ID

10443

Beschrijving

Oral Health Inventory Profile Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=853C838C-C4ED-C9D6-E040-BB89AD4361D8

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=853C838C-C4ED-C9D6-E040-BB89AD4361D8

Trefwoorden

Versies (2)
  1. 19-09-12 19-09-12 -
  2. 02-06-15 02-06-15 -
Geüploaded op

2 juni 2015

DOI

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Licentie

Creative Commons BY-NC 3.0 Legacy
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Oral Health Inventory Profile

Engels

This section will ask about the impact that your implant placement has had on your well-being. For the following questions, please tell us on a scale of 0-4, with 0 being "Not at all" and 4 being "Very often", how often you experience the following.

1 Formulieren  
Oral Health assessment
Beschrijving

Oral Health assessment

Have you had trouble pronouncing any words because of problems with your implant placement
Beschrijving

DentalImplantPatientArticulationDysfunctionOralHealthImpactProfilePhysicalExaminationOralHealthImpactProfileScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus ObjectClass
C63718
UMLS 2011AA ObjectClass
C0011373
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property
C53526
UMLS 2011AA Property
C0277785
NCI Thesaurus Property
C62359
UMLS 2011AA Property
C1882162
NCI Thesaurus Property
C62183
UMLS 2011AA Property
C0234830
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Have you felt that your sense of taste has worsened because of problems with the implant placement
Beschrijving

DentalImplantPatientGustationDysfunctionOralHealthImpactProfilePhysicalExaminationOralHealthImpactProfileScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus ObjectClass
C63718
UMLS 2011AA ObjectClass
C0011373
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property
C20620
UMLS 2011AA Property
C0039336
NCI Thesaurus Property
C53526
UMLS 2011AA Property
C0277785
NCI Thesaurus Property
C62359
UMLS 2011AA Property
C1882162
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Have you had painful aching in your mouth due to the implant placement
Beschrijving

DentalImplantPatientOralCavityPainOralHealthImpactProfilePhysicalExaminationOralHealthImpactProfileScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus ObjectClass
C63718
UMLS 2011AA ObjectClass
C0011373
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property
C12421
UMLS 2011AA Property
C0226896
NCI Thesaurus Property
C3303
UMLS 2011AA Property
C0030193
NCI Thesaurus Property
C62359
UMLS 2011AA Property
C1882162
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Have you found it uncomfortable to eat any foods because of problems with your implant placement
Beschrijving

DentalImplantPatientMasticationDiscomfortOralHealthImpactProfilePhysicalExaminationOralHealthImpactProfileScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus ObjectClass
C63718
UMLS 2011AA ObjectClass
C0011373
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property
C50535
UMLS 2011AA Property
C0234215
NCI Thesaurus Property
C62062
UMLS 2011AA Property
C0024888
NCI Thesaurus Property
C62359
UMLS 2011AA Property
C1882162
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Have you been self-conscious because of problems with your implant placement
Beschrijving

DentalImplantPatientSelf-consciousOralHealthImpactProfilePhysicalExaminationOralHealthImpactProfileScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus ObjectClass
C63718
UMLS 2011AA ObjectClass
C0011373
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property
C62359
UMLS 2011AA Property
C1882162
NCI Thesaurus Property
C62186
UMLS 2011AA Property
C1882997
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Have you felt tense because of problems with your implant placement
Beschrijving

DentalImplantPatientAnxietyOralHealthImpactProfilePhysicalExaminationOralHealthImpactProfileScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus ObjectClass
C63718
UMLS 2011AA ObjectClass
C0011373
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property
C26696
UMLS 2011AA Property
C0003467
NCI Thesaurus Property
C62359
UMLS 2011AA Property
C1882162
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Has your diet been unsatisfactory because of problems with your implant placement
Beschrijving

DentalImplantPatientDietDissatisfactionOralHealthImpactProfilePhysicalExaminationOralHealthImpactProfileScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus ObjectClass
C63718
UMLS 2011AA ObjectClass
C0011373
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property
C15222
UMLS 2011AA Property
C0012155
NCI Thesaurus Property
C62184
UMLS 2011AA Property
C0870433
NCI Thesaurus Property
C62359
UMLS 2011AA Property
C1882162
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Have you had to interrupt meals because of problems with your implant placement
Beschrijving

DentalImplantPatientDietInterruptionOralHealthImpactProfilePhysicalExaminationOralHealthImpactProfileScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus ObjectClass
C63718
UMLS 2011AA ObjectClass
C0011373
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property
C15222
UMLS 2011AA Property
C0012155
NCI Thesaurus Property
C25542
UMLS 2011AA Property
C1512900
NCI Thesaurus Property
C62359
UMLS 2011AA Property
C1882162
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Have you found it difficult to relax because of problems with your implant placement
Beschrijving

DentalImplantPatientRelaxationDifficultyOralHealthImpactProfilePhysicalExaminationOralHealthImpactProfileScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus ObjectClass
C63718
UMLS 2011AA ObjectClass
C0011373
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property
C62188
UMLS 2011AA Property
C0035028
NCI Thesaurus Property
C62189
UMLS 2011AA Property
C1299586
NCI Thesaurus Property
C62359
UMLS 2011AA Property
C1882162
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Have you been a bit embarrassed because of problems with your implant placement
Beschrijving

DentalImplantPatientEmbarrassmentOralHealthImpactProfilePhysicalExaminationOralHealthImpactProfileScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus ObjectClass
C63718
UMLS 2011AA ObjectClass
C0011373
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property
C62187
UMLS 2011AA Property
C0679112
NCI Thesaurus Property
C62359
UMLS 2011AA Property
C1882162
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Have you been a bit irritable with other people because of problems with your implant placement
Beschrijving

DentalImplantPatientIrritabilityOralHealthImpactProfilePhysicalExaminationOralHealthImpactProfileScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus ObjectClass
C63718
UMLS 2011AA ObjectClass
C0011373
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property
C50623
UMLS 2011AA Property
C0022107
NCI Thesaurus Property
C62359
UMLS 2011AA Property
C1882162
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Have you had difficulty doing your usual jobs because of problems with your implant placement
Beschrijving

DentalImplantPatientOccupationDisruptionOralHealthImpactProfilePhysicalExaminationOralHealthImpactProfileScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus ObjectClass
C63718
UMLS 2011AA ObjectClass
C0011373
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property
C25486
UMLS 2011AA Property
C0332453
NCI Thesaurus Property
C25193
UMLS 2011AA Property
C0028811
NCI Thesaurus Property
C62359
UMLS 2011AA Property
C1882162
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Have you felt that life in general was less satisfying because of problems with your implant placement
Beschrijving

DentalImplantPatientDailyRoutineDissatisfactionOralHealthImpactProfilePhysicalExaminationOralHealthImpactProfileScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus ObjectClass
C63718
UMLS 2011AA ObjectClass
C0011373
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property
C25473
UMLS 2011AA Property
C0332173
NCI Thesaurus Property
C62184
UMLS 2011AA Property
C0870433
NCI Thesaurus Property
C47893
UMLS 2011AA Property
C0205547
NCI Thesaurus Property
C62359
UMLS 2011AA Property
C1882162
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Have you been totally unable to function because of problems with your implant placement
Beschrijving

DentalImplantPatientTotalDysfunctionOralHealthImpactProfilePhysicalExaminationOralHealthImpactProfileScale

Datatype

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus ObjectClass
C63718
UMLS 2011AA ObjectClass
C0011373
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property
C25304
UMLS 2011AA Property
C0439810
NCI Thesaurus Property
C53526
UMLS 2011AA Property
C0277785
NCI Thesaurus Property
C62359
UMLS 2011AA Property
C1882162
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Footer Module
Beschrijving

Footer Module

Date Questionnaire Completed
Beschrijving

QualityofLifeCompleteAssessmentDate

Datatype

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25250
UMLS 2011AA Property
C0205197
NCI Thesaurus Property
C25367
Terug naar het begin van de pagina

Similar models

This section will ask about the impact that your implant placement has had on your well-being. For the following questions, please tell us on a scale of 0-4, with 0 being "Not at all" and 4 being "Very often", how often you experience the following.

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Oral Health assessment
Item
Have you had trouble pronouncing any words because of problems with your implant placement
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C63718 (NCI Thesaurus ObjectClass)
C0011373 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C53526 (NCI Thesaurus Property)
C0277785 (UMLS 2011AA Property)
C62359 (NCI Thesaurus Property)
C1882162 (UMLS 2011AA Property)
C62183 (NCI Thesaurus Property)
C0234830 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.1
Code List
Have you had trouble pronouncing any words because of problems with your implant placement
CL Item
Fairly Often (Fairly often)
CL Item
Hardly Ever (Hardly ever)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
Occasionally (Occasionally)
CL Item
Very Often (Very often)
Item
Have you felt that your sense of taste has worsened because of problems with the implant placement
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C63718 (NCI Thesaurus ObjectClass)
C0011373 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C20620 (NCI Thesaurus Property)
C0039336 (UMLS 2011AA Property)
C53526 (NCI Thesaurus Property)
C0277785 (UMLS 2011AA Property)
C62359 (NCI Thesaurus Property)
C1882162 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.2
Code List
Have you felt that your sense of taste has worsened because of problems with the implant placement
CL Item
Fairly Often (Fairly often)
CL Item
Hardly Ever (Hardly ever)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
Occasionally (Occasionally)
CL Item
Very Often (Very often)
Item
Have you had painful aching in your mouth due to the implant placement
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C63718 (NCI Thesaurus ObjectClass)
C0011373 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C12421 (NCI Thesaurus Property)
C0226896 (UMLS 2011AA Property)
C3303 (NCI Thesaurus Property)
C0030193 (UMLS 2011AA Property)
C62359 (NCI Thesaurus Property)
C1882162 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.3
Code List
Have you had painful aching in your mouth due to the implant placement
CL Item
Fairly Often (Fairly often)
CL Item
Hardly Ever (Hardly ever)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
Occasionally (Occasionally)
CL Item
Very Often (Very often)
Item
Have you found it uncomfortable to eat any foods because of problems with your implant placement
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C63718 (NCI Thesaurus ObjectClass)
C0011373 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C50535 (NCI Thesaurus Property)
C0234215 (UMLS 2011AA Property)
C62062 (NCI Thesaurus Property)
C0024888 (UMLS 2011AA Property)
C62359 (NCI Thesaurus Property)
C1882162 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.4
Code List
Have you found it uncomfortable to eat any foods because of problems with your implant placement
CL Item
Fairly Often (Fairly often)
CL Item
Hardly Ever (Hardly ever)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
Occasionally (Occasionally)
CL Item
Very Often (Very often)
Item
Have you been self-conscious because of problems with your implant placement
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C63718 (NCI Thesaurus ObjectClass)
C0011373 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C62359 (NCI Thesaurus Property)
C1882162 (UMLS 2011AA Property)
C62186 (NCI Thesaurus Property)
C1882997 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.5
Code List
Have you been self-conscious because of problems with your implant placement
CL Item
Fairly Often (Fairly often)
CL Item
Hardly Ever (Hardly ever)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
Occasionally (Occasionally)
CL Item
Very Often (Very often)
Item
Have you felt tense because of problems with your implant placement
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C63718 (NCI Thesaurus ObjectClass)
C0011373 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C26696 (NCI Thesaurus Property)
C0003467 (UMLS 2011AA Property)
C62359 (NCI Thesaurus Property)
C1882162 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.6
Code List
Have you felt tense because of problems with your implant placement
CL Item
Fairly Often (Fairly often)
CL Item
Hardly Ever (Hardly ever)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
Occasionally (Occasionally)
CL Item
Very Often (Very often)
Item
Has your diet been unsatisfactory because of problems with your implant placement
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C63718 (NCI Thesaurus ObjectClass)
C0011373 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C15222 (NCI Thesaurus Property)
C0012155 (UMLS 2011AA Property)
C62184 (NCI Thesaurus Property)
C0870433 (UMLS 2011AA Property)
C62359 (NCI Thesaurus Property)
C1882162 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.7
Code List
Has your diet been unsatisfactory because of problems with your implant placement
CL Item
Fairly Often (Fairly often)
CL Item
Hardly Ever (Hardly ever)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
Occasionally (Occasionally)
CL Item
Very Often (Very often)
Item
Have you had to interrupt meals because of problems with your implant placement
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C63718 (NCI Thesaurus ObjectClass)
C0011373 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C15222 (NCI Thesaurus Property)
C0012155 (UMLS 2011AA Property)
C25542 (NCI Thesaurus Property)
C1512900 (UMLS 2011AA Property)
C62359 (NCI Thesaurus Property)
C1882162 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.8
Code List
Have you had to interrupt meals because of problems with your implant placement
CL Item
Fairly Often (Fairly often)
CL Item
Hardly Ever (Hardly ever)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
Occasionally (Occasionally)
CL Item
Very Often (Very often)
Item
Have you found it difficult to relax because of problems with your implant placement
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C63718 (NCI Thesaurus ObjectClass)
C0011373 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C62188 (NCI Thesaurus Property)
C0035028 (UMLS 2011AA Property)
C62189 (NCI Thesaurus Property)
C1299586 (UMLS 2011AA Property)
C62359 (NCI Thesaurus Property)
C1882162 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.9
Code List
Have you found it difficult to relax because of problems with your implant placement
CL Item
Fairly Often (Fairly often)
CL Item
Hardly Ever (Hardly ever)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
Occasionally (Occasionally)
CL Item
Very Often (Very often)
Item
Have you been a bit embarrassed because of problems with your implant placement
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C63718 (NCI Thesaurus ObjectClass)
C0011373 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C62187 (NCI Thesaurus Property)
C0679112 (UMLS 2011AA Property)
C62359 (NCI Thesaurus Property)
C1882162 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.10
Code List
Have you been a bit embarrassed because of problems with your implant placement
CL Item
Fairly Often (Fairly often)
CL Item
Hardly Ever (Hardly ever)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
Occasionally (Occasionally)
CL Item
Very Often (Very often)
Item
Have you been a bit irritable with other people because of problems with your implant placement
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C63718 (NCI Thesaurus ObjectClass)
C0011373 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C50623 (NCI Thesaurus Property)
C0022107 (UMLS 2011AA Property)
C62359 (NCI Thesaurus Property)
C1882162 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.11
Code List
Have you been a bit irritable with other people because of problems with your implant placement
CL Item
Fairly Often (Fairly often)
CL Item
Hardly Ever (Hardly ever)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
Occasionally (Occasionally)
CL Item
Very Often (Very often)
Item
Have you had difficulty doing your usual jobs because of problems with your implant placement
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C63718 (NCI Thesaurus ObjectClass)
C0011373 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25486 (NCI Thesaurus Property)
C0332453 (UMLS 2011AA Property)
C25193 (NCI Thesaurus Property)
C0028811 (UMLS 2011AA Property)
C62359 (NCI Thesaurus Property)
C1882162 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.12
Code List
Have you had difficulty doing your usual jobs because of problems with your implant placement
CL Item
Fairly Often (Fairly often)
CL Item
Hardly Ever (Hardly ever)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
Occasionally (Occasionally)
CL Item
Very Often (Very often)
Item
Have you felt that life in general was less satisfying because of problems with your implant placement
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C63718 (NCI Thesaurus ObjectClass)
C0011373 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25473 (NCI Thesaurus Property)
C0332173 (UMLS 2011AA Property)
C62184 (NCI Thesaurus Property)
C0870433 (UMLS 2011AA Property)
C47893 (NCI Thesaurus Property)
C0205547 (UMLS 2011AA Property)
C62359 (NCI Thesaurus Property)
C1882162 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.13
Code List
Have you felt that life in general was less satisfying because of problems with your implant placement
CL Item
Fairly Often (Fairly often)
CL Item
Hardly Ever (Hardly ever)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
Occasionally (Occasionally)
CL Item
Very Often (Very often)
Item
Have you been totally unable to function because of problems with your implant placement
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C63718 (NCI Thesaurus ObjectClass)
C0011373 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25304 (NCI Thesaurus Property)
C0439810 (UMLS 2011AA Property)
C53526 (NCI Thesaurus Property)
C0277785 (UMLS 2011AA Property)
C62359 (NCI Thesaurus Property)
C1882162 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.14
Code List
Have you been totally unable to function because of problems with your implant placement
CL Item
Fairly Often (Fairly often)
CL Item
Hardly Ever (Hardly ever)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
Occasionally (Occasionally)
CL Item
Very Often (Very often)
Item Group
Footer Module
QualityofLifeCompleteAssessmentDate
Item
Date Questionnaire Completed
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
C25367 (NCI Thesaurus Property)
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