E2906 Abbreviated Comprehensive Geriatric Assessment Battery NCT01041703
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E2906 Abbreviated Comprehensive Geriatric Assessment Battery NCT01041703 Clofarabine or Daunorubicin Hydrochloride and Cytarabine Followed By Decitabine or Observation in Treating Older Patients With Newly Diagnosed Acute Myeloid Leukemia Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7586A704-3044-A522-E040-BB89AD4359F8

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2015-06-08 by Johannes Osterloh

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    Adl























    Section Ii - Social Support










































    Section Ii - Social Support






















    Comorbidity Questionnaire1

















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    S.2952067v1.0

    E2906 Abbreviated Comprehensive Geriatric Assessment Battery NCT01041703

    Header

    Name: Header Module
    Description: Header

    Name Generic drug form
    Question DCI Name
    Datatype text
    Aliases:  
    NCI Thesaurus ValueDomain C25191
    UMLS CUI-1 C3242750
    NCI Thesaurus Property C19464
    NCI Thesaurus ObjectClass C25474
    NCI Thesaurus ObjectClass-2 C25452
    Name Registration Number
    Question Registration Step (Place ID Label Here)
    Datatype text
    Aliases:  
    NCI Thesaurus ValueDomain C25337
    UMLS CUI-1 C1514821
    NCI Thesaurus ObjectClass C25646
    UMLS CUI-2 C0237753
    NCI Thesaurus Property C16154
      ...
      There are 1 more alias. Click to show them.
    NCI Thesaurus ValueDomain-2 C16154
    Name Patient Initials
    Question Patient Initials (Last, First)
    Datatype text
    Aliases:  
    NCI Thesaurus ValueDomain C25191
    UMLS CUI-1 C2986440
    NCI Thesaurus ObjectClass C16960
    NCI Thesaurus Property C25536
    Name Protocol Number ECOG
    Question ECOG Protocol Number
    Datatype text
    Aliases:  
    NCI Thesaurus ValueDomain C25337
    UMLS CUI-1 C3274381
    NCI Thesaurus ObjectClass C25320
    UMLS CUI-2 C1512162
    NCI Thesaurus Property C25364
      ...
      There are 1 more alias. Click to show them.
    NCI Thesaurus Property-2 C25491
    Name Protocol Number ECOG
    Question ECOG Protocol Number
    Datatype text
    Aliases:  
    NCI Thesaurus ValueDomain C25337
    UMLS CUI-1 C3274381
    NCI Thesaurus ObjectClass C25320
    UMLS CUI-2 C1512162
    NCI Thesaurus Property C25364
      ...
      There are 1 more alias. Click to show them.
    NCI Thesaurus Property-2 C25491
    Name Patient ID ECOG
    Question ECOG Patient ID
    Datatype text
    Aliases:  
    NCI Thesaurus ValueDomain C25337
    UMLS CUI-1 C2348585
    NCI Thesaurus ObjectClass C16960
    UMLS CUI-2 C1512162
    NCI Thesaurus Property C25364
      ...
      There are 1 more alias. Click to show them.
    NCI Thesaurus Property-2 C25491
    Name Patient ID ECOG
    Question ECOG Patient ID
    Datatype text
    Aliases:  
    NCI Thesaurus ValueDomain C25337
    UMLS CUI-1 C2348585
    NCI Thesaurus ObjectClass C16960
    UMLS CUI-2 C1512162
    NCI Thesaurus Property C25364
      ...
      There are 1 more alias. Click to show them.
    NCI Thesaurus Property-2 C25491
    Name Study Number Participating Group
    Question Participating Group Protocol Number
    Datatype text
    Aliases:  
    NCI Thesaurus ValueDomain C25337
    UMLS CUI-1 C3274381
    NCI Thesaurus ObjectClass C25320
    UMLS CUI-2 C2347449
    NCI Thesaurus Property C25608
      ...
      There are 1 more alias. Click to show them.
    NCI Thesaurus Property-2 C25364
    Name Trial subject ID Participating Group
    Question Participating Group Patient ID
    Datatype text
    Aliases:  
    NCI Thesaurus ValueDomain C25337
    UMLS CUI-1 C2348585
    NCI Thesaurus ObjectClass C16960
    UMLS CUI-2 C2347449
    NCI Thesaurus Property C25608
      ...
      There are 1 more alias. Click to show them.
    NCI Thesaurus Property-2 C25364
    Name Institution Name
    Question Institution/Affiliate
    Datatype text
    Aliases:  
    NCI Thesaurus ObjectClass C25454
    UMLS CUI-1 C1301943
    NCI Thesaurus ObjectClass-2 C21541
    NCI Thesaurus Property C25364
    NCI Thesaurus ValueDomain C25191
      ...
      There are 1 more alias. Click to show them.
    NCI Thesaurus ValueDomain-2 C21541

    On Treatment

    Name: On Treatment Report Period
    Description: On Treatment

    Name Cycle number
    Question On Treatment Report Period (Choose one)
    Datatype text
    Aliases:  
    NCI Thesaurus ValueDomain C25284
    UMLS CUI-1 C2045829
    NCI Thesaurus Property C25214
    NCI Thesaurus Property-2 C25616
    NCI Thesaurus ObjectClass C15368
    Codelistitems  
      Baseline Step 1(Baseline Step 1)

    Data amendment

    Name: Data amendment
    Description: Data amendment

    Name Data amended
    Question Please mark an 'X' if data have been amended. (Please circle amended items in red)
    Datatype text
    Aliases:  
    NCI Thesaurus ValueDomain C25704
    UMLS CUI-1 C0680532
    NCI Thesaurus ObjectClass C25474
    NCI Thesaurus Property C25416
    Name Data amended date
    Question Date data amended (s M D Y)
    Datatype date
    Aliases:  
    NCI Thesaurus ValueDomain C25164
    UMLS CUI-1 C0680532
    NCI Thesaurus ObjectClass C25474
    UMLS CUI-2 C0011008
    NCI Thesaurus Property C25416
      ...
      There are 1 more alias. Click to show them.
    NCI Thesaurus ValueDomain-2 C25367

    Assessment Date

    Name: Assessment Date
    Description: Assessment Date

    Name Assessment Date
    Question Date of Assessment
    Datatype date
    Aliases:  
    NCI Thesaurus ValueDomain C25164
    UMLS CUI-1 C2985720
    NCI Thesaurus ObjectClass C25367
    NCI Thesaurus ValueDomain-2 C25367
    NCI Thesaurus Property C38000

    Mini Mental Examination Section

    Gds

    Name: GDS
    Description: Gds

    Name PatientAnhedoniaAssessmentInd-2
    Question Do you feel that your life is empty
    Datatype boolean
    Aliases:  
    NCI Thesaurus ValueDomain C38147
    UMLS 2011AA ValueDomain C1512698
    NCI Thesaurus ObjectClass C16960
    UMLS 2011AA ObjectClass C0030705
    NCI Thesaurus Property C25367
      ...
      There are 2 more alias. Click to show them.
    NCI Thesaurus Property-2 C3673
    UMLS 2011AA Property C0178417
    Name PatientHappinessAssessmentInd-2
    Question Do you feel happy most of the time
    Datatype boolean
    Aliases:  
    NCI Thesaurus ValueDomain C38147
    UMLS 2011AA ValueDomain C1512698
    NCI Thesaurus ObjectClass C16960
    UMLS 2011AA ObjectClass C0030705
    NCI Thesaurus Property C20989
      ...
      There are 2 more alias. Click to show them.
    UMLS 2011AA Property C0031809
    NCI Metathesaurus Property C0018592
    Name PatientHopelessnessAssessmentInd-2
    Question Do you often feel helpless
    Datatype boolean
    Aliases:  
    NCI Thesaurus ValueDomain C38147
    UMLS 2011AA ValueDomain C1512698
    NCI Thesaurus ObjectClass C16960
    UMLS 2011AA ObjectClass C0030705
    NCI Thesaurus Property C25367
      ...
      There are 2 more alias. Click to show them.
    NCI Thesaurus Property-2 C74531
    UMLS 2011AA Property C0150041
    Name PatientWorthlessnessAssessmentInd-2
    Question Do you feel pretty worthless the way you are now
    Datatype boolean
    Aliases:  
    NCI Thesaurus ValueDomain C38147
    UMLS 2011AA ValueDomain C1512698
    NCI Thesaurus ObjectClass C16960
    UMLS 2011AA ObjectClass C0030705
    NCI Thesaurus Property C25367
      ...
      There are 2 more alias. Click to show them.
    NCI Thesaurus Property-2 C74535
    UMLS 2011AA Property C1821293

    Adl

    Name: ADL
    Description: Adl

    Name BathingPatientAssistanceAssessmentType
    Question Bathing (sponge bath, tub bath or shower)
    Datatype text
    Aliases:  
    NCI Thesaurus ObjectClass C16960
    UMLS 2011AA ObjectClass C0030705
    NCI Metathesaurus ObjectClass C0150141
    NCI Metathesaurus Property C0018896
    NCI Thesaurus Property C25367
      ...
      There are 2 more alias. Click to show them.
    NCI Thesaurus ValueDomain C25284
    UMLS 2011AA ValueDomain C0332307
    Codelistitems  
      I Receive Assistance In Bathing More Than One Part Of The Body(I receive assistance in bathing more than one part of the body)
      I Receive Assistance In Bathing Only One Part Of The Body(I receive assistance in bathing only one part of the body)
      I Receive No Assistance(I receive no assistance)
    Name TransferPatientAssistanceAssessmentType
    Question Transfer
    Datatype text
    Aliases:  
    NCI Thesaurus ObjectClass C16960
    UMLS 2011AA ObjectClass C0030705
    NCI Thesaurus ObjectClass-2 C48167
    UMLS 2011AA ObjectClass-2 C1705822
    NCI Metathesaurus Property C0018896
      ...
      There are 3 more alias. Click to show them.
    NCI Thesaurus Property C25367
    NCI Thesaurus ValueDomain C25284
    UMLS 2011AA ValueDomain C0332307
    Codelistitems  
      I Am Able To Move Into And Out Of Bed As Well As Into And Out Of Chair Without Assistance(I am able to move into and out of bed as well as into and out of chair without assistance)
      I Am Able To Move Into And Out Of Bed Or Chair With Assistance(I am able to move into and out of bed or chair with assistance)
      I Am Not Able To Get Out Of Bed(I am not able to get out of bed)
    Name IncontinencePatientAssistanceAssessmentType
    Question Continence
    Datatype text
    Aliases:  
    NCI Thesaurus ObjectClass C16960
    UMLS 2011AA ObjectClass C0030705
    NCI Metathesaurus ObjectClass C0021167
    NCI Metathesaurus Property C0018896
    NCI Thesaurus Property C25367
      ...
      There are 2 more alias. Click to show them.
    NCI Thesaurus ValueDomain C25284
    UMLS 2011AA ValueDomain C0332307
    Codelistitems  
      I Am Able To Control Urination And Bowel Movement Completely By Myself(I am able to control urination and bowel movement completely by myself)
      I Have Occasional Accidents(I have occasional accidents)
      I Need Someone To Help Me Keep Control Of Urination Or Bowel Movement Or A Catheter Is Used Or I Am Unable To Hold My Urine Or Bowel Movements(I need someone to help me keep control of urination or bowel movement OR a catheter is used OR I am unable to hold my urine or bowel movements)
    Name ShoppingPatientAssistanceAssessmentType
    Question Can you go shopping for groceries
    Datatype text
    Aliases:  
    NCI Thesaurus ObjectClass C16960
    UMLS 2011AA ObjectClass C0030705
    NCI Thesaurus ObjectClass-2 C81006
    UMLS 2011AA ObjectClass-2 C0150768
    NCI Metathesaurus Property C0018896
      ...
      There are 3 more alias. Click to show them.
    NCI Thesaurus Property C25367
    NCI Thesaurus ValueDomain C25284
    UMLS 2011AA ValueDomain C0332307
    Codelistitems  
      I Am Completely Unable To Do Any Shopping(I am completely unable to do any shopping)
      With Some Help(With some help)
      Without Help(Without help)
    Name FoodPreparationPatientAssistanceAssessmentType
    Question Can you prepare your own meals
    Datatype text
    Aliases:  
    NCI Thesaurus ObjectClass C16960
    UMLS 2011AA ObjectClass C0030705
    NCI Thesaurus ObjectClass-2 C17604
    UMLS 2011AA ObjectClass-2 C0920297
    NCI Metathesaurus Property C0018896
      ...
      There are 3 more alias. Click to show them.
    NCI Thesaurus Property C25367
    NCI Thesaurus ValueDomain C25284
    UMLS 2011AA ValueDomain C0332307
    Codelistitems  
      I Am Completely Unable To Prepare Any Meals(I am completely unable to prepare any meals)
      With Some Help(With some help)
      Without Help(Without help)
    Name HouseholdActivityPatientAssistanceAssessmentType
    Question Can you do your own housework
    Datatype text
    Aliases:  
    NCI Thesaurus ObjectClass C16960
    UMLS 2011AA ObjectClass C0030705
    NCI Thesaurus ObjectClass-2 C53291
    UMLS 2011AA ObjectClass-2 C1708387
    NCI Metathesaurus Property C0018896
      ...
      There are 3 more alias. Click to show them.
    NCI Thesaurus Property C25367
    NCI Thesaurus ValueDomain C25284
    UMLS 2011AA ValueDomain C0332307
    Codelistitems  
      I Am Completely Unable To Do Any Housework(I am completely unable to do any housework)
      With Help(With help)
      Without Help(Without help)
    Name WashPatientAssistanceAssessmentType
    Question Can you do your own laundry
    Datatype text
    Aliases:  
    NCI Thesaurus ObjectClass C16960
    UMLS 2011AA ObjectClass C0030705
    NCI Thesaurus ObjectClass-2 C65077
    UMLS 2011AA ObjectClass-2 C0441648
    NCI Metathesaurus Property C0018896
      ...
      There are 3 more alias. Click to show them.
    NCI Thesaurus Property C25367
    NCI Thesaurus ValueDomain C25284
    UMLS 2011AA ValueDomain C0332307
    Codelistitems  
      I Am Completely Unable To Do Any Laundry At All(I am completely unable to do any laundry at all)
      With Help(With help)
      Without Help(Without help)

    Section Ii - Social Support

    Name: MOS Social Support Survey - Emotional/Informational Support
    Description: Section Ii - Social Support

    Name QualityofLifePersonDiscussionAssessmentScale
    Question Someone you can count on to listen to you when you need to talk
    Datatype text
    Aliases:  
    NCI Thesaurus ObjectClass C17047
    UMLS 2011AA ObjectClass C0518214
    NCI Thesaurus Property C25190
    UMLS 2011AA Property C0027361
    NCI Thesaurus Property-2 C25367
      ...
      There are 4 more alias. Click to show them.
    NCI Thesaurus Property-3 C71323
    UMLS 2011AA Property-2 C2584313
    NCI Thesaurus ValueDomain C25664
    UMLS 2011AA ValueDomain C0349674
    Codelistitems  
      A Little Of The Time(A little of the time)
      All Of The Time(All of the time)
      Most Of The Time(Most of the time)
      None Of The Time(None of the time)
      Some Of The Time(Some of the time)
    Name QualityofLifePersonAdvisingAssessmentScale
    Question Someone whose advice you really want
    Datatype text
    Aliases:  
    NCI Thesaurus ObjectClass C17047
    UMLS 2011AA ObjectClass C0518214
    NCI Thesaurus Property C25190
    UMLS 2011AA Property C0027361
    NCI Thesaurus Property-2 C25367
      ...
      There are 4 more alias. Click to show them.
    NCI Thesaurus Property-3 C60731
    UMLS 2011AA Property-2 C1828381
    NCI Thesaurus ValueDomain C25664
    UMLS 2011AA ValueDomain C0349674
    Codelistitems  
      A Little Of The Time(A little of the time)
      All Of The Time(All of the time)
      Most Of The Time(Most of the time)
      None Of The Time(None of the time)
      Some Of The Time(Some of the time)
    Name QualityofLifePersonAdvisingAssessmentScale
    Question Someone whose advice you really want
    Datatype text
    Aliases:  
    NCI Thesaurus ObjectClass C17047
    UMLS 2011AA ObjectClass C0518214
    NCI Thesaurus Property C25190
    UMLS 2011AA Property C0027361
    NCI Thesaurus Property-2 C25367
      ...
      There are 4 more alias. Click to show them.
    NCI Thesaurus Property-3 C60731
    UMLS 2011AA Property-2 C1828381
    NCI Thesaurus ValueDomain C25664
    UMLS 2011AA ValueDomain C0349674
    Codelistitems  
      A Little Of The Time(A little of the time)
      All Of The Time(All of the time)
      Most Of The Time(Most of the time)
      None Of The Time(None of the time)
      Some Of The Time(Some of the time)
    Name QualityofLifePersonConfidenceAssessmentScale
    Question Someone to share your most private worries and fears with
    Datatype text
    Aliases:  
    NCI Thesaurus ObjectClass C17047
    UMLS 2011AA ObjectClass C0518214
    NCI Thesaurus Property C25190
    UMLS 2011AA Property C0027361
    NCI Thesaurus Property-2 C25367
      ...
      There are 4 more alias. Click to show them.
    NCI Thesaurus Property-3 C43367
    UMLS 2011AA Property-2 C1704726
    NCI Thesaurus ValueDomain C25664
    UMLS 2011AA ValueDomain C0349674
    Codelistitems  
      A Little Of The Time(A little of the time)
      All Of The Time(All of the time)
      Most Of The Time(Most of the time)
      None Of The Time(None of the time)
      Some Of The Time(Some of the time)
    Name QualityofLifePersonConfidenceAssessmentScale
    Question Someone to share your most private worries and fears with
    Datatype text
    Aliases:  
    NCI Thesaurus ObjectClass C17047
    UMLS 2011AA ObjectClass C0518214
    NCI Thesaurus Property C25190
    UMLS 2011AA Property C0027361
    NCI Thesaurus Property-2 C25367
      ...
      There are 4 more alias. Click to show them.
    NCI Thesaurus Property-3 C43367
    UMLS 2011AA Property-2 C1704726
    NCI Thesaurus ValueDomain C25664
    UMLS 2011AA ValueDomain C0349674
    Codelistitems  
      A Little Of The Time(A little of the time)
      All Of The Time(All of the time)
      Most Of The Time(Most of the time)
      None Of The Time(None of the time)
      Some Of The Time(Some of the time)
    Name QualityofLifePersonInformationAssessmentScale
    Question Someone to turn to for suggestions about how to deal with a personal problem
    Datatype text
    Aliases:  
    NCI Thesaurus ObjectClass C17047
    UMLS 2011AA ObjectClass C0518214
    NCI Thesaurus Property C25190
    UMLS 2011AA Property C0027361
    NCI Thesaurus Property-2 C25367
      ...
      There are 4 more alias. Click to show them.
    NCI Thesaurus Property-3 C48191
    UMLS 2011AA Property-2 C1533716
    NCI Thesaurus ValueDomain C25664
    UMLS 2011AA ValueDomain C0349674
    Codelistitems  
      A Little Of The Time(A little of the time)
      All Of The Time(All of the time)
      Most Of The Time(Most of the time)
      None Of The Time(None of the time)
      Some Of The Time(Some of the time)
    Name QualityofLifePersonInformationAssessmentScale
    Question Someone to turn to for suggestions about how to deal with a personal problem
    Datatype text
    Aliases:  
    NCI Thesaurus ObjectClass C17047
    UMLS 2011AA ObjectClass C0518214
    NCI Thesaurus Property C25190
    UMLS 2011AA Property C0027361
    NCI Thesaurus Property-2 C25367
      ...
      There are 4 more alias. Click to show them.
    NCI Thesaurus Property-3 C48191
    UMLS 2011AA Property-2 C1533716
    NCI Thesaurus ValueDomain C25664
    UMLS 2011AA ValueDomain C0349674
    Codelistitems  
      A Little Of The Time(A little of the time)
      All Of The Time(All of the time)
      Most Of The Time(Most of the time)
      None Of The Time(None of the time)
      Some Of The Time(Some of the time)
    Name QualityofLifePersonProblemAppreciationAssessmentScale
    Question Someone who understands your problems
    Datatype text
    Aliases:  
    NCI Thesaurus ObjectClass C17047
    UMLS 2011AA ObjectClass C0518214
    NCI Thesaurus Property C25190
    UMLS 2011AA Property C0027361
    NCI Thesaurus Property-2 C25367
      ...
      There are 6 more alias. Click to show them.
    NCI Thesaurus Property-3 C28020
    UMLS 2011AA Property-2 C0033213
    NCI Thesaurus Property-4 C72889
    UMLS 2011AA Property-3 C2346843
    NCI Thesaurus ValueDomain C25664
    UMLS 2011AA ValueDomain C0349674
    Codelistitems  
      A Little Of The Time(A little of the time)
      All Of The Time(All of the time)
      Most Of The Time(Most of the time)
      None Of The Time(None of the time)
      Some Of The Time(Some of the time)

    Section Ii - Social Support

    Name: MOS Social Support Survey - Tangible support
    Description: Section Ii - Social Support

    Name QualityofLifePersonBedRestAssessmentScale
    Question Someone to help you if you were confined to bed
    Datatype text
    Aliases:  
    NCI Thesaurus ObjectClass C17047
    UMLS 2011AA ObjectClass C0518214
    NCI Thesaurus Property C25190
    UMLS 2011AA Property C0027361
    NCI Thesaurus Property-2 C25367
      ...
      There are 4 more alias. Click to show them.
    NCI Thesaurus Property-3 C45985
    UMLS 2011AA Property-2 C0004910
    NCI Thesaurus ValueDomain C25664
    UMLS 2011AA ValueDomain C0349674
    Codelistitems  
      A Little Of The Time(A little of the time)
      All Of The Time(All of the time)
      Most Of The Time(Most of the time)
      None Of The Time(None of the time)
      Some Of The Time(Some of the time)
    Name QualityofLifePersonPhysicianOfficeDeliveryAssessment
    Question Someone to take you to the doctor if you needed it
    Datatype text
    Aliases:  
    NCI Thesaurus ObjectClass C17047
    UMLS 2011AA ObjectClass C0518214
    NCI Thesaurus Property C25190
    UMLS 2011AA Property C0027361
    NCI Thesaurus Property-2 C25367
      ...
      There are 5 more alias. Click to show them.
    NCI Thesaurus Property-3 C61560
    NCI Thesaurus Property-4 C16988
    UMLS 2011AA Property-2 C0031834
    NCI Thesaurus ValueDomain C25664
    UMLS 2011AA ValueDomain C0349674
    Codelistitems  
      A Little Of The Time(A little of the time)
      All Of The Time(All of the time)
      Most Of The Time(Most of the time)
      None Of The Time(None of the time)
      Some Of The Time(Some of the time)
    Name QualityofLifePersonFoodPreparationAssessmentScale
    Question Someone to prepare your meals if you were unable to do it yourself
    Datatype text
    Aliases:  
    NCI Thesaurus ObjectClass C17047
    UMLS 2011AA ObjectClass C0518214
    NCI Thesaurus Property C25190
    UMLS 2011AA Property C0027361
    NCI Thesaurus Property-2 C25367
      ...
      There are 6 more alias. Click to show them.
    NCI Thesaurus Property-3 C62695
    UMLS 2011AA Property-2 C0016452
    NCI Thesaurus Property-4 C25625
    UMLS 2011AA Property-3 C1521827
    NCI Thesaurus ValueDomain C25664
    UMLS 2011AA ValueDomain C0349674
    Codelistitems  
      A Little Of The Time(A little of the time)
      All Of The Time(All of the time)
      Most Of The Time(Most of the time)
      None Of The Time(None of the time)
      Some Of The Time(Some of the time)
    Name QualityofLifeHouseholdActivitySupportAssessmentScale
    Question Someone to help with daily chores if you were sick
    Datatype text
    Aliases:  
    NCI Thesaurus ObjectClass C17047
    UMLS 2011AA ObjectClass C0518214
    NCI Thesaurus Property C25367
    NCI Thesaurus Property-2 C37902
    UMLS 2011AA Property C1521721
      ...
      There are 4 more alias. Click to show them.
    NCI Thesaurus Property-3 C53291
    UMLS 2011AA Property-2 C1708387
    NCI Thesaurus ValueDomain C25664
    UMLS 2011AA ValueDomain C0349674
    Codelistitems  
      A Little Of The Time(A little of the time)
      All Of The Time(All of the time)
      Most Of The Time(Most of the time)
      None Of The Time(None of the time)
      Some Of The Time(Some of the time)

    Comorbidity Questionnaire

    Name: Comorbidity Questionnaire
    Description: Comorbidity Questionnaire

    Name PatientPriorMyocardialInfarctionInd-3
    Question Have you ever had a heart attack
    Datatype boolean
    Aliases:  
    NCI Thesaurus ValueDomain C38148
    UMLS 2011AA ValueDomain C1512699
    NCI Thesaurus ObjectClass C16960
    UMLS 2011AA ObjectClass C0030705
    NCI Thesaurus Property C27996
      ...
      There are 3 more alias. Click to show them.
    UMLS 2011AA Property C0027051
    NCI Thesaurus Property-2 C25629
    UMLS 2011AA Property-2 C0332152
    Name CongestiveHeartFailureHistoryInd-2
    Question Have you ever been treated for heart failure (You may have been short of breath and the doctor may have told you that you had fluid in your lungs or that your heart was not pumping well.)
    Datatype boolean
    Aliases:  
    NCI Thesaurus ValueDomain C38147
    UMLS 2011AA ValueDomain C1512698
    NCI Thesaurus ObjectClass C3080
    UMLS 2011AA ObjectClass C0018802
    NCI Thesaurus Property C18772
      ...
      There are 1 more alias. Click to show them.
    UMLS 2011AA Property C0262926
    Name HeartInvolvedInd-3
    Question Do you have other heart disease
    Datatype boolean
    Aliases:  
    NCI Thesaurus ValueDomain C38148
    UMLS 2011AA ValueDomain C1512699
    NCI Thesaurus ObjectClass C12727
    UMLS 2011AA ObjectClass C0018787
    NCI Thesaurus Property C25547
    Name OtherPeripheralArteryDiseasePresentInd-3
    Question Have you had an operation to unclog or bypass arteries in your legs
    Datatype boolean
    Aliases:  
    NCI Thesaurus ObjectClass C17649
    UMLS 2011AA ObjectClass C0205394
    NCI Thesaurus ObjectClass-2 C2991
    UMLS 2011AA ObjectClass-2 C0012634
    NCI Thesaurus ObjectClass-3 C12372
      ...
      There are 7 more alias. Click to show them.
    UMLS 2011AA ObjectClass-3 C0003842
    NCI Thesaurus ObjectClass-4 C25233
    UMLS 2011AA ObjectClass-4 C0205100
    NCI Thesaurus Property C25626
    UMLS 2011AA Property C0150312
    NCI Thesaurus ValueDomain C38148
    UMLS 2011AA ValueDomain C1512699
    Name PatientTransientIschemicAttackCerebrovascularAccidentPersonalMedicalHistoryInd-2
    Question Have you had a stroke, cerebrovascular accident, blood clot or bleeding in the brain, or transient ischemic attack (TIA)
    Datatype boolean
    Aliases:  
    NCI Thesaurus ObjectClass C29867
    UMLS 2011AA ObjectClass C0679646
    NCI Thesaurus Property C50781
    UMLS 2011AA Property C0007787
    NCI Thesaurus Property-2 C3390
      ...
      There are 5 more alias. Click to show them.
    UMLS 2011AA Property-2 C0038454
    NCI Thesaurus Property-3 C18772
    UMLS 2011AA Property-3 C0262926
    NCI Thesaurus ValueDomain C38147
    UMLS 2011AA ValueDomain C1512698
    Name PatientCerebrovascularAccidentMovementDifficultyPresentInd-2
    Question Do you have difficulty moving an arm or leg as a result of the stroke or cerebrovascular accident (If yes)
    Datatype boolean
    Aliases:  
    NCI Thesaurus ObjectClass C16960
    UMLS 2011AA ObjectClass C0030705
    NCI Thesaurus Property C25626
    UMLS 2011AA Property C0150312
    NCI Thesaurus Property-2 C3390
      ...
      There are 7 more alias. Click to show them.
    UMLS 2011AA Property-2 C0038454
    NCI Thesaurus Property-3 C37994
    UMLS 2011AA Property-3 C0026649
    NCI Thesaurus Property-4 C62189
    UMLS 2011AA Property-4 C1299586
    NCI Thesaurus ValueDomain C38147
    UMLS 2011AA ValueDomain C1512698
    Name AsthmaHistoryInd-2
    Question Do you have asthma
    Datatype boolean
    Aliases:  
    NCI Thesaurus ValueDomain C38147
    UMLS 2011AA ValueDomain C1512698
    NCI Thesaurus Property C18772
    UMLS 2011AA Property C0262926
    NCI Thesaurus ObjectClass C28397
      ...
      There are 1 more alias. Click to show them.
    UMLS 2011AA ObjectClass C0004096
    Name AsthmaMedicationPersonalMedicalHistoryIndicator
    Question Do you take medicines for your asthma (If yes check one box)
    Datatype text
    Aliases:  
    NCI Thesaurus ValueDomain C25180
    UMLS 2011AA ValueDomain C1522602
    NCI Thesaurus Property C459
    UMLS 2011AA Property C0013227
    NCI Thesaurus Property-2 C18772
      ...
      There are 3 more alias. Click to show them.
    UMLS 2011AA Property-2 C0262926
    NCI Thesaurus ObjectClass C28397
    UMLS 2011AA ObjectClass C0004096
    Codelistitems  
      No(No)
    NCI Thesaurus: C49487
    UMLS 2011AA: C1298908
      Yes, I Take Medicines Regularly Even When I'm Not Having A Flare-up(Yes, I take medicines regularly even when I'm not having a flare-up)
      Yes, Only With Flare-ups Of My Asthma(Yes, only with flare-ups of my asthma)
    Name DiseaseEmphysemaBronchitisPresentInd-3
    Question Do you have emphysema, chronic bronchitis, or chronic obstructive lung disease
    Datatype boolean
    Aliases:  
    NCI Thesaurus ObjectClass C2991
    UMLS 2011AA ObjectClass C0012634
    NCI Thesaurus Property C25626
    UMLS 2011AA Property C0150312
    NCI Thesaurus Property-2 C2911
      ...
      There are 5 more alias. Click to show them.
    UMLS 2011AA Property-2 C0006277
    NCI Thesaurus Property-3 C3348
    UMLS 2011AA Property-3 C0034067
    NCI Thesaurus ValueDomain C38148
    UMLS 2011AA ValueDomain C1512699
    Name TherapeuticProcedureDiseaseEmphysemaBronchitisPresentIndicator
    Question Do you take medicines for your lung disease (If yes check one box)
    Datatype text
    Aliases:  
    NCI Thesaurus ObjectClass C2991
    UMLS 2011AA ObjectClass C0012634
    NCI Thesaurus ObjectClass-2 C49236
    UMLS 2011AA ObjectClass-2 C0087111
    NCI Thesaurus Property C25626
      ...
      There are 7 more alias. Click to show them.
    UMLS 2011AA Property C0150312
    NCI Thesaurus Property-2 C2911
    UMLS 2011AA Property-2 C0006277
    NCI Thesaurus Property-3 C3348
    UMLS 2011AA Property-3 C0034067
    NCI Thesaurus ValueDomain C25180
    UMLS 2011AA ValueDomain C1522602
    Codelistitems  
      No(No)
    NCI Thesaurus: C49487
    UMLS 2011AA: C1298908
      Yes, I Take Medicines Regularly Even When I'm Not Having A Flare-up(Yes, I take medicines regularly even when I'm not having a flare-up)
      Yes, Only With Flare-ups Of My Lung Disease(Yes, only with flare-ups of my lung disease)

    Comorbidity Questionnaire1

    Name: Comorbidity Questionnaire1
    Description: Comorbidity Questionnaire1

    Name DiseaseStomachPresentInd-3
    Question Do you have stomach ulcers, or peptic ulcer disease
    Datatype boolean
    Aliases:  
    NCI Thesaurus ValueDomain C38148
    UMLS 2011AA ValueDomain C1512699
    NCI Thesaurus Property C25626
    UMLS 2011AA Property C0150312
    NCI Thesaurus Property-2 C12391
      ...
      There are 3 more alias. Click to show them.
    UMLS 2011AA Property-2 C0038351
    NCI Thesaurus ObjectClass C2991
    UMLS 2011AA ObjectClass C0012634
    Name DiabetesMellitusDiseasesandDisordersMedicationBaselineUseInd-2
    Question Do you have diabetes (high blood sugar)
    Datatype boolean
    Aliases:  
    NCI Thesaurus ObjectClass C2991
    UMLS 2011AA ObjectClass C0012634
    NCI Thesaurus ObjectClass-2 C2985
    UMLS 2011AA ObjectClass-2 C0011849
    NCI Thesaurus ObjectClass-3 C459
      ...
      There are 7 more alias. Click to show them.
    UMLS 2011AA ObjectClass-3 C0013227
    NCI Thesaurus Property C25213
    UMLS 2011AA Property C1442488
    NCI Thesaurus Property-2 C25340
    UMLS 2011AA Property-2 C0457083
    NCI Thesaurus ValueDomain C38147
    UMLS 2011AA ValueDomain C1512698
    Name DiabetesMellitusCurrentTherapeuticProcedureType
    Question How is it treated (If yes check one box)
    Datatype text
    Aliases:  
    NCI Thesaurus ValueDomain C25284
    UMLS 2011AA ValueDomain C0332307
    NCI Thesaurus Property C25471
    UMLS 2011AA Property C0521116
    NCI Thesaurus ObjectClass C2985
      ...
      There are 3 more alias. Click to show them.
    UMLS 2011AA ObjectClass C0011849
    NCI Thesaurus Property-2 C49236
    UMLS 2011AA Property-2 C0087111
    Codelistitems  
      Treated By Insulin Injections(Treated by insulin injections)
      Treated By Medications Taken By Mouth(Treated by medications taken by mouth)
      Treated By Modifying My Diet(Treated by modifying my diet)
    Name PatientDiabetesOrganComplicationPersonalMedicalHistoryType
    Question Has the diabetes caused any of the following problems (If yes)
    Datatype text
    Aliases:  
    NCI Thesaurus ObjectClass C16960
    UMLS 2011AA ObjectClass C0030705
    NCI Thesaurus Property C2985
    UMLS 2011AA Property C0011849
    NCI Thesaurus Property-2 C2959
      ...
      There are 7 more alias. Click to show them.
    UMLS 2011AA Property-2 C0009566
    NCI Thesaurus Property-3 C13018
    UMLS 2011AA Property-3 C0178784
    NCI Thesaurus Property-4 C18772
    UMLS 2011AA Property-4 C0262926
    NCI Thesaurus ValueDomain C25284
    UMLS 2011AA ValueDomain C0332307
    Codelistitems  
      Problems With Numbness Or Tingling In Your Feet Or Legs(Problems with numbness or tingling in your feet or legs)
      Problems With Your Eyes, Treated By An Ophthamologist(Problems with your eyes, treated by an ophthamologist)
      Problems With Your Kidneys(Problems with your kidneys)
    Name KidneyDiseasePresentType
    Question Have you ever had the following problems with your kidneys
    Datatype text
    Aliases:  
    NCI Thesaurus ValueDomain C25284
    UMLS 2011AA ValueDomain C0332307
    NCI Thesaurus Property C25626
    UMLS 2011AA Property C0150312
    NCI Thesaurus ObjectClass C12415
      ...
      There are 3 more alias. Click to show them.
    UMLS 2011AA ObjectClass C0022646
    NCI Thesaurus ObjectClass-2 C2991
    UMLS 2011AA ObjectClass-2 C0012634
    Codelistitems  
      Have Received Kidney Transplantation(Have received kidney transplantation)
      Have Used Dialysis(Have used dialysis)
      Poor Kidney Function(Poor kidney function)
    Name PatientArthritisPersonalMedicalHistoryInd-3
    Question Do you have arthritis
    Datatype boolean
    Aliases:  
    NCI Thesaurus ValueDomain C38148
    UMLS 2011AA ValueDomain C1512699
    NCI Thesaurus ObjectClass C16960
    UMLS 2011AA ObjectClass C0030705
    NCI Thesaurus Property C2883
      ...
      There are 3 more alias. Click to show them.
    UMLS 2011AA Property C0003864
    NCI Thesaurus Property-2 C18772
    UMLS 2011AA Property-2 C0262926
    Name ConcomitantMedicationUseInd-3
    Question Do you take medications for it regularly (If yes)
    Datatype boolean
    Aliases:  
    NCI Thesaurus ValueDomain C38148
    UMLS 2011AA ValueDomain C1512699
    NCI Thesaurus ObjectClass C459
    UMLS 2011AA ObjectClass C0013227
    NCI Thesaurus ObjectClass-2 C25730
      ...
      There are 3 more alias. Click to show them.
    UMLS 2011AA ObjectClass-2 C0521115
    NCI Thesaurus Property C25340
    UMLS 2011AA Property C0457083
    Name ConcomitantDiseasePersonalMedicalHistoryType
    Question Do you have any of the following conditions
    Datatype text
    Aliases:  
    NCI Thesaurus ValueDomain C25284
    UMLS 2011AA ValueDomain C0332307
    NCI Thesaurus ObjectClass C2991
    UMLS 2011AA ObjectClass C0012634
    NCI Thesaurus ObjectClass-2 C25730
      ...
      There are 3 more alias. Click to show them.
    UMLS 2011AA ObjectClass-2 C0521115
    NCI Thesaurus Property C18772
    UMLS 2011AA Property C0262926
    Codelistitems  
      Alzheimer's Disease, Or Another Form Of Dementia(Alzheimer's Disease, or another form of dementia)
      Anemia(Anemia)
    NCI Thesaurus: C2869
    UMLS 2011AA: C0002871
      Cancer(Cancer)
      Chronic Back Pain(Chronic back pain)
      Chronic Sinus Infections(Chronic sinus infections)
      ...
      There are 4 more items on this list. Click to show them.
      Cirrhosis, Hepatitis, Or Serious Liver Disease(Cirrhosis, hepatitis, or serious liver disease)
      Dental Problems(Dental Problems)
      Depression(Depression)
    NCI Thesaurus: C2982
    UMLS 2011AA: C0011570
      Osteoporosis(Osteoporosis)
    NCI Thesaurus: C3298
    UMLS 2011AA: C0029456
    Name PersonDentistVisitType
    Question How often do you see your dentist
    Datatype text
    Aliases:  
    NCI Thesaurus ValueDomain C25284
    UMLS 2011AA ValueDomain C0332307
    NCI Thesaurus ObjectClass C25190
    UMLS 2011AA ObjectClass C0027361
    NCI Thesaurus Property C52654
      ...
      There are 3 more alias. Click to show them.
    UMLS 2011AA Property C0011441
    NCI Thesaurus Property-2 C25716
    UMLS 2011AA Property-2 C0545082
    Codelistitems  
      Every 1-2 Years(Every 1-2 years)
      Every 6-12 Months(Every 6-12 months)
      I Don't See A Dentist(I don't see a dentist)
    Name ChronicDiseaseDiagnosisSpecify
    Question Please list any other health problems you have in the space below
    Datatype text
    Aliases:  
    NCI Thesaurus ObjectClass C2991
    UMLS 2011AA ObjectClass C0012634
    NCI Thesaurus ObjectClass-2 C14141
    UMLS 2011AA ObjectClass-2 C0205191
    NCI Thesaurus Property C15220
      ...
      There are 5 more alias. Click to show them.
    UMLS 2011AA Property C0011900
    NCI Thesaurus ValueDomain C25685
    UMLS 2011AA ValueDomain C1521902
    NCI Thesaurus ValueDomain-2 C17649
    UMLS 2011AA ValueDomain-2 C0205394

    Medications/sexual Function

    Name: Medications/Sexual Function
    Description: Medications/sexual Function

    Name ConcomitantPrescriptionMedicationUseNumber
    Question On average, how many prescription medicines do you take each day
    Datatype text
    Aliases:  
    NCI Thesaurus ObjectClass C459
    UMLS 2011AA ObjectClass C0013227
    NCI Thesaurus ObjectClass-2 C28180
    UMLS 2011AA ObjectClass-2 C1521941
    NCI Thesaurus ObjectClass-3 C25730
      ...
      There are 5 more alias. Click to show them.
    UMLS 2011AA ObjectClass-3 C0521115
    NCI Thesaurus Property C25340
    UMLS 2011AA Property C0457083
    NCI Thesaurus ValueDomain C25337
    UMLS 2011AA ValueDomain C0237753
    Codelistitems  
      1-3(1-3)
      4-6(4-6)
      7-10(7-10)
      More Than 10(More than 10)
      None(None)
    NCI Thesaurus: C41132
    UMLS 2011AA: C0549184
    Name ConcomitantMedicationUseNumber
    Question On average, how many non-prescription medicines (over-the-counter) do you take each day
    Datatype text
    Aliases:  
    NCI Thesaurus ValueDomain C25337
    UMLS 2011AA ValueDomain C0237753
    NCI Thesaurus ObjectClass C459
    UMLS 2011AA ObjectClass C0013227
    NCI Thesaurus ObjectClass-2 C25730
      ...
      There are 3 more alias. Click to show them.
    UMLS 2011AA ObjectClass-2 C0521115
    NCI Thesaurus Property C25340
    UMLS 2011AA Property C0457083
    Codelistitems  
      1-3(1-3)
      4-6(4-6)
      7-10(7-10)
      More Than 10(More than 10)
      None(None)
    NCI Thesaurus: C41132
    UMLS 2011AA: C0549184
    Name Sexual activity
    Question During the last 4 weeks, did you have sexual intercourse
    Datatype text
    Aliases:  
    NCI Thesaurus ObjectClass C17047
    UMLS CUI-1 C0036864
    NCI Thesaurus ObjectClass-2 C17127
    NCI Thesaurus Property C25367
    NCI Thesaurus Property-2 C25275
      ...
      There are 2 more alias. Click to show them.
    NCI Thesaurus Property-3 C72881
    NCI Thesaurus ValueDomain C25664
    Codelistitems  
      No(No)
    NCI Thesaurus: C49487
    UMLS 2011AA: C1298908
      Yes, More Than Once(Yes, more than once)
      Yes, Once(Yes, once)
    Name SexBehaviorQualityofLifeOverallSatisfactionAssessmentScale
    Question Over the past 4 weeks, how would you rate your level of sexual desire
    Datatype text
    Aliases:  
    NCI Thesaurus ObjectClass C17047
    UMLS 2011AA ObjectClass C0518214
    NCI Thesaurus ObjectClass-2 C17127
    UMLS 2011AA ObjectClass-2 C0036864
    NCI Thesaurus Property C25605
      ...
      There are 6 more alias. Click to show them.
    UMLS 2011AA Property C1561607
    NCI Thesaurus Property-2 C25367
    NCI Thesaurus Property-3 C62185
    UMLS 2011AA Property-2 C0242428
    NCI Thesaurus ValueDomain C25664
    UMLS 2011AA ValueDomain C0349674
    Codelistitems  
      High(High)
    NCI Thesaurus: C25227
    UMLS 2011AA: C0205250
      Low(Low)
    NCI Thesaurus: C54722
    UMLS 2011AA: C0205251
      Moderation(Moderate)
    NCI Thesaurus: C61376
    UMLS 2011AA: C1881878
      Very High(Very high)
      Very Low/none At All(Very low/none at all)

    Weight

    Name: Weight
    Description: Weight

    Name PatientNormalWeightMeasurement
    Question What is your usual weight
    Datatype float
    Aliases:  
    NCI Thesaurus ValueDomain C25209
    UMLS 2011AA ValueDomain C0242485
    NCI Thesaurus ObjectClass C16960
    UMLS 2011AA ObjectClass C0030705
    NCI Thesaurus Property C14165
      ...
      There are 3 more alias. Click to show them.
    UMLS 2011AA Property C0205307
    NCI Thesaurus Property-2 C25208
    UMLS 2011AA Property-2 C0043100
    Name PatientWeightLossMeasurement
    Question How much weight have you lost in the past 6 months
    Datatype float
    Aliases:  
    NCI Thesaurus ValueDomain C25209
    UMLS 2011AA ValueDomain C0242485
    NCI Thesaurus ObjectClass C16960
    UMLS 2011AA ObjectClass C0030705
    NCI Thesaurus Property C3445
      ...
      There are 1 more alias. Click to show them.
    UMLS 2011AA Property C0043096

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  1. You may Distribute or Publicly Perform the Work only under the terms of this License. You must include a copy of, or the Uniform Resource Identifier (URI) for, this License with every copy of the Work You Distribute or Publicly Perform. You may not offer or impose any terms on the Work that restrict the terms of this License or the ability of the recipient of the Work to exercise the rights granted to that recipient under the terms of the License. You may not sublicense the Work. You must keep intact all notices that refer to this License and to the disclaimer of warranties with every copy of the Work You Distribute or Publicly Perform. When You Distribute or Publicly Perform the Work, You may not impose any effective technological measures on the Work that restrict the ability of a recipient of the Work from You to exercise the rights granted to that recipient under the terms of the License. This Section 4(a) applies to the Work as incorporated in a Collection, but this does not require the Collection apart from the Work itself to be made subject to the terms of this License. If You create a Collection, upon notice from any Licensor You must, to the extent practicable, remove from the Collection any credit as required by Section 4(c), as requested. If You create an Adaptation, upon notice from any Licensor You must, to the extent practicable, remove from the Adaptation any credit as required by Section 4(c), as requested.
  2. You may not exercise any of the rights granted to You in Section 3 above in any manner that is primarily intended for or directed toward commercial advantage or private monetary compensation. The exchange of the Work for other copyrighted works by means of digital file-sharing or otherwise shall not be considered to be intended for or directed toward commercial advantage or private monetary compensation, provided there is no payment of any monetary compensation in connection with the exchange of copyrighted works.
  3. If You Distribute, or Publicly Perform the Work or any Adaptations or Collections, You must, unless a request has been made pursuant to Section 4(a), keep intact all copyright notices for the Work and provide, reasonable to the medium or means You are utilizing: (i) the name of the Original Author (or pseudonym, if applicable) if supplied, and/or if the Original Author and/or Licensor designate another party or parties (e.g., a sponsor institute, publishing entity, journal) for attribution ("Attribution Parties") in Licensor's copyright notice, terms of service or by other reasonable means, the name of such party or parties; (ii) the title of the Work if supplied; (iii) to the extent reasonably practicable, the URI, if any, that Licensor specifies to be associated with the Work, unless such URI does not refer to the copyright notice or licensing information for the Work; and, (iv) consistent with Section 3(b), in the case of an Adaptation, a credit identifying the use of the Work in the Adaptation (e.g., "French translation of the Work by Original Author," or "Screenplay based on original Work by Original Author"). The credit required by this Section 4(c) may be implemented in any reasonable manner; provided, however, that in the case of a Adaptation or Collection, at a minimum such credit will appear, if a credit for all contributing authors of the Adaptation or Collection appears, then as part of these credits and in a manner at least as prominent as the credits for the other contributing authors. For the avoidance of doubt, You may only use the credit required by this Section for the purpose of attribution in the manner set out above and, by exercising Your rights under this License, You may not implicitly or explicitly assert or imply any connection with, sponsorship or endorsement by the Original Author, Licensor and/or Attribution Parties, as appropriate, of You or Your use of the Work, without the separate, express prior written permission of the Original Author, Licensor and/or Attribution Parties.
  4. For the avoidance of doubt:

    1. Non-waivable Compulsory License Schemes. In those jurisdictions in which the right to collect royalties through any statutory or compulsory licensing scheme cannot be waived, the Licensor reserves the exclusive right to collect such royalties for any exercise by You of the rights granted under this License;
    2. Waivable Compulsory License Schemes. In those jurisdictions in which the right to collect royalties through any statutory or compulsory licensing scheme can be waived, the Licensor reserves the exclusive right to collect such royalties for any exercise by You of the rights granted under this License if Your exercise of such rights is for a purpose or use which is otherwise than noncommercial as permitted under Section 4(b) and otherwise waives the right to collect royalties through any statutory or compulsory licensing scheme; and,
    3. Voluntary License Schemes. The Licensor reserves the right to collect royalties, whether individually or, in the event that the Licensor is a member of a collecting society that administers voluntary licensing schemes, via that society, from any exercise by You of the rights granted under this License that is for a purpose or use which is otherwise than noncommercial as permitted under Section 4(c).
  5. Except as otherwise agreed in writing by the Licensor or as may be otherwise permitted by applicable law, if You Reproduce, Distribute or Publicly Perform the Work either by itself or as part of any Adaptations or Collections, You must not distort, mutilate, modify or take other derogatory action in relation to the Work which would be prejudicial to the Original Author's honor or reputation. Licensor agrees that in those jurisdictions (e.g. Japan), in which any exercise of the right granted in Section 3(b) of this License (the right to make Adaptations) would be deemed to be a distortion, mutilation, modification or other derogatory action prejudicial to the Original Author's honor and reputation, the Licensor will waive or not assert, as appropriate, this Section, to the fullest extent permitted by the applicable national law, to enable You to reasonably exercise Your right under Section 3(b) of this License (right to make Adaptations) but not otherwise.

5. Representations, Warranties and Disclaimer

UNLESS OTHERWISE MUTUALLY AGREED TO BY THE PARTIES IN WRITING, LICENSOR OFFERS THE WORK AS-IS AND MAKES NO REPRESENTATIONS OR WARRANTIES OF ANY KIND CONCERNING THE WORK, EXPRESS, IMPLIED, STATUTORY OR OTHERWISE, INCLUDING, WITHOUT LIMITATION, WARRANTIES OF TITLE, MERCHANTIBILITY, FITNESS FOR A PARTICULAR PURPOSE, NONINFRINGEMENT, OR THE ABSENCE OF LATENT OR OTHER DEFECTS, ACCURACY, OR THE PRESENCE OF ABSENCE OF ERRORS, WHETHER OR NOT DISCOVERABLE. SOME JURISDICTIONS DO NOT ALLOW THE EXCLUSION OF IMPLIED WARRANTIES, SO SUCH EXCLUSION MAY NOT APPLY TO YOU.

6. Limitation on Liability. EXCEPT TO THE EXTENT REQUIRED BY APPLICABLE LAW, IN NO EVENT WILL LICENSOR BE LIABLE TO YOU ON ANY LEGAL THEORY FOR ANY SPECIAL, INCIDENTAL, CONSEQUENTIAL, PUNITIVE OR EXEMPLARY DAMAGES ARISING OUT OF THIS LICENSE OR THE USE OF THE WORK, EVEN IF LICENSOR HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.

7. Termination

  1. This License and the rights granted hereunder will terminate automatically upon any breach by You of the terms of this License. Individuals or entities who have received Adaptations or Collections from You under this License, however, will not have their licenses terminated provided such individuals or entities remain in full compliance with those licenses. Sections 1, 2, 5, 6, 7, and 8 will survive any termination of this License.
  2. Subject to the above terms and conditions, the license granted here is perpetual (for the duration of the applicable copyright in the Work). Notwithstanding the above, Licensor reserves the right to release the Work under different license terms or to stop distributing the Work at any time; provided, however that any such election will not serve to withdraw this License (or any other license that has been, or is required to be, granted under the terms of this License), and this License will continue in full force and effect unless terminated as stated above.

8. Miscellaneous

  1. Each time You Distribute or Publicly Perform the Work or a Collection, the Licensor offers to the recipient a license to the Work on the same terms and conditions as the license granted to You under this License.
  2. Each time You Distribute or Publicly Perform an Adaptation, Licensor offers to the recipient a license to the original Work on the same terms and conditions as the license granted to You under this License.
  3. If any provision of this License is invalid or unenforceable under applicable law, it shall not affect the validity or enforceability of the remainder of the terms of this License, and without further action by the parties to this agreement, such provision shall be reformed to the minimum extent necessary to make such provision valid and enforceable.
  4. No term or provision of this License shall be deemed waived and no breach consented to unless such waiver or consent shall be in writing and signed by the party to be charged with such waiver or consent.
  5. This License constitutes the entire agreement between the parties with respect to the Work licensed here. There are no understandings, agreements or representations with respect to the Work not specified here. Licensor shall not be bound by any additional provisions that may appear in any communication from You. This License may not be modified without the mutual written agreement of the Licensor and You.
  6. The rights granted under, and the subject matter referenced, in this License were drafted utilizing the terminology of the Berne Convention for the Protection of Literary and Artistic Works (as amended on September 28, 1979), the Rome Convention of 1961, the WIPO Copyright Treaty of 1996, the WIPO Performances and Phonograms Treaty of 1996 and the Universal Copyright Convention (as revised on July 24, 1971). These rights and subject matter take effect in the relevant jurisdiction in which the License terms are sought to be enforced according to the corresponding provisions of the implementation of those treaty provisions in the applicable national law. If the standard suite of rights granted under applicable copyright law includes additional rights not granted under this License, such additional rights are deemed to be included in the License; this License is not intended to restrict the license of any rights under applicable law.