Data Dictionary for latcevfu

Number of Blaise fields: 808

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 Enter curent visit code from face sheet: CODE F/U Year CODE F/U Year CODE F/U Year CODE F/U Year 00 = Baseline 08 = 8th F/U 16 = 16th F/U 24 = 24th F/U 01 = 1st F/U 09 = 9th F/U 17 = 17th F/U 25 = 25th F/U 02 = 2nd F/U 10 = 10th F/U 18 = 18th F/U 26 = 26th F/U 03 = 3rd F/U 11 = 11th F/U 19 = 19th F/U 27 = 27th F/U 04 = 4th F/U 12 = 12th F/U 20 = 20th F/U 28 = 28th F/U 05 = 5th F/U 13 = 13th F/U 21 = 21th F/U 29 = 29th F/U 06 = 6th F/U 14 = 14th F/U 22 = 22th F/U 30 = 30th F/U 07 = 7th F/U 15 = 15th F/U 23 = 23th F/U 31 = 30th F/U ... 50 = 50th F/U String[2]
6 visit Enter curent visit code from face sheet: CODE F/U Year CODE F/U Year CODE F/U Year CODE F/U Year 00 = Baseline 08 = 8th F/U 16 = 16th F/U 24 = 24th F/U 01 = 1st F/U 09 = 9th F/U 17 = 17th F/U 25 = 25th F/U 02 = 2nd F/U 10 = 10th F/U 18 = 18th F/U 26 = 26th F/U 03 = 3rd F/U 11 = 11th F/U 19 = 19th F/U 27 = 27th F/U 04 = 4th F/U 12 = 12th F/U 20 = 20th F/U 28 = 28th F/U 05 = 5th F/U 13 = 13th F/U 21 = 21th F/U 29 = 29th F/U 06 = 6th F/U 14 = 14th F/U 22 = 22th F/U 30 = 30th F/U 07 = 7th F/U 15 = 15th F/U 23 = 23th F/U 31 = 30th F/U ... 50 = 50th F/U String[2]
7 baseyear Enter year of baseline from face sheet: 1993 .. 2025
7 baseyear Enter year of baseline from face sheet: 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 datlas Date of previous interview Date type
14 datlas Date of previous interview Date type
15 gender Enter participant's gender. 1= Male 2= Female
15 gender Enter participant's gender. 1= Male 2= Female
16 phone Was this interview completed in person or over the telephone? 1= In-person Nurse 2= Telephone 3= In-person RA
16 phone Was this interview completed in person or over the telephone? 1= inper 2= Telephone 3= inper_ra
17 autotm [COMPUTER CLOCK TIME] String[8]
17 autotm [COMPUTER CLOCK TIME] String[8]
18 formlang What language will be used to administer this form? [INTERVIEWER: To change the form language, click on Options in the main menu, then select Form Language.] 1= ENG 2= ESP
18 formlang What language will be used to administer this form? [INTERVIEWER: To change the form language, click on Options in the main menu, then select Form Language.] 1= English 2= Espa�ol
19 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
19 q1drg Ahora me gustar�a preguntarle sobre medicaciones. 1. Durante las �ltimas dos semanas, �Ha tomado alguna medicaci�n recetada por un m�dico? 1= S� 2= No
20 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
20 q2drg 2. Ahora, acerca de los suplementos nutricionales que no son comunmente prescritos por un doctor tales como complejos vitam�nicos incluyendo: multivitam�nicos, vitamina C, vitamina A, vitamina D, o vitamina E, pudiera decirme si durante las �ltimas dos semanas ha tomado alguna de �stas? 1= S� 2= No
21 q3drg 3. Tambi�n 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 sue�o, anti�cidos o medicinas para el est�mago, pomadas o ung�entos.. . . durante las �ltimas dos semanas, ha tomado una de estas o cualquier otras medicaciones de la farmacia? 1= S� 2= No
21 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
22 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
22 q4drg 4. �Podr�a ver todas estas medicaciones que ha tomado durante las �ltimas 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
23 name00 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
23 name00 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
24 stren00 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
24 stren00 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
25 drgnm00 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
25 drgnm00 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
26 seen00 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
26 seen00 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
27 dosage00 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
27 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
28 recd00 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
28 recd00 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
29 name01 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
29 name01 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
30 stren01 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
30 stren01 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
31 drgnm01 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
31 drgnm01 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
32 seen01 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
32 seen01 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
33 dosage01 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
33 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
34 recd01 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
34 recd01 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
35 name02 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
35 name02 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
36 stren02 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
36 stren02 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
37 drgnm02 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
37 drgnm02 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
38 seen02 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
38 seen02 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
39 dosage02 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
39 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
40 recd02 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
40 recd02 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
41 name03 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
41 name03 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
42 stren03 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
42 stren03 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
43 drgnm03 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
43 drgnm03 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
44 seen03 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
44 seen03 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
45 dosage03 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
45 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
46 recd03 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
46 recd03 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
47 name04 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
47 name04 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
48 stren04 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
48 stren04 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
49 drgnm04 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
49 drgnm04 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
50 seen04 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
50 seen04 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
51 dosage04 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
51 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
52 recd04 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
52 recd04 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
53 name05 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
53 name05 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
54 stren05 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
54 stren05 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
55 drgnm05 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
55 drgnm05 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
56 seen05 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
56 seen05 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
57 dosage05 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
57 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
58 recd05 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
58 recd05 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
59 name06 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
59 name06 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
60 stren06 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
60 stren06 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
61 drgnm06 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
61 drgnm06 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
62 seen06 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
62 seen06 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
63 dosage06 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
63 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
64 recd06 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
64 recd06 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
65 name07 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
65 name07 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
66 stren07 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
66 stren07 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
67 drgnm07 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
67 drgnm07 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
68 seen07 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
68 seen07 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
69 dosage07 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
69 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
70 recd07 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
70 recd07 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
71 name08 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
71 name08 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
72 stren08 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
72 stren08 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
73 drgnm08 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
73 drgnm08 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
74 seen08 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
74 seen08 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
75 dosage08 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
75 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
76 recd08 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
76 recd08 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
77 name09 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
77 name09 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
78 stren09 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
78 stren09 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
79 drgnm09 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
79 drgnm09 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
80 seen09 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
80 seen09 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
81 dosage09 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
81 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
82 recd09 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
82 recd09 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
83 name10 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
83 name10 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
84 stren10 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
84 stren10 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
85 drgnm10 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
85 drgnm10 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
86 seen10 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
86 seen10 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
87 dosage10 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
87 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
88 recd10 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
88 recd10 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
89 name11 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
89 name11 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
90 stren11 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
90 stren11 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
91 drgnm11 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
91 drgnm11 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
92 seen11 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
92 seen11 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
93 dosage11 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
93 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
94 recd11 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
94 recd11 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
95 name12 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
95 name12 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
96 stren12 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
96 stren12 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
97 drgnm12 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
97 drgnm12 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
98 seen12 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
98 seen12 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
99 dosage12 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
99 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
100 recd12 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
100 recd12 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
101 name13 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
101 name13 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
102 stren13 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
102 stren13 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
103 drgnm13 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
103 drgnm13 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
104 seen13 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
104 seen13 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
105 dosage13 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
105 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
106 recd13 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
106 recd13 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
107 name14 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
107 name14 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
108 stren14 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
108 stren14 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
109 drgnm14 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
109 drgnm14 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
110 seen14 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
110 seen14 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
111 dosage14 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
111 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
112 recd14 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
112 recd14 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
113 name15 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
113 name15 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
114 stren15 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
114 stren15 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
115 drgnm15 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
115 drgnm15 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
116 seen15 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
116 seen15 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
117 dosage15 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
117 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
118 recd15 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
118 recd15 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
119 name16 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
119 name16 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
120 stren16 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
120 stren16 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
121 drgnm16 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
121 drgnm16 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
122 seen16 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
122 seen16 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
123 dosage16 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
123 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
124 recd16 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
124 recd16 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
125 name17 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
125 name17 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
126 stren17 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
126 stren17 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
127 drgnm17 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
127 drgnm17 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
128 seen17 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
128 seen17 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
129 dosage17 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
129 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
130 recd17 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
130 recd17 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
131 name18 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
131 name18 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
132 stren18 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
132 stren18 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
133 drgnm18 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
133 drgnm18 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
134 seen18 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
134 seen18 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
135 dosage18 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
135 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
136 recd18 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
136 recd18 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
137 name19 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
137 name19 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
138 stren19 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
138 stren19 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
139 drgnm19 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
139 drgnm19 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
140 seen19 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
140 seen19 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
141 dosage19 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
141 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
142 recd19 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
142 recd19 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
143 name20 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
143 name20 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
144 stren20 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
144 stren20 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
145 drgnm20 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
145 drgnm20 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
146 seen20 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
146 seen20 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
147 dosage20 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
147 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
148 recd20 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
148 recd20 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
149 name21 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
149 name21 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
150 stren21 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
150 stren21 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
151 drgnm21 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
151 drgnm21 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
152 seen21 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
152 seen21 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
153 dosage21 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
153 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
154 recd21 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
154 recd21 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
155 name22 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
155 name22 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
156 stren22 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
156 stren22 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
157 drgnm22 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
157 drgnm22 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
158 seen22 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
158 seen22 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
159 dosage22 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
159 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
160 recd22 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
160 recd22 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
161 name23 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
161 name23 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
162 stren23 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
162 stren23 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
163 drgnm23 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
163 drgnm23 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
164 seen23 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
164 seen23 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
165 dosage23 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
165 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
166 recd23 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
166 recd23 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
167 name24 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
167 name24 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
168 stren24 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
168 stren24 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
169 drgnm24 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
169 drgnm24 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
170 seen24 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
170 seen24 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
171 dosage24 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
171 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
172 recd24 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
172 recd24 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
173 name25 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
173 name25 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
174 stren25 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
174 stren25 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
175 drgnm25 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
175 drgnm25 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
176 seen25 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
176 seen25 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
177 dosage25 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
177 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
178 recd25 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
178 recd25 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
179 name26 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
179 name26 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
180 stren26 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
180 stren26 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
181 drgnm26 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
181 drgnm26 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
182 seen26 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
182 seen26 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
183 dosage26 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
183 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
184 recd26 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
184 recd26 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
185 name27 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
185 name27 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
186 stren27 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
186 stren27 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
187 drgnm27 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
187 drgnm27 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
188 seen27 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
188 seen27 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
189 dosage27 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
189 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
190 recd27 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
190 recd27 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
191 name28 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
191 name28 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
192 stren28 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
192 stren28 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
193 drgnm28 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
193 drgnm28 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
194 seen28 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
194 seen28 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
195 dosage28 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
195 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
196 recd28 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
196 recd28 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
197 name29 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
197 name29 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
198 stren29 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
198 stren29 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
199 drgnm29 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
199 drgnm29 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
200 seen29 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
200 seen29 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
201 dosage29 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
201 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
202 recd29 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
202 recd29 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
203 name30 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
203 name30 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
204 stren30 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
204 stren30 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
205 drgnm30 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
205 drgnm30 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
206 seen30 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
206 seen30 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
207 dosage30 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
207 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
208 recd30 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
208 recd30 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
209 name31 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
209 name31 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
210 stren31 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
210 stren31 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
211 drgnm31 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
211 drgnm31 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
212 seen31 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
212 seen31 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
213 dosage31 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
213 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
214 recd31 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
214 recd31 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
215 name32 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
215 name32 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
216 stren32 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
216 stren32 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
217 drgnm32 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
217 drgnm32 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
218 seen32 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
218 seen32 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
219 dosage32 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
219 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
220 recd32 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
220 recd32 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
221 name33 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
221 name33 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
222 stren33 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
222 stren33 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
223 drgnm33 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
223 drgnm33 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
224 seen33 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
224 seen33 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
225 dosage33 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
225 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
226 recd33 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
226 recd33 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
227 name34 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
227 name34 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
228 stren34 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
228 stren34 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
229 drgnm34 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
229 drgnm34 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
230 seen34 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
230 seen34 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
231 dosage34 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
231 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
232 recd34 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
232 recd34 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
233 name35 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
233 name35 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
234 stren35 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
234 stren35 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
235 drgnm35 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
235 drgnm35 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
236 seen35 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
236 seen35 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
237 dosage35 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
237 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
238 recd35 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
238 recd35 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
239 name36 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
239 name36 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
240 stren36 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
240 stren36 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
241 drgnm36 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
241 drgnm36 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
242 seen36 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
242 seen36 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
243 dosage36 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
243 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
244 recd36 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
244 recd36 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
245 name37 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
245 name37 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
246 stren37 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
246 stren37 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
247 drgnm37 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
247 drgnm37 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
248 seen37 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
248 seen37 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
249 dosage37 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
249 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
250 recd37 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
250 recd37 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
251 name38 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
251 name38 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
252 stren38 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
252 stren38 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
253 drgnm38 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
253 drgnm38 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
254 seen38 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
254 seen38 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
255 dosage38 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
255 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
256 recd38 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
256 recd38 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
257 name39 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
257 name39 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
258 stren39 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
258 stren39 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
259 drgnm39 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
259 drgnm39 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
260 seen39 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
260 seen39 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
261 dosage39 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
261 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
262 recd39 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
262 recd39 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
263 name40 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
263 name40 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
264 stren40 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
264 stren40 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
265 drgnm40 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
265 drgnm40 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
266 seen40 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
266 seen40 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
267 dosage40 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
267 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
268 recd40 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
268 recd40 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
269 name41 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
269 name41 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
270 stren41 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
270 stren41 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
271 drgnm41 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
271 drgnm41 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
272 seen41 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
272 seen41 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
273 dosage41 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
273 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
274 recd41 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
274 recd41 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
275 name42 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
275 name42 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
276 stren42 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
276 stren42 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
277 drgnm42 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
277 drgnm42 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
278 seen42 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
278 seen42 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
279 dosage42 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
279 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
280 recd42 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
280 recd42 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
281 name43 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
281 name43 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
282 stren43 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
282 stren43 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
283 drgnm43 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
283 drgnm43 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
284 seen43 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
284 seen43 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
285 dosage43 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
285 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
286 recd43 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
286 recd43 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
287 name44 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
287 name44 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
288 stren44 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
288 stren44 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
289 drgnm44 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
289 drgnm44 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
290 seen44 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
290 seen44 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
291 dosage44 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
291 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
292 recd44 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
292 recd44 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
293 name45 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
293 name45 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
294 stren45 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
294 stren45 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
295 drgnm45 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
295 drgnm45 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
296 seen45 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
296 seen45 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
297 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
297 dosage45 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
298 recd45 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
298 recd45 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
299 name46 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
299 name46 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
300 stren46 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
300 stren46 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
301 drgnm46 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
301 drgnm46 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
302 seen46 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
302 seen46 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
303 dosage46 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
303 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
304 recd46 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
304 recd46 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
305 name47 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
305 name47 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
306 stren47 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
306 stren47 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
307 drgnm47 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
307 drgnm47 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
308 seen47 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
308 seen47 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
309 dosage47 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
309 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
310 recd47 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
310 recd47 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
311 name48 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
311 name48 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
312 stren48 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
312 stren48 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
313 drgnm48 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
313 drgnm48 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
314 seen48 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
314 seen48 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
315 dosage48 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
315 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
316 recd48 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
316 recd48 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
317 name49 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
317 name49 a1. [INTERVIEWER: NAME OF MEDICINE] String[50]
318 stren49 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
318 stren49 a2. [INTERVIEWER: ENTER STRENGTH] String[10]
319 drgnm49 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
319 drgnm49 b. [INTERVIEWER: IS DRUG NAME FROM CONTAINER?] 1= Yes 2= No
320 seen49 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
320 seen49 c. [INTERVIEWER: IS DRUG SEEN?] 1= Yes 2= No
321 dosage49 d. En promedio, �cu�ntas pastillas (c�psulas u otra unidad de dosis) tom� cada d�a durante las �ltimas dos semanas? [CODE 66 IF TAKEN LESS THAN 01 PER DAY] 1 .. 66
321 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
322 recd49 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
322 recd49 e. [INTERVIEWER: ENTER NAME OF PHARMACY AND PRESCRIPTION NO. TYPE `OTC' IF MEDICINE IS NOT PRESCRIBED] String[40]
323 strokefu HISTORIAL M�DICO Primero, me gustar�a hacerle algunas preguntas sobre condiciones m�dicas espec�ficas tales como embolia/derrame y la enfermedad de Parkinson. EMBOLIA/DERRAME 1. Desde su �ltima evaluaci�n en ^IntroBlock.datlas, �se le ha dicho que usted tuvo una embolia, accidente isqu�mico transitorio (AIT), accidentes cerebrovasculares o hemorragia cerebral? 1= S� 2= Sospecha o posible 3= No
323 strokefu 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. Since your evaluation on ^IntroBlock.datlas, have you 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
324 faint0fu �Cuando sufri� este �ltimo evento experiment� Ud. alguno de los siguientes s�ntomas? a. Desmayo o p�rdida de conocimiento? 1= S� 2= Sospecha 3= No
324 faint0fu At the time of this (last) event, did you you have . . . a. Fainting, blackout or loss of consciousness? 1= Yes 2= Suspect 3= No
325 dizzy0fu b. Dizzyness or lightheadedness? 1= Yes 2= Suspect 3= No
325 dizzy0fu b. Mareos o sensaci�n de aturdimiento? 1= S� 2= Sospecha 3= No
326 memor0fu c. P�rdida de memoria o estar olvidadizo/a? 1= S� 2= Sospecha 3= No
326 memor0fu c. Memory loss or forgetfulness? 1= Yes 2= Suspect 3= No
327 speec0fu At the time of this (last) event, did you you have . . . d. Language or speech change? 1= Yes 2= Suspect 3= No
327 speec0fu �Experiment� Ud. al momento de este (�ltimo) evento alguno de los siguientes s�ntomas? d. Cambios en el lenguaje o en el habla? 1= S� 2= Sospecha 3= No
328 visio0fu e. P�rdida de visi�n? 1= No 2= s�lo derecho 3= s�lo izquierdo 4= ambos
328 visio0fu e. Loss of vision? 1= No 2= right only 3= left only 4= both
329 face0fu f. Debilidad o par�lisis en la cara? 1= No 2= s�lo derecho 3= s�lo izquierdo 4= ambos
329 face0fu f. Weakness or paralysis of your face? 1= No 2= right only 3= left only 4= both
330 weakl0fu g. Weakness or paralysis of your arms or legs? 1= No 2= right only 3= left only 4= both
330 weakl0fu g. Debilidad o par�lisis en los brazos o en las piernas? 1= No 2= s�lo derecho 3= s�lo izquierdo 4= ambos
331 limse0fu h. P�rdida o cambio de sensaci�n en los brazos o en las piernas? 1= No 2= s�lo derecho 3= s�lo izquierdo 4= ambos
331 limse0fu h. Loss or change of sensation in your arms or legs? 1= No 2= right only 3= left only 4= both
332 symps0fu i. Specify any other signs or symptoms associated with this (last) event? String[40]
332 symps0fu i. Especifique otras se�ales o s�ntomas asociados con este �ltimo evento: String[40]
333 samet0fu j. �La embolia coincidi� con el momento de una OPERACION QUIRURGICA, ATAQUE DE CORAZON, DIFICULTADES RESPIRATORIAS, u OTRO PROBLEMA M�DICO SERIO? 1= S� 2= Sospecha 3= No
333 samet0fu 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
334 sames0fu Specify: String[60]
334 sames0fu Especif�que: String[60]
335 inhospfu 2. Since your evaluation on ^IntroBlock.datlas, have you been HOSPITALIZED OVERNIGHT or longer because of a STROKE, a TIA or a BRAIN HEMORRHAGE? 1= Yes 2= Suspect 3= No
335 inhospfu 2. Desde su �ltima evaluaci�n en ^IntroBlock.datlas, �ha sido HOSPITALIZADO POR UNA NOCHE o m�s tiempo debido a una embolia/derrame, un AIT, o hemorragia cerebral? 1= S� 2= Sospecha 3= No
336 promp1fu 2a. �Fue �ste el mismo evento del que acabamos de hablar? 1= S� 2= No
336 promp1fu 2a. Was this the same event we just spoke about? 1= Yes 2= No
337 hospnafu 2b. What was the name of the hospital? String[30]
337 hospnafu 2b. �Cu�l era el nombre del hospital? String[30]
338 faint1fu �Cuando sufri� este �ltimo evento experiment� Ud. alguno de los siguientes s�ntomas? a. Desmayo, o p�rdida de conocimiento? 1= S� 2= Sospecha 3= No
338 faint1fu At the time of this (last) event, did you you have . . . a. Fainting, blackout or loss of consciousness? 1= Yes 2= Suspect 3= No
339 dizzy1fu b. Dizzyness or lightheadedness? 1= Yes 2= Suspect 3= No
339 dizzy1fu b. �Mareos o sensaci�n de aturdimiento? 1= S� 2= Sospecha 3= No
340 memor1fu c. Memory loss or forgetfulness? 1= Yes 2= Suspect 3= No
340 memor1fu c. P�rdida de memoria o estar olvidadizo/a? 1= S� 2= Sospecha 3= No
341 speec1fu 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
341 speec1fu �Experiment� Ud. al momento de este (�ltimo) evento alguno de los siguientes s�ntomas? [INTERVIEWER: `Last/�ltimo' refers to the most recent hospitalization event.] d. Cambios en el lenguaje o en el habla? 1= S� 2= Sospecha 3= No
342 visio1fu e. Loss of vision? 1= No 2= s�lo derecho 3= s�lo izquierdo 4= ambos
342 visio1fu e. P�rdida de visi�n? 1= No 2= right only 3= left only 4= both
343 face1fu f. Debilidad o par�lisis en la cara? 1= No 2= s�lo derecho 3= s�lo izquierdo 4= ambos
343 face1fu f. Weakness or paralysis of your face? 1= No 2= right only 3= left only 4= both
344 weakl1fu g. Weakness or paralysis of your arms or legs? 1= No 2= right only 3= left only 4= both
344 weakl1fu g. Debilidad o par�lisis en los brazos o en las piernas? 1= No 2= s�lo derecho 3= s�lo izquierdo 4= ambos
345 limse1fu h. P�rdida o cambio de sensaci�n en los brazos o en las piernas? 1= No 2= s�lo derecho 3= s�lo izquierdo 4= ambos
345 limse1fu h. Loss or change of sensation in your arms or legs? 1= No 2= right only 3= left only 4= both
346 symps1fu i. Specify any other signs or symptoms associated with this (last) event? String[40]
346 symps1fu i. Especifique otras se�ales o s�ntomas asociados con este �ltimo evento: String[40]
347 samet1fu j. �La embolia coincidi� con el momento de una OPERACION QUIRURGICA, ATAQUE DE CORAZON, DIFICULTADES RESPIRATORIAS, u OTRO PROBLEMA M�DICO SERIO? 1= S� 2= Sospecha 3= No
347 samet1fu 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
348 sames1fu Specify: String[60]
348 sames1fu Especif�que: String[60]
349 stroksfu 3. Desde ^IntroBlock.datlas, �se ha sometido a un Tomograf�a Axial Computarizada (TC), Resonancia Magn�tica (RMN/MRI) u otro tipo de scanner/estudio cerebral debido a una EMBOLIA, un AIT o una HEMORRAGIA CEREBRAL? 1= S� 2= Sospecha 3= No
349 stroksfu 3. Since ^IntroBlock.datlas, have you 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
350 promp2fu 3a. �Fue �ste el mismo evento del que acabamos de hablar? 1= S� 2= No
350 promp2fu 3a. Was this for ^event we just spoke about? 1= Yes 2= No
351 scanlofu 3b. What was the name of the place (doctor's office, hospital or other place) at which the scan was performed? String[30]
351 scanlofu 3b. �Cu�l era el nombre del lugar (consulta, hospital u otro lugar) en el que se realiz� el scanner/estudio?: String[30]
352 faint2fu 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 faint2fu �Cuando sufri� este �ltimo evento experiment� Ud. alguno de los siguientes s�ntomas? a. Desmayo, o p�rdida del conocimiento? 1= S� 2= Sospecha 3= No
353 dizzy2fu b. Dizzyness or lightheadedness? 1= Yes 2= Suspect 3= No
353 dizzy2fu b. Mareos o sensaci�n de aturdimiento? 1= S� 2= Sospecha 3= No
354 memor2fu c. Memory loss or forgetfulness? 1= Yes 2= Suspect 3= No
354 memor2fu c. P�rdida de memoria o estar olvidadizo/a? 1= S� 2= Sospecha 3= No
355 speec2fu d. Language or speech change? 1= Yes 2= Suspect 3= No
355 speec2fu d. Cambios en el lenguaje o en el habla? 1= S� 2= Sospecha 3= No
356 visio2fu e. P�rdida de visi�n? 1= No 2= s�lo derecho 3= s�lo izquierdo 4= ambos
356 visio2fu e. Loss of vision? 1= No 2= right only 3= left only 4= both
357 face2fu f. Debilidad o par�lisis en la cara? 1= No 2= s�lo derecho 3= s�lo izquierdo 4= ambos
357 face2fu f. Weakness or paralysis of your face? 1= No 2= right only 3= left only 4= both
358 weakl2fu g. Weakness or paralysis of your arms or legs? 1= No 2= right only 3= left only 4= both
358 weakl2fu g. Debilidad o par�lisis en los brazos o en las piernas? 1= No 2= s�lo derecho 3= s�lo izquierdo 4= ambos
359 limse2fu h. P�rdida o cambio de sensaci�n en los brazos o en las piernas? 1= No 2= s�lo derecho 3= s�lo izquierdo 4= ambos
359 limse2fu h. Loss or change of sensation in your arms or legs? 1= No 2= right only 3= left only 4= both
360 symps2fu i. Specify any other signs or symptoms associated with this (last) event? String[40]
360 symps2fu i. Especifique otras se�ales o s�ntomas asociados con este �ltimo evento: String[40]
361 samet2fu j. �La embolia coincidi� con el momento de una OPERACION QUIRURGICA, ATAQUE DE CORAZON, DIFICULTADES RESPIRATORIAS, u OTRO PROBLEMA M�DICO SERIO? 1= S� 2= Sospecha 3= No
361 samet2fu 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
362 sames2fu Specify: String[60]
362 sames2fu Especifique: String[60]
363 multipfu 4. Since your last evaluation on ^IntroBlock.datlas, did you have only ONE STROKE, TIA or BRAIN HEMORRHAGE, or more than one? 1= Only one 2= More than one
363 multipfu 4. Desde su �ltima evaluaci�n en ^IntroBlock.datlas, �ha tenido una EMBOLIA, un AIT o una HEMORRAGIA CEREBRAL o m�s de uno? 1= S�lo uno 2= M�s de uno
364 leftspfu 5. Especifique cu�les son las secuelas actuales de su embolia/derrame(s)? String[60]
364 leftspfu 5. Specify leftover troubles from your stroke(s)? String[60]
365 everscfu 6. Since ^IntroBlock.datlas, have you had a CT, MRI or other type of brain scan? 1= Yes 2= Suspect 3= No
365 everscfu 6. Desde ^IntroBlock.datlas, �Se ha sometido a un TC, MRI u otro tipo de scanner/estudio cerebral? 1= S� 2= Sospecha 3= No
366 reasonfu 6c. Reason String[60]
366 reasonfu 6c. Reason String[60]
367 escanlfu 6d. What was the name of the place (doctor's office, hospital or other place) at which the scan was performed? String[30]
367 escanlfu 6d. �Cu�l era el nombre del lugar (consulta, hosptial u otro lugar) en el que se realiz� el scanner/estudio?: String[30]
368 parksfu 1. Desde ^IntroBlock.datlas, �alg�n m�dico, enfermera, terapeuta o asistente m�dico le ha dicho que ten�a PARKINSONISMO o LA ENFERMEDAD DE PARKINSON? 1= S� 2= Sospecha o posible 3= No
368 parksfu 1. Since ^IntroBlock.datlas, have you been told by a doctor, nurse or therapist that you had PARKINSONISM or PARKINSON'S DISEASE? 1= Yes 2= Suspect or possible 3= No
369 gaitfu With the parkinsonism, did you have . . . 2. Shuffling or unsteady gait, or loss of balance? 1= Yes 2= Suspect 3= No
369 gaitfu Con el parkinsonismo, ha padecido usted alguna vez de . . . 2. andar arrastrando los pies o andar tambale�ndose? 1= S� 2= Sospecha 3= No
370 writinfu 3. A change in your handwriting? 1= Yes 2= Suspect 3= No
370 writinfu 3. �Un cambio en su letra manuscrita (escritura)? 1= S� 2= Sospecha 3= No
371 stifffu 4. �Agarrotamiento o rigidez en sus brazos o piernas? 1= No 2= s�lo derecho 3= s�lo izquierdo 4= ambos
371 stifffu 4. Stiffness or rigidity of your arms or legs? 1= No 2= right only 3= left only 4= both
372 slowmofu 5. Slowness of movement of your arms, hands or legs? 1= No 2= right only 3= left only 4= both
372 slowmofu 5. �Lentitud en el movimiento de sus brazos, manos o piernas? 1= No 2= s�lo derecho 3= s�lo izquierdo 4= ambos
373 tremorfu 6. �Temblor en sus manos o pies? 1= No 2= s�lo derecho 3= s�lo izquierdo 4= ambos
373 tremorfu 6. Tremor of your hands or feet? 1= No 2= right only 3= left only 4= both
374 medicafu 7. �Est� usted tomando actualmente algun medicamento para su parkinsonismo o enfermedad de Parkinson (algunos ejemplos son Sinemet, Symmetrel, Parlodel, Bromocriptine, etc.)? 1= S� 2= Sospecha o posible 3= No
374 medicafu 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
375 medspefu 7a. Specify String[30]
375 medspefu 7a. Especifique: String[30]
376 histadfu �Desde ^IntroBlock.datlas, �alg�n m�dico, enfermera, terapeuta o asistente m�dico le ha dicho que ten�a demencia, senilidad, o LA ENFERMEDAD de Alzheimer? 1= S� 2= Sospecha 3= No
376 histadfu Since your last evaluation on ^IntroBlock.datlas, have you been told by a doctor, nurse, or therapist that you had dementia, senility, or Alzheimer's disease? 1= Yes 2= Suspect 3= No
377 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
377 cov1 Revised COVID FORM 2022 Este formulario es una actualizaci�n del cuestionario original del COVID-19, administrado en el verano del 2020, y refleja acontecimientos importantes desde esa �poca, 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 gustar�a aprender mas sobre su experiencia. 1. �Ha sido diagnosticado con COVID-19 (usted recibi� un resultado positivo o es presunto positivo)? 0= No 1= Si, basado en un resultado positive de una infecci�n aguda 2= Si, diagnostico presunto positivo por un proveedor m�dico, pero sin administrar prueba 8= Se reh�sa a contestar 9= Inseguro/desconocido
378 cov1a Revised COVID FORM 2022 1a. �Cu�ntas veces ha sido diagnosticado con COVID-19 (episodios de enfermedad distintos)? 1= Una 2= Dos 3= Tres o m�s veces 9= Inseguro/desconocido
378 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
379 cov1b Revised COVID FORM 2022 1b. When did your first COVID-19 infection begin (month/year)? [ 88/8888 = Decline to answer ] String[7]
379 cov1b Revised COVID FORM 2022 1b. �Cuando comenz� su primera infecci�n del COVID-19 (mes/a�o)? [ 88/8888 = Decline to answer ] String[7]
380 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)
380 cov1c Revised COVID FORM 2022 1c. �Cu�nto tiempo duro su primera infecci�n del COVID-19? 1= < 1 semana 2= 1-2 semanas 3= 2-4 semanas 4= >4 semanas 5= Aun no se ha recuperado (los s�ntomas contin�an en la actualidad)
381 cov1d Revised COVID FORM 2022 1d. �En alg�n momento durante cualquiera de sus infecciones del COVID-19, perdi� el sentido del gusto o el sentido del olfato, sinti� disminuci�n en su capacidad de percibir olores o sabores, o experimento olores o sabores raros o desconocidos? 0= No 1= Si 8= Se reh�sa a contestar 9= Inseguro/Desconocido
381 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
382 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
382 cov1e Revised COVID FORM 2022 1e. Durante cualquiera de sus infecciones del COVID-19, experimento problemas nuevos con el pensamiento, perdida de memoria, o concentraci�n (e.g., niebla mental/niebla cerebral)? 0= No 1= Si 8= Se reh�sa a contestar 9= Inseguro/Desconocido
383 cov1f Revised COVID FORM 2022 1f. �En alg�n momento solicito atenci�n m�dica para el COVID-19? 0= No 1= Si 8= Se reh�sa a contestar 9= Inseguro/Desconocido
383 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
384 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
384 cov1g Revised COVID FORM 2022 1g. �Cu�l es el nivel m�s alto de cuidado que recibi�? 1= Consulta con un m�dico o cl�nica 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 mec�nico (tubo para respirar insertado por la garganta) 8= Se reh�sa a contestar 9= Inseguro/Desconocido
385 cov1h Revised COVID FORM 2022 1h. �Cu�nta mejor�a relacionada a los s�ntomas del COVID-19 ha sentido? 1= ninguna mejor�a 2= mejor�a leve 3= alguna mejor�a 4= mayormente mejorado 5= completamente recuperado o nunca tuvo s�ntomas 8= Se reh�sa a contestar 9= Inseguro/Desconocido
385 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
386 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
386 cov2 Revised COVID FORM 2022 2. �Ha recibido al menos una vacuna contra el COVID 19? 0= No 1= Si 8= Se reh�sa a contestar 9= Inseguro/Desconocido
387 ivisit visit
387 ivisit visit
388 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
388 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
389 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]
389 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]
390 bp2 7. SECOND SITTING BLOOD PRESSURE READING [INTERVIEWER: ENTER SYSTOLIC/DIASTOLIC] String[7]
390 bp2 7. SECOND SITTING BLOOD PRESSURE READING [INTERVIEWER: ENTER SYSTOLIC/DIASTOLIC] String[7]
391 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]
391 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]
392 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
392 howwell 1. INTERVIEWER OBSERVATIONS How well do you think the participant understood the questions? 1= qw 2= fw 3= sw 4= vl 5= naa
393 hearimp 2. Does the participant have a SUBSTANTIAL hearing impairment? 1= Yes 2= No
393 hearimp 2. Does the participant have a SUBSTANTIAL hearing impairment? 1= Yes 2= No
394 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
394 visimp 3. Does the participant have a SUBSTANTIAL visual impariment? 1= ycb 2= yvp 3= yp 4= nns
395 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
395 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
396 comm Comments. String[120]
396 comm Comments. String[120]
397 autotm1 [COMPUTER CLOCK TIME] String[8]
397 autotm1 [COMPUTER CLOCK TIME] String[8]
398 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
398 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
399 formpart Was participant reluctant, and/or does participant have special needs? 1= Yes 2= No
399 formpart Was participant reluctant, and/or does participant have special needs? 1= Yes 2= No
400 formcomm Please explain reluctance or any other factors which may have affected this data. [Press enter if no comment needed.] String[120]
400 formcomm Please explain reluctance or any other factors which may have affected this data. [Press enter if no comment needed.] String[120]
401 statid Please enter you staff id. 100 .. 997
401 statid Please enter you staff id. 100 .. 997
402 formch Has the form been modified? 1= Yes 2= No
402 formch Has the form been modified? 1= Yes 2= No
403 revidate Enter the date that the form was modified. Date type
403 revidate Enter the date that the form was modified. Date type
404 revintd Enter your staff id number. 100 .. 997
404 revintd Enter your staff id number. 100 .. 997

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