Child s Health 3 months Coding Legend Q No. SASCode Answer Selection SASVariableName

Transcription

1 Child s Health 3 months Coding Legend Q No. SASCode Answer Selection SASVariableName [8888] Subject skipped the questionnaire [888] Not applicable [999] No response to this question [1]/[0] Inclusive selection (checkbox): [1-Yes]/[0-No] 1. Date of birth: CHLTH3MPQ1 1.1 Birth order (1st, 2nd, 3rd etc. in family): CHLTH3MPQ1_1 2. Has baby had any episodes of coughing? CHLTH3MPQ2 2.1 If yes, how many episodes? CHLTH3MPQ2_1 3. Date of onset of coughing in the first episode: CHLTH3MPQ3 3.1 Duration of cough during this episode: (Numeric - Length: 3) hours CHLTH3MPQ3_1 3.2 How severe was the coughing? CHLTH3MPQ3_2 3.3 Describe the cough: [1]/[0] Cough sounded wet (rattly, mucusy) CHLTH3MPQ3_3a [1]/[0] Cough occurred when feeding CHLTH3MPQ3_3b [1]/[0] Cough was croupy (barking sound) CHLTH3MPQ3_3c [1]/[0] Cough occurred without an obvious cold CHLTH3MPQ3_3d [1]/[0] Cough occurred when laughing or crying CHLTH3MPQ3_3e 3.4 Was baby seen by a doctor for this episode? CHLTH3MPQ3_4 3.5 Was baby seen in an Emergency Department for this episode? CHLTH3MPQ3_5 Page 1 of 19

2 3.6 Was baby prescribed any medication(s) for this episode? CHLTH3MPQ3_6 3.7 Was baby given any over-the-counter medication(s) for this episode? CHLTH3MPQ3_7 4. Did baby experience a second episode of coughing? CHLTH3MPQ4 4.1 Date of onset of coughing of the second episode: CHLTH3MPQ4_1 4.2 Duration of cough during this episode? (Numeric - Length: 3) hours CHLTH3MPQ4_2 4.3 How severe was the coughing? CHLTH3MPQ4_3 4.4 Describe the cough: [1]/[0] Cough sounded wet (rattly, mucusy) CHLTH3MPQ4_4a [1]/[0] Cough occurred when feeding CHLTH3MPQ4_4b [1]/[0] Cough was croupy (barking sound) CHLTH3MPQ4_4c [1]/[0] Cough occurred without an obvious cold CHLTH3MPQ4_4d [1]/[0] Cough occurred when laughing or crying CHLTH3MPQ4_4e 4.5 Was baby seen by a doctor for this episode? CHLTH3MPQ4_5 4.6 Was baby seen in an Emergency Department for this episode? CHLTH3MPQ4_6 4.7 Was baby prescribed any medication(s) for this episode? CHLTH3MPQ4_7 4.8 Was baby given any over-the-counter medication(s) for this episode? CHLTH3MPQ4_8 Page 2 of 19

3 5. Did baby experience a third episode of coughing? CHLTH3MPQ5 5.1 Date of onset of coughing of the third episode: CHLTH3MPQ5_1 5.2 Duration of cough during this episode: (Numeric - Length: 3) CHLTH3MPQ5_2 5.3 How severe was the coughing? CHLTH3MPQ5_3 5.4 Describe the cough: [1]/[0] Cough sounded wet (rattly, mucusy) CHLTH3MPQ5_4a [1]/[0] Cough occurred when feeding CHLTH3MPQ5_4b [1]/[0] Cough was croupy (barking sound) CHLTH3MPQ5_4c [1]/[0] Cough occurred without an obvious cold CHLTH3MPQ5_4d [1]/[0] Cough occurred when laughing or crying CHLTH3MPQ5_4e 5.5 Was baby seen by a doctor for this episode? CHLTH3MPQ5_5 5.6 Was baby seen in an Emergency Department for this episode? CHLTH3MPQ5_6 5.7 Was baby prescribed any medication(s) for this episode? CHLTH3MPQ5_7 5.8 Was baby given any over-the-counter medication(s) for this episode? 6. At any time, was baby prescribed medication(s) for OTHER coughing episodes? 7. At any time, was baby given over-the-counter medications for OTHER coughing episodes? CHLTH3MPQ5_8 CHLTH3MPQ6 CHLTH3MPQ7 Page 3 of 19

4 8. Has baby ever had a wheezing noise coming from his/her chest? CHLTH3MPQ8 8.1 If yes, how many episodes? CHLTH3MPQ8_1 9. Date of onset of the first episode of wheezing: CHLTH3MPQ9 9.1 Duration of wheeze during this episode: (Numeric - Length: 3) hours CHLTH3MPQ9_1 9.2 How severe was the wheezing? CHLTH3MPQ9_2 9.3 Describe the wheeze: [1]/[0] Wheeze occurred at night only CHLTH3MPQ9_3a [1]/[0] Wheeze occurred when feeding CHLTH3MPQ9_3b [1]/[0] Wheeze occurred when laughing or crying CHLTH3MPQ9_3c [1]/[0] Wheeze occurred when baby did not have an obvious cold CHLTH3MPQ9_3d [1]/[0] Baby had trouble breathing during the episode of wheezing CHLTH3MPQ9_3e [1]/[0] Baby had pulling in of the ribs when wheezing CHLTH3MPQ9_3f [1]/[0] Baby had tugging in at the neck when wheezing CHLTH3MPQ9_3g 9.4 Was baby seen by a doctor for this episode? CHLTH3MPQ9_4 9.5 Was baby seen in an Emergency Department for this episode? CHLTH3MPQ9_5 9.6 Was baby prescribed any medication(s) for this episode? CHLTH3MPQ9_6 9.7 Was baby given any over-the-counter medication(s) for this episode? CHLTH3MPQ9_7 10. Did baby have a second episode of wheezing? CHLTH3MPQ10 Page 4 of 19

5 10.1 Date of onset of the second episode of wheezing: CHLTH3MPQ10_ Duration of wheeze during this episode: (Numeric - Length: 3) hours CHLTH3MPQ10_ How severe was the wheezing? CHLTH3MPQ10_ Describe the wheeze: [1]/[0] Wheeze occurred at night only CHLTH3MPQ10_4a [1]/[0] Wheeze occurred when feeding CHLTH3MPQ10_4b [1]/[0] Wheeze occurred when laughing or crying CHLTH3MPQ10_4c [1]/[0] Wheeze occurred when baby did not have an obvious cold CHLTH3MPQ10_4d [1]/[0] Baby had trouble breathing during the episode of wheezing CHLTH3MPQ10_4e [1]/[0] Baby had pulling in of the ribs when wheezing CHLTH3MPQ10_4f [1]/[0] Baby had tugging in at the neck when wheezing CHLTH3MPQ10_4g 10.5 Was baby seen by a doctor for this episode? CHLTH3MPQ10_ Was baby seen in an Emergency Department for this episode? CHLTH3MPQ10_ Was baby prescribed any medication(s) for this episode? CHLTH3MPQ10_ Was baby given any over-the-counter medication(s) for this episode? CHLTH3MPQ10_8 11. Did baby have a third episode of wheezing? CHLTH3MPQ Date of onset of the third episode of wheezing: CHLTH3MPQ11_ Duration of wheeze during this episode: (Numeric - Length: 3) hours CHLTH3MPQ11_2 Page 5 of 19

6 11.3 How severe was the wheezing? CHLTH3MPQ11_ Describe the wheeze: [1]/[0] Wheeze occurred at night only CHLTH3MPQ11_4a [1]/[0] Wheeze occurred when feeding CHLTH3MPQ11_4b [1]/[0] Wheeze occurred when laughing or crying CHLTH3MPQ11_4c [1]/[0] Wheeze occurred when baby did not have an obvious cold CHLTH3MPQ11_4d [1]/[0] Baby had trouble breathing during the episode of wheezing CHLTH3MPQ11_4e [1]/[0] Baby had pulling in of the ribs when wheezing CHLTH3MPQ11_4f [1]/[0] Baby had tugging in at the neck when wheezing CHLTH3MPQ11_4g 11.5 Was baby seen by a doctor for this episode? CHLTH3MPQ11_ Was baby seen in an Emergency Department for this episode? CHLTH3MPQ11_ Was baby prescribed any medication(s) for this episode? CHLTH3MPQ11_ Was baby given any over-the-counter medication(s) for this episode? 12. At any time, was baby prescribed medication(s) for OTHER wheezing episodes? 13. At any time, was baby given over-the-counter medications for OTHER wheezing episodes? CHLTH3MPQ11_8 CHLTH3MPQ12 CHLTH3MPQ Has baby had any colds? CHLTH3MPQ How many colds has baby had? CHLTH3MPQ15 Page 6 of 19

7 16. What was the date that baby started his/her first cold? CHLTH3MPQ How long did baby''s first cold last? CHLTH3MPQ16_ What symptoms did baby have during this cold? [1]/[0] Cough CHLTH3MPQ16_2a [1]/[0] Blocked or stuffy nose CHLTH3MPQ16_2b [1]/[0] Wheeze CHLTH3MPQ16_2c [1]/[0] Trouble breathing (i.e., cold in chest) CHLTH3MPQ16_2d [1]/[0] Sore Throat CHLTH3MPQ16_2e [1]/[0] Chest congestion (i.e., rattling) CHLTH3MPQ16_2f [1]/[0] Runny Nose CHLTH3MPQ16_2g [1]/[0] Other CHLTH3MPQ16_2h 16.3 If other, specify: 16.4 Was baby seen by a doctor (unscheduled doctor or ER visit) for this cold? CHLTH3MPQ16_3 CHLTH3MPQ16_ Was baby prescribed any medication(s) for treatment of this cold? CHLTH3MPQ16_ If yes, what symptoms were these medication(s) prescribed to treat? [1]/[0] Ear infection CHLTH3MPQ16_6a [1]/[0] Chest infection CHLTH3MPQ16_6b [1]/[0] Sore throat CHLTH3MPQ16_6c [1]/[0] Other CHLTH3MPQ16_6d 16.7 If other, specify: (AlphaNumeric - Length: 30) CHLTH3MPQ16_ Was baby given any over-the-counter medication(s) for this cold? CHLTH3MPQ16_8 17. Did baby have a second cold? CHLTH3MPQ17 Page 7 of 19

8 17.1 What was the date that baby started his/her second cold? CHLTH3MPQ17_ How long did baby s second cold last? CHLTH3MPQ17_ What symptoms did baby have during this cold? [1]/[0] Cough CHLTH3MPQ17_3a [1]/[0] Blocked or stuffy nose CHLTH3MPQ17_3b [1]/[0] Wheeze CHLTH3MPQ17_3c [1]/[0] Trouble breathing (i.e., cold in chest) CHLTH3MPQ17_3d [1]/[0] Sore Throat CHLTH3MPQ17_3e [1]/[0] Chest congestion (i.e., rattling) CHLTH3MPQ17_3f [1]/[0] Runny Nose CHLTH3MPQ17_3g [1]/[0] Other CHLTH3MPQ17_3h 17.4 If other, specify: 17.5 Was baby seen by a doctor (unscheduled doctor or ER visit) for this cold? CHLTH3MPQ17_4 CHLTH3MPQ17_ Was baby prescribed any medication(s) for treatment of this cold? CHLTH3MPQ17_ If yes, what symptoms were these medication(s) prescribed to treat? [1]/[0] Ear infection CHLTH3MPQ17_7a [1]/[0] Chest infection CHLTH3MPQ17_7b [1]/[0] Sore throat CHLTH3MPQ17_7c [1]/[0] Other CHLTH3MPQ17_7d 17.8 If other, specify: (AlphaNumeric - Length: 30) CHLTH3MPQ17_ Was baby given any over-the-counter medication(s) for this cold? CHLTH3MPQ17_9 18. Did baby have a third cold? CHLTH3MPQ18 Page 8 of 19

9 18.1 What was the date that baby started his/her third cold? CHLTH3MPQ18_ How long did baby s third cold last? CHLTH3MPQ18_ What symptoms did baby have during this cold? [1]/[0] Cough CHLTH3MPQ18_3a [1]/[0] Blocked or stuffy nose CHLTH3MPQ18_3b [1]/[0] Wheeze CHLTH3MPQ18_3c [1]/[0] Trouble breathing (i.e., cold in chest) CHLTH3MPQ18_3d [1]/[0] Sore Throat CHLTH3MPQ18_3e [1]/[0] Chest congestion (i.e., rattling) CHLTH3MPQ18_3f [1]/[0] Runny Nose CHLTH3MPQ18_3g [1]/[0] Other CHLTH3MPQ18_3h 18.4 If other, specify: 18.5 Was baby seen by a doctor (unscheduled doctor or ER visit) for this cold? CHLTH3MPQ18_4 CHLTH3MPQ18_ Was baby prescribed any medication(s) for treatment of this cold? CHLTH3MPQ18_ If yes, what symptoms were these medication(s) prescribed to treat? [1]/[0] Ear infection CHLTH3MPQ18_7a [1]/[0] Sore throat CHLTH3MPQ18_7b [1]/[0] Chest infection CHLTH3MPQ18_7c [1]/[0] Other CHLTH3MPQ18_7d 18.8 If other, specify: (AlphaNumeric - Length: 30) CHLTH3MPQ18_ Was baby given any over-the-counter medication(s) for this cold? CHLTH3MPQ18_9 19. Has baby had any nose symptoms? CHLTH3MPQ19 Page 9 of 19

10 19.1 Nose plugging? CHLTH3MPQ19_ If yes, date of onset of symptom? CHLTH3MPQ19_ If yes, how long did the nose plugging last? 19.4 If yes, was baby given any prescribed or over-the- counter medication(s) to relieve this symptom? CHLTH3MPQ19_3 CHLTH3MPQ19_ Runny Nose? CHLTH3MPQ19_ If yes, date of onset of symptom? CHLTH3MPQ19_ If yes, how long did the runny nose last? 19.8 If yes, was baby given any prescribed or over-the- counter medication(s) to relieve this symptom? CHLTH3MPQ19_7 CHLTH3MPQ19_ Sneezing? CHLTH3MPQ19_ If yes, date of onset of symptom? CHLTH3MPQ19_ If yes, how long did the sneezing last? If yes, was baby given any prescribed or over-the- counter medication(s) to relieve this symptom? CHLTH3MPQ19_11 CHLTH3MPQ19_12 Page 10 of 19

11 20. Has baby had any skin rashes? CHLTH3MPQ Rash on face? CHLTH3MPQ20_ If yes, how long did this rash last? CHLTH3MPQ20_ Rash on scalp? CHLTH3MPQ20_ If yes, how long did this rash last? CHLTH3MPQ20_ Rash on wrist/hands? CHLTH3MPQ20_ If yes, how long did this rash last? CHLTH3MPQ20_ Rash on ankle? CHLTH3MPQ20_ If yes, how long did this rash last? CHLTH3MPQ20_ Rash on back of knee? CHLTH3MPQ20_ If yes, how long did this rash last? CHLTH3MPQ20_ Rash on inside of elbow? CHLTH3MPQ20_ If yes, how long did this rash last? CHLTH3MPQ20_12 Page 11 of 19

12 20.13 Rash in other places? CHLTH3MPQ20_ Specify where rash occurred (excluding diaper rash): (AlphaNumeric - Length: 30) CHLTH3MPQ20_ How long did this rash last? Was any rash treated with prescribed or over-the-counter medication(s)? CHLTH3MPQ20_15 CHLTH3MPQ20_ Has baby been diagnosed with eczema? CHLTH3MPQ Has baby been diagnosed with other skin conditions? CHLTH3MPQ Has baby had hives? CHLTH3MPQ Has baby had dry skin? CHLTH3MPQ Has baby had sensitive skin? CHLTH3MPQ Has baby had cradle cap? CHLTH3MPQ Colic: CHLTH3MPQ27_1 [0] Never [1] Rarely [2] Occasionally [3] Often Page 12 of 19

13 27.2 Constipation: CHLTH3MPQ27_2 [0] Never [1] Rarely [2] Occasionally [3] Often 27.3 Diarrhea: CHLTH3MPQ27_3 [0] Never [1] Rarely [2] Occasionally [3] Often 27.4 Vomiting: CHLTH3MPQ27_4 [0] Never [1] Rarely [2] Occasionally [3] Often 27.5 Hernia - abdominal pain: CHLTH3MPQ27_5 [0] Never [1] Rarely [2] Occasionally [3] Often 27.6 Pink eye: CHLTH3MPQ27_6 [0] Never [1] Rarely [2] Occasionally [3] Often 27.7 Snoring: CHLTH3MPQ27_7 [0] Never [1] Rarely [2] Occasionally [3] Often 27.8 Thrush: CHLTH3MPQ27_8 [0] Never [1] Rarely [2] Occasionally [3] Often Page 13 of 19

14 28. CHLTH3MPQ If yes, how many visits? (Numeric - Length: 2) CHLTH3MPQ28_ Reason(s) for doctor visits: [1]/[0] Regular health check-ups CHLTH3MPQ28_2a [1]/[0] Vaccinations visits CHLTH3MPQ28_2b [1]/[0] Chicken pox CHLTH3MPQ28_2c [1]/[0] Accidents CHLTH3MPQ28_2d [1]/[0] Circumcision CHLTH3MPQ28_2e [1]/[0] Other health condition(s) CHLTH3MPQ28_2f 28.3 If other, specify: 29. CHLTH3MPQ28_3 CHLTH3MPQ If yes, how many visits? 29.2 Has baby had any hospital admissions NOT associated with colds, coughs, or wheezing? (Numeric - Length: 2) CHLTH3MPQ29_1 CHLTH3MPQ29_ If yes, how many visits? (Numeric - Length: 2) CHLTH3MPQ29_ Indicate reason(s) for hospital visits: [1]/[0] Accidents CHLTH3MPQ29_4a [1]/[0] Other health condition(s) CHLTH3MPQ29_4b 29.5 If other, specify: 30. Over the last 3 months, has baby received any prescribed or overthe-counter medication(s) not associated with cough, wheeze or colds? CHLTH3MPQ29_5 CHLTH3MPQ30 Page 14 of 19

15 31. Has baby received any vaccinations? CHLTH3MPQ Has baby been vaccinated for DTaP-IPV (Diphtheria, tetanus, acellular pertussis and inactivated polio virus)? CHLTH3MPQ31_ If yes, how many DTaP-IPV vaccines has baby received? times CHLTH3MPQ31_ Vaccination dates: 31.4 Has baby been vaccinated for Hib (Haemophilus influenza type b conjugate)? CHLTH3MPQ31_3a CHLTH3MPQ31_3b CHLTH3MPQ31_ If yes, how may Hib vaccines has baby received? times CHLTH3MPQ31_ Vaccination dates: CHLTH3MPQ31_6a CHLTH3MPQ31_6b 31.7 Has baby been vaccinated for MMR (Measles, mumps and rubella)? CHLTH3MPQ31_ If yes, how may MMR vaccines has baby received? times CHLTH3MPQ31_ Vaccination date(s): CHLTH3MPQ31_9a CHLTH3MPQ31_9b Has baby been vaccinated for HB (Hepatitis B)? CHLTH3MPQ31_ If yes, how many HB vaccines has baby received? times CHLTH3MPQ31_11 Page 15 of 19

16 31.12 Vaccination date(s): Has baby been vaccinated for Pneu-C-7 (Pneumococcal conjugate-7 -valent)? CHLTH3MPQ31_12a CHLTH3MPQ31_12b CHLTH3MPQ31_ If yes, how many Pneu-C-7 vaccines has baby received? times CHLTH3MPQ31_ Vaccination date(s): CHLTH3MPQ31_15a CHLTH3MPQ31_15b Has baby been vaccinated for Men-C (Meningococcal C conjugate)? CHLTH3MPQ31_ If yes, how many Men-C vaccines has baby received? times CHLTH3MPQ31_ Vaccination date(s): CHLTH3MPQ31_18a CHLTH3MPQ31_18b Has your baby been vaccinated for anything else? CHLTH3MPQ31_ If yes, specify vaccine: CHLTH3MPQ31_ If yes, indicate vaccination date: 32. Did you breastfeed baby for any duration (more than a few days) since his/her birth? 32.1 If yes, are you still breastfeeding baby (whether or not feedings are supplemented)? CHLTH3MPQ31_21 CHLTH3MPQ32 CHLTH3MPQ32_1 Page 16 of 19

17 32.2 If no, when did you stop breastfeeding baby? CHLTH3MPQ32_2 33. Do you feed baby any commercial formula? CHLTH3MPQ If yes, what percentage of feedings contain formula? (Numeric - Length: 3) % CHLTH3MPQ33_ What brand of formula do you use? (AlphaNumeric - Length: 100) CHLTH3MPQ33_ What type of formula do you use? [1]/[0] Concentrated liquid formula CHLTH3MPQ33_3a [1]/[0] Ready-to-feed formula CHLTH3MPQ33_3b [1]/[0] Powdered formula CHLTH3MPQ33_3c [1]/[0] Other CHLTH3MPQ33_3d 33.4 If other, specify: CHLTH3MPQ33_4 34. Do you feed baby any cow s milk? CHLTH3MPQ If yes, what percentage of feedings contain cow s milk? (Numeric - Length: 3) % CHLTH3MPQ34_ What type of cow''s milk do you use? [1]/[0] Pasteurized milk CHLTH3MPQ34_2a [1]/[0] Canned concentrate (e.g., evaporated or condensed) CHLTH3MPQ34_2b [1]/[0] Powdered CHLTH3MPQ34_2c [1]/[0] Unpasteurized milk CHLTH3MPQ34_2d 35. Do you feed baby any soy milk? CHLTH3MPQ If yes, what percentage of feedings contain soy milk? (Numeric - Length: 3) % CHLTH3MPQ35_ What type of soy milk do you use? [1]/[0] Fresh CHLTH3MPQ35_2a Page 17 of 19

18 [1]/[0] Carton (commercially prepared) CHLTH3MPQ35_2b [1]/[0] Powdered CHLTH3MPQ35_2c 36. Do you give baby any water? CHLTH3MPQ If yes, how much water do you give baby per day (in millilitres or ounces)? 38. Do you give baby any juice? CHLTH3MPQ How much juice do you give baby per day (in millilitres or ounces)? 38.2 Do you dilute the juice with extra water? CHLTH3MPQ38_ What type of juice do you give baby? [1]/[0] Juice prepared from fresh fruit/vegetable CHLTH3MPQ38_3a [1]/[0] Juice made from fruit concentrate (i.e., prepared or diluted frozen concentrate) 39. Do you give baby any other liquids (e.g., tea, herbal drinks)? CHLTH3MPQ Do you give baby any any solid foods? CHLTH3MPQ40 (Numeric - Length: 3) ml OR CHLTH3MPQ36_1a ounces 37. Do you give baby any sugar water? CHLTH3MPQ If yes, how much sugar water do you give baby per day (in millilitres or ounces)? (Numeric - Length: 3) ml OR CHLTH3MPQ37_1a ounces (Numeric - Length: 3) ml OR CHLTH3MPQ38_1a ounces CHLTH3MPQ36_1b CHLTH3MPQ37_1b CHLTH3MPQ38_1b CHLTH3MPQ38_3b [1]/[0] Flavoured fruit drinks (i.e., Kool-Aid) CHLTH3MPQ38_3c Page 18 of 19

19 40.1 If yes, what do you feed baby? [1]/[0] Prepared baby food (commercial; ready-made) CHLTH3MPQ40_1a [1]/[0] Baby cereals CHLTH3MPQ40_1b [1]/[0] Prepared baby food (home-made) CHLTH3MPQ40_1c [1]/[0] Other CHLTH3MPQ40_1d 40.2 If other, specify: (AlphaNumeric - Length: 30) CHLTH3MPQ40_2 41. What other foods and beverages is baby consuming? CHLTH3MPQ41a CHLTH3MPQ41b CHLTH3MPQ41c CHLTH3MPQ41d CHLTH3MPQ41e CHLTH3MPQ41f CHLTH3MPQ41g 42. How did you complete this questionnaire? CHLTH3MPQ42 [1] By myself [2] With an interviewer 43. Today''s date: Interviewer: (AlphaNumeric - Length: 3) Data checked for completeness by: (AlphaNumeric - Length: 3) Date checked: CHLTH3MPQ43 CHLTH3MPQ43e CHLTH3MPQ43f CHLTH3MPQ43g Page 19 of 19