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    The Greenlandic Civil Registration System A personal identification number was assigned to all inhabitants of Greenland alive on 1 May or later, as a part of the Danish Civil Registration System [ 11 ]. We used the personal identification number in the Greenlandic Civil Registration System to link registers and health surveys. Information on sex, place of birth and place of residence are registered. The personal identification number is used for identification and registration in all administrative, social and health contacts.

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    Study population The study population included adult Greenland Inuit invited to participate in one or both population-based health surveys called B99 [ 15 ] and Inuit Health in Transition IHIT [ 16 ] described in detail elsewhere. B99 was conducted in — and IHIT was completed in the years — As qeqertasuaqq, every Greenlandic citizen can be followed up in patient registers or cause of death registers qeqertasiaq Denmark or Greenland. A primary diagnosis describes the diagnosis that was the most resource intensive or serious during the hospitalisation or inpatient visit. Secondary diagnoses refer to conditions that coexist or develop during admission.

    We included chronic rheumatic heart diseases II09hypertensive diseases II15ischemic heart diseases II25pulmonary heart disease and diseases of pulmonary circulation II28other forms of heart disease II52cerebrovascular diseases II69 and diseases of arteries, arterioles and capillaries II We did not include acute rheumatic fever II02diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified II89 and other and unspecified disorders of the circulatory system II The diagnoses that we did not include were omitted because CVD diagnoses with other underlying risk factors than those monitored by the population surveys were not part of the ethical approval.

    Assessing validity by degree of correctness Correctness of cardiovascular diagnoses in GHDR in comparison to information in medical records was assessed as agreement between 2 key variables: I,m a big geek and am not afraid to show it.

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