ID

1110

Description

CALGB-40502 PHYSICAL ACTIVITY QUESTIONNAIRE Paclitaxel, Paclitaxel Albumin-Stabilized Nanoparticle Formulation, or Ixabepilone With or Without Bevacizumab in Treating Patients With Stage IIIC or Stage IV Breast Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7B07C2F1-242E-5D8F-E040-BB89AD4327F7

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7B07C2F1-242E-5D8F-E040-BB89AD4327F7

Keywords

Versions (3)
  1. 8/27/12 8/27/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 6/18/15 6/18/15 -
Uploaded on

August 27, 2012

DOI

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License

Creative Commons BY-NC 3.0 Legacy
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Breast Cancer NCT00785291 Treatment - CALGB-40502 PHYSICAL ACTIVITY QUESTIONNAIRE - 2970805v1.0

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.

1 forms  
Unnamed1
Description

Unnamed1

CALGB Form
Description

CALGBFormIdentifierNumber

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ObjectClass
C19464
UMLS 2011AA ObjectClass
C0376315
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus ObjectClass
C25442
UMLS 2011AA ObjectClass
C1516238
CALGB Study No
Description

ProtocolCALGBIdentifierNumber

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ObjectClass
C25320
UMLS 2011AA ObjectClass
C1507394
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus Property
C25442
UMLS 2011AA Property
C1516238
CALGB Patient ID
Description

PatientCALGBIdentifierNumber

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus Property
C25442
UMLS 2011AA Property
C1516238
Date form completed (MM DD YYYY)
Description

FormCompleteDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C40988
UMLS 2011AA ObjectClass
C1516308
NCI Thesaurus Property
C25250
UMLS 2011AA Property
C0205197
NCI Thesaurus ValueDomain
C25367
Are data amended
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
Unnamed2
Description

Unnamed2

Patient Initials (Last, First Middle)
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
Patient Hospital No.
Description

PatientMedicalRecordNumber

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C25261
UMLS 2011AA Property
C0205476
NCI Thesaurus Property
C25198
UMLS 2011AA Property
C0034869
Institution/Affiliate
Description

CombinedInstitutionName

Data type

text

Alias
NCI Thesaurus ObjectClass
C25454
UMLS 2011AA ObjectClass
C0205195
NCI Thesaurus ObjectClass
C21541
UMLS 2011AA ObjectClass
C0018704
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ValueDomain
C21541
UMLS 2011AA ValueDomain
C0018704
Participating Group
Description

ParticipatingGroupName

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ObjectClass
C25608
UMLS 2011AA ObjectClass
C0679823
NCI Thesaurus ObjectClass
C17005
UMLS 2011AA ObjectClass
C1257890
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
Participating Group Study No.
Description

ProtocolParticipatingIdentifierNumber

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ObjectClass
C25320
UMLS 2011AA ObjectClass
C1507394
NCI Thesaurus Property
C25608
UMLS 2011AA Property
C0679823
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
Participating Group Patient ID
Description

PatientParticipatingIdentifierNumber

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C25608
UMLS 2011AA Property
C0679823
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
During The Past Month, About How Much Time Did You Spend Doing These Recreational Activities Each Week?
Description

During The Past Month, About How Much Time Did You Spend Doing These Recreational Activities Each Week?

Walking for exercise or walking to work
Description

PhysicalActivityWalkingExerciseAssessmentWeekMonthDuration

Data type

text

Alias
NCI Thesaurus ObjectClass
C17708
UMLS 2011AA ObjectClass
C0026606
NCI Thesaurus Property
C25217
UMLS 2011AA Property
C1516048
NCI Thesaurus Property
C16567
UMLS 2011AA Property
C0015259
NCI Thesaurus Property
C73554
UMLS 2011AA Property
C0080331
NCI Thesaurus ValueDomain
C29846
UMLS 2011AA ValueDomain
C0439231
NCI Thesaurus ValueDomain
C29844
UMLS 2011AA ValueDomain
C0439230
NCI Thesaurus ValueDomain
C25330
UMLS 2011AA ValueDomain
C0449238
Jogging (slower than 10-minute mile)
Description

PhysicalActivitySlowJoggingAssessmentWeekMonthDuration

Data type

text

Alias
NCI Thesaurus ObjectClass
C17708
UMLS 2011AA ObjectClass
C0026606
NCI Thesaurus Property
C25217
UMLS 2011AA Property
C1516048
NCI Thesaurus Property
C64655
UMLS 2011AA Property
C0439834
NCI Thesaurus Property
C85398
UMLS 2011AA Property
C0022400
NCI Thesaurus ValueDomain
C29846
UMLS 2011AA ValueDomain
C0439231
NCI Thesaurus ValueDomain
C29844
UMLS 2011AA ValueDomain
C0439230
NCI Thesaurus ValueDomain
C25330
UMLS 2011AA ValueDomain
C0449238
Running (10-minute miles or faster)
Description

PhysicalActivityIncreaseJoggingAssessmentWeekMonthDuration

Data type

text

Alias
NCI Thesaurus ObjectClass
C17708
UMLS 2011AA ObjectClass
C0026606
NCI Thesaurus Property
C25217
UMLS 2011AA Property
C1516048
NCI Thesaurus Property
C25533
UMLS 2011AA Property
C0442805
NCI Thesaurus Property
C85398
UMLS 2011AA Property
C0022400
NCI Thesaurus ValueDomain
C29846
UMLS 2011AA ValueDomain
C0439231
NCI Thesaurus ValueDomain
C29844
UMLS 2011AA ValueDomain
C0439230
NCI Thesaurus ValueDomain
C25330
UMLS 2011AA ValueDomain
C0449238
Bicycling (including stationary bicycle)
Description

PhysicalActivityBicyclingAssessmentWeekMonthDuration

Data type

text

Alias
NCI Thesaurus ObjectClass
C17708
UMLS 2011AA ObjectClass
C0026606
NCI Thesaurus Property
C25217
UMLS 2011AA Property
C1516048
NCI Thesaurus Property
C85401
UMLS 2011AA Property
C0005377
NCI Thesaurus ValueDomain
C29846
UMLS 2011AA ValueDomain
C0439231
NCI Thesaurus ValueDomain
C29844
UMLS 2011AA ValueDomain
C0439230
NCI Thesaurus ValueDomain
C25330
UMLS 2011AA ValueDomain
C0449238
Tennis, squash, racquetball
Description

PhysicalActivityRacquetSportAssessmentWeekMonthDuration

Data type

text

Alias
NCI Thesaurus ObjectClass
C17708
UMLS 2011AA ObjectClass
C0026606
NCI Thesaurus Property
C25217
UMLS 2011AA Property
C1516048
NCI Thesaurus Property
C85400
UMLS 2011AA Property
C0034512
NCI Thesaurus ValueDomain
C29846
UMLS 2011AA ValueDomain
C0439231
NCI Thesaurus ValueDomain
C29844
UMLS 2011AA ValueDomain
C0439230
NCI Thesaurus ValueDomain
C25330
UMLS 2011AA ValueDomain
C0449238
Lap swimming
Description

PhysicalActivityWaterExerciseAssessmentWeekMonthDuration

Data type

text

Alias
NCI Thesaurus ObjectClass
C17708
UMLS 2011AA ObjectClass
C0026606
NCI Thesaurus Property
C25217
UMLS 2011AA Property
C1516048
NCI Thesaurus Property
C16567
UMLS 2011AA Property
C0015259
NCI Thesaurus Property
C65147
UMLS 2011AA Property
C0043047
NCI Thesaurus ValueDomain
C29846
UMLS 2011AA ValueDomain
C0439231
NCI Thesaurus ValueDomain
C29844
UMLS 2011AA ValueDomain
C0439230
NCI Thesaurus ValueDomain
C25330
UMLS 2011AA ValueDomain
C0449238
Other aerobic exercise (aerobic dancing, ski or stair machine, etc.)
Description

PhysicalActivityAerobicExerciseAssessmentWeekMonthDuration

Data type

text

Alias
NCI Thesaurus ObjectClass
C17708
UMLS 2011AA ObjectClass
C0026606
NCI Thesaurus Property
C25217
UMLS 2011AA Property
C1516048
NCI Thesaurus Property
C39774
UMLS 2011AA Property
C0001701
NCI Thesaurus ValueDomain
C29846
UMLS 2011AA ValueDomain
C0439231
NCI Thesaurus ValueDomain
C29844
UMLS 2011AA ValueDomain
C0439230
NCI Thesaurus ValueDomain
C25330
UMLS 2011AA ValueDomain
C0449238
Any other vigorous activities (lawn mowing, etc.)
Description

PhysicalActivityOtherActivityAssessmentWeekMonthDuration

Data type

text

Alias
NCI Thesaurus ObjectClass
C17708
UMLS 2011AA ObjectClass
C0026606
NCI Thesaurus Property
C17649
UMLS 2011AA Property
C0205394
NCI Thesaurus Property
C43431
UMLS 2011AA Property
C0441655
NCI Thesaurus Property
C25217
UMLS 2011AA Property
C1516048
NCI Thesaurus ValueDomain
C29846
UMLS 2011AA ValueDomain
C0439231
NCI Thesaurus ValueDomain
C29844
UMLS 2011AA ValueDomain
C0439230
NCI Thesaurus ValueDomain
C25330
UMLS 2011AA ValueDomain
C0449238
Lower intensity exercise (yoga, stretching, Pilates, toning)
Description

PhysicalActivityLowIntensityExerciseAssessmentWeekMonthDuration

Data type

text

Alias
NCI Thesaurus ObjectClass
C17708
UMLS 2011AA ObjectClass
C0026606
NCI Thesaurus Property
C25217
UMLS 2011AA Property
C1516048
NCI Thesaurus Property
C54722
UMLS 2011AA Property
C0205251
NCI Thesaurus Property
C25539
UMLS 2011AA Property
C0522510
NCI Thesaurus Property
C16567
UMLS 2011AA Property
C0015259
NCI Thesaurus ValueDomain
C29846
UMLS 2011AA ValueDomain
C0439231
NCI Thesaurus ValueDomain
C29844
UMLS 2011AA ValueDomain
C0439230
NCI Thesaurus ValueDomain
C25330
UMLS 2011AA ValueDomain
C0449238
Weight training or resistance exercises (including free weights or machines such as Nautilus)
Description

PhysicalActivityWeightExerciseAssessmentWeekMonthDuration

Data type

text

Alias
NCI Thesaurus ObjectClass
C17708
UMLS 2011AA ObjectClass
C0026606
NCI Thesaurus Property
C25217
UMLS 2011AA Property
C1516048
NCI Thesaurus Property
C25208
UMLS 2011AA Property
C0043100
NCI Thesaurus Property
C16567
UMLS 2011AA Property
C0015259
NCI Thesaurus ValueDomain
C29846
UMLS 2011AA ValueDomain
C0439231
NCI Thesaurus ValueDomain
C29844
UMLS 2011AA ValueDomain
C0439230
NCI Thesaurus ValueDomain
C25330
UMLS 2011AA ValueDomain
C0449238
During The Past Month, About How Much Time Did You Spend Doing These Activities Each Week?
Description

During The Past Month, About How Much Time Did You Spend Doing These Activities Each Week?

Standing or walking around at work or away from home
Description

PhysicalActivityStandingWalkingAssessmentHourWeekMonthDuration

Data type

text

Alias
NCI Thesaurus ObjectClass
C17708
UMLS 2011AA ObjectClass
C0026606
NCI Thesaurus Property
C25217
UMLS 2011AA Property
C1516048
NCI Thesaurus Property
C73554
UMLS 2011AA Property
C0080331
NCI Thesaurus Property
C62166
UMLS 2011AA Property
C0231472
NCI Thesaurus ValueDomain
C29846
UMLS 2011AA ValueDomain
C0439231
NCI Thesaurus ValueDomain
C25529
UMLS 2011AA ValueDomain
C0439227
NCI Thesaurus ValueDomain
C29844
UMLS 2011AA ValueDomain
C0439230
NCI Thesaurus ValueDomain
C25330
UMLS 2011AA ValueDomain
C0449238
Standing or walking around at home
Description

PhysicalActivityStandingWalkingHomeAssessmentHourWeekMonthDuration

Data type

text

Alias
NCI Thesaurus ObjectClass
C17708
UMLS 2011AA ObjectClass
C0026606
NCI Thesaurus Property
C25217
UMLS 2011AA Property
C1516048
NCI Thesaurus Property
C18002
UMLS 2011AA Property
C0442519
NCI Thesaurus Property
C73554
UMLS 2011AA Property
C0080331
NCI Thesaurus Property
C62166
UMLS 2011AA Property
C0231472
NCI Thesaurus ValueDomain
C29846
UMLS 2011AA ValueDomain
C0439231
NCI Thesaurus ValueDomain
C25529
UMLS 2011AA ValueDomain
C0439227
NCI Thesaurus ValueDomain
C29844
UMLS 2011AA ValueDomain
C0439230
NCI Thesaurus ValueDomain
C25330
UMLS 2011AA ValueDomain
C0449238
Sitting at work or away from home or while driving
Description

PhysicalActivitySittingAssessmentHourWeekMonthDuration

Data type

text

Alias
NCI Thesaurus ObjectClass
C17708
UMLS 2011AA ObjectClass
C0026606
NCI Thesaurus Property
C25217
UMLS 2011AA Property
C1516048
NCI Thesaurus Property
C62122
UMLS 2011AA Property
C0277814
NCI Thesaurus ValueDomain
C29846
UMLS 2011AA ValueDomain
C0439231
NCI Thesaurus ValueDomain
C25529
UMLS 2011AA ValueDomain
C0439227
NCI Thesaurus ValueDomain
C29844
UMLS 2011AA ValueDomain
C0439230
NCI Thesaurus ValueDomain
C25330
UMLS 2011AA ValueDomain
C0449238
Sitting at home while watching TV/videos/DVDs
Description

PhysicalActivitySittingHomeAssessmentHourWeekMonthDuration

Data type

text

Alias
NCI Thesaurus ObjectClass
C17708
UMLS 2011AA ObjectClass
C0026606
NCI Thesaurus Property
C25217
UMLS 2011AA Property
C1516048
NCI Thesaurus Property
C18002
UMLS 2011AA Property
C0442519
NCI Thesaurus Property
C62122
UMLS 2011AA Property
C0277814
NCI Thesaurus ValueDomain
C29846
UMLS 2011AA ValueDomain
C0439231
NCI Thesaurus ValueDomain
C25529
UMLS 2011AA ValueDomain
C0439227
NCI Thesaurus ValueDomain
C29844
UMLS 2011AA ValueDomain
C0439230
NCI Thesaurus ValueDomain
C25330
UMLS 2011AA ValueDomain
C0449238
Other sitting at home (that is, not watching TV/videos/DVDs)
Description

PhysicalActivityOtherSittingHomeAssessmentHourWeekMonthDuration

Data type

text

Alias
NCI Thesaurus ObjectClass
C17708
UMLS 2011AA ObjectClass
C0026606
NCI Thesaurus Property
C17649
UMLS 2011AA Property
C0205394
NCI Thesaurus Property
C25217
UMLS 2011AA Property
C1516048
NCI Thesaurus Property
C18002
UMLS 2011AA Property
C0442519
NCI Thesaurus Property
C62122
UMLS 2011AA Property
C0277814
NCI Thesaurus ValueDomain
C29846
UMLS 2011AA ValueDomain
C0439231
NCI Thesaurus ValueDomain
C25529
UMLS 2011AA ValueDomain
C0439227
NCI Thesaurus ValueDomain
C29844
UMLS 2011AA ValueDomain
C0439230
NCI Thesaurus ValueDomain
C25330
UMLS 2011AA ValueDomain
C0449238
Unnamed 2
Description

Unnamed 2

What is your usual walking pace outdoors
Description

PhysicalActivityWalkingExerciseAssessmentRate

Data type

text

Alias
NCI Thesaurus ObjectClass
C17708
UMLS 2011AA ObjectClass
C0026606
NCI Thesaurus Property
C25217
UMLS 2011AA Property
C1516048
NCI Thesaurus Property
C16567
UMLS 2011AA Property
C0015259
NCI Thesaurus Property
C73554
UMLS 2011AA Property
C0080331
NCI Thesaurus ValueDomain
C25636
UMLS 2011AA ValueDomain
C1521828
How many flights of stairs (not individual steps) do you climb daily
Description

PhysicalActivityStaircaseClimbingAssessmentDailyCount

Data type

text

Alias
NCI Thesaurus ObjectClass
C17708
UMLS 2011AA ObjectClass
C0026606
NCI Thesaurus Property
C25217
UMLS 2011AA Property
C1516048
NCI Thesaurus Property
C48960
UMLS 2011AA Property
C1710179
NCI Thesaurus Property
C81002
UMLS 2011AA Property
C2584300
NCI Thesaurus ValueDomain
C25473
UMLS 2011AA ValueDomain
C0332173
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
Comments
Description

Comments

Comments
Description

ResearchCommentsText

Data type

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
NCI Thesaurus ObjectClass
C15319
NCI Thesaurus Property
C25393
UMLS 2011AA Property
C0282411
Completed by (Last name, First name)
Description

ResponsiblePersonName

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ObjectClass
C25657
UMLS 2011AA ObjectClass
C1273518
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
Date form completed (MM DD YYYY)
Description

FormCompleteDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C40988
UMLS 2011AA ObjectClass
C1516308
NCI Thesaurus Property
C25250
UMLS 2011AA Property
C0205197
NCI Thesaurus ValueDomain
C25367
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INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. For optimal accuracy use black ink.

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Unnamed1
CALGBFormIdentifierNumber
Item
CALGB Form
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C19464 (NCI Thesaurus ObjectClass)
C0376315 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25442 (NCI Thesaurus ObjectClass)
C1516238 (UMLS 2011AA ObjectClass)
ProtocolCALGBIdentifierNumber
Item
CALGB Study No
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25320 (NCI Thesaurus ObjectClass)
C1507394 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25442 (NCI Thesaurus Property)
C1516238 (UMLS 2011AA Property)
PatientCALGBIdentifierNumber
Item
CALGB Patient ID
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25442 (NCI Thesaurus Property)
C1516238 (UMLS 2011AA Property)
FormCompleteDate
Item
Date form completed (MM DD YYYY)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C40988 (NCI Thesaurus ObjectClass)
C1516308 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
C25367 (NCI Thesaurus ValueDomain)
Item
Are data amended
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
Are data amended
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item Group
Unnamed2
PatientInitialsName
Item
Patient Initials (Last, First Middle)
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)
PatientMedicalRecordNumber
Item
Patient Hospital No.
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25261 (NCI Thesaurus Property)
C0205476 (UMLS 2011AA Property)
C25198 (NCI Thesaurus Property)
C0034869 (UMLS 2011AA Property)
CombinedInstitutionName
Item
Institution/Affiliate
text
C25454 (NCI Thesaurus ObjectClass)
C0205195 (UMLS 2011AA ObjectClass)
C21541 (NCI Thesaurus ObjectClass)
C0018704 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C21541 (NCI Thesaurus ValueDomain)
C0018704 (UMLS 2011AA ValueDomain)
ParticipatingGroupName
Item
Participating Group
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25608 (NCI Thesaurus ObjectClass)
C0679823 (UMLS 2011AA ObjectClass)
C17005 (NCI Thesaurus ObjectClass)
C1257890 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
ProtocolParticipatingIdentifierNumber
Item
Participating Group Study No.
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25320 (NCI Thesaurus ObjectClass)
C1507394 (UMLS 2011AA ObjectClass)
C25608 (NCI Thesaurus Property)
C0679823 (UMLS 2011AA Property)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
PatientParticipatingIdentifierNumber
Item
Participating Group Patient ID
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25608 (NCI Thesaurus Property)
C0679823 (UMLS 2011AA Property)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
Item Group
During The Past Month, About How Much Time Did You Spend Doing These Recreational Activities Each Week?
Item
Walking for exercise or walking to work
text
C17708 (NCI Thesaurus ObjectClass)
C0026606 (UMLS 2011AA ObjectClass)
C25217 (NCI Thesaurus Property)
C1516048 (UMLS 2011AA Property)
C16567 (NCI Thesaurus Property)
C0015259 (UMLS 2011AA Property)
C73554 (NCI Thesaurus Property)
C0080331 (UMLS 2011AA Property)
C29846 (NCI Thesaurus ValueDomain)
C0439231 (UMLS 2011AA ValueDomain)
C29844 (NCI Thesaurus ValueDomain)
C0439230 (UMLS 2011AA ValueDomain)
C25330 (NCI Thesaurus ValueDomain)
C0449238 (UMLS 2011AA ValueDomain)
CL.2
Code List
Walking for exercise or walking to work
CL Item
1 Hour (1 hour)
CL Item
1 To 1.5 Hours (1 to 1.5 hours)
CL Item
1 To 4 Minutes (1 to 4 min.)
CL Item
11 Or More Hours (11 or more hours)
CL Item
2 To 3 Hours (2 to 3 hours)
CL Item
20 To 59 Minutes (20 to 59 min.)
CL Item
4 To 6 Hours (4 to 6 hours)
CL Item
5 To 19 Minutes (5 to 19 min.)
CL Item
7 To 10 Hours (7 to 10 hours)
CL Item
Zero (Zero)
C70430 (NCI Thesaurus)
C0919414 (UMLS 2011AA)
Item
Jogging (slower than 10-minute mile)
text
C17708 (NCI Thesaurus ObjectClass)
C0026606 (UMLS 2011AA ObjectClass)
C25217 (NCI Thesaurus Property)
C1516048 (UMLS 2011AA Property)
C64655 (NCI Thesaurus Property)
C0439834 (UMLS 2011AA Property)
C85398 (NCI Thesaurus Property)
C0022400 (UMLS 2011AA Property)
C29846 (NCI Thesaurus ValueDomain)
C0439231 (UMLS 2011AA ValueDomain)
C29844 (NCI Thesaurus ValueDomain)
C0439230 (UMLS 2011AA ValueDomain)
C25330 (NCI Thesaurus ValueDomain)
C0449238 (UMLS 2011AA ValueDomain)
CL.3
Code List
Jogging (slower than 10-minute mile)
CL Item
1 Hour (1 hour)
CL Item
1 To 1.5 Hours (1 to 1.5 hours)
CL Item
1 To 4 Minutes (1 to 4 min.)
CL Item
11 Or More Hours (11 or more hours)
CL Item
2 To 3 Hours (2 to 3 hours)
CL Item
20 To 59 Minutes (20 to 59 min.)
CL Item
4 To 6 Hours (4 to 6 hours)
CL Item
5 To 19 Minutes (5 to 19 min.)
CL Item
7 To 10 Hours (7 to 10 hours)
CL Item
Zero (Zero)
C70430 (NCI Thesaurus)
C0919414 (UMLS 2011AA)
Item
Running (10-minute miles or faster)
text
C17708 (NCI Thesaurus ObjectClass)
C0026606 (UMLS 2011AA ObjectClass)
C25217 (NCI Thesaurus Property)
C1516048 (UMLS 2011AA Property)
C25533 (NCI Thesaurus Property)
C0442805 (UMLS 2011AA Property)
C85398 (NCI Thesaurus Property)
C0022400 (UMLS 2011AA Property)
C29846 (NCI Thesaurus ValueDomain)
C0439231 (UMLS 2011AA ValueDomain)
C29844 (NCI Thesaurus ValueDomain)
C0439230 (UMLS 2011AA ValueDomain)
C25330 (NCI Thesaurus ValueDomain)
C0449238 (UMLS 2011AA ValueDomain)
CL.4
Code List
Running (10-minute miles or faster)
CL Item
1 Hour (1 hour)
CL Item
1 To 1.5 Hours (1 to 1.5 hours)
CL Item
1 To 4 Minutes (1 to 4 min.)
CL Item
11 Or More Hours (11 or more hours)
CL Item
2 To 3 Hours (2 to 3 hours)
CL Item
20 To 59 Minutes (20 to 59 min.)
CL Item
4 To 6 Hours (4 to 6 hours)
CL Item
5 To 19 Minutes (5 to 19 min.)
CL Item
7 To 10 Hours (7 to 10 hours)
CL Item
Zero (Zero)
C70430 (NCI Thesaurus)
C0919414 (UMLS 2011AA)
Item
Bicycling (including stationary bicycle)
text
C17708 (NCI Thesaurus ObjectClass)
C0026606 (UMLS 2011AA ObjectClass)
C25217 (NCI Thesaurus Property)
C1516048 (UMLS 2011AA Property)
C85401 (NCI Thesaurus Property)
C0005377 (UMLS 2011AA Property)
C29846 (NCI Thesaurus ValueDomain)
C0439231 (UMLS 2011AA ValueDomain)
C29844 (NCI Thesaurus ValueDomain)
C0439230 (UMLS 2011AA ValueDomain)
C25330 (NCI Thesaurus ValueDomain)
C0449238 (UMLS 2011AA ValueDomain)
CL.5
Code List
Bicycling (including stationary bicycle)
CL Item
1 Hour (1 hour)
CL Item
1 To 1.5 Hours (1 to 1.5 hours)
CL Item
1 To 4 Minutes (1 to 4 min.)
CL Item
11 Or More Hours (11 or more hours)
CL Item
2 To 3 Hours (2 to 3 hours)
CL Item
20 To 59 Minutes (20 to 59 min.)
CL Item
4 To 6 Hours (4 to 6 hours)
CL Item
5 To 19 Minutes (5 to 19 min.)
CL Item
7 To 10 Hours (7 to 10 hours)
CL Item
Zero (Zero)
C70430 (NCI Thesaurus)
C0919414 (UMLS 2011AA)
Item
Tennis, squash, racquetball
text
C17708 (NCI Thesaurus ObjectClass)
C0026606 (UMLS 2011AA ObjectClass)
C25217 (NCI Thesaurus Property)
C1516048 (UMLS 2011AA Property)
C85400 (NCI Thesaurus Property)
C0034512 (UMLS 2011AA Property)
C29846 (NCI Thesaurus ValueDomain)
C0439231 (UMLS 2011AA ValueDomain)
C29844 (NCI Thesaurus ValueDomain)
C0439230 (UMLS 2011AA ValueDomain)
C25330 (NCI Thesaurus ValueDomain)
C0449238 (UMLS 2011AA ValueDomain)
CL.6
Code List
Tennis, squash, racquetball
CL Item
1 Hour (1 hour)
CL Item
1 To 1.5 Hours (1 to 1.5 hours)
CL Item
1 To 4 Minutes (1 to 4 min.)
CL Item
11 Or More Hours (11 or more hours)
CL Item
2 To 3 Hours (2 to 3 hours)
CL Item
20 To 59 Minutes (20 to 59 min.)
CL Item
4 To 6 Hours (4 to 6 hours)
CL Item
5 To 19 Minutes (5 to 19 min.)
CL Item
7 To 10 Hours (7 to 10 hours)
CL Item
Zero (Zero)
C70430 (NCI Thesaurus)
C0919414 (UMLS 2011AA)
Item
Lap swimming
text
C17708 (NCI Thesaurus ObjectClass)
C0026606 (UMLS 2011AA ObjectClass)
C25217 (NCI Thesaurus Property)
C1516048 (UMLS 2011AA Property)
C16567 (NCI Thesaurus Property)
C0015259 (UMLS 2011AA Property)
C65147 (NCI Thesaurus Property)
C0043047 (UMLS 2011AA Property)
C29846 (NCI Thesaurus ValueDomain)
C0439231 (UMLS 2011AA ValueDomain)
C29844 (NCI Thesaurus ValueDomain)
C0439230 (UMLS 2011AA ValueDomain)
C25330 (NCI Thesaurus ValueDomain)
C0449238 (UMLS 2011AA ValueDomain)
CL.7
Code List
Lap swimming
CL Item
1 Hour (1 hour)
CL Item
1 To 1.5 Hours (1 to 1.5 hours)
CL Item
1 To 4 Minutes (1 to 4 min.)
CL Item
11 Or More Hours (11 or more hours)
CL Item
2 To 3 Hours (2 to 3 hours)
CL Item
20 To 59 Minutes (20 to 59 min.)
CL Item
4 To 6 Hours (4 to 6 hours)
CL Item
5 To 19 Minutes (5 to 19 min.)
CL Item
7 To 10 Hours (7 to 10 hours)
CL Item
Zero (Zero)
C70430 (NCI Thesaurus)
C0919414 (UMLS 2011AA)
Item
Other aerobic exercise (aerobic dancing, ski or stair machine, etc.)
text
C17708 (NCI Thesaurus ObjectClass)
C0026606 (UMLS 2011AA ObjectClass)
C25217 (NCI Thesaurus Property)
C1516048 (UMLS 2011AA Property)
C39774 (NCI Thesaurus Property)
C0001701 (UMLS 2011AA Property)
C29846 (NCI Thesaurus ValueDomain)
C0439231 (UMLS 2011AA ValueDomain)
C29844 (NCI Thesaurus ValueDomain)
C0439230 (UMLS 2011AA ValueDomain)
C25330 (NCI Thesaurus ValueDomain)
C0449238 (UMLS 2011AA ValueDomain)
CL.8
Code List
Other aerobic exercise (aerobic dancing, ski or stair machine, etc.)
CL Item
1 Hour (1 hour)
CL Item
1 To 1.5 Hours (1 to 1.5 hours)
CL Item
1 To 4 Minutes (1 to 4 min.)
CL Item
11 Or More Hours (11 or more hours)
CL Item
2 To 3 Hours (2 to 3 hours)
CL Item
20 To 59 Minutes (20 to 59 min.)
CL Item
4 To 6 Hours (4 to 6 hours)
CL Item
5 To 19 Minutes (5 to 19 min.)
CL Item
7 To 10 Hours (7 to 10 hours)
CL Item
Zero (Zero)
C70430 (NCI Thesaurus)
C0919414 (UMLS 2011AA)
Item
Any other vigorous activities (lawn mowing, etc.)
text
C17708 (NCI Thesaurus ObjectClass)
C0026606 (UMLS 2011AA ObjectClass)
C17649 (NCI Thesaurus Property)
C0205394 (UMLS 2011AA Property)
C43431 (NCI Thesaurus Property)
C0441655 (UMLS 2011AA Property)
C25217 (NCI Thesaurus Property)
C1516048 (UMLS 2011AA Property)
C29846 (NCI Thesaurus ValueDomain)
C0439231 (UMLS 2011AA ValueDomain)
C29844 (NCI Thesaurus ValueDomain)
C0439230 (UMLS 2011AA ValueDomain)
C25330 (NCI Thesaurus ValueDomain)
C0449238 (UMLS 2011AA ValueDomain)
CL.9
Code List
Any other vigorous activities (lawn mowing, etc.)
CL Item
1 Hour (1 hour)
CL Item
1 To 1.5 Hours (1 to 1.5 hours)
CL Item
1 To 4 Minutes (1 to 4 min.)
CL Item
11 Or More Hours (11 or more hours)
CL Item
2 To 3 Hours (2 to 3 hours)
CL Item
20 To 59 Minutes (20 to 59 min.)
CL Item
4 To 6 Hours (4 to 6 hours)
CL Item
5 To 19 Minutes (5 to 19 min.)
CL Item
7 To 10 Hours (7 to 10 hours)
CL Item
Zero (Zero)
C70430 (NCI Thesaurus)
C0919414 (UMLS 2011AA)
Item
Lower intensity exercise (yoga, stretching, Pilates, toning)
text
C17708 (NCI Thesaurus ObjectClass)
C0026606 (UMLS 2011AA ObjectClass)
C25217 (NCI Thesaurus Property)
C1516048 (UMLS 2011AA Property)
C54722 (NCI Thesaurus Property)
C0205251 (UMLS 2011AA Property)
C25539 (NCI Thesaurus Property)
C0522510 (UMLS 2011AA Property)
C16567 (NCI Thesaurus Property)
C0015259 (UMLS 2011AA Property)
C29846 (NCI Thesaurus ValueDomain)
C0439231 (UMLS 2011AA ValueDomain)
C29844 (NCI Thesaurus ValueDomain)
C0439230 (UMLS 2011AA ValueDomain)
C25330 (NCI Thesaurus ValueDomain)
C0449238 (UMLS 2011AA ValueDomain)
CL.10
Code List
Lower intensity exercise (yoga, stretching, Pilates, toning)
CL Item
1 Hour (1 hour)
CL Item
1 To 1.5 Hours (1 to 1.5 hours)
CL Item
1 To 4 Minutes (1 to 4 min.)
CL Item
11 Or More Hours (11 or more hours)
CL Item
2 To 3 Hours (2 to 3 hours)
CL Item
20 To 59 Minutes (20 to 59 min.)
CL Item
4 To 6 Hours (4 to 6 hours)
CL Item
5 To 19 Minutes (5 to 19 min.)
CL Item
7 To 10 Hours (7 to 10 hours)
CL Item
Zero (Zero)
C70430 (NCI Thesaurus)
C0919414 (UMLS 2011AA)
Item
Weight training or resistance exercises (including free weights or machines such as Nautilus)
text
C17708 (NCI Thesaurus ObjectClass)
C0026606 (UMLS 2011AA ObjectClass)
C25217 (NCI Thesaurus Property)
C1516048 (UMLS 2011AA Property)
C25208 (NCI Thesaurus Property)
C0043100 (UMLS 2011AA Property)
C16567 (NCI Thesaurus Property)
C0015259 (UMLS 2011AA Property)
C29846 (NCI Thesaurus ValueDomain)
C0439231 (UMLS 2011AA ValueDomain)
C29844 (NCI Thesaurus ValueDomain)
C0439230 (UMLS 2011AA ValueDomain)
C25330 (NCI Thesaurus ValueDomain)
C0449238 (UMLS 2011AA ValueDomain)
CL.11
Code List
Weight training or resistance exercises (including free weights or machines such as Nautilus)
CL Item
1 Hour (1 hour)
CL Item
1 To 1.5 Hours (1 to 1.5 hours)
CL Item
1 To 4 Minutes (1 to 4 min.)
CL Item
11 Or More Hours (11 or more hours)
CL Item
2 To 3 Hours (2 to 3 hours)
CL Item
20 To 59 Minutes (20 to 59 min.)
CL Item
4 To 6 Hours (4 to 6 hours)
CL Item
5 To 19 Minutes (5 to 19 min.)
CL Item
7 To 10 Hours (7 to 10 hours)
CL Item
Zero (Zero)
C70430 (NCI Thesaurus)
C0919414 (UMLS 2011AA)
Item Group
During The Past Month, About How Much Time Did You Spend Doing These Activities Each Week?
Item
Standing or walking around at work or away from home
text
C17708 (NCI Thesaurus ObjectClass)
C0026606 (UMLS 2011AA ObjectClass)
C25217 (NCI Thesaurus Property)
C1516048 (UMLS 2011AA Property)
C73554 (NCI Thesaurus Property)
C0080331 (UMLS 2011AA Property)
C62166 (NCI Thesaurus Property)
C0231472 (UMLS 2011AA Property)
C29846 (NCI Thesaurus ValueDomain)
C0439231 (UMLS 2011AA ValueDomain)
C25529 (NCI Thesaurus ValueDomain)
C0439227 (UMLS 2011AA ValueDomain)
C29844 (NCI Thesaurus ValueDomain)
C0439230 (UMLS 2011AA ValueDomain)
C25330 (NCI Thesaurus ValueDomain)
C0449238 (UMLS 2011AA ValueDomain)
CL.12
Code List
Standing or walking around at work or away from home
CL Item
0 Hours (0 hours)
CL Item
1 Hour (1 hour)
CL Item
11 To 20 Hours (11 to 20 hours)
CL Item
2 To 5 Hours (2 to 5 hours)
CL Item
21 To 40 Hours (21 to 40 hours)
CL Item
40 To 60 Hours (40 to 60 hours)
CL Item
6 To 10 Hours (6 to 10 hours)
CL Item
61 To 90 Hours (61 to 90 hours)
CL Item
Over 90 Hours (over 90 hours)
Item
Standing or walking around at home
text
C17708 (NCI Thesaurus ObjectClass)
C0026606 (UMLS 2011AA ObjectClass)
C25217 (NCI Thesaurus Property)
C1516048 (UMLS 2011AA Property)
C18002 (NCI Thesaurus Property)
C0442519 (UMLS 2011AA Property)
C73554 (NCI Thesaurus Property)
C0080331 (UMLS 2011AA Property)
C62166 (NCI Thesaurus Property)
C0231472 (UMLS 2011AA Property)
C29846 (NCI Thesaurus ValueDomain)
C0439231 (UMLS 2011AA ValueDomain)
C25529 (NCI Thesaurus ValueDomain)
C0439227 (UMLS 2011AA ValueDomain)
C29844 (NCI Thesaurus ValueDomain)
C0439230 (UMLS 2011AA ValueDomain)
C25330 (NCI Thesaurus ValueDomain)
C0449238 (UMLS 2011AA ValueDomain)
CL.13
Code List
Standing or walking around at home
CL Item
0 Hours (0 hours)
CL Item
1 Hour (1 hour)
CL Item
11 To 20 Hours (11 to 20 hours)
CL Item
2 To 5 Hours (2 to 5 hours)
CL Item
21 To 40 Hours (21 to 40 hours)
CL Item
40 To 60 Hours (40 to 60 hours)
CL Item
6 To 10 Hours (6 to 10 hours)
CL Item
61 To 90 Hours (61 to 90 hours)
CL Item
Over 90 Hours (over 90 hours)
Item
Sitting at work or away from home or while driving
text
C17708 (NCI Thesaurus ObjectClass)
C0026606 (UMLS 2011AA ObjectClass)
C25217 (NCI Thesaurus Property)
C1516048 (UMLS 2011AA Property)
C62122 (NCI Thesaurus Property)
C0277814 (UMLS 2011AA Property)
C29846 (NCI Thesaurus ValueDomain)
C0439231 (UMLS 2011AA ValueDomain)
C25529 (NCI Thesaurus ValueDomain)
C0439227 (UMLS 2011AA ValueDomain)
C29844 (NCI Thesaurus ValueDomain)
C0439230 (UMLS 2011AA ValueDomain)
C25330 (NCI Thesaurus ValueDomain)
C0449238 (UMLS 2011AA ValueDomain)
CL.14
Code List
Sitting at work or away from home or while driving
CL Item
0 Hours (0 hours)
CL Item
1 Hour (1 hour)
CL Item
11 To 20 Hours (11 to 20 hours)
CL Item
2 To 5 Hours (2 to 5 hours)
CL Item
21 To 40 Hours (21 to 40 hours)
CL Item
40 To 60 Hours (40 to 60 hours)
CL Item
6 To 10 Hours (6 to 10 hours)
CL Item
61 To 90 Hours (61 to 90 hours)
CL Item
Over 90 Hours (over 90 hours)
Item
Sitting at home while watching TV/videos/DVDs
text
C17708 (NCI Thesaurus ObjectClass)
C0026606 (UMLS 2011AA ObjectClass)
C25217 (NCI Thesaurus Property)
C1516048 (UMLS 2011AA Property)
C18002 (NCI Thesaurus Property)
C0442519 (UMLS 2011AA Property)
C62122 (NCI Thesaurus Property)
C0277814 (UMLS 2011AA Property)
C29846 (NCI Thesaurus ValueDomain)
C0439231 (UMLS 2011AA ValueDomain)
C25529 (NCI Thesaurus ValueDomain)
C0439227 (UMLS 2011AA ValueDomain)
C29844 (NCI Thesaurus ValueDomain)
C0439230 (UMLS 2011AA ValueDomain)
C25330 (NCI Thesaurus ValueDomain)
C0449238 (UMLS 2011AA ValueDomain)
CL.15
Code List
Sitting at home while watching TV/videos/DVDs
CL Item
0 Hours (0 hours)
CL Item
1 Hour (1 hour)
CL Item
11 To 20 Hours (11 to 20 hours)
CL Item
2 To 5 Hours (2 to 5 hours)
CL Item
21 To 40 Hours (21 to 40 hours)
CL Item
40 To 60 Hours (40 to 60 hours)
CL Item
6 To 10 Hours (6 to 10 hours)
CL Item
61 To 90 Hours (61 to 90 hours)
CL Item
Over 90 Hours (over 90 hours)
Item
Other sitting at home (that is, not watching TV/videos/DVDs)
text
C17708 (NCI Thesaurus ObjectClass)
C0026606 (UMLS 2011AA ObjectClass)
C17649 (NCI Thesaurus Property)
C0205394 (UMLS 2011AA Property)
C25217 (NCI Thesaurus Property)
C1516048 (UMLS 2011AA Property)
C18002 (NCI Thesaurus Property)
C0442519 (UMLS 2011AA Property)
C62122 (NCI Thesaurus Property)
C0277814 (UMLS 2011AA Property)
C29846 (NCI Thesaurus ValueDomain)
C0439231 (UMLS 2011AA ValueDomain)
C25529 (NCI Thesaurus ValueDomain)
C0439227 (UMLS 2011AA ValueDomain)
C29844 (NCI Thesaurus ValueDomain)
C0439230 (UMLS 2011AA ValueDomain)
C25330 (NCI Thesaurus ValueDomain)
C0449238 (UMLS 2011AA ValueDomain)
CL.16
Code List
Other sitting at home (that is, not watching TV/videos/DVDs)
CL Item
0 Hours (0 hours)
CL Item
1 Hour (1 hour)
CL Item
11 To 20 Hours (11 to 20 hours)
CL Item
2 To 5 Hours (2 to 5 hours)
CL Item
21 To 40 Hours (21 to 40 hours)
CL Item
40 To 60 Hours (40 to 60 hours)
CL Item
6 To 10 Hours (6 to 10 hours)
CL Item
61 To 90 Hours (61 to 90 hours)
CL Item
Over 90 Hours (over 90 hours)
Item Group
Unnamed 2
Item
What is your usual walking pace outdoors
text
C17708 (NCI Thesaurus ObjectClass)
C0026606 (UMLS 2011AA ObjectClass)
C25217 (NCI Thesaurus Property)
C1516048 (UMLS 2011AA Property)
C16567 (NCI Thesaurus Property)
C0015259 (UMLS 2011AA Property)
C73554 (NCI Thesaurus Property)
C0080331 (UMLS 2011AA Property)
C25636 (NCI Thesaurus ValueDomain)
C1521828 (UMLS 2011AA ValueDomain)
CL.17
Code List
What is your usual walking pace outdoors
CL Item
Brisk Pace (3 To 3.9 Mph) (Brisk pace (3 to 3.9 mph))
CL Item
Easy, Casual (less Than 2 Mph) (Easy, casual (less than 2 mph))
CL Item
Normal, Average (Normal, average)
CL Item
Unable To Walk (Unable to walk)
CL Item
Very Brisk/striding (4 Mph Or Faster) (Very brisk/striding (4 mph or faster))
Item
How many flights of stairs (not individual steps) do you climb daily
text
C17708 (NCI Thesaurus ObjectClass)
C0026606 (UMLS 2011AA ObjectClass)
C25217 (NCI Thesaurus Property)
C1516048 (UMLS 2011AA Property)
C48960 (NCI Thesaurus Property)
C1710179 (UMLS 2011AA Property)
C81002 (NCI Thesaurus Property)
C2584300 (UMLS 2011AA Property)
C25473 (NCI Thesaurus ValueDomain)
C0332173 (UMLS 2011AA ValueDomain)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
CL.18
Code List
How many flights of stairs (not individual steps) do you climb daily
CL Item
10 To 14 Flights Of Stairs (10 to 14 flights)
CL Item
15 Or More Flights Of Stairs (15 or more flights)
CL Item
2 Flights Of Stairs Or Less (2 flights or less)
CL Item
3 To 4 Flights Of Stairs (3 to 4 flights)
CL Item
5 To 9 Flights Of Stairs (5 to 9 flights)
Item Group
Comments
ResearchCommentsText
Item
Comments
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0282411 (UMLS 2011AA Property)
ResponsiblePersonName
Item
Completed by (Last name, First name)
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25657 (NCI Thesaurus ObjectClass)
C1273518 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
FormCompleteDate
Item
Date form completed (MM DD YYYY)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C40988 (NCI Thesaurus ObjectClass)
C1516308 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
C25367 (NCI Thesaurus ValueDomain)
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