Pacemaker/implantable defibrillator

Are you carrier of a pacemaker or an implanted defibrillator?

x0af11

Claudication/peripheral arterial disease: Angiography

For the above condition have you ever had … Angiography (dye in the arteries of the legs)

x0ci02a

Claudication/peripheral arterial disease: Angioplasty

For the above condition have you ever had … Angioplasty (balloon catheter to open blockage)

x0ci02b

Claudication/peripheral arterial disease: Surgery to improve blood flow in the legs

For the above condition have you ever had … Surgery to improve blood flow in your legs (do not include surgery for varicose veins)

x0ci02c

Kidney transplantation

Have you ever undergone a kidney transplantation?

x0ki10

Kidney transplantation

How many transplantations?

x0ki10a

Kidney transplantation1

Year of the first transplantation (age)

x0ki11b

Kidney transplantation2

Year of the second transplantation (age)

x0ki12b

Kidney transplantation3

Year of the third transplantation (age)

x0ki13b

Kidney transplantation4

Year of the fourth transplantation (age)

x0ki14b

Kidney transplantation5

Year of the fifth transplantation (age)

x0ki15b

Other kidney surgery

Have you undergone another renal surgery?

x0ki16

Kidney stones surgery

Were you operated because of kidney stones?

x0ki17

Kidney stones surgery

In which year? (age)

x0ki17b

Kidney removal because of medical problem

Was a kidney removed due to a medical problem?

x0ki18

Kidney removal because of medical problem

In which year? (age)

x0ki18b

Surgery to donate a kidney

Have you ever donated a kidney?

x0ki19

Surgery to donate a kidney

In which year? (age)

x0ki19b

Renal artery angioplasty

Were you operated for angioplasty of the renal arteries?

x0ki20

Renal artery angioplasty

In which year? (age)

x0ki20b

Other reason for kidney surgery

Have you undergone a renal surgery for another reason?

x0ki21

Other reason for kidney surgery

In which year? (age)

x0ki21b

Other reason for kidney surgery (description/free text)

Please specify

x0ki21c

Kidney notes (renal failure)

Kidney notes (renal failure)

x0kin2

Cardiac catheterization

Have you ever undergone a cardiac catheterization (coronary angiography)?

x0mi16

Cardiac surgery

Have you ever undergone a cardiac surgery?

x0mi17

Bypass surgery

Have you ever undergone a bypass surgery or angioplasty (stent)?

x0mi18

Myocardial infarction notes elaborated (surgery)

Myocardial infarction notes (surgery)

x0min4b

Other surgery #1

Did you have any surgery we did not mention yet?

x0ot21

Other surgery #1 elaborated (description/free text)

What type of surgery did you have?

x0ot21a2

Other surgery #1 (age)

When?

x0ot21c

Other surgery #2

Did you have any other surgery we did not mention yet?

x0ot22

Other surgery #2 elaborated (description/free text)

What type of surgery did you have?

x0ot22a2

Other surgery #2 (age)

When?

x0ot22c

Other surgery #3

Did you have any other surgery we did not mention yet?

x0ot23

Other surgery #3 elaborated (description/free text)

What type of surgery did you have?

x0ot23a2

Other surgery #3 (age)

When?

x0ot23c

Other surgery #4

Did you have any other surgery we did not mention yet?

x0ot24

Other surgery #4 elaborated (description/free text)

What type of surgery did you have?

x0ot24a2

Other surgery #4 (age)

When?

x0ot24c

Other diseases notes elaborated (surgery)

Other diseases notes elaborated (surgery)

x0otn3b

Operation to the thyroid gland

Have you ever undergone an operation to the thyroid gland?

x0th12

Operation to the thyroid gland (when)

In which year?

x0th12a

Type of operation to the thyroid gland (list)

Do you remember which kind of operation?

x0th12b

Other type of operation to the thyroid gland (free text)

Could you please specify as much as you can?

x0th12c