ID

3319

Description

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

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9A132BA5-9085-FFE2-E040-BB89AD43727A

Keywords

Versions (2)
  1. 9/19/12 9/19/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
Uploaded on

September 19, 2012

DOI

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License

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

English

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

1 forms  
Unnamed Module 1
Description

Unnamed Module 1

RTOG Study No.
Description

ProtocolRTOGIdentifierNumber

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ObjectClass
C25320
UMLS 2011AA ObjectClass
C1507394
NCI Thesaurus Property
C19778
UMLS 2011AA Property
C1514695
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
Case #
Description

RadiationTherapyOncologyGroupPatientCaseIdentifierNumber

Data type

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus ObjectClass
C19778
UMLS 2011AA ObjectClass
C1514695
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus Property
C49152
UMLS 2011AA Property
C1706256
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
Institution Name
Description

InstitutionName

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ObjectClass
C21541
UMLS 2011AA ObjectClass
C0018704
NCI Thesaurus ValueDomain
C21541
UMLS 2011AA ValueDomain
C0018704
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
Institution No.
Description

InstitutionIdentifierNumber

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ObjectClass
C21541
UMLS 2011AA ObjectClass
C0018704
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
Patient Initials
Description

PatientInitialsName

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C25536
UMLS 2011AA Property
C1555582
RTOG Patient ID
Description

PatientRadiationTherapyOncologyGroupIdentifierNumber

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C19778
UMLS 2011AA Property
C1514695
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
Amended data
Description

DataAmendedInd-3

Data type

text

Alias
NCI Thesaurus ValueDomain
C38148
UMLS 2011AA ValueDomain
C1512699
NCI Thesaurus ObjectClass
C25474
UMLS 2011AA ObjectClass
C1511726
NCI Thesaurus Property
C25416
UMLS 2011AA Property
C1691222
Hearing Handicap Inventory For Adults Screening Questionnaire (newmaent Al., 1990; Newmaent Al., 1991)
Description

Hearing Handicap Inventory For Adults Screening Questionnaire (newmaent Al., 1990; Newmaent Al., 1991)

Date
Description

AssessmentPerformedDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C25367
NCI Thesaurus ValueDomain
C25367
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
Does a hearing problem cause you to feel embarrassed when meeting new people
Description

HearingProblemQualityofLifeEmbarrassmentEvaluationStatus

Data type

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass
C28020
UMLS 2011AA ObjectClass
C0033213
NCI Thesaurus ObjectClass
C16670
UMLS 2011AA ObjectClass
C0018767
NCI Thesaurus Property
C25214
UMLS 2011AA Property
C0220825
NCI Thesaurus Property
C62187
UMLS 2011AA Property
C0679112
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
Does a hearing problem cause you to feel frustrated when talking to members of your family
Description

HearingProblemQualityofLifeFrustrationEvaluationStatus

Data type

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass
C28020
UMLS 2011AA ObjectClass
C0033213
NCI Thesaurus ObjectClass
C16670
UMLS 2011AA ObjectClass
C0018767
NCI Thesaurus Property
C25214
UMLS 2011AA Property
C0220825
NCI Thesaurus Property
C61483
UMLS 2011AA Property
C0016770
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
Does a hearing problem cause you difficulty hearing/understanding coworkers, clients, or customers
Description

HearingProblemQualityofLifeAuditoryEvaluationStatus

Data type

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass
C28020
UMLS 2011AA ObjectClass
C0033213
NCI Thesaurus ObjectClass
C16670
UMLS 2011AA ObjectClass
C0018767
NCI Thesaurus Property
C25214
UMLS 2011AA Property
C0220825
NCI Thesaurus Property
C37915
UMLS 2011AA Property
C0439825
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
Do you feel handicapped by a hearing problem
Description

HearingProblemQualityofLifeDysfunctionEvaluationStatus

Data type

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass
C28020
UMLS 2011AA ObjectClass
C0033213
NCI Thesaurus ObjectClass
C16670
UMLS 2011AA ObjectClass
C0018767
NCI Thesaurus Property
C25214
UMLS 2011AA Property
C0220825
NCI Thesaurus Property
C53526
UMLS 2011AA Property
C0277785
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
Does a hearing problem cause you difficulty when visiting friends, relatives, or neighbors
Description

HearingProblemQualityofLifeSpeakEvaluationStatus

Data type

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass
C28020
UMLS 2011AA ObjectClass
C0033213
NCI Thesaurus ObjectClass
C16670
UMLS 2011AA ObjectClass
C0018767
NCI Thesaurus Property
C25214
UMLS 2011AA Property
C0220825
NCI Thesaurus Property
C86914
UMLS 2011AA Property
C0234856
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
Does a hearing problem cause you difficulty in the movies or theater
Description

HearingProblemQualityofLifeMovieEvaluationStatus

Data type

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass
C28020
UMLS 2011AA ObjectClass
C0033213
NCI Thesaurus ObjectClass
C16670
UMLS 2011AA ObjectClass
C0018767
NCI Thesaurus Property
C25214
UMLS 2011AA Property
C0220825
NCI Thesaurus Property
C75001
UMLS 2011AA Property
C0681495
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
Does a hearing problem cause you to have arguments with family members
Description

HearingProblemQualityofLifeDiscussionDisagreementEvaluationStatus

Data type

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass
C28020
UMLS 2011AA ObjectClass
C0033213
NCI Thesaurus ObjectClass
C16670
UMLS 2011AA ObjectClass
C0018767
NCI Thesaurus Property
C25214
UMLS 2011AA Property
C0220825
NCI Thesaurus Property
C54274
UMLS 2011AA Property
C0680238
NCI Thesaurus Property
C71323
UMLS 2011AA Property
C2584313
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
Does a hearing problem cause you difficulty when listening to TV or radio
Description

HearingProblemQualityofLifeComprehensionEvaluationStatus

Data type

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass
C28020
UMLS 2011AA ObjectClass
C0033213
NCI Thesaurus ObjectClass
C16670
UMLS 2011AA ObjectClass
C0018767
NCI Thesaurus Property
C25214
UMLS 2011AA Property
C0220825
NCI Thesaurus Property
C86022
UMLS 2011AA Property
C0162340
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
Do you feel that any difficulty with your hearing limits or hampers your personal or social life
Description

HearingProblemQualityofLifeSocialEvaluationStatus

Data type

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass
C28020
UMLS 2011AA ObjectClass
C0033213
NCI Thesaurus ObjectClass
C16670
UMLS 2011AA ObjectClass
C0018767
NCI Thesaurus Property
C25214
UMLS 2011AA Property
C0220825
NCI Thesaurus Property
C62650
UMLS 2011AA Property
C0728831
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
Does a hearing problem cause you difficulty when in a restaurant with relatives or friends
Description

HearingProblemQualityofLifeBuildingEvaluationStatus

Data type

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass
C28020
UMLS 2011AA ObjectClass
C0033213
NCI Thesaurus ObjectClass
C16670
UMLS 2011AA ObjectClass
C0018767
NCI Thesaurus Property
C25214
UMLS 2011AA Property
C0220825
NCI Thesaurus Property
C80231
UMLS 2011AA Property
C1999269
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
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Similar models

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

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Unnamed Module 1
ProtocolRTOGIdentifierNumber
Item
RTOG Study No.
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25320 (NCI Thesaurus ObjectClass)
C1507394 (UMLS 2011AA ObjectClass)
C19778 (NCI Thesaurus Property)
C1514695 (UMLS 2011AA Property)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
RadiationTherapyOncologyGroupPatientCaseIdentifierNumber
Item
Case #
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C19778 (NCI Thesaurus ObjectClass)
C1514695 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C49152 (NCI Thesaurus Property)
C1706256 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
InstitutionName
Item
Institution Name
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C21541 (NCI Thesaurus ObjectClass)
C0018704 (UMLS 2011AA ObjectClass)
C21541 (NCI Thesaurus ValueDomain)
C0018704 (UMLS 2011AA ValueDomain)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
InstitutionIdentifierNumber
Item
Institution No.
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C21541 (NCI Thesaurus ObjectClass)
C0018704 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
PatientInitialsName
Item
Patient Initials
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25536 (NCI Thesaurus Property)
C1555582 (UMLS 2011AA Property)
PatientRadiationTherapyOncologyGroupIdentifierNumber
Item
RTOG Patient ID
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C19778 (NCI Thesaurus Property)
C1514695 (UMLS 2011AA Property)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
Item
Amended data
text
C38148 (NCI Thesaurus ValueDomain)
C1512699 (UMLS 2011AA ValueDomain)
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
CL.1
Code List
Amended data
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item Group
Hearing Handicap Inventory For Adults Screening Questionnaire (newmaent Al., 1990; Newmaent Al., 1991)
AssessmentPerformedDate
Item
Date
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus ValueDomain)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
Item
Does a hearing problem cause you to feel embarrassed when meeting new people
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass)
C0033213 (UMLS 2011AA ObjectClass)
C16670 (NCI Thesaurus ObjectClass)
C0018767 (UMLS 2011AA ObjectClass)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C62187 (NCI Thesaurus Property)
C0679112 (UMLS 2011AA Property)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
CL.2
Code List
Does a hearing problem cause you to feel embarrassed when meeting new people
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Sometimes (Sometimes)
C90025 (NCI Thesaurus)
CL Item
No (No)
Item
Does a hearing problem cause you to feel frustrated when talking to members of your family
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass)
C0033213 (UMLS 2011AA ObjectClass)
C16670 (NCI Thesaurus ObjectClass)
C0018767 (UMLS 2011AA ObjectClass)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C61483 (NCI Thesaurus Property)
C0016770 (UMLS 2011AA Property)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
CL.3
Code List
Does a hearing problem cause you to feel frustrated when talking to members of your family
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Sometimes (Sometimes)
C90025 (NCI Thesaurus)
CL Item
No (No)
Item
Does a hearing problem cause you difficulty hearing/understanding coworkers, clients, or customers
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass)
C0033213 (UMLS 2011AA ObjectClass)
C16670 (NCI Thesaurus ObjectClass)
C0018767 (UMLS 2011AA ObjectClass)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C37915 (NCI Thesaurus Property)
C0439825 (UMLS 2011AA Property)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
CL.4
Code List
Does a hearing problem cause you difficulty hearing/understanding coworkers, clients, or customers
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Sometimes (Sometimes)
C90025 (NCI Thesaurus)
CL Item
No (No)
Item
Do you feel handicapped by a hearing problem
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass)
C0033213 (UMLS 2011AA ObjectClass)
C16670 (NCI Thesaurus ObjectClass)
C0018767 (UMLS 2011AA ObjectClass)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C53526 (NCI Thesaurus Property)
C0277785 (UMLS 2011AA Property)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
CL.5
Code List
Do you feel handicapped by a hearing problem
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Sometimes (Sometimes)
C90025 (NCI Thesaurus)
CL Item
No (No)
Item
Does a hearing problem cause you difficulty when visiting friends, relatives, or neighbors
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass)
C0033213 (UMLS 2011AA ObjectClass)
C16670 (NCI Thesaurus ObjectClass)
C0018767 (UMLS 2011AA ObjectClass)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C86914 (NCI Thesaurus Property)
C0234856 (UMLS 2011AA Property)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
CL.6
Code List
Does a hearing problem cause you difficulty when visiting friends, relatives, or neighbors
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Sometimes (Sometimes)
C90025 (NCI Thesaurus)
CL Item
No (No)
Item
Does a hearing problem cause you difficulty in the movies or theater
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass)
C0033213 (UMLS 2011AA ObjectClass)
C16670 (NCI Thesaurus ObjectClass)
C0018767 (UMLS 2011AA ObjectClass)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C75001 (NCI Thesaurus Property)
C0681495 (UMLS 2011AA Property)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
CL.7
Code List
Does a hearing problem cause you difficulty in the movies or theater
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Sometimes (Sometimes)
C90025 (NCI Thesaurus)
CL Item
No (No)
Item
Does a hearing problem cause you to have arguments with family members
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass)
C0033213 (UMLS 2011AA ObjectClass)
C16670 (NCI Thesaurus ObjectClass)
C0018767 (UMLS 2011AA ObjectClass)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C54274 (NCI Thesaurus Property)
C0680238 (UMLS 2011AA Property)
C71323 (NCI Thesaurus Property)
C2584313 (UMLS 2011AA Property)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
CL.8
Code List
Does a hearing problem cause you to have arguments with family members
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Sometimes (Sometimes)
C90025 (NCI Thesaurus)
CL Item
No (No)
Item
Does a hearing problem cause you difficulty when listening to TV or radio
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass)
C0033213 (UMLS 2011AA ObjectClass)
C16670 (NCI Thesaurus ObjectClass)
C0018767 (UMLS 2011AA ObjectClass)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C86022 (NCI Thesaurus Property)
C0162340 (UMLS 2011AA Property)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
CL.9
Code List
Does a hearing problem cause you difficulty when listening to TV or radio
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Sometimes (Sometimes)
C90025 (NCI Thesaurus)
CL Item
No (No)
Item
Do you feel that any difficulty with your hearing limits or hampers your personal or social life
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass)
C0033213 (UMLS 2011AA ObjectClass)
C16670 (NCI Thesaurus ObjectClass)
C0018767 (UMLS 2011AA ObjectClass)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C62650 (NCI Thesaurus Property)
C0728831 (UMLS 2011AA Property)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
CL.10
Code List
Do you feel that any difficulty with your hearing limits or hampers your personal or social life
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Sometimes (Sometimes)
C90025 (NCI Thesaurus)
CL Item
No (No)
Item
Does a hearing problem cause you difficulty when in a restaurant with relatives or friends
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass)
C0033213 (UMLS 2011AA ObjectClass)
C16670 (NCI Thesaurus ObjectClass)
C0018767 (UMLS 2011AA ObjectClass)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C80231 (NCI Thesaurus Property)
C1999269 (UMLS 2011AA Property)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
CL.11
Code List
Does a hearing problem cause you difficulty when in a restaurant with relatives or friends
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Sometimes (Sometimes)
C90025 (NCI Thesaurus)
CL Item
No (No)
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