Table 1 The standardized and simplified private health insurance enrollment form.

From: Data-driven prediction of cardiovascular and cerebrovascular diseases in a nationwide study

Screening form

Question

Standard

A. Recent 5-Year medical procedures history

1) Hospitalization

2) Operation

3) Continued treatment for 7 days or more

B. Recent 5-Year medical procedures for 10 diseases

1) Diagnosis of confirmed disease

2) Treatment

3) Hospitalization

4) Operation

5) Medication

Simplified

C. Recent 2-year hospitalization/operation due to disease or injury accident

D. Recent 5-year diagnosis/hospitalization/operation due to cancer

  1. 10 diseases include cancer, leukemia, hypertension, angina, myocardial infarction, heart valve disease, cirrhosis, stroke, diabetes, AIDS/HIV. The questions above are expected to be answered with ‘yes’ or ‘no’.
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