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Beschreibung

Southwest Oncology Group Medical Conditions Questionnaire Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A4CF6FCD-888E-36E1-E034-080020C9C0E0

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A4CF6FCD-888E-36E1-E034-080020C9C0E0

Stichworte

Versionen (3)
  1. 19.09.12 19.09.12 -
  2. 09.01.15 09.01.15 - Martin Dugas
  3. 03.07.15 03.07.15 -
Hochgeladen am

3. Juli 2015

DOI

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Creative Commons BY-NC 3.0 Legacy
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    Southwest Oncology Group Medical Conditions Questionnaire

    Englisch

    No Instruction available.

    1 Formulare  
    1. StudyEvent: Southwest Oncology Group Medical Conditions Questionnaire
      1. No Instruction available.
    SWOG clinical trial administrative data
    Beschreibung

    SWOG clinical trial administrative data

    SWOG Patient ID
    Beschreibung

    SWOGPatientID

    Datentyp

    text

    SWOG Study No.
    Beschreibung

    SWOGStudyNo.

    Datentyp

    text

    Registration Step
    Beschreibung

    RegistrationStep

    Datentyp

    text

    Patient Initials (L, F M)
    Beschreibung

    Patient Initials

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C2986440
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25536
    Date
    Beschreibung

    Date

    Datentyp

    date

    Alias
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    Institution/Affiliate
    Beschreibung

    MainMemberInstitution/Affiliate

    Datentyp

    text

    Physician
    Beschreibung

    RegisteredInvestigator

    Datentyp

    text

    Medical Conditions
    Beschreibung

    Medical Conditions

    Have you ever had a heart attack?
    Beschreibung

    Haveyoueverhadaheartattack?

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    Have you ever been treated for heart failure? (You may have been short of breath and the doctor may have told you that you had fluid in your lungs or that your heart was not pumping well.)
    Beschreibung

    Haveyoueverbeentreatedforheartfailure?

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    Have you had an operation to unclog or bypass the arteries in your legs?
    Beschreibung

    LowerExtremityPatientArteryBypassPersonalMedicalHistoryInd-2

    Datentyp

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Metathesaurus ObjectClass
    C0023216
    NCI Thesaurus Property
    C12372
    UMLS 2011AA Property
    C0003842
    NCI Thesaurus Property-2
    C18772
    UMLS 2011AA Property-2
    C0262926
    NCI Thesaurus Property-3
    C15723
    UMLS 2011AA Property-3
    C0741847
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    Have you had an operation or procedure to unclog or bypass the arteries in your heart?
    Beschreibung

    HeartPatientArteryBypassPersonalMedicalHistoryInd-3

    Datentyp

    boolean

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus ObjectClass-2
    C12727
    UMLS 2011AA ObjectClass-2
    C0018787
    NCI Thesaurus Property
    C12372
    UMLS 2011AA Property
    C0003842
    NCI Thesaurus Property-2
    C18772
    UMLS 2011AA Property-2
    C0262926
    NCI Thesaurus Property-3
    C15723
    UMLS 2011AA Property-3
    C0741847
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    Have you had a stroke, cerebrovascular accident, blood clot or bleeding in the brain, or transient ischemic attack (TIA)?
    Beschreibung

    Haveyouhadastroke,cerebrovascularaccident,bloodclotorbleedinginthebrain,ortransientischemicattack(TIA)?

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    If you have had any of these problems, do you have difficulty moving an arm or leg as a result of the stroke or cerebrovascular accident?
    Beschreibung

    Ifyouhavehadanyoftheseproblems,doyouhavedifficultymovinganarmorlegasaresultofthestrokeorcerebrovascularaccident?

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    Do you have asthma?
    Beschreibung

    Doyouhaveasthma?

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    If you have asthma, do you take medicines for your asthma?
    Beschreibung

    Ifyouhaveasthma,doyoutakemedicinesforyourasthma?

    Datentyp

    text

    Do you have emphysema, chronic bronchitis, or chronic obstructive lung disease?
    Beschreibung

    Doyouhaveemphysema,chronicbronchitis,orchronicobstructivelungdisease?

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    If you have any of these lung diseases, do you take medicines for your condition?
    Beschreibung

    Ifyouhaveanyoftheselungdiseases,doyoutakemedicinesforyourcondition?

    Datentyp

    text

    Do you have stomach ulcers, or peptic ulcer disease?
    Beschreibung

    Doyouhavestomachulcers,orpepticulcerdisease?

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C18772
    UMLS 2011AA Property
    C0262926
    NCI Thesaurus Property-2
    C25757
    UMLS 2011AA Property-2
    C0041582
    If you have any of these conditions, has it been diagnosed by a doctor looking into your stomach through a scope, or by asking you to swallow a chalky dye and then having x-rays taken?
    Beschreibung

    Ifyouhaveanyoftheseconditions,hasitbeendiagnosedbyadoctorlookingintoyourstomachthroughascope,orbyaskingyoutoswallowachalkydyeandthenhavingx-raystaken?

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    Do you have diabetes (high blood sugar)?
    Beschreibung

    Doyouhavediabetes(highbloodsugar)?

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    If you have diabetes, are you being treated for it?
    Beschreibung

    Ifyouhavediabetes,areyoubeingtreatedforit?

    Datentyp

    text

    If you have diabetes, has it caused problems with your kidneys?
    Beschreibung

    Ifyouhavediabetes,hasitcausedproblemswithyourkidneys?

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    If you have diabetes, has it caused problems with your eyes, treated by an ophthalmologist?
    Beschreibung

    Ifyouhavediabetes,hasitcausedproblemswithyoureyes,treatedbyanophthalmologist?

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    Have you ever had poor kidney function (blood tests show high creatinine)?
    Beschreibung

    Haveyoueverhadpoorkidneyfunction(bloodtestsshowhighcreatinine)?

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    Have you have used hemodialysis or peritoneal dialysis?
    Beschreibung

    Haveyouhaveusedhemodialysisorperitonealdialysis?

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    Have you ever received a kidney transplantation?
    Beschreibung

    Haveyoueverreceivedakidneytransplantation?

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    Do you have rheumatoid arthritis?
    Beschreibung

    Doyouhaverheumatoidarthritis?

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    If you have rheumatoid arthritis, do you take medications for it regularly?
    Beschreibung

    Ifyouhaverheumatoidarthritis,doyoutakemedicationsforitregularly?

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    Do you have lupus (systemic lupus erythematosus)?
    Beschreibung

    Doyouhavelupus(systemiclupuserythematosus)?

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    Do you have polymyalgia rheumatica (inflammatory disorder causing joint and muscle pain)?
    Beschreibung

    Doyouhavepolymyalgiarheumatica(inflammatorydisordercausingjointandmusclepain)?

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    Do you have Alzheimer's Disease, or another form of dementia?
    Beschreibung

    DoyouhaveAlzheimer'sDisease,oranotherformofdementia?

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    Do you have cirrhosis, or serious liver damage?
    Beschreibung

    Doyouhavecirrhosis,orseriousliverdamage?

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    Have you had any type of cancer (other than common skin cancer such as basal or squamous cell skin cancer) that was successfully treated more than 5 years ago?
    Beschreibung

    Haveyouhadanytypeofcancer(otherthancommonskincancersuchasbasalorsquamouscellskincancer)thatwassuccessfullytreatedmorethan5yearsago?

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    If you were treated for cancer more than 5 years ago had the cancer spread, or metastasized, to other parts of your body?
    Beschreibung

    Ifyouweretreatedforcancermorethan5yearsagohadthecancerspread,ormetastasized,tootherpartsofyourbody?

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    Do you have AIDS (acquired immunodeficiency syndrome)?
    Beschreibung

    PatientAcquiredImmunodeficiencySyndromeAssessmentInd-3

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS 2011AA ValueDomain
    C1512699
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus Property-2
    C2851
    UMLS 2011AA Property-2
    C0001175
    Have you had weight loss that required medical treatment?
    Beschreibung

    Haveyouhadweightlossthatrequiredmedicaltreatment?

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C25180
    UMLS 2011AA ValueDomain
    C1522602
    Ccrr Module For Southwest Oncology Group Medical Conditions Questionnaire
    Beschreibung

    Ccrr Module For Southwest Oncology Group Medical Conditions Questionnaire

    Zum Seitenanfang zurückkehren

    Ähnliche Modelle

    No Instruction available.

    1 Formulare
    1. StudyEvent: Southwest Oncology Group Medical Conditions Questionnaire
      1. No Instruction available.
    Name
    Typ
    Description | Question | Decode (Coded Value)
    Datentyp
    Alias
    Item Group
    SWOG clinical trial administrative data
    SWOGPatientID
    Item
    SWOG Patient ID
    text
    SWOGStudyNo.
    Item
    SWOG Study No.
    text
    RegistrationStep
    Item
    Registration Step
    text
    Patient Initials
    Item
    Patient Initials (L, F M)
    text
    C25191 (NCI Thesaurus ValueDomain)
    C2986440 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25536 (NCI Thesaurus Property)
    Date
    Item
    Date
    date
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    MainMemberInstitution/Affiliate
    Item
    Institution/Affiliate
    text
    RegisteredInvestigator
    Item
    Physician
    text
    Item Group
    Medical Conditions
    Haveyoueverhadaheartattack?
    Item
    Have you ever had a heart attack?
    boolean
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    Haveyoueverbeentreatedforheartfailure?
    Item
    Have you ever been treated for heart failure? (You may have been short of breath and the doctor may have told you that you had fluid in your lungs or that your heart was not pumping well.)
    boolean
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    LowerExtremityPatientArteryBypassPersonalMedicalHistoryInd-2
    Item
    Have you had an operation to unclog or bypass the arteries in your legs?
    boolean
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C0023216 (NCI Metathesaurus ObjectClass)
    C12372 (NCI Thesaurus Property)
    C0003842 (UMLS 2011AA Property)
    C18772 (NCI Thesaurus Property-2)
    C0262926 (UMLS 2011AA Property-2)
    C15723 (NCI Thesaurus Property-3)
    C0741847 (UMLS 2011AA Property-3)
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    HeartPatientArteryBypassPersonalMedicalHistoryInd-3
    Item
    Have you had an operation or procedure to unclog or bypass the arteries in your heart?
    boolean
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C12727 (NCI Thesaurus ObjectClass-2)
    C0018787 (UMLS 2011AA ObjectClass-2)
    C12372 (NCI Thesaurus Property)
    C0003842 (UMLS 2011AA Property)
    C18772 (NCI Thesaurus Property-2)
    C0262926 (UMLS 2011AA Property-2)
    C15723 (NCI Thesaurus Property-3)
    C0741847 (UMLS 2011AA Property-3)
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    Haveyouhadastroke,cerebrovascularaccident,bloodclotorbleedinginthebrain,ortransientischemicattack(TIA)?
    Item
    Have you had a stroke, cerebrovascular accident, blood clot or bleeding in the brain, or transient ischemic attack (TIA)?
    boolean
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    Ifyouhavehadanyoftheseproblems,doyouhavedifficultymovinganarmorlegasaresultofthestrokeorcerebrovascularaccident?
    Item
    If you have had any of these problems, do you have difficulty moving an arm or leg as a result of the stroke or cerebrovascular accident?
    boolean
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    Doyouhaveasthma?
    Item
    Do you have asthma?
    boolean
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    Item
    If you have asthma, do you take medicines for your asthma?
    text
    CL.8
    Code List
    If you have asthma, do you take medicines for your asthma?
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Yes, Only With Flare-ups Of My Asthma (Yes, only with flare-ups of my asthma)
    CL Item
    Yes, I Take Medicines Regularly, Even When I'm Not Having A Flare-up (Yes, I take medicines regularly, even when I'm not having a flare-up)
    Doyouhaveemphysema,chronicbronchitis,orchronicobstructivelungdisease?
    Item
    Do you have emphysema, chronic bronchitis, or chronic obstructive lung disease?
    boolean
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    Item
    If you have any of these lung diseases, do you take medicines for your condition?
    text
    CL.10
    Code List
    If you have any of these lung diseases, do you take medicines for your condition?
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Yes, Only With Flare-ups Of My Asthma (Yes, only with flare-ups of my asthma)
    CL Item
    Yes, I Take Medicines Regularly, Even When I'm Not Having A Flare-up (Yes, I take medicines regularly, even when I'm not having a flare-up)
    Doyouhavestomachulcers,orpepticulcerdisease?
    Item
    Do you have stomach ulcers, or peptic ulcer disease?
    boolean
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C18772 (NCI Thesaurus Property)
    C0262926 (UMLS 2011AA Property)
    C25757 (NCI Thesaurus Property-2)
    C0041582 (UMLS 2011AA Property-2)
    Ifyouhaveanyoftheseconditions,hasitbeendiagnosedbyadoctorlookingintoyourstomachthroughascope,orbyaskingyoutoswallowachalkydyeandthenhavingx-raystaken?
    Item
    If you have any of these conditions, has it been diagnosed by a doctor looking into your stomach through a scope, or by asking you to swallow a chalky dye and then having x-rays taken?
    boolean
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    Doyouhavediabetes(highbloodsugar)?
    Item
    Do you have diabetes (high blood sugar)?
    boolean
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    Item
    If you have diabetes, are you being treated for it?
    text
    CL.14
    Code List
    If you have diabetes, are you being treated for it?
    CL Item
    No (No)
    C49487 (NCI Thesaurus)
    C1298908 (UMLS 2011AA)
    CL Item
    Yes, Treated By Modifying My Diet (Yes, treated by modifying my diet)
    CL Item
    Yes, Treated By Medications Taken By Mouth (Yes, treated by medications taken by mouth)
    CL Item
    Yes, Treated By Insuling Injections (Yes, treated by insuling injections)
    Ifyouhavediabetes,hasitcausedproblemswithyourkidneys?
    Item
    If you have diabetes, has it caused problems with your kidneys?
    boolean
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    Ifyouhavediabetes,hasitcausedproblemswithyoureyes,treatedbyanophthalmologist?
    Item
    If you have diabetes, has it caused problems with your eyes, treated by an ophthalmologist?
    boolean
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    Haveyoueverhadpoorkidneyfunction(bloodtestsshowhighcreatinine)?
    Item
    Have you ever had poor kidney function (blood tests show high creatinine)?
    boolean
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    Haveyouhaveusedhemodialysisorperitonealdialysis?
    Item
    Have you have used hemodialysis or peritoneal dialysis?
    boolean
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    Haveyoueverreceivedakidneytransplantation?
    Item
    Have you ever received a kidney transplantation?
    boolean
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    Doyouhaverheumatoidarthritis?
    Item
    Do you have rheumatoid arthritis?
    boolean
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    Ifyouhaverheumatoidarthritis,doyoutakemedicationsforitregularly?
    Item
    If you have rheumatoid arthritis, do you take medications for it regularly?
    boolean
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    Doyouhavelupus(systemiclupuserythematosus)?
    Item
    Do you have lupus (systemic lupus erythematosus)?
    boolean
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    Doyouhavepolymyalgiarheumatica(inflammatorydisordercausingjointandmusclepain)?
    Item
    Do you have polymyalgia rheumatica (inflammatory disorder causing joint and muscle pain)?
    boolean
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    DoyouhaveAlzheimer'sDisease,oranotherformofdementia?
    Item
    Do you have Alzheimer's Disease, or another form of dementia?
    boolean
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    Doyouhavecirrhosis,orseriousliverdamage?
    Item
    Do you have cirrhosis, or serious liver damage?
    boolean
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    Haveyouhadanytypeofcancer(otherthancommonskincancersuchasbasalorsquamouscellskincancer)thatwassuccessfullytreatedmorethan5yearsago?
    Item
    Have you had any type of cancer (other than common skin cancer such as basal or squamous cell skin cancer) that was successfully treated more than 5 years ago?
    boolean
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    Ifyouweretreatedforcancermorethan5yearsagohadthecancerspread,ormetastasized,tootherpartsofyourbody?
    Item
    If you were treated for cancer more than 5 years ago had the cancer spread, or metastasized, to other parts of your body?
    boolean
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    PatientAcquiredImmunodeficiencySyndromeAssessmentInd-3
    Item
    Do you have AIDS (acquired immunodeficiency syndrome)?
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C1512699 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C2851 (NCI Thesaurus Property-2)
    C0001175 (UMLS 2011AA Property-2)
    Haveyouhadweightlossthatrequiredmedicaltreatment?
    Item
    Have you had weight loss that required medical treatment?
    boolean
    C25180 (NCI Thesaurus ValueDomain)
    C1522602 (UMLS 2011AA ValueDomain)
    Item Group
    Ccrr Module For Southwest Oncology Group Medical Conditions Questionnaire
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