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ID

10057

Descrição

A5 Radiation Therapy Oncology Group Demographic Data Form - Version 2 Adjuvant Radiation Therapy Plus Hormone Therapy Compared With Radiation Therapy Alone in Treating Patients With Stage II or Stage III Prostate Cancer NCT00023829 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A46CB05D-071D-28BA-E034-080020C9C0E0

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A46CB05D-071D-28BA-E034-080020C9C0E0

Palavras-chave

Versões (3)
  1. 19/09/2012 19/09/2012 -
  2. 11/08/2014 11/08/2014 - Martin Dugas
  3. 22/03/2015 22/03/2015 - Martin Dugas
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22 de março de 2015

DOI

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Licença

Creative Commons BY-NC 3.0 Legacy
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    Prostate Cancer RTOG NCT00023829

    Inglês

    INSTRUCTIONS: Submit this form at patient's entry on study. Complete the information by filling boxes or blanks as requested. See separate page for instructions

    1 Formulários  
    Header
    Descrição

    Header

    Date Completed (mm/dd/yyyy)
    Descrição

    DateCompleted

    Tipo de dados

    date

    RTOG Study
    Descrição

    RTOGStudy

    Tipo de dados

    text

    Case #
    Descrição

    Case#

    Tipo de dados

    text

    Institution
    Descrição

    Institution

    Tipo de dados

    text

    Institution #
    Descrição

    Institution#

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    Patient Name
    Descrição

    PatientName

    Tipo de dados

    text

    Patient ID # (10. Family History)
    Descrição

    PatientID#

    Tipo de dados

    text

    If this is a revised or corrected form, indicate by checking box. (1.)
    Descrição

    Ifthisisarevisedorcorrectedform,indicatebycheckingbox.

    Tipo de dados

    boolean

    Who completed this form? (Check one box)
    Descrição

    Whocompletedthisform?

    Tipo de dados

    text

    Patient characteristics
    Descrição

    Patient characteristics

    Race (Check one box only)
    Descrição

    PatientRace

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C17049
    UMLS 2011AA Property
    C0034510
    Other, specify (race) (2B.)
    Descrição

    Other,specify(race)

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    Additional Race/Ethnicity (If you consider yourself multiracial, check all additional categories that apply in this question Do not include what you reported in 2A.)
    Descrição

    AdditionalRace/Ethnicity

    Tipo de dados

    text

    Highest school grade completed (Check one box)
    Descrição

    Highestschoolgradecompleted

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C25190
    UMLS 2011AA ObjectClass
    C0027361
    NCI Thesaurus Property
    C16529
    UMLS 2011AA Property
    C0013622
    NCI Thesaurus Property-2
    C25525
    UMLS 2011AA Property-2
    C1522410
    Other, specify (highest school grade completed) (4.)
    Descrição

    Other,specify(highestschoolgradecompleted)

    Tipo de dados

    text

    Religion during childhood (Check one box)
    Descrição

    PersonPediatricReligionName

    Tipo de dados

    text

    Alias
    NCI Thesaurus ObjectClass
    C25190
    UMLS 2011AA ObjectClass
    C0027361
    NCI Thesaurus Property
    C39299
    UMLS 2011AA Property
    C0231335
    NCI Thesaurus ValueDomain
    C42614
    UMLS 2011AA ValueDomain
    C0027365
    NCI Thesaurus Property-2
    C17085
    UMLS 2011AA Property-2
    C0035039
    Other, specify (religion during childhood) (5.)
    Descrição

    Other,specify(religionduringchildhood)

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25685
    UMLS 2011AA ValueDomain
    C1521902
    Marital status (Check one box)
    Descrição

    Maritalstatus

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    Where were you born? (Check one box)
    Descrição

    Wherewereyouborn?

    Tipo de dados

    text

    USA, specify the 2 letter State code, eg NY
    Descrição

    USA,specifythe2letterStatecode,egNY

    Tipo de dados

    text

    Other country, specify (where you were born) (7.)
    Descrição

    Othercountry,specify(whereyouwereborn)

    Tipo de dados

    text

    Where did you live the longest (Check one box)
    Descrição

    Wheredidyoulivethelongest

    Tipo de dados

    text

    Other country, specify (where you lived the longest) (8. Cigarette History?)
    Descrição

    Othercountry,specify(whereyoulivedthelongest)

    Tipo de dados

    text

    Smoked at least 100 cigarette (5 packs) during lifetime (B.)
    Descrição

    Smoking history

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS CUI-1
    C1519384
    NCI Thesaurus Property
    C20989
    NCI Thesaurus ObjectClass
    C29719
    Age began smoking cigarettes (C.)
    Descrição

    PatientInitialCigaretteSmokingAgeYearCount

    Tipo de dados

    integer

    Alias
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25536
    NCI Thesaurus Property-2
    C18270
    NCI Thesaurus ValueDomain
    C29848
    NCI Thesaurus ValueDomain-2
    C25463
    UMLS CUI-1
    C0453999
    Number of years smoked cigarettes (D.)
    Descrição

    Numberofyearssmokedcigarettes

    Tipo de dados

    integer

    Alias
    UMLS CUI-1
    C3260576
    Average number of cigarettes smoked per day (E.)
    Descrição

    Averagenumberofcigarettessmokedperday

    Tipo de dados

    integer

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C3694146
    If quit, age stopped smoking completely
    Descrição

    PatientSmokingCessationAgeYear

    Tipo de dados

    integer

    Alias
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus ValueDomain
    C29848
    NCI Thesaurus ValueDomain-2
    C25463
    NCI Metathesaurus Property
    C0085134
    UMLS CUI-1
    C3172720
    If you have had any of the illness listed below, please check yes for those that apply. (X = Yes 2)
    Descrição

    Ifyouhavehadanyoftheillnesslistedbelow,pleasecheckyesforthosethatapply.

    Tipo de dados

    text

    Alias
    UMLS CUI-1
    C0683519
    Specify other (illness)
    Descrição

    Specifyother(illness)

    Tipo de dados

    text

    Family history
    Descrição

    Family history

    Alias
    UMLS CUI-1
    C0241889
    Brothers
    Descrição

    Brothers

    Tipo de dados

    text

    Alias
    UMLS CUI-1
    C0337527
    Sisters
    Descrição

    Sisters

    Tipo de dados

    text

    Alias
    UMLS CUI-1
    C0337514
    Sons
    Descrição

    Sons

    Tipo de dados

    text

    Alias
    UMLS CUI-1
    C0037683
    Daughters (B.)
    Descrição

    Daughters (B.)

    Tipo de dados

    text

    Alias
    UMLS CUI-1
    C0011011
    Are you adopted? (Check one)
    Descrição

    Are you adopted? (Check one)

    Tipo de dados

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25290
    UMLS CUI-1
    C0425382
    Blood relative with cancer
    Descrição

    Bloodrelativewithcancer

    Tipo de dados

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS CUI-1
    C0260515
    Age when first cancer diagnosed
    Descrição

    PersonFirstCancerDiagnosisAgeYearCount

    Tipo de dados

    integer

    Alias
    NCI Thesaurus ObjectClass
    C25190
    NCI Thesaurus Property
    C9305
    NCI Thesaurus Property-2
    C25509
    NCI Thesaurus Property-3
    C15220
    NCI Thesaurus Property-4
    C25150
    NCI Thesaurus ValueDomain
    C29848
    NCI Thesaurus ValueDomain-2
    C25463
    UMLS CUI-1
    C3172271
    Type of Cancer
    Descrição

    TypeofCancer

    Tipo de dados

    text

    Alias
    UMLS CUI-1
    C0872066
    specify (other cancers) (11A.)
    Descrição

    specify(othercancers)

    Tipo de dados

    text

    Cancer prevention trial
    Descrição

    Cancer prevention trial

    Have you ever heard of Cancer Prevention Trials? (Check one box)
    Descrição

    CancerPreventionTrialKnowledgeDocumentedInd-2

    Tipo de dados

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    NCI Thesaurus ObjectClass
    C15790
    NCI Thesaurus Property
    C25356
    NCI Metathesaurus Property
    C0376554
    UMLS CUI-1
    C1516220
    How likely would you be to volunteer to participate in Cancer Prevention Trials? (The numbers below allow you to rate your answer between 1 - never and 10 - extremely likely. Circle the number below that best describes your choice.)
    Descrição

    CancerPreventionTrialParticipationScale

    Tipo de dados

    integer

    Alias
    NCI Thesaurus ValueDomain
    C25664
    NCI Thesaurus Property
    C25608
    NCI Thesaurus ObjectClass
    C15790
    UMLS CUI-1
    C0679823
    UMLS CUI-2
    C1516220
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    Similar models

    INSTRUCTIONS: Submit this form at patient's entry on study. Complete the information by filling boxes or blanks as requested. See separate page for instructions

    1 Formulários
    Name
    Tipo
    Description | Question | Decode (Coded Value)
    Tipo de dados
    Alias
    Item Group
    Header
    DateCompleted
    Item
    Date Completed (mm/dd/yyyy)
    date
    RTOGStudy
    Item
    RTOG Study
    text
    Case#
    Item
    Case #
    text
    Institution
    Item
    Institution
    text
    Institution#
    Item
    Institution #
    text
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    PatientName
    Item
    Patient Name
    text
    PatientID#
    Item
    Patient ID # (10. Family History)
    text
    revised form
    Item
    If this is a revised or corrected form, indicate by checking box. (1.)
    boolean
    Item
    Who completed this form? (Check one box)
    text
    CL.1
    Code List
    Who completed this form? (Check one box)
    CL Item
    Self (Self)
    C25200 (NCI Thesaurus)
    C0036588 (UMLS 2011AA)
    CL Item
    Staff (Staff)
    CL Item
    Other Person (Other person)
    CL Item
    Not Applicable, No Items Completed (Not applicable, no items completed)
    Item Group
    Patient characteristics
    Item
    Race (Check one box only)
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C17049 (NCI Thesaurus Property)
    C0034510 (UMLS 2011AA Property)
    CL.2
    Code List
    Race (Check one box only)
    CL Item
    White, Not Hispanic Origin (White, not Hispanic origin)
    CL Item
    Hispanic (Hispanic)
    CL Item
    Black, Not Hispanic Origin (Black, not Hispanic origin)
    CL Item
    Native Hawaiian Or Other Pacific Islander (Native Hawaiian or other Pacific Islander)
    CL Item
    Asian (Asian)
    CL Item
    Native American / Alaskan Nation (Native American / Alaskan Nation)
    CL Item
    Other, specify (Other, specify)
    CL Item
    Unknown / I Prefer Not To Answer (Unknown / I prefer not to answer)
    Other,specify(race)
    Item
    Other, specify (race) (2B.)
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    Item
    Additional Race/Ethnicity (If you consider yourself multiracial, check all additional categories that apply in this question Do not include what you reported in 2A.)
    text
    CL.3
    Code List
    Additional Race/Ethnicity (If you consider yourself multiracial, check all additional categories that apply in this question Do not include what you reported in 2A.)
    CL Item
    White, Not Hispanic Origin (White, not Hispanic origin)
    CL Item
    Hispanic (Hispanic)
    C17459 (NCI Thesaurus)
    C0086409 (UMLS 2011AA)
    CL Item
    Black, Not Hispanic Origin (Black, not Hispanic origin)
    CL Item
    Native Hawaiian Or Other Pacific Islander (Native Hawaiian or other Pacific Islander)
    CL025744 (NCI Metathesaurus)
    CL Item
    Asian (Asian)
    CL106519 (NCI Metathesaurus)
    CL Item
    Native American / Alaskan Nation (Native American / Alaskan Nation)
    CL Item
    Unknown / I Prefer Not To Answer (Unknown / I prefer not to answer)
    Item
    Highest school grade completed (Check one box)
    text
    C25190 (NCI Thesaurus ObjectClass)
    C0027361 (UMLS 2011AA ObjectClass)
    C16529 (NCI Thesaurus Property)
    C0013622 (UMLS 2011AA Property)
    C25525 (NCI Thesaurus Property-2)
    C1522410 (UMLS 2011AA Property-2)
    CL.4
    Code List
    Highest school grade completed (Check one box)
    CL Item
    8th Or Less (8th or less)
    CL Item
    9 - 11th Grade (9 - 11th Grade)
    CL Item
    High School Graduate / Ged (High school graduate / GED)
    CL Item
    Vocational / Technical School (Vocational / technical school)
    CL Item
    Associate Degree / Some College (Associate degree / some college)
    CL Item
    Bachelor's Degree (Bachelor's degree)
    C39327 (NCI Thesaurus)
    C1511035 (UMLS 2011AA)
    CL Item
    Advanced Degree (Advanced degree)
    CL Item
    Other, Specify (Other, specify)
    CL Item
    I Prefer Not To Answer (I prefer not to answer)
    Other,specify(highestschoolgradecompleted)
    Item
    Other, specify (highest school grade completed) (4.)
    text
    Item
    Religion during childhood (Check one box)
    text
    C25190 (NCI Thesaurus ObjectClass)
    C0027361 (UMLS 2011AA ObjectClass)
    C39299 (NCI Thesaurus Property)
    C0231335 (UMLS 2011AA Property)
    C42614 (NCI Thesaurus ValueDomain)
    C0027365 (UMLS 2011AA ValueDomain)
    C17085 (NCI Thesaurus Property-2)
    C0035039 (UMLS 2011AA Property-2)
    CL.5
    Code List
    Religion during childhood (Check one box)
    CL Item
    Protestant (Protestant)
    CL Item
    Catholic (Catholic)
    CL Item
    Jewish (Jewish)
    C0178443 (NCI Metathesaurus)
    CL Item
    Morman/latter Day Saints (Morman/Latter Day Saints)
    CL Item
    Muslim / Islam (Muslim / Islam)
    CL Item
    None (None)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    CL Item
    Other, Specify (Other, specify)
    CL Item
    I Prefer Not To Answer (I prefer not to answer)
    Other,specify(religionduringchildhood)
    Item
    Other, specify (religion during childhood) (5.)
    text
    C25685 (NCI Thesaurus ValueDomain)
    C1521902 (UMLS 2011AA ValueDomain)
    Item
    Marital status (Check one box)
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    CL.6
    Code List
    Marital status (Check one box)
    CL Item
    Married (Married)
    C0555047 (NCI Metathesaurus)
    CL Item
    Widowed (Widowed)
    C51775 (NCI Thesaurus)
    C0206275 (UMLS 2011AA)
    CL Item
    Single (Single)
    CL Item
    Divorced/separated (Divorced/Separated)
    CL Item
    Living As Married (Living as married)
    CL Item
    I Prefer Not To Answer (I prefer not to answer)
    Item
    Where were you born? (Check one box)
    text
    CL.7
    Code List
    Where were you born? (Check one box)
    CL Item
    Usa, Specify The 2 Letter State Code, Eg Ny (USA, specify the 2 letter State code, eg NY)
    CL Item
    Other Country, Specify (Other country, specify)
    USA,specifythe2letterStatecode,egNY
    Item
    USA, specify the 2 letter State code, eg NY
    text
    Othercountry,specify(whereyouwereborn)
    Item
    Other country, specify (where you were born) (7.)
    text
    Item
    Where did you live the longest (Check one box)
    text
    CL.8
    Code List
    Where did you live the longest (Check one box)
    CL Item
    Usa, Specify The 2 Letter State Code, Eg Ny (USA, specify the 2 letter State code, eg NY)
    CL Item
    Other Country, Specify (Other country, specify)
    Othercountry,specify(whereyoulivedthelongest)
    Item
    Other country, specify (where you lived the longest) (8. Cigarette History?)
    text
    Item
    Smoked at least 100 cigarette (5 packs) during lifetime (B.)
    text
    C25180 (NCI Thesaurus ValueDomain)
    C1519384 (UMLS CUI-1)
    C20989 (NCI Thesaurus Property)
    C29719 (NCI Thesaurus ObjectClass)
    CL.9
    Code List
    Smoked at least 100 cigarette (5 packs) during lifetime (B.)
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Yes, But Quit (Yes, but quit)
    CL Item
    Yes, Currently Smoke (Yes, currently smoke)
    Age at starting smoking
    Item
    Age began smoking cigarettes (C.)
    integer
    C16960 (NCI Thesaurus ObjectClass)
    C25536 (NCI Thesaurus Property)
    C18270 (NCI Thesaurus Property-2)
    C29848 (NCI Thesaurus ValueDomain)
    C25463 (NCI Thesaurus ValueDomain-2)
    C0453999 (UMLS CUI-1)
    Smoking years
    Item
    Number of years smoked cigarettes (D.)
    integer
    C3260576 (UMLS CUI-1)
    number of cigarettes per day
    Item
    Average number of cigarettes smoked per day (E.)
    integer
    C25337 (NCI Thesaurus ValueDomain)
    C3694146 (UMLS CUI-1)
    Smoking cessation age
    Item
    If quit, age stopped smoking completely
    integer
    C16960 (NCI Thesaurus ObjectClass)
    C29848 (NCI Thesaurus ValueDomain)
    C25463 (NCI Thesaurus ValueDomain-2)
    C0085134 (NCI Metathesaurus Property)
    C3172720 (UMLS CUI-1)
    Item
    If you have had any of the illness listed below, please check yes for those that apply. (X = Yes 2)
    text
    C0683519 (UMLS CUI-1)
    CL.10
    Code List
    If you have had any of the illness listed below, please check yes for those that apply. (X = Yes 2)
    CL Item
    Heart Problems (Heart problems)
    C0795691 (UMLS CUI-1)
    CL Item
    Lung Problems (Lung problems)
    C0740941 (UMLS CUI-1)
    CL Item
    High Blood Pressure (High blood pressure)
    C0020538 (UMLS CUI-1)
    CL Item
    Bleeding Problems (Bleeding problems)
    C0019080 (UMLS CUI-1)
    CL Item
    Circulation Problems (Circulation problems)
    C0848724 (UMLS CUI-1)
    CL Item
    Liver Problems (Liver problems)
    C0577060 (UMLS CUI-1)
    CL Item
    Diabetes Or Sugar In Urine (Diabetes or sugar in urine)
    C0011849 (UMLS CUI-1)
    CL Item
    Kidney/urine Problems (Kidney/urine problems)
    C0812426 (UMLS CUI-1)
    CL Item
    Stroke (Stroke)
    C0038454 (UMLS CUI-1)
    CL Item
    Thyroid Problems (Thyroid problems)
    C0851024 (UMLS CUI-1)
    CL Item
    Seizure (Seizure)
    C2962 (NCI Thesaurus)
    C0036572 (UMLS CUI-1)
    CL Item
    Hiv/aids (HIV/AIDS)
    C0019682 (UMLS CUI-1)
    CL Item
    Frequent Infections (Frequent infections)
    C3829793 (UMLS CUI-1)
    CL Item
    Psychological Problems (Psychological problems)
    C0848067 (UMLS CUI-1)
    CL Item
    Other (Other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS CUI-1)
    Specifyother(illness)
    Item
    Specify other (illness)
    text
    Item Group
    Family history
    C0241889 (UMLS CUI-1)
    Brothers
    Item
    Brothers
    text
    C0337527 (UMLS CUI-1)
    Sisters
    Item
    Sisters
    text
    C0337514 (UMLS CUI-1)
    Sons
    Item
    Sons
    text
    C0037683 (UMLS CUI-1)
    Daughters
    Item
    Daughters (B.)
    text
    C0011011 (UMLS CUI-1)
    Adopted
    Item
    Are you adopted? (Check one)
    boolean
    C16960 (NCI Thesaurus ObjectClass)
    C25290 (NCI Thesaurus Property)
    C0425382 (UMLS CUI-1)
    Item
    Blood relative with cancer
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0260515 (UMLS CUI-1)
    CL.12
    Code List
    Blood relative with cancer
    CL Item
    Father (Father)
    C25174 (NCI Thesaurus)
    C0015671 (UMLS 2011AA)
    CL Item
    Mother (Mother)
    C25189 (NCI Thesaurus)
    C0026591 (UMLS 2011AA)
    CL Item
    Brother #1 (Brother #1)
    CL Item
    Brother #2 (Brother #2)
    CL Item
    Brother #3 (Brother #3)
    CL Item
    Brother #4 (Brother #4)
    CL Item
    Sister #1 (Sister #1)
    CL Item
    Sister #2 (Sister #2)
    CL Item
    Sister #3 (Sister #3)
    CL Item
    Sister #4 (Sister #4)
    CL Item
    Child #1 (Child #1)
    CL Item
    Child #2 (Child #2)
    CL Item
    Child #3 (Child #3)
    CL Item
    Child #4 (Child #4)
    Age at first cancer diagnosis
    Item
    Age when first cancer diagnosed
    integer
    C25190 (NCI Thesaurus ObjectClass)
    C9305 (NCI Thesaurus Property)
    C25509 (NCI Thesaurus Property-2)
    C15220 (NCI Thesaurus Property-3)
    C25150 (NCI Thesaurus Property-4)
    C29848 (NCI Thesaurus ValueDomain)
    C25463 (NCI Thesaurus ValueDomain-2)
    C3172271 (UMLS CUI-1)
    Item
    Type of Cancer
    text
    C0872066 (UMLS CUI-1)
    CL.13
    Code List
    Type of Cancer
    CL Item
    Lung (Lung)
    C12468 (NCI Thesaurus)
    C0024109 (UMLS 2011AA)
    CL Item
    Breast (Breast)
    C12971 (NCI Thesaurus)
    C0006141 (UMLS 2011AA)
    CL Item
    Colon (Colon)
    C12382 (NCI Thesaurus)
    C0009368 (UMLS 2011AA)
    CL Item
    Prostate (Prostate)
    C12410 (NCI Thesaurus)
    C0033572 (UMLS 2011AA)
    CL Item
    Head & Neck (Head & Neck)
    CL Item
    Non Melanoma Skin (Non Melanoma Skin)
    CL Item
    Other (Other)
    C17649 (NCI Thesaurus)
    C0205394 (UMLS 2011AA)
    specify(othercancers)
    Item
    specify (other cancers) (11A.)
    text
    Item Group
    Cancer prevention trial
    Cancer Prevention Trial
    Item
    Have you ever heard of Cancer Prevention Trials? (Check one box)
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C15790 (NCI Thesaurus ObjectClass)
    C25356 (NCI Thesaurus Property)
    C0376554 (NCI Metathesaurus Property)
    C1516220 (UMLS CUI-1)
    Item
    How likely would you be to volunteer to participate in Cancer Prevention Trials? (The numbers below allow you to rate your answer between 1 - never and 10 - extremely likely. Circle the number below that best describes your choice.)
    integer
    C25664 (NCI Thesaurus ValueDomain)
    C25608 (NCI Thesaurus Property)
    C15790 (NCI Thesaurus ObjectClass)
    C0679823 (UMLS CUI-1)
    C1516220 (UMLS CUI-2)
    CL.15
    Code List
    How likely would you be to volunteer to participate in Cancer Prevention Trials? (The numbers below allow you to rate your answer between 1 - never and 10 - extremely likely. Circle the number below that best describes your choice.)
    CL Item
    1 (1)
    CL Item
    2 (2)
    C66833 (NCI Thesaurus)
    CL Item
    3 (3)
    CL Item
    4 (4)
    CL Item
    5 (5)
    CL Item
    6 (6)
    CL Item
    7 (7)
    CL Item
    8 (8)
    CL Item
    9 (9)
    CL Item
    10 (10)
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