ID
8218
Beschrijving
RTOG 1016 QN: Radiation Therapy Oncology Group Phase III Head and Neck Cancer Hearing Handicap Inventory for Adults (HHIA-S) Radiation Therapy With Cisplatin or Cetuximab in Treating Patients With Oropharyngeal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9A132BA5-9085-FFE2-E040-BB89AD43727A
Link
Trefwoorden
Versies (2)
- 19-09-12 19-09-12 -
- 09-01-15 09-01-15 - Martin Dugas
Geüploaded op
9 januari 2015
DOI
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Licentie
Creative Commons BY-NC 3.0 Legacy
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NCT01302834 Quality of Life - RTOG 1016 QN: Radiation Therapy Oncology Group Phase III Head and Neck Cancer Hearing Handicap Inventory for Adults (HHIA-S) - 3183758v1.0
INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. For optimal accuracy use black ink. Mark an X in the appropriate box for fields with a choice
- StudyEvent: RTOG 1016 QN: Radiation Therapy Oncology Group Phase III Head and Neck Cancer Hearing Handicap Inventory for Adults (HHIA-S)
Beschrijving
Hearing Handicap Inventory For Adults Screening Questionnaire (newmaent Al., 1990; Newmaent Al., 1991)
Beschrijving
Assessment Date
Datatype
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C2985720
- NCI Thesaurus ObjectClass
- C25367
- NCI Thesaurus ValueDomain-2
- C25367
- NCI Thesaurus Property
- C38000
Beschrijving
HearingProblemQualityofLifeEmbarrassmentEvaluationStatus
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C17047
- UMLS 2011AA ObjectClass
- C0518214
- NCI Thesaurus ObjectClass-2
- C28020
- UMLS 2011AA ObjectClass-2
- C0033213
- NCI Thesaurus ObjectClass-3
- C16670
- UMLS 2011AA ObjectClass-3
- C0018767
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property-2
- C62187
- UMLS 2011AA Property-2
- C0679112
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Beschrijving
HearingProblemQualityofLifeFrustrationEvaluationStatus
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C17047
- UMLS 2011AA ObjectClass
- C0518214
- NCI Thesaurus ObjectClass-2
- C28020
- UMLS 2011AA ObjectClass-2
- C0033213
- NCI Thesaurus ObjectClass-3
- C16670
- UMLS 2011AA ObjectClass-3
- C0018767
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property-2
- C61483
- UMLS 2011AA Property-2
- C0016770
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Beschrijving
HearingProblemQualityofLifeAuditoryEvaluationStatus
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C17047
- UMLS 2011AA ObjectClass
- C0518214
- NCI Thesaurus ObjectClass-2
- C28020
- UMLS 2011AA ObjectClass-2
- C0033213
- NCI Thesaurus ObjectClass-3
- C16670
- UMLS 2011AA ObjectClass-3
- C0018767
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property-2
- C37915
- UMLS 2011AA Property-2
- C0439825
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Beschrijving
HearingProblemQualityofLifeDysfunctionEvaluationStatus
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C17047
- UMLS 2011AA ObjectClass
- C0518214
- NCI Thesaurus ObjectClass-2
- C28020
- UMLS 2011AA ObjectClass-2
- C0033213
- NCI Thesaurus ObjectClass-3
- C16670
- UMLS 2011AA ObjectClass-3
- C0018767
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property-2
- C53526
- UMLS 2011AA Property-2
- C0277785
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Beschrijving
HearingProblemQualityofLifeSpeakEvaluationStatus
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C17047
- UMLS 2011AA ObjectClass
- C0518214
- NCI Thesaurus ObjectClass-2
- C28020
- UMLS 2011AA ObjectClass-2
- C0033213
- NCI Thesaurus ObjectClass-3
- C16670
- UMLS 2011AA ObjectClass-3
- C0018767
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property-2
- C86914
- UMLS 2011AA Property-2
- C0234856
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Beschrijving
HearingProblemQualityofLifeMovieEvaluationStatus
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C17047
- UMLS 2011AA ObjectClass
- C0518214
- NCI Thesaurus ObjectClass-2
- C28020
- UMLS 2011AA ObjectClass-2
- C0033213
- NCI Thesaurus ObjectClass-3
- C16670
- UMLS 2011AA ObjectClass-3
- C0018767
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property-2
- C75001
- UMLS 2011AA Property-2
- C0681495
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Beschrijving
HearingProblemQualityofLifeDiscussionDisagreementEvaluationStatus
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C17047
- UMLS 2011AA ObjectClass
- C0518214
- NCI Thesaurus ObjectClass-2
- C28020
- UMLS 2011AA ObjectClass-2
- C0033213
- NCI Thesaurus ObjectClass-3
- C16670
- UMLS 2011AA ObjectClass-3
- C0018767
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property-2
- C54274
- UMLS 2011AA Property-2
- C0680238
- NCI Thesaurus Property-3
- C71323
- UMLS 2011AA Property-3
- C2584313
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Beschrijving
HearingProblemQualityofLifeComprehensionEvaluationStatus
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C17047
- UMLS 2011AA ObjectClass
- C0518214
- NCI Thesaurus ObjectClass-2
- C28020
- UMLS 2011AA ObjectClass-2
- C0033213
- NCI Thesaurus ObjectClass-3
- C16670
- UMLS 2011AA ObjectClass-3
- C0018767
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property-2
- C86022
- UMLS 2011AA Property-2
- C0162340
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Beschrijving
HearingProblemQualityofLifeSocialEvaluationStatus
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C17047
- UMLS 2011AA ObjectClass
- C0518214
- NCI Thesaurus ObjectClass-2
- C28020
- UMLS 2011AA ObjectClass-2
- C0033213
- NCI Thesaurus ObjectClass-3
- C16670
- UMLS 2011AA ObjectClass-3
- C0018767
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property-2
- C62650
- UMLS 2011AA Property-2
- C0728831
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Beschrijving
HearingProblemQualityofLifeBuildingEvaluationStatus
Datatype
text
Alias
- NCI Thesaurus ObjectClass
- C17047
- UMLS 2011AA ObjectClass
- C0518214
- NCI Thesaurus ObjectClass-2
- C28020
- UMLS 2011AA ObjectClass-2
- C0033213
- NCI Thesaurus ObjectClass-3
- C16670
- UMLS 2011AA ObjectClass-3
- C0018767
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property-2
- C80231
- UMLS 2011AA Property-2
- C1999269
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
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INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. For optimal accuracy use black ink. Mark an X in the appropriate box for fields with a choice
- StudyEvent: RTOG 1016 QN: Radiation Therapy Oncology Group Phase III Head and Neck Cancer Hearing Handicap Inventory for Adults (HHIA-S)
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1514695 (UMLS CUI-2)
C19778 (NCI Thesaurus Property)
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C19778 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
C0680532 (UMLS CUI-1)
C25474 (NCI Thesaurus ObjectClass)
C25416 (NCI Thesaurus Property)
C2985720 (UMLS CUI-1)
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C38000 (NCI Thesaurus Property)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass-2)
C0033213 (UMLS 2011AA ObjectClass-2)
C16670 (NCI Thesaurus ObjectClass-3)
C0018767 (UMLS 2011AA ObjectClass-3)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C62187 (NCI Thesaurus Property-2)
C0679112 (UMLS 2011AA Property-2)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
C1705108 (UMLS 2011AA)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass-2)
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C16670 (NCI Thesaurus ObjectClass-3)
C0018767 (UMLS 2011AA ObjectClass-3)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C61483 (NCI Thesaurus Property-2)
C0016770 (UMLS 2011AA Property-2)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
C1705108 (UMLS 2011AA)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass-2)
C0033213 (UMLS 2011AA ObjectClass-2)
C16670 (NCI Thesaurus ObjectClass-3)
C0018767 (UMLS 2011AA ObjectClass-3)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C37915 (NCI Thesaurus Property-2)
C0439825 (UMLS 2011AA Property-2)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
C1705108 (UMLS 2011AA)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass-2)
C0033213 (UMLS 2011AA ObjectClass-2)
C16670 (NCI Thesaurus ObjectClass-3)
C0018767 (UMLS 2011AA ObjectClass-3)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C53526 (NCI Thesaurus Property-2)
C0277785 (UMLS 2011AA Property-2)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
C1705108 (UMLS 2011AA)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass-2)
C0033213 (UMLS 2011AA ObjectClass-2)
C16670 (NCI Thesaurus ObjectClass-3)
C0018767 (UMLS 2011AA ObjectClass-3)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C86914 (NCI Thesaurus Property-2)
C0234856 (UMLS 2011AA Property-2)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
C1705108 (UMLS 2011AA)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass-2)
C0033213 (UMLS 2011AA ObjectClass-2)
C16670 (NCI Thesaurus ObjectClass-3)
C0018767 (UMLS 2011AA ObjectClass-3)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C75001 (NCI Thesaurus Property-2)
C0681495 (UMLS 2011AA Property-2)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
C1705108 (UMLS 2011AA)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass-2)
C0033213 (UMLS 2011AA ObjectClass-2)
C16670 (NCI Thesaurus ObjectClass-3)
C0018767 (UMLS 2011AA ObjectClass-3)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C54274 (NCI Thesaurus Property-2)
C0680238 (UMLS 2011AA Property-2)
C71323 (NCI Thesaurus Property-3)
C2584313 (UMLS 2011AA Property-3)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
C1705108 (UMLS 2011AA)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass-2)
C0033213 (UMLS 2011AA ObjectClass-2)
C16670 (NCI Thesaurus ObjectClass-3)
C0018767 (UMLS 2011AA ObjectClass-3)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C86022 (NCI Thesaurus Property-2)
C0162340 (UMLS 2011AA Property-2)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
C1705108 (UMLS 2011AA)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass-2)
C0033213 (UMLS 2011AA ObjectClass-2)
C16670 (NCI Thesaurus ObjectClass-3)
C0018767 (UMLS 2011AA ObjectClass-3)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C62650 (NCI Thesaurus Property-2)
C0728831 (UMLS 2011AA Property-2)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
C1705108 (UMLS 2011AA)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass-2)
C0033213 (UMLS 2011AA ObjectClass-2)
C16670 (NCI Thesaurus ObjectClass-3)
C0018767 (UMLS 2011AA ObjectClass-3)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C80231 (NCI Thesaurus Property-2)
C1999269 (UMLS 2011AA Property-2)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
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