74 stren09 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
74 stren09 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
75 drgnm09 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
75 drgnm09 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
76 seen09 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
76 seen09 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
77 dosage09 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
77 dosage09 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
78 recd09 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
78 recd09 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
79 name10 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
79 name10 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
80 stren10 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
80 stren10 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
81 drgnm10 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
81 drgnm10 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
82 seen10 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
82 seen10 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
83 dosage10 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
83 dosage10 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
84 recd10 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
84 recd10 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
85 name11 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
85 name11 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
86 stren11 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
86 stren11 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
87 drgnm11 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
87 drgnm11 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
88 seen11 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
88 seen11 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
89 dosage11 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
89 dosage11 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
90 recd11 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
90 recd11 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
91 name12 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
91 name12 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
92 stren12 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
92 stren12 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
93 drgnm12 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
93 drgnm12 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
94 seen12 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
94 seen12 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
95 dosage12 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
95 dosage12 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
96 recd12 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
96 recd12 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
97 name13 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
97 name13 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
98 stren13 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
98 stren13 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
99 drgnm13 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
99 drgnm13 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
100 seen13 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
100 seen13 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
101 dosage13 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
101 dosage13 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
102 recd13 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
102 recd13 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
103 name14 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
103 name14 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
104 stren14 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
104 stren14 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
105 drgnm14 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
105 drgnm14 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
106 seen14 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
106 seen14 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
107 dosage14 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
107 dosage14 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
108 recd14 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
108 recd14 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
109 name15 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
109 name15 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
110 stren15 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
110 stren15 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
111 drgnm15 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
111 drgnm15 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
112 seen15 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
112 seen15 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
113 dosage15 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
113 dosage15 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
114 recd15 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
114 recd15 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
115 name16 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
115 name16 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
116 stren16 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
116 stren16 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
117 drgnm16 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
117 drgnm16 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
118 seen16 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
118 seen16 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
119 dosage16 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
119 dosage16 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
120 recd16 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
120 recd16 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
121 name17 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
121 name17 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
122 stren17 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
122 stren17 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
123 drgnm17 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
123 drgnm17 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
124 seen17 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
124 seen17 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
125 dosage17 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
125 dosage17 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
126 recd17 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
126 recd17 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
127 name18 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
127 name18 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
128 stren18 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
128 stren18 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
129 drgnm18 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
129 drgnm18 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
130 seen18 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
130 seen18 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
131 dosage18 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
131 dosage18 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
132 recd18 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
132 recd18 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
133 name19 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
133 name19 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
134 stren19 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
134 stren19 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
135 drgnm19 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
135 drgnm19 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
136 seen19 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
136 seen19 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
137 dosage19 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
137 dosage19 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
138 recd19 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
138 recd19 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
139 name20 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
139 name20 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
140 stren20 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
140 stren20 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
141 drgnm20 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
141 drgnm20 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
142 seen20 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
142 seen20 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
143 dosage20 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
143 dosage20 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
144 recd20 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
144 recd20 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
145 name21 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
145 name21 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
146 stren21 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
146 stren21 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
147 drgnm21 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
147 drgnm21 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
148 seen21 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
148 seen21 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
149 dosage21 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
149 dosage21 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
150 recd21 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
150 recd21 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
151 name22 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
151 name22 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
152 stren22 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
152 stren22 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
153 drgnm22 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
153 drgnm22 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
154 seen22 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
154 seen22 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
155 dosage22 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
155 dosage22 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
156 recd22 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
156 recd22 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
157 name23 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
157 name23 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
158 stren23 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
158 stren23 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
159 drgnm23 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
159 drgnm23 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
160 seen23 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
160 seen23 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
161 dosage23 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
161 dosage23 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
162 recd23 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
162 recd23 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
163 name24 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
163 name24 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
164 stren24 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
164 stren24 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
165 drgnm24 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
165 drgnm24 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
166 seen24 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
166 seen24 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
167 dosage24 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
167 dosage24 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
168 recd24 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
168 recd24 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
169 name25 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
169 name25 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
170 stren25 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
170 stren25 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
171 drgnm25 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
171 drgnm25 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
172 seen25 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
172 seen25 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
173 dosage25 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
173 dosage25 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
174 recd25 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
174 recd25 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
175 name26 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
175 name26 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
176 stren26 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
176 stren26 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
177 drgnm26 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
177 drgnm26 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
178 seen26 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
178 seen26 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
179 dosage26 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
179 dosage26 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
180 recd26 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
180 recd26 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
181 name27 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
181 name27 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
182 stren27 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
182 stren27 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
183 drgnm27 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
183 drgnm27 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
184 seen27 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
184 seen27 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
185 dosage27 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
185 dosage27 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
186 recd27 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
186 recd27 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
187 name28 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
187 name28 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
188 stren28 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
188 stren28 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
189 drgnm28 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
189 drgnm28 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
190 seen28 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
190 seen28 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
191 dosage28 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
191 dosage28 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
192 recd28 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
192 recd28 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
193 name29 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
193 name29 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
194 stren29 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
194 stren29 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
195 drgnm29 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
195 drgnm29 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
196 seen29 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
196 seen29 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
197 dosage29 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
197 dosage29 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
198 recd29 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
198 recd29 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
199 name30 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
199 name30 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
200 stren30 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
200 stren30 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
201 drgnm30 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
201 drgnm30 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
202 seen30 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
202 seen30 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
203 dosage30 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
203 dosage30 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
204 recd30 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
204 recd30 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
205 name31 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
205 name31 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
206 stren31 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
206 stren31 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
207 drgnm31 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
207 drgnm31 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
208 seen31 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
208 seen31 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
209 dosage31 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
209 dosage31 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
210 recd31 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
210 recd31 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
211 name32 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
211 name32 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
212 stren32 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
212 stren32 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
213 drgnm32 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
213 drgnm32 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
214 seen32 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
214 seen32 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
215 dosage32 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
215 dosage32 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
216 recd32 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
216 recd32 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
217 name33 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
217 name33 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
218 stren33 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
218 stren33 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
219 drgnm33 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
219 drgnm33 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
220 seen33 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
220 seen33 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
221 dosage33 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
221 dosage33 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
222 recd33 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
222 recd33 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
223 name34 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
223 name34 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
224 stren34 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
224 stren34 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
225 drgnm34 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
225 drgnm34 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
226 seen34 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
226 seen34 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
227 dosage34 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
227 dosage34 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
228 recd34 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
228 recd34 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
229 name35 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
229 name35 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
230 stren35 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
230 stren35 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
231 drgnm35 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
231 drgnm35 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
232 seen35 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
232 seen35 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
233 dosage35 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
233 dosage35 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
234 recd35 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
234 recd35 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
235 name36 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
235 name36 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
236 stren36 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
236 stren36 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
237 drgnm36 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
237 drgnm36 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
238 seen36 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
238 seen36 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
239 dosage36 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
239 dosage36 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
240 recd36 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
240 recd36 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
241 name37 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
241 name37 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
242 stren37 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
242 stren37 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
243 drgnm37 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
243 drgnm37 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
244 seen37 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
244 seen37 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
245 dosage37 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
245 dosage37 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
246 recd37 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
246 recd37 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
247 name38 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
247 name38 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
248 stren38 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
248 stren38 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
249 drgnm38 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
249 drgnm38 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
250 seen38 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
250 seen38 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
251 dosage38 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
251 dosage38 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
252 recd38 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
252 recd38 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
253 name39 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
253 name39 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
254 stren39 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
254 stren39 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
255 drgnm39 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
255 drgnm39 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
256 seen39 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
256 seen39 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
257 dosage39 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
257 dosage39 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
258 recd39 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
258 recd39 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
259 name40 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
259 name40 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
260 stren40 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
260 stren40 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
261 drgnm40 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
261 drgnm40 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
262 seen40 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
262 seen40 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
263 dosage40 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
263 dosage40 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
264 recd40 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
264 recd40 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
265 name41 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
265 name41 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
266 stren41 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
266 stren41 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
267 drgnm41 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
267 drgnm41 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
268 seen41 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
268 seen41 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
269 dosage41 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
269 dosage41 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
270 recd41 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
270 recd41 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
271 name42 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
271 name42 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
272 stren42 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
272 stren42 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
273 drgnm42 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
273 drgnm42 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
274 seen42 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
274 seen42 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
275 dosage42 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
275 dosage42 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
276 recd42 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
276 recd42 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
277 name43 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
277 name43 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
278 stren43 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
278 stren43 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
279 drgnm43 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
279 drgnm43 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
280 seen43 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
280 seen43 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
281 dosage43 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
281 dosage43 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
282 recd43 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
282 recd43 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
283 name44 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
283 name44 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
284 stren44 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
284 stren44 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
285 drgnm44 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
285 drgnm44 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
286 seen44 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
286 seen44 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
287 dosage44 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
287 dosage44 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
288 recd44 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
288 recd44 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
289 name45 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
289 name45 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
290 stren45 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
290 stren45 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
291 drgnm45 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
291 drgnm45 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
292 seen45 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
292 seen45 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
293 dosage45 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
293 dosage45 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
294 recd45 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
294 recd45 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
295 name46 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
295 name46 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
296 stren46 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
296 stren46 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
297 drgnm46 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
297 drgnm46 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
298 seen46 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
298 seen46 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
299 dosage46 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
299 dosage46 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
300 recd46 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
300 recd46 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
301 name47 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
301 name47 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
302 stren47 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
302 stren47 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
303 drgnm47 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
303 drgnm47 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
304 seen47 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
304 seen47 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
305 dosage47 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
305 dosage47 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
306 recd47 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
306 recd47 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
307 name48 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
307 name48 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
308 stren48 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
308 stren48 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
309 drgnm48 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
309 drgnm48 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
310 seen48 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
310 seen48 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
311 dosage48 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
311 dosage48 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
312 recd48 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
312 recd48 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
313 name49 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
313 name49 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
314 stren49 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
314 stren49 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
315 drgnm49 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
315 drgnm49 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
316 seen49 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
316 seen49 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
317 dosage49 d. On average, how many pills (capsules or other dosage units) did you take per day during the past two weeks? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
317 dosage49 d. En promedio, ¿cuántas pastillas (cápsulas u otra unidad de dosis) tomó cada día durante las últimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
318 recd49 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
318 recd49 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
319 stroke MEDICAL HISTORY First I would like to ask you a few questions about specific medical conditions such as stroke and Parkinson's disease. STROKE 1. Have you EVER been told by a doctor, nurse or therapist that you had a STROKE, TRANSIENT ISCHEMIC ATTACK (TIA) or BRAIN HEMORRHAGE? 1= Yes 2= Suspect or possible 3= No
319 stroke HISTORIAL MÉDICO Primero, me gustaría hacerle algunas preguntas sobre condiciones médicas específicas tales como embolia/derrame y la enfermedad de Parkinson? EMBOLIA/DERRAME 1. ¿Algún médico, enfermera, terapeuta o asistente médico le ha dicho alguna vez que tenía una embolia, accidente isquémico transitorio (AIT), o hemorragia cerebral? 1= Sí 2= Sospecha or posible 3= No
320 strokeyr 1a. ¿Cuándo fue la última vez? [ENTER YEAR] [INTERVIEWER: `Last' refers to the most recent event.] 1940 .. 2020
320 strokeyr 1a. When was the last time? [ENTER YEAR] [INTERVIEWER: `Last' refers to the most recent event.] 1940 .. 2020
321 faint0 At the time of this (last) event, did you you have . . . a. Fainting, blackout or loss of consciousness? 1= Yes 2= Suspect 3= No
321 faint0 ¿Experimentó Ud. al momento de este (último) evento alguno de los siguientes síntomas? a. Desmayo o pérdida de conocimiento? 1= Sí 2= Sospecha 3= No
322 dizzy0 b. Mareos o sensación de aturdimiento? 1= Sí 2= Sospecha 3= No
322 dizzy0 b. Dizzyness or lightheadedness? 1= Yes 2= Suspect 3= No
323 memory0 c. Memory loss or forgetfulness? 1= Yes 2= Suspect 3= No
323 memory0 c. Pérdida de memoria o estar olvidadizo/a? 1= Sí 2= Sospecha 3= No
324 speech0 ¿Experimentó Ud. al momento de este (último) evento alguno de los siguientes síntomas? d. Cambios en el lenguaje o en el habla? 1= Sí 2= Sospecha 3= No
324 speech0 At the time of this (last) event, did you you have . . . d. Language or speech change? 1= Yes 2= Suspect 3= No
325 vision0 e. Loss of vision? 1= No 2= right only 3= left only 4= both
325 vision0 e. Pérdida de visión? 1= No 2= Solo derecho 3= Solo izquierdo 4= Ambos
326 face0 f. Debilidad o parálisis en la cara? 1= No 2= Solo derecho 3= Solo izquierdo 4= Ambos
326 face0 f. Weakness or paralysis of your face? 1= No 2= right only 3= left only 4= both
327 weaklim0 g. Debilidad o parálisis en los brazos o en las piernas? 1= No 2= Solo derecho 3= Solo izquierdo 4= Ambos
327 weaklim0 g. Weakness or paralysis of your arms or legs? 1= No 2= right only 3= left only 4= both
328 limsens0 h. Loss or change of sensation in your arms or legs? 1= No 2= right only 3= left only 4= both
328 limsens0 h. Pérdida o cambio de sensación en los brazos o en las piernas? 1= No 2= Solo derecho 3= Solo izquierdo 4= Ambos
329 sympspe0 i. Especifique otras señales o síntomas asociadas con este último evento: String[40]
329 sympspe0 i. Specify any other signs or symptoms associated with this (last) event? String[40]
330 sametim0 j. Did the stroke occur around the same time as a SURGICAL OPERATION, HEART ATTACK, BREATHING DIFFICULTY, or ANOTHER SERIOUS MEDICAL PROBLEM? 1= Yes 2= Suspect 3= No
330 sametim0 j. ¿La embolia coincidió con el momento de una OPERACION QUIRURGICA, ATAQUE DE CORAZON, DIFICULTADES RESPIRATORIAS, u OTRO PROBLEMA MÉDICO SERIO? 1= Sí 2= Sospecha 3= No
331 samespe0 Especifique: String[60]
331 samespe0 Specify: String[60]
332 inhosp 2. Have you EVER been HOSPITALIZED OVERNIGHT or longer because of a STROKE, a TIA or a BRAIN HEMORRHAGE? 1= Yes 2= Suspect 3= No
332 inhosp 2. ¿Alguna vez fue HOSPITALIZADO/A POR UNA NOCHE o más tiempo debido a una embolia/derrame, un accidente isquémico transitorio (AIT), o hemorragia cerebral? 1= Sí 2= Sospecha 3= No
333 prompt1 2a. ¿Fue éste el mismo evento del que acabamos de hablar? 1= Yes 2= No
333 prompt1 2a. Was this the same event we just spoke about? 1= Yes 2= No
334 hospyear When was the last time? [ENTER YEAR] [INTERVIEWER: `Last' refers to the most recent hospitalization event.] 1940 .. 2020
334 hospyear ¿Cuándo fue la última vez? [ENTER YEAR] [INTERVIEWER: `Last/último' refers to the most recent hospitalization event.] 1940 .. 2020
335 hospname 2b. ¿Cuál era el nombre del hospital? String[30]
335 hospname 2b. What was the name of the hospital? String[30]
336 faint1 At the time of this (last) event, did you you have . . . a. Fainting, blackout or loss of consciousness? 1= Yes 2= Suspect 3= No
336 faint1 ¿Experimentó Ud. al momento de este (último) evento alguno de los siguientes síntomas? a. Desmayo, o pérdida de conocimiento? 1= Sí 2= Sospecha 3= No
337 dizzy1 b. ¿Mareos o sensación de aturdimiento? 1= Sí 2= Sospecha 3= No
337 dizzy1 b. Dizzyness or lightheadedness? 1= Yes 2= Suspect 3= No
338 memory1 c. Memory loss or forgetfulness? 1= Yes 2= Suspect 3= No
338 memory1 c. Pérdida de memoria o estar olvidadizo/a? 1= Sí 2= Sospecha 3= No
339 speech1 ¿Experimentó Ud. al momento de este (último) evento alguno de los siguientes síntomas? [INTERVIEWER: `Last/último' refers to the most recent hospitalization event.] d. Cambios en el lenguaje o en el habla? 1= Sí 2= Sospecha 3= No
339 speech1 At the time of this (last) event, did you have . . . [INTERVIEWER: `Last' refers to the most recent hospitalization event.] d. Language or speech change? 1= Yes 2= Suspect 3= No
340 vision1 e. Loss of vision? 1= No 2= right only 3= left only 4= both
340 vision1 e. Pérdida de visión? 1= No 2= Solo derecho 3= Solo izquierdo 4= Ambos
341 face1 f. Debilidad o parálisis en la cara? 1= No 2= Solo derecho 3= Solo izquierdo 4= Ambos
341 face1 f. Weakness or paralysis of your face? 1= No 2= right only 3= left only 4= both
342 weaklim1 g. Weakness or paralysis of your arms or legs? 1= No 2= right only 3= left only 4= both
342 weaklim1 g. Debilidad o parálisis en los brazos o en las piernas? 1= No 2= Solo derecho 3= Solo izquierdo 4= Ambos
343 limsens1 h. Pérdida o cambio de sensación en los brazos o en las piernas? 1= No 2= Solo derecho 3= Solo izquierdo 4= Ambos
343 limsens1 h. Loss or change of sensation in your arms or legs? 1= No 2= right only 3= left only 4= both
344 sympspe1 i. Specify any other signs or symptoms associated with this (last) event? String[40]
344 sympspe1 i. Especifique otras señales o síntomas asociadas con este último evento: String[40]
345 sametim1 j. ¿La embolia coincidió con el momento de una OPERACION QUIRURGICA, ATAQUE DE CORAZON, DIFICULTADES RESPIRATORIAS, u OTRO PROBLEMA MÉDICO SERIO? 1= Sí 2= Sospecha 3= No
345 sametim1 j. Did the stroke occur around the same time as a SURGICAL OPERATION, HEART ATTACK, BREATHING DIFFICULTY, or ANOTHER SERIOUS MEDICAL PROBLEM? 1= Yes 2= Suspect 3= No
346 samespe1 Specify: String[60]
346 samespe1 Especifique: String[60]
347 strokscn 3. ¿Se ha sometido ALGUNA VEZ a una Tomografía Axial Computarizada (TC), Resonancia Magnética (RMN/MRI) u otro tipo de scanner/estudio cerebral debido a una EMBOLIA, un accidente isquémico transitorio (AIT) o una HEMORRAGIA CEREBRAL? 1= Sí 2= Sospecha 3= No
347 strokscn 3. Have you EVER had a CT, MRI or other type of brain scan because of a STROKE, a TIA or a BRAIN HEMORRHAGE? 1= Yes 2= Suspect 3= No
348 prompt2 3a. Was this for ^event we just spoke about? 1= Yes 2= No
348 prompt2 3a. ¿Fue éste el mismo evento del que acabamos de hablar? 1= Yes 2= No
349 scanyear ¿Cuándo fue la última vez? [ENTER YEAR] [INTERVIEWER: `Last/último' refers to the most recent scan.] 1940 .. 2020
349 scanyear When was the last time? [ENTER YEAR] [INTERVIEWER: `Last' refers to the most recent scan.] 1940 .. 2020
350 scanloc 3b. What was the name of the place (doctor's office, hospital or other place) at which the scan was performed? String[30]
350 scanloc 3b. ¿Cuál era el nombre del lugar (consulta, hospital u otro lugar) en el que se realizó el scanner/estudio? String[30]
351 faint2 En el momento de este (último) evento, ¿experimentó...? a. Desmayo, o pérdida del conocimiento? 1= Sí 2= Sospecha 3= No
351 faint2 At the time of this (last) event, did you you have . . . a. Fainting, blackout or loss of consciousness? 1= Yes 2= Suspect 3= No
352 dizzy2 b. Dizzyness or lightheadedness? 1= Yes 2= Suspect 3= No
352 dizzy2 b. Mareos o sensación de aturdimiento? 1= Sí 2= Sospecha 3= No
353 memory2 c. Pérdida de memoria o estar olvidadizo/a? 1= Sí 2= Sospecha 3= No
353 memory2 c. Memory loss or forgetfulness? 1= Yes 2= Suspect 3= No
354 speech2 d. Language or speech change? 1= Yes 2= Suspect 3= No
354 speech2 d. Cambios en el lenguaje o en el habla? 1= Sí 2= Sospecha 3= No
355 vision2 e. Pérdida de visión? 1= No 2= Solo derecho 3= Solo izquierdo 4= Ambos
355 vision2 e. Loss of vision? 1= No 2= right only 3= left only 4= both
356 face2 f. Weakness or paralysis of your face? 1= No 2= right only 3= left only 4= both
356 face2 f. Debilidad o parálisis en la cara? 1= No 2= Solo derecho 3= Solo izquierdo 4= Ambos
357 weaklim2 g. Debilidad o parálisis en los brazos o en las piernas? 1= No 2= Solo derecho 3= Solo izquierdo 4= Ambos
357 weaklim2 g. Weakness or paralysis of your arms or legs? 1= No 2= right only 3= left only 4= both
358 limsens2 h. Loss or change of sensation in your arms or legs? 1= No 2= right only 3= left only 4= both
358 limsens2 h. Pérdida o cambio de sensación en los brazos o en las piernas? 1= No 2= Solo derecho 3= Solo izquierdo 4= Ambos
359 sympspe2 i. Especifique otras señales o síntomas asociadas con este último evento: String[40]
359 sympspe2 i. Specify any other signs or symptoms associated with this (last) event? String[40]
360 sametim2 j. Did the stroke occur around the same time as a SURGICAL OPERATION, HEART ATTACK, BREATHING DIFFICULTY, or ANOTHER SERIOUS MEDICAL PROBLEM? 1= Yes 2= Suspect 3= No
360 sametim2 j. ¿La embolia coincidió con el momento de una OPERACION QUIRURGICA, ATAQUE DE CORAZON, DIFICULTADES RESPIRATORIAS, u OTRO PROBLEMA MÉDICO SERIO? 1= Sí 2= Sospecha 3= No
361 samespe2 Especifique: String[60]
361 samespe2 Specify: String[60]
362 multiple 4. Did you have only ONE STROKE, TIA or BRAIN HEMORRHAGE, or more than one? 1= Only one 2= More than one
362 multiple 4. ¿Tuvo una EMBOLIA, un accidente isquémico transitorio (AIT) o una HEMORRAGIA CEREBRAL o más de uno? 1= Sólo uno one 2= Más de uno
363 leftspec 5. Especifique cuáles son las secuelas actuales de su embolia/derrame(s)? String[60]
363 leftspec 5. Specify leftover troubles from your stroke(s)? String[60]
364 everscan 6. Have you EVER had a CT, MRI or other type of brain scan? 1= Yes 2= Suspect 3= No
364 everscan 6. ¿Se sometió ALGUNA VEZ a una Tomografía Axial Computarizada (TC), Resonancia Magnética (RMN/MRI), u otro tipo de scanner/estudio cerebral? 1= Sí 2= Sospecha 3= No
365 reason 6c. Reason String[60]
365 reason 6c. Reason String[60]
366 escanloc 6d. What was the name of the place (doctor's office, hospital or other place) at which the scan was performed? String[30]
366 escanloc 6d. ¿Cuál era el nombre del lugar (consulta, hospital u otro lugar) en el que se realizó el scanner/estudio? String[30]
367 parks 1. ¿Algún médico, enfermera, terapeuta o asistente médico le ha dicho alguna vez que tenía PARKINSONISMO o LA ENFERMEDAD DE PARKINSON? 1= Sí 2= Sospecha or posible 3= No
367 parks 1. Have you EVER been told by a doctor, nurse or therapist that you had PARKINSONISM or PARKINSON'S DISEASE? 1= Yes 2= Suspect or possible 3= No
368 year 1a. When were you first told this? 1940 .. 2020
368 year 1a. ¿Cuándo le informaron de ello por primera vez? 1940 .. 2020
369 gait 2. Con el parkinsonismo, ha padecido usted alguna vez de . . . andar arrastrando los pies o andar tambaleándose? 1= Sí 2= Sospecha 3= No
369 gait With the parkinsonism, did you have . . . 2. Shuffling or unsteady gait, or loss of balance? 1= Yes 2= Suspect 3= No
370 writing 3. A change in your handwriting? 1= Yes 2= Suspect 3= No
370 writing 3. ¿Un cambio en su letra manuscrita? 1= Sí 2= Sospecha 3= No
371 stiff 4. ¿Agarrotamiento o rigidez en sus brazos o piernas? 1= No 2= Solo derecho 3= Solo izquierdo 4= Ambos
371 stiff 4. Stiffness or rigidity of your arms or legs? 1= No 2= right only 3= left only 4= both
372 slowmove 5. Slowness of movement of your arms, hands or legs? 1= No 2= right only 3= left only 4= both
372 slowmove 5. ¿Lentitud en el movimiento de sus brazos, manos o piernas? 1= No 2= Solo derecho 3= Solo izquierdo 4= Ambos
373 tremor 6. ¿Temblor en sus manos o pies? 1= No 2= Solo derecho 3= Solo izquierdo 4= Ambos
373 tremor 6. Tremor of your hands or feet? 1= No 2= right only 3= left only 4= both
374 medicate 7. Are you currently taking any medication for your parkinsonism or Parkinson's disease (some examples are Sinemet, Symmetrel, Parlodel, Bromocriptine, etc.)? 1= Yes 2= Suspect or possible 3= No
374 medicate 7. ¿Está usted tomando actualmente alguna medicación para su parkinsonismo o enfermedad de Parkinson (algunos ejemplos son Sinemet, Symmetrel, Parlodel, Bromocriptine, etc.)? 1= Sí 2= Sospecha or posible 3= No
375 medspec 7a. Especifique: String[30]
375 medspec 7a. Specify String[30]
376 histad Have you ever been told by a doctor, nurse, or therapist that you had dementia, senility, or Alzheimer's disease? 1= Yes 2= Suspect 3= No
376 histad ¿Algún médico, enfermera o terapeuta le ha dicho alguna vez que usted padecía de demencia senil, o de la enfermedad de Alzheimer? 1= Sí 2= Sospecha 3= No
377 spiroqs Will spirometry data be entered directly into Blaise form? 1= Yes 2= No
377 spiroqs Will spirometry data be entered directly into Blaise form? 1= Yes 2= No
378 fev11 RESET Spirometry device FEV1 Trial 1 [Enter 95.5 for tried but unable.] _____ liters 0.00 .. 95.50
378 fev11 Este próximo test medirá cómo de rápido y cuánto aire puede usted soplar. No hay resistencia. Será como soplar cien velas en un pastel de cumpleaños. Esto es lo que quiero que haga usted. Tome aire tan profundamente como pueda (llene sus pulmones con todo el aire que pueda), sujete, abra la boca, ponga sus labios firmemente en el tubo, luego sople tan fuerte y rápido como usted pueda, como si usted estuviera soplando cien velas en un pastel de cumpleaños.(demostrar) ¿Preparado?...tome aire profundamente, sujete, abra bien, labios firmes, Sople!!! ... y pare (repetir para el Segundo intento) RESET Spirometry device FEV1 Trial 1 [Enter 95.5 for tried but unable.] _____ liters 0.00 .. 95.50
379 pvc1 PVC Trial 1 _____ liters 0.00 .. 10.00
379 pvc1 PVC Trial 1 _____ liters 0.00 .. 10.00
380 fer1 FER Trial 1 _____ percent 0 .. 100
380 fer1 FER Trial 1 _____ percent 0 .. 100
381 pef1 PEF Trial 1 _____ liters/minute [If greater than 999, enter 999.] 0 .. 999
381 pef1 PEF Trial 1 _____ liters/minute [If greater than 999, enter 999.] 0 .. 999
382 fev12 RESET Spirometry device FEV1 Trial 2 [Enter 95.5 for tried but unable.] _____ liters 0.00 .. 95.50
382 fev12 RESET Spirometry device FEV1 Trial 2 [Enter 95.5 for tried but unable.] _____ liters 0.00 .. 95.50
383 pvc2 PVC Trial 2 _____ liters 0.00 .. 10.00
383 pvc2 PVC Trial 2 _____ liters 0.00 .. 10.00
384 fer2 FER Trial 2 _____ percent 0 .. 100
384 fer2 FER Trial 2 _____ percent 0 .. 100
385 pef2 PEF Trial 2 _____ liters/minute [If greater than 999, enter 999.] 0 .. 999
385 pef2 PEF Trial 2 _____ liters/minute [If greater than 999, enter 999.] 0 .. 999
386 spcom Spirometry Enter any comment. [Press enter to continue if none.] String[250]
386 spcom Spirometry Enter any comment. [Press enter to continue if none.] String[250]
387 q8atap FINGER TAPPING [TURN DIAL TO TAPPING TEST] 1. Right hand. 'Quiero ver que tan rápido usted puede presionar esta tecla. Ahora pruebe con su mano derecha. Cuando yo le diga que empiece, presione esta tecla de forma continua o repetida, lo más rápido que pueda hasta que le diga que pare.' Record first trial. ______Taps completed in 10 seconds. 97 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 1 .. 97
387 q8atap FINGER TAPPING [DEPRESS BUTTON UNTIL '--' APPEARS.] 1. Right index finger. 'I want to see how quickly you can tap this key. When I tell you to begin, tap this key as quickly as you can until I tell you to stop.' Record first trial. ______Taps completed in 10 seconds. 97 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 1 .. 97
388 q8ana Specify reason. String[40]
388 q8ana Specify reason. String[40]
389 q8btap FINGER TAPPING [RESET TAPPER] Left index finger. Record first trial. ______Taps completed in 10 seconds. 97 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 1 .. 97
389 q8btap FINGER TAPPING [RESET TAPPER] Left index finger. Record first trial. ______Taps completed in 10 seconds. 97 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 1 .. 97
390 q8bna Specify reason. String[40]
390 q8bna Specify reason. String[40]
391 q8ctap FINGER TAPPING [RESET TAPPER] Right index finger. Record second trial. ______Taps completed in 10 seconds. 97 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 1 .. 97
391 q8ctap FINGER TAPPING [RESET TAPPER] Right index finger. Record second trial. ______Taps completed in 10 seconds. 97 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 1 .. 97
392 q8cna Specify reason. String[40]
392 q8cna Specify reason. String[40]
393 q8dtap FINGER TAPPING [RESET TAPPER] Left index finger. Record second trial. ______Taps completed in 10 seconds. 97 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 1 .. 97
393 q8dtap FINGER TAPPING [RESET TAPPER] Left index finger. Record second trial. ______Taps completed in 10 seconds. 97 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 1 .. 97
394 q8dna Specify reason. String[40]
394 q8dna Specify reason. String[40]
395 rhand1 HAND DYNAMOMETRY [SET RED NEEDLE TO 0.] 'Quiero ver con cuánta fuerza puede usted apretar este aparato manual. Cuando yo le diga que empiece, apriete con tanta fuerza como pueda hasta que yo le diga que pare.' Right Hand Trial 1 [RECORD IN POUNDS.] 777 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 0 .. 777
395 rhand1 HAND DYNAMOMETRY [SET RED NEEDLE TO 0.] 'I want to see how strongly you can squeeze this handle. When I say go, squeeze the handle as hard as you can until I tell you to stop.' Right Hand Trial 1 [RECORD IN POUNDS.] 777 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 0 .. 777
396 rhand1na Specify reason. String[40]
396 rhand1na Specify reason. String[40]
397 lhand1 HAND DYNAMOMETRY [RESET NEEDLE TO 0.] Left Hand Trial 1 [RECORD IN POUNDS]. 777 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 0 .. 777
397 lhand1 HAND DYNAMOMETRY [RESET NEEDLE TO 0.] Left Hand Trial 1 [RECORD IN POUNDS]. 777 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 0 .. 777
398 lhand1na Specify reason. String[40]
398 lhand1na Specify reason. String[40]
399 rhand2 HAND DYNAMOMETRY [RESET NEEDLE TO 0.] Right Hand Trial 2 [RECORD IN POUNDS]. 777 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 0 .. 777
399 rhand2 HAND DYNAMOMETRY [RESET NEEDLE TO 0.] Right Hand Trial 2 [RECORD IN POUNDS]. 777 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 0 .. 777
400 rhand2na Specify reason. String[40]
400 rhand2na Specify reason. String[40]
401 lhand2 HAND DYNAMOMETRY [RESET NEEDLE TO 0.] Left Hand Trial 2 [RECORD IN POUNDS]. 777 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 0 .. 777
401 lhand2 HAND DYNAMOMETRY [RESET NEEDLE TO 0.] Left Hand Trial 2 [RECORD IN POUNDS]. 777 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 0 .. 777
402 lhand2na Specify reason. String[40]
402 lhand2na Specify reason. String[40]
403 rthand1 PINCH DYNAMOMETRY [SET RED NEEDLE TO 0.] 'Quiero ver con cuánta fuerza puede usted apretar este disco. Cuando yo le diga que empiece, apriete este disco con tanta fuerza como pueda hasta que yo le diga que pare.' Right Hand Trial 1 [RECORD IN POUNDS]. 77 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 0 .. 77
403 rthand1 PINCH DYNAMOMETRY [SET RED NEEDLE TO 0.] 'I want to see how strongly you can pinch this plate. When I say go, squeeze the plate as hard as you can until I tell you to stop.' Right Hand Trial 1 [RECORD IN POUNDS]. 77 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 0 .. 77
404 rthand1n Specify reason. String[40]
404 rthand1n Specify reason. String[40]
405 lthand1 PINCH DYNAMOMETRY [RESET NEEDLE TO 0.] Left Hand Trial 1 [RECORD IN POUNDS]. 77 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 0 .. 77
405 lthand1 PINCH DYNAMOMETRY [RESET NEEDLE TO 0.] Left Hand Trial 1 [RECORD IN POUNDS]. 77 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 0 .. 77
406 lthand1n Specify reason. String[40]
406 lthand1n Specify reason. String[40]
407 rthand2 PINCH DYNAMOMETRY [RESET NEEDLE TO 0.] Right Hand Trial 2 [RECORD IN POUNDS]. 77 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 0 .. 77
407 rthand2 PINCH DYNAMOMETRY [RESET NEEDLE TO 0.] Right Hand Trial 2 [RECORD IN POUNDS]. 77 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 0 .. 77
408 rthand2n Specify reason. String[40]
408 rthand2n Specify reason. String[40]
409 lthand2 PINCH DYNAMOMETRY [RESET NEEDLE TO 0.] Left Hand Trial 2 [RECORD IN POUNDS]. 77 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 0 .. 77
409 lthand2 PINCH DYNAMOMETRY [RESET NEEDLE TO 0.] Left Hand Trial 2 [RECORD IN POUNDS]. 77 : Tried but unable, Specify reason________________________ ] Don't Know, Specify reason________________________ ] Refusal - Not Attempted, Specify reason________________________ ] 0 .. 77
410 lthand2n Specify reason. String[40]
410 lthand2n Specify reason. String[40]
411 rtoevib SENSORY FUNCTION Vamos a probar su sensación a la vibración en sus pies. Voy a enseñarle lo que usted va a sentir. Ahora voy a probarlo en los dos dedos gordos de uno y otro pie. Dígame si usted siente lo mismo. Vibratory sensation 1. Right big toe [EXAMINER: First, make sure that subject understands the sensation. Tap tuning fork in palm of hand and test for ability to perceive vibration on the top of the large toe of each foot.] 1= Normal 2= possred 3= defred 4= Absent 7= notest
411 rtoevib SENSORY FUNCTION Vibratory sensation 1. Right big toe [EXAMINER: First, make sure that subject understands the sensation. Tap tuning fork in palm of hand and test for ability to perceive vibration on the top of the large toe of each foot.] 1= Normal 2= Possibly reduced 3= Definitely reduced 4= Absent 7= Unable to test
412 ltoevib Vibratory sensation 2. Left big toe 1= Normal 2= Possibly reduced 3= Definitely reduced 4= Absent 7= Unable to test
412 ltoevib Vibratory sensation 2. Left big toe 1= Normal 2= possred 3= defred 4= Absent 7= notest
413 rlegvib Stocking pattern of vibratory loss 3. Right Leg. [EXAMINER: Determine whether there is a greater sensory loss in the toe vs. the ankle] 1= Yes 2= Possible 3= No
413 rlegvib Stocking pattern of vibratory loss 3. Right Leg. [EXAMINER: Determine whether there is a greater sensory loss in the toe vs. the ankle] 1= Yes 2= Possible 3= No
414 ltlegvib Stocking pattern of vibratory loss 4. Left leg. [EXAMINER: Determine whether there is a greater sensory loss in the toe vs. the ankle] 1= Yes 2= Possible 3= No
414 ltlegvib Stocking pattern of vibratory loss 4. Left leg. [EXAMINER: Determine whether there is a greater sensory loss in the toe vs. the ankle] 1= Yes 2= Possible 3= No
415 cov1 Revised COVID FORM 2022 This form serves as an update to the original COVID-19 Survey released in summer 2020, and reflects on several important updates since that time, including vaccinations and evolving understanding of the long-term impacts of COVID-19 particularly on cognitive function. We are asking these questions because COVID-19 has presented multiple challenges for us all, and we would like to learn about your experience. 1. Have you been diagnosed with COVID-19 (you tested positive or were presumed to have COVID-19 by a healthcare provider)? 0= No 1= Yes, based on a positive test for acute infection 2= Yes, presumed COVID-19 diagnosis by healthcare provider but not tested 8= Decline to answer 9= Unsure/unknown
415 cov1 Revised COVID FORM 2022 Este formulario es una actualización del cuestionario original del COVID-19, administrado en el verano del 2020, y refleja acontecimientos importantes desde esa época, incluyendo vacunas y el conocimiento de los efectos del COVID-19 a largo plazo, en particular relacionados con el funcionamiento cognitivo. Les hacemos estas preguntas porque el COVID-19 ha presentado numerosos retos para todos, y nos gustaría aprender mas sobre su experiencia. 1. ¿Ha sido diagnosticado con COVID-19 (usted recibió un resultado positivo o es presunto positivo)? 0= No 1= Si, basado en un resultado positive de una infección aguda 2= Si, diagnostico presunto positivo por un proveedor médico, pero sin administrar prueba 8= Se rehúsa a contestar 9= Inseguro/desconocido
416 cov1a Revised COVID FORM 2022 1a. ¿Cuántas veces ha sido diagnosticado con COVID-19 (episodios de enfermedad distintos)? 1= Una 2= Dos 3= Tres o más veces 9= Inseguro/desconocido
416 cov1a Revised COVID FORM 2022 1a. How many times have you been diagnosed with COVID-19 (distinct episodes of illness)? 1= Once 2= Twice 3= Three or more times 9= Unsure/unknown
417 cov1b Revised COVID FORM 2022 1b. When did your first COVID-19 infection begin (month/year)? [ 88/8888 = Decline to answer ] String[7]
417 cov1b Revised COVID FORM 2022 1b. ¿Cuando comenzó su primera infección del COVID-19 (mes/año)? [ 88/8888 = Decline to answer ] String[7]
418 cov1c Revised COVID FORM 2022 1c. ¿Cuánto tiempo duro su primera infección del COVID-19? 1= < 1 semana 2= 1-2 semanas 3= 2-4 semanas 4= >4 semanas 5= Aun no se ha recuperado (los síntomas continúan en la actualidad)
418 cov1c Revised COVID FORM 2022 1c. What was the duration of your first COVID-infection? 1= <1 week 2= 1-2 weeks 3= 2-4 weeks 4= >4 weeks 5= Not yet recovered (symptoms persist to the present)
419 cov1d Revised COVID FORM 2022 1d. During any of your COVID-19 infections, did you lose the ability to smell or taste, experience lower ability to determine smells or tastes, or experience episodes of unprovoked, unfamiliar, or strange smells or tastes? 0= No 1= Yes 8= Decline to answer 9= Unsure/unknown
419 cov1d Revised COVID FORM 2022 1d. ¿En algún momento durante cualquiera de sus infecciones del COVID-19, perdió el sentido del gusto o el sentido del olfato, sintió disminución en su capacidad de percibir olores o sabores, o experimento olores o sabores raros o desconocidos? 0= No 1= Si 8= Se rehúsa a contestar 9= Inseguro/Desconocido
420 cov1e Revised COVID FORM 2022 1e. Durante cualquiera de sus infecciones del COVID-19, experimento problemas nuevos con el pensamiento, perdida de memoria, o concentración (e.g., niebla mental/niebla cerebral)? 0= No 1= Si 8= Se rehúsa a contestar 9= Inseguro/Desconocido
420 cov1e Revised COVID FORM 2022 1e. During any of your COVID-19 infections, did you experience new problems with thinking, remembering, or concentration (e.g., brain fog)? 0= No 1= Yes 8= Decline to answer 9= Unsure/unknown
421 cov1f Revised COVID FORM 2022 1f. Did you ever seek medical care for COVID-19? 0= No 1= Yes 8= Decline to answer 9= Unsure/unknown
421 cov1f Revised COVID FORM 2022 1f. ¿En algún momento solicito atención médica para el COVID-19? 0= No 1= Si 8= Se rehúsa a contestar 9= Inseguro/Desconocido
422 cov1g Revised COVID FORM 2022 1g. ¿Cuál es el nivel más alto de cuidado que recibió? 1= Consulta con un médico o clínica de urgencia, incluyendo consultas virtuales 2= Sala de emergencia 3= Hospitalizado, pero sin ingresar a la unidad de cuidados intensivos 4= Hospitalizado, incluyendo una estancia en la unidad de cuidados intensivos y/o apoyo respiratorio mecánico (tubo para respirar insertado por la garganta) 8= Se rehúsa a contestar 9= Inseguro/Desconocido
422 cov1g Revised COVID FORM 2022 1g. What was the highest level of care received? 1= Physician or urgent care visit, including virtual care visit 2= Emergency department 3= Hospitalized but not the intensive care unit 4= Hospitalized, including a stay in the ICU and/or ventilator support (breathing tube in your throat) 8= Decline to answer 9= Unsure/unknown
423 cov1h Revised COVID FORM 2022 1h. To what degree have you recovered from your COVID-19 symptoms (scale 1 to 5)? 1= No improvement 2= Slightly improved 3= Somewhat improved 4= Mostly improved 5= Totally recovered or never had symptoms 8= Decline to answer 9= Unsure/unknown
423 cov1h Revised COVID FORM 2022 1h. ¿Cuánta mejoría relacionada a los síntomas del COVID-19 ha sentido? 1= ninguna mejoría 2= mejoría leve 3= alguna mejoría 4= mayormente mejorado 5= completamente recuperado o nunca tuvo síntomas 8= Se rehúsa a contestar 9= Inseguro/Desconocido
424 cov2 Revised COVID FORM 2022 2. ¿Ha recibido al menos una vacuna contra el COVID 19? 0= No 1= Si 8= Se rehúsa a contestar 9= Inseguro/Desconocido
424 cov2 Revised COVID FORM 2022 2. Have you received at least one vaccination against COVID-19? 0= No 1= Yes 8= Decline to answer 9= Unsure/unknown
425 ivisit visit
425 ivisit visit
426 cuff BLOODPRESSURE Now I would like to take some blood pressure readings. 3. IS CUFF SIZE AVAILABLE? [IF CUFF NOT AVAILABLE, AT END OF INTERVIEW SET UP TIME TO RETURN FOR BLOOD PRESSURE MEASUREMENT] 1= Yes 2= No
426 cuff BLOODPRESSURE Now I would like to take some blood pressure readings. 3. IS CUFF SIZE AVAILABLE? [IF CUFF NOT AVAILABLE, AT END OF INTERVIEW SET UP TIME TO RETURN FOR BLOOD PRESSURE MEASUREMENT] 1= Yes 2= No
427 bp11 6. FIRST SITTING BLOOD PRESSURE READING [INTERVIEWER: The subject should be seated for five minutes prior to obtaining the seated blood pressure readings. ENTER SYSTOLIC/DIASTOLIC] String[7]
427 bp11 6. FIRST SITTING BLOOD PRESSURE READING [INTERVIEWER: The subject should be seated for five minutes prior to obtaining the seated blood pressure readings. ENTER SYSTOLIC/DIASTOLIC] String[7]
428 bp2 7. SECOND SITTING BLOOD PRESSURE READING [INTERVIEWER: ENTER SYSTOLIC/DIASTOLIC] String[7]
428 bp2 7. SECOND SITTING BLOOD PRESSURE READING [INTERVIEWER: ENTER SYSTOLIC/DIASTOLIC] String[7]
429 bp31 8. STANDING BLOOD PRESSURE READING [INTERVIEWER: ASK THE SUBJECT TO STAND. WAIT 60 SECONDS THEN REPEAT BLOOD PRESSURE READING. ENTER SYSTOLIC/DIASTOLIC] String[7]
429 bp31 8. STANDING BLOOD PRESSURE READING [INTERVIEWER: ASK THE SUBJECT TO STAND. WAIT 60 SECONDS THEN REPEAT BLOOD PRESSURE READING. ENTER SYSTOLIC/DIASTOLIC] String[7]
430 howwell 1. INTERVIEWER OBSERVATIONS How well do you think the participant understood the questions? 1= qw 2= fw 3= sw 4= vl 5= naa
430 howwell 1. INTERVIEWER OBSERVATIONS How well do you think the participant understood the questions? 1= Quite well 2= Fairly well 3= Somewhat 4= Very Little 5= Not at all
431 hearimp 2. Does the participant have a SUBSTANTIAL hearing impairment? 1= Yes 2= No
431 hearimp 2. Does the participant have a SUBSTANTIAL hearing impairment? 1= Yes 2= No
432 visimp 3. Does the participant have a SUBSTANTIAL visual impariment? 1= ycb 2= yvp 3= yp 4= nns
432 visimp 3. Does the participant have a SUBSTANTIAL visual impariment? 1= Yes, completely blind 2= Yes, very poor 3= Yes, poor 4= No, not substantial
433 phyeffrt 4. How great an effort do you think the participant put into the physical function items? 1= A great deal 2= A considerable amount 3= A moderate amount 4= A little bit 5= Hardly any
433 phyeffrt 4. How great an effort do you think the participant put into the physical function items? 1= agd 2= aca 3= ama 4= alb 5= ha
434 formcode Please enter status code. 11 = COMPLETE 13 = COMPLETE, portion with proxy 12 = INCOMPLETE, refused 14 = INCOMPLETE, too impaired 21 = INCOMPLETE interim, complete later 73 = NOT TESTED, out of town 31 = NOT TESTED, moved 33 = NOT TESTED, refused 75 = NOT TESTED, hospitalized 76 = NOT TESTED, other 42 = DECEASED 43 = WITHDRAWN 44 = WITHDRAWN, Autopsy OK 11 .. 76
434 formcode Please enter status code. 11 = COMPLETE 13 = COMPLETE, portion with proxy 12 = INCOMPLETE, refused 14 = INCOMPLETE, too impaired 21 = INCOMPLETE interim, complete later 73 = NOT TESTED, out of town 31 = NOT TESTED, moved 33 = NOT TESTED, refused 75 = NOT TESTED, hospitalized 76 = NOT TESTED, other 42 = DECEASED 43 = WITHDRAWN 44 = WITHDRAWN, Autopsy OK 11 .. 76
435 formpart Was participant reluctant, and/or does participant have special needs? 1= Yes 2= No
435 formpart Was participant reluctant, and/or does participant have special needs? 1= Yes 2= No
436 formcomm Please explain reluctance or any other factors which may have affected this data. [Press enter if no comment needed.] String[120]
436 formcomm Please explain reluctance or any other factors which may have affected this data. [Press enter if no comment needed.] String[120]
437 statid Please enter you staff id. 100 .. 997
437 statid Please enter you staff id. 100 .. 997
438 formch Has the form been modified? 1= Yes 2= No
438 formch Has the form been modified? 1= Yes 2= No
439 revidate Enter the date that the form was modified. Date type
439 revidate Enter the date that the form was modified. Date type
440 revintd Enter your staff id number. 100 .. 997
440 revintd Enter your staff id number. 100 .. 997
441 comm Comments. String[120]
441 comm Comments. String[120]

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