Other diseases (CHRIS baseline)
md_x0_0056
History of other diseases collected by interview-administered questionnaire during the visit at study center
Permanent injury #1
Have you ever had an accident with injuries?
x0ot01Permanent injury #1 elaborated (description/free text)
Description of the injury
x0ot01a2Permanent injury #1 (age)
When?
x0ot01cPermanent injury #2
Have you had another accident with injuries?
x0ot02Permanent injury #2 elaborated (description/free text)
Description of the injury
x0ot02a2Permanent injury #2 (age)
When?
x0ot02cPermanent injury #3
Have you had another accident with injuries?
x0ot03Permanent injury #3 elaborated (description/free text)
Description of the injury
x0ot03a2Permanent injury #3 (age)
When?
x0ot03cPermanent injury #4
Have you had another accident with injuries?
x0ot04Permanent injury #4 elaborated (description/free text)
Description of the injury
x0ot04a2Permanent injury #4 (age)
When?
x0ot04cOther disease #1
Have you any other disease we did not mention yet, which was diagnosed by a doctor?
x0ot11Other disease #1 elaborated (description/free text)
Describe the disease as precisely as possible
x0ot11a2Other disease #1 (age at diagnosis)
Since when?
x0ot11cOther disease #2
Have you any other disease we did not mention yet, which was diagnosed by a doctor?
x0ot12Other disease #2 elaborated (description/free text)
Describe the disease as precisely as possible
x0ot12a2Other disease #2 (age at diagnosis)
Since when?
x0ot12cOther disease #3
Have you any other disease we did not mention yet, which was diagnosed by a doctor?
x0ot13Other disease #3 elaborated (description/free text)
Describe the disease as precisely as possible
x0ot13a2Other disease #3 (age at diagnosis)
Since when?
x0ot13cOther disease #4
Have you any other disease we did not mention yet, which was diagnosed by a doctor?
x0ot14Other disease #4 elaborated (description/free text)
Describe the disease as precisely as possible
x0ot14a2Other disease #4 (age at diagnosis)
Since when?
x0ot14cOther disease #5
Have you any other disease we did not mention yet, which was diagnosed by a doctor?
x0ot15Other disease #5 elaborated (description/free text)
Describe the disease as precisely as possible
x0ot15a2Other disease #5 (age at diagnosis)
Since when?
x0ot15cOther disease #6
Have you any other disease we did not mention yet, which was diagnosed by a doctor?
x0ot16Other disease #6 elaborated (description/free text)
Describe the disease as precisely as possible
x0ot16a2Other disease #6 (age at diagnosis)
Since when?
x0ot16cOther disease #7
Have you any other disease we did not mention yet, which was diagnosed by a doctor?
x0ot17Other disease #7 elaborated (description/free text)
Describe the disease as precisely as possible
x0ot17a2Other disease #7 (age at diagnosis)
Since when?
x0ot17cOther disease #8
Have you any other disease we did not mention yet, which was diagnosed by a doctor?
x0ot18Other disease #8 elaborated (description/free text)
Describe the disease as precisely as possible
x0ot18a2Other disease #8 (age at diagnosis)
Since when?
x0ot18cOther disease #9
Have you any other disease we did not mention yet, which was diagnosed by a doctor?
x0ot19Other disease #9 elaborated (description/free text)
Describe the disease as precisely as possible
x0ot19a2Other disease #9 (age at diagnosis)
Since when?
x0ot19cOther disease #10
Have you any other disease we did not mention yet, which was diagnosed by a doctor?
x0ot20Other disease #10 elaborated (description/free text)
Describe the disease as precisely as possible
x0ot20a2Other disease #10 (age at diagnosis)
Since when?
x0ot20cOther surgery #1
Did you have any surgery we did not mention yet?
x0ot21Other surgery #1 elaborated (description/free text)
What type of surgery did you have?
x0ot21a2Other surgery #1 (age)
When?
x0ot21cOther surgery #2
Did you have any other surgery we did not mention yet?
x0ot22Other surgery #2 elaborated (description/free text)
What type of surgery did you have?
x0ot22a2Other surgery #2 (age)
When?
x0ot22cOther surgery #3
Did you have any other surgery we did not mention yet?
x0ot23Other surgery #3 elaborated (description/free text)
What type of surgery did you have?
x0ot23a2Other surgery #3 (age)
When?
x0ot23cOther surgery #4
Did you have any other surgery we did not mention yet?
x0ot24Other surgery #4 elaborated (description/free text)
What type of surgery did you have?
x0ot24a2Other surgery #4 (age)
When?
x0ot24cOther diseases notes elaborated (permanent injury)
Other diseases notes (permanent injury)
x0otn1bOther diseases notes elaborated (disease)
Other diseases notes elaborated (disease)
x0otn2bOther diseases notes elaborated (surgery)
Other diseases notes elaborated (surgery)
x0otn3bOther diseases notes elaborated
Other diseases notes elaborated
x0otnotebOther diseases version
Other diseases version
x0otver