TYPE OF ORAL BISPHOSPHONATE #1
INDICATION FOR ORAL BISPHOSPHONATE #1
DOSE OF ORAL BISPHOSPHONATE #1
UNIT OF ORAL BISPHOSPHONATE #1
TYPE OF ORAL BISPHOSPHONATE #2
EVER TAKEN BISPHOSPHONATE ORALLY - ACTONEL OR RISEDRONATE
EVER TAKEN BISPHOSPHONATE ORALLY - ACTONEL/CALCIUM OR RISEDRONATE/CALCIUM CARBONATE
EVER TAKEN BISPHOSPHONATE ORALLY - NONIVA OR IBANDRONATE
EVER TAKEN BISPHOSPHONATE ORALLY - DIDRONEL OR ETIDRONATE
EVER TAKEN BISPHOSPHONATE ORALLY - FOSAMAX OR ALENDRONATE
EVER TAKEN BISPHOSPHONATE ORALLY - FOSAMAX PLUS D OR ALENDRONATE/VITAMIN D
EVER TAKEN BISPHOSPHONATE ORALLY - SKELID OR TILUDRONATE
EVER TAKEN BISPHOSPHONATE ORALLY - DO NOT REMEMBER THE NAME
FREQUENCY (UNIT OF TIME) OF ORAL BISPHOSPHONATE #1
CHANGED ORAL BISPHOSPHONATE DOSE OR UNIT #1
TIME (YEAR) STARTED TAKING ORAL BISPHOSPHONATE #1
TIME (YEAR) STOPPED TAKING ORAL BISPHOSPHONATE #1
PATIENT ID (STUDY 7)
QUANTITY OF ORAL BISPHOSPHONATE #1
QUANTITY OF ORAL BISPHOSPHONATE #2
TYPE OF IV BISPHOSPHONATE #1
INDICATION FOR IV BISPHOSPHONATE #1
DOSE OF IV BISPHOSPHONATE #1
TIME OF IV BISPHOSPHONATE #1
FREQUENCY (UNIT OF TIME) OF IV BISPHOSPHONATE #1
TYPE OF IV BISPHOSPHONATE #2
INDICATION FOR IV BISPHOSPHONATE #2
DOSE OF IV BISPHOSPHONATE #2
TIME OF IV BISPHOSPHONATE #2
FREQUENCY (UNIT OF TIME) OF IV BISPHOSPHONATE #2
TYPE OF IV BISPHOSPHONATE #3
INDICATION FOR IV BISPHOSPHONATE #3
DOSE OF IV BISPHOSPHONATE #3
TIME OF IV BISPHOSPHONATE #3
FREQUENCY (UNIT OF TIME) OF IV BISPHOSPHONATE #3
TYPE OF IV BISPHOSPHONATE #4
INDICATION FOR IV BISPHOSPHONATE #4
DOSE OF IV BISPHOSPHONATE #4
TIME OF IV BISPHOSPHONATE #4
FREQUENCY (UNIT OF TIME) OF IV BISPHOSPHONATE #4
EVER TAKEN STEROID - OTHER SPECIFY
EVER TAKEN BISPHOSPHONATE BY IV - AREDIA OR PAMIDRONATE
EVER TAKEN BISPHOSPHONATE BY IV - BONEFOS & OSTAC OR CLODRONATE
EVER TAKEN BISPHOSPHONATE BY IV - BONIVA OR IBANDRONATE
EVER TAKEN BISPHOSPHONATE BY IV - DIDRONEL OR ETIDRONATE
EVER TAKEN BISPHOSPHONATE BY IV - ZOMETA OR ZOLEDRONIC ACID
EVER TAKEN BISPHOSPHONATE BY IV - DO NOT REMEMBER THE NAME
CHANGED IV BISPHOSPHONATE DOSE OR UNIT #1
CHANGED IV BISPHOSPHONATE DOSE OR UNIT #2
EVER TAKEN STEROID - PREDNISONE (DELTASONE, METICORTEN, ORASONE)
EVER TAKEN STEROID - DEXAMETHASONE (DECADRON, DEXONE, HEXADROL
EVER TAKEN STEROID - HYDROCORTISONE (CORTEF)
EVER TAKEN STEROID - OTHER
TIME (YEAR) STARTED TAKING IV BISPHOSPHONATE #1
TIME (YEAR) STARTED TAKING IV BISPHOSPHONATE #2
TIME (YEAR) STOPPED TAKING ORAL BISPHOSPHONATE #2
TYPE OF STEROID #1
INDICATION FOR STEROID #1
DOSE OF STEROID #1
UNIT OF STEROID #1
TYPE OF STEROID #2
INDICATION FOR STEROID #2
DOSE OF STEROID #2
UNIT OF STEROID #2
TYPE OF STEROID #3
INDICATION FOR STEROID #3
DOSE OF STEROID #3
UNIT OF STEROID #3
TYPE OF STEROID #4
INDICATION FOR STEROID #4
DOSE OF STEROID #4
UNIT OF STEROID #4
TYPE OF OTHER MEDICATION #1
INDICATION FOR OTHER MEDICATION #1
DOSE OF OTHER MEDICATION #1
UNIT OF OTHER MEDICATION #1
TYPE OF OTHER MEDICATION #2
INDICATION FOR OTHER MEDICATION #2
DOSE OF OTHER MEDICATION #2
UNIT OF OTHER MEDICATION #2
TYPE OF OTHER MEDICATION #3
INDICATION FOR OTHER MEDICATION #3
DOSE OF OTHER MEDICATION #3
UNIT OF OTHER MEDICATION #3
TYPE OF OTHER MEDICATION #4
INDICATION FOR OTHER MEDICATION #4
DOSE OF OTHER MEDICATION #4
UNIT OF OTHER MEDICATION #4
TYPE OF OTHER MEDICATION #5
INDICATION FOR OTHER MEDICATION #5
DOSE OF OTHER MEDICATION #5
UNIT OF OTHER MEDICATION #5
QUANTITY OF STEROID #1
QUANTITY OF STEROID #2
QUANTITY OF STEROID #3
QUANTITY OF STEROID #4
QUANTITY OF OTHER MEDICATION #1
QUANTITY OF OTHER MEDICATION #2
QUANTITY OF OTHER MEDICATION #3
QUANTITY OF OTHER MEDICATION #4
QUANTITY OF OTHER MEDICATION #5
CHANGED OTHER MEDICATION DOSE OR UNIT #5
FREQUENCY (UNIT OF TIME) OF STEROID #1
CHANGED STEROID DOSE OR UNIT #1
FREQUENCY (UNIT OF TIME) OF STEROID #2
CHANGED STEROID DOSE OR UNIT #2
FREQUENCY (UNIT OF TIME) OF STEROID #3
CHANGED STEROID DOSE OR UNIT #3
FREQUENCY (UNIT OF TIME) OF STEROID #4
CHANGED STEROID DOSE OR UNIT #4
SINCE YEAR 2000, EVER TAKEN ANY OTHER MEDICATION REGULARLY OR FOR 6 MONTHS OR MORE?
FREQUENCY (UNIT OF TIME) OF OTHER MEDICATION #1
CHANGED OTHER MEDICATION DOSE OR UNIT #1
FREQUENCY (UNIT OF TIME) OF OTHER MEDICATION #2
CHANGED OTHER MEDICATION DOSE OR UNIT #2
FREQUENCY (UNIT OF TIME) OF OTHER MEDICATION #3
CHANGED OTHER MEDICATION DOSE OR UNIT #3
FREQUENCY (UNIT OF TIME) OF OTHER MEDICATION #4
CHANGED OTHER MEDICATION DOSE OR UNIT #4
FREQUENCY (UNIT OF TIME) OF OTHER MEDICATION #5
TIME (YEAR) STARTED TAKING STEROID #1
TIME (YEAR) STOPPED TAKING STEROID #1
TIME (YEAR) STARTED TAKING ORAL BISPHOSPHONATE #2
TIME (YEAR) STARTED TAKING STEROID #3
TIME (YEAR) STOPPED TAKING STEROID #3
TIME (YEAR) STARTED TAKING STEROID #4
TIME (YEAR) STOPPED TAKING STEROID #4
TIME (YEAR) STARTED TAKING OTHER MEDICATION #1
TIME (YEAR) STOPPED TAKING OTHER MEDICATION #1
TIME (YEAR) STARTED TAKING OTHER MEDICATION #2
TIME (YEAR) STOPPED TAKING OTHER MEDICATION #2
TIME (YEAR) STARTED TAKING OTHER MEDICATION #3
TIME (YEAR) STOPPED TAKING OTHER MEDICATION #3
TIME (YEAR) STARTED TAKING OTHER MEDICATION #4
TIME (YEAR) STOPPED TAKING OTHER MEDICATION #4
TIME (YEAR) STARTED TAKING OTHER MEDICATION #5
TIME (YEAR) STOPPED TAKING OTHER MEDICATION #5
TYPE OF OTHER MEDICATION #6
INDICATION FOR OTHER MEDICATION #6
DOSE OF OTHER MEDICATION #6
UNIT OF OTHER MEDICATION #6
TYPE OF OTHER MEDICATION #7
INDICATION FOR OTHER MEDICATION #7
DOSE OF OTHER MEDICATION #7
UNIT OF OTHER MEDICATION #7
TYPE OF OTHER MEDICATION #8
INDICATION FOR OTHER MEDICATION #8
DOSE OF OTHER MEDICATION #8
UNIT OF OTHER MEDICATION #8
TYPE OF OTHER MEDICATION #9
INDICATION FOR OTHER MEDICATION #9
DOSE OF OTHER MEDICATION #9
UNIT OF OTHER MEDICATION #9
TYPE OF OTHER MEDICATION #10
INDICATION FOR OTHER MEDICATION #10
DOSE OF OTHER MEDICATION #10
UNIT OF OTHER MEDICATION #10
TYPE OF OTHER MEDICATION #11
INDICATION FOR OTHER MEDICATION #11
DOSE OF OTHER MEDICATION #11
UNIT OF OTHER MEDICATION #11
TYPE OF OTHER MEDICATION #12
INDICATION FOR OTHER MEDICATION #12
DOSE OF OTHER MEDICATION #12
UNIT OF OTHER MEDICATION #12
TYPE OF OTHER MEDICATION #13
INDICATION FOR OTHER MEDICATION #13
DOSE OF OTHER MEDICATION #13
UNIT OF OTHER MEDICATION #13
TYPE OF OTHER MEDICATION #14
INDICATION FOR OTHER MEDICATION #14
DOSE OF OTHER MEDICATION #14
UNIT OF OTHER MEDICATION #14
TYPE OF OTHER MEDICATION #15
INDICATION FOR OTHER MEDICATION #15
DOSE OF OTHER MEDICATION #15
UNIT OF OTHER MEDICATION #15
QUANTITY OF OTHER MEDICATION #6
QUANTITY OF OTHER MEDICATION #7
QUANTITY OF OTHER MEDICATION #8
QUANTITY OF OTHER MEDICATION #9
QUANTITY OF OTHER MEDICATION #10
QUANTITY OF OTHER MEDICATION #11
QUANTITY OF OTHER MEDICATION #12
QUANTITY OF OTHER MEDICATION #13
QUANTITY OF OTHER MEDICATION #14
QUANTITY OF OTHER MEDICATION #15
FREQUENCY (UNIT OF TIME) OF OTHER MEDICATION #6
CHANGED OTHER MEDICATION DOSE OR UNIT #6
FREQUENCY (UNIT OF TIME) OF OTHER MEDICATION #7
CHANGED OTHER MEDICATION DOSE OR UNIT #7
FREQUENCY (UNIT OF TIME) OF OTHER MEDICATION #8
CHANGED OTHER MEDICATION DOSE OR UNIT #8
FREQUENCY (UNIT OF TIME) OF OTHER MEDICATION #9
CHANGED OTHER MEDICATION DOSE OR UNIT #9
FREQUENCY (UNIT OF TIME) OF OTHER MEDICATION #10
CHANGED OTHER MEDICATION DOSE OR UNIT #10
FREQUENCY (UNIT OF TIME) OF OTHER MEDICATION #11
CHANGED OTHER MEDICATION DOSE OR UNIT #11
FREQUENCY (UNIT OF TIME) OF OTHER MEDICATION #12
CHANGED OTHER MEDICATION DOSE OR UNIT #12
FREQUENCY (UNIT OF TIME) OF OTHER MEDICATION #13
CHANGED OTHER MEDICATION DOSE OR UNIT #13
FREQUENCY (UNIT OF TIME) OF OTHER MEDICATION #14
CHANGED OTHER MEDICATION DOSE OR UNIT #14
FREQUENCY (UNIT OF TIME) OF OTHER MEDICATION #15
CHANGED OTHER MEDICATION DOSE OR UNIT #15
TIME (YEAR) STARTED TAKING OTHER MEDICATION #6
TIME (YEAR) STOPPED TAKING OTHER MEDICATION #6
TIME (YEAR) STARTED TAKING OTHER MEDICATION #7
TIME (YEAR) STOPPED TAKING OTHER MEDICATION #7
TIME (YEAR) STARTED TAKING OTHER MEDICATION #8
TIME (YEAR) STOPPED TAKING OTHER MEDICATION #8
TIME (YEAR) STARTED TAKING OTHER MEDICATION #9
TIME (YEAR) STOPPED TAKING OTHER MEDICATION #9
TIME (YEAR) STARTED TAKING OTHER MEDICATION #10
TIME (YEAR) STOPPED TAKING OTHER MEDICATION #10
TIME (YEAR) STARTED TAKING OTHER MEDICATION #11
TIME (YEAR) STOPPED TAKING OTHER MEDICATION #11
TIME (YEAR) STARTED TAKING OTHER MEDICATION #12
TIME (YEAR) STOPPED TAKING OTHER MEDICATION #12
TIME (YEAR) STARTED TAKING OTHER MEDICATION #13
TIME (YEAR) STOPPED TAKING OTHER MEDICATION #13
TIME (YEAR) STARTED TAKING OTHER MEDICATION #14
TIME (YEAR) STOPPED TAKING OTHER MEDICATION #14
TIME (YEAR) STARTED TAKING OTHER MEDICATION #15
TIME (YEAR) STOPPED TAKING OTHER MEDICATION #15
PRACTITIONER ID
PATIENT DATE OF BIRTH: MONTH
PATIENT DATE OF BIRTH: YEAR