ID
1205
Beschreibung
Gynecologic Oncology Group Smoking History Questionnaire (Form SHQ) Radiation Therapy With or Without Chemotherapy in Patients With Stage I or Stage II Cervical Cancer Who Previously Underwent Surgery Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=572CCDFB-3AD6-1370-E044-0003BA3F9857
Link
Stichworte
Versionen (3)
- 27.08.12 27.08.12 -
- 11.08.14 11.08.14 - Martin Dugas
- 09.01.15 09.01.15 - Martin Dugas
Hochgeladen am
27. August 2012
DOI
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Lizenz
Creative Commons BY-NC 3.0 Legacy
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Cervical Cancer NCT01101451 Quality of Life - Gynecologic Oncology Group Smoking History Questionnaire (Form SHQ) - 2785914v1.0
No Instruction available.
- StudyEvent: Gynecologic Oncology Group Smoking History Questionnaire (Form SHQ)
Beschreibung
Smoking History Questionnaire
Beschreibung
Personal Smoking Section
Beschreibung
SmokingHistoryAssessmentIndicator
Datentyp
text
Alias
- NCI Thesaurus ValueDomain
- C25180
- UMLS 2011AA ValueDomain
- C1522602
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Thesaurus ObjectClass
- C29719
- UMLS 2011AA ObjectClass
- C1519384
Beschreibung
SmokingCessationNicotinePatchNicotineGumUseInd-2
Datentyp
text
Alias
- NCI Thesaurus ObjectClass
- C17427
- UMLS 2011AA ObjectClass
- C0085134
- NCI Thesaurus Property
- C25340
- UMLS 2011AA Property
- C0457083
- NCI Thesaurus Property
- C17955
- UMLS 2011AA Property
- C0358855
- NCI Thesaurus Property
- C15663
- UMLS 2011AA Property
- C0068722
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Beschreibung
PatientInitialCigaretteSmokingAgeYearCount
Datentyp
double
Alias
- NCI Thesaurus ObjectClass
- C16960
- UMLS 2011AA ObjectClass
- C0030705
- NCI Thesaurus Property
- C25536
- UMLS 2011AA Property
- C1555582
- NCI Thesaurus Property
- C18270
- UMLS 2011AA Property
- C0700219
- NCI Thesaurus ValueDomain
- C29848
- UMLS 2011AA ValueDomain
- C0439234
- NCI Thesaurus ValueDomain
- C25463
- UMLS 2011AA ValueDomain
- C0750480
Beschreibung
CigaretteAverageDailyUseCount
Datentyp
double
Alias
- NCI Thesaurus ObjectClass
- C1802
- UMLS 2011AA ObjectClass
- C0677453
- NCI Thesaurus Property
- C25473
- UMLS 2011AA Property
- C0332173
- NCI Thesaurus Property
- C37917
- UMLS 2011AA Property
- C1510992
- NCI Thesaurus Property
- C25340
- UMLS 2011AA Property
- C0457083
- NCI Thesaurus ValueDomain
- C25463
- UMLS 2011AA ValueDomain
- C0750480
Beschreibung
PersonCigaretteWeekCurrentUseSmokingHistoryInd-2
Datentyp
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C25471
- UMLS 2011AA Property
- C0521116
- NCI Thesaurus Property
- C1802
- UMLS 2011AA Property
- C0677453
- NCI Thesaurus Property
- C29844
- UMLS 2011AA Property
- C0439230
- NCI Thesaurus Property
- C29719
- UMLS 2011AA Property
- C1519384
- NCI Thesaurus Property
- C25340
- UMLS 2011AA Property
- C0457083
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Beschreibung
PersonCigaretteSmokingCessationAgeYearCount
Datentyp
double
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C1802
- UMLS 2011AA Property
- C0677453
- NCI Thesaurus Property
- C17427
- UMLS 2011AA Property
- C0085134
- NCI Thesaurus Property
- C25150
- UMLS 2011AA Property
- C0001779
- NCI Thesaurus ValueDomain
- C29848
- UMLS 2011AA ValueDomain
- C0439234
- NCI Thesaurus ValueDomain
- C25463
- UMLS 2011AA ValueDomain
- C0750480
Beschreibung
Household Smoking Section
Beschreibung
PersonHouseholdYearPassiveSmokeExposureInd-2
Datentyp
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C29848
- UMLS 2011AA Property
- C0439234
- NCI Thesaurus Property
- C41194
- UMLS 2011AA Property
- C0020052
- NCI Thesaurus Property
- C17140
- UMLS 2011AA Property
- C0037370
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Beschreibung
PersonHouseholdYearPassiveSmokeExposureYearCount
Datentyp
double
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C29848
- UMLS 2011AA Property
- C0439234
- NCI Thesaurus Property
- C41194
- UMLS 2011AA Property
- C0020052
- NCI Thesaurus Property
- C17140
- UMLS 2011AA Property
- C0037370
- NCI Thesaurus ValueDomain
- C29848
- UMLS 2011AA ValueDomain
- C0439234
- NCI Thesaurus ValueDomain
- C25463
- UMLS 2011AA ValueDomain
- C0750480
Beschreibung
PersonCurrentHouseholdCigarettePassiveSmokeExposureInd-2
Datentyp
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C25471
- UMLS 2011AA Property
- C0521116
- NCI Thesaurus Property
- C1802
- UMLS 2011AA Property
- C0677453
- NCI Thesaurus Property
- C41194
- UMLS 2011AA Property
- C0020052
- NCI Thesaurus Property
- C17140
- UMLS 2011AA Property
- C0037370
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Beschreibung
PersonCurrentHouseholdCigarettePassiveSmokeExposureDayCount
Datentyp
double
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C25471
- UMLS 2011AA Property
- C0521116
- NCI Thesaurus Property
- C1802
- UMLS 2011AA Property
- C0677453
- NCI Thesaurus Property
- C41194
- UMLS 2011AA Property
- C0020052
- NCI Thesaurus Property
- C17140
- UMLS 2011AA Property
- C0037370
- NCI Thesaurus ValueDomain
- C25301
- UMLS 2011AA ValueDomain
- C0439228
- NCI Thesaurus ValueDomain
- C25463
- UMLS 2011AA ValueDomain
- C0750480
Beschreibung
Second Hand Smoking Section
Beschreibung
PersonCurrentExternalHouseholdCigarettePassiveSmokeExposureInd-2
Datentyp
text
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C25471
- UMLS 2011AA Property
- C0521116
- NCI Thesaurus Property
- C1802
- UMLS 2011AA Property
- C0677453
- NCI Thesaurus Property
- C44280
- UMLS 2011AA Property
- C0205101
- NCI Thesaurus Property
- C41194
- UMLS 2011AA Property
- C0020052
- NCI Thesaurus Property
- C17140
- UMLS 2011AA Property
- C0037370
- NCI Thesaurus ValueDomain
- C38147
- UMLS 2011AA ValueDomain
- C1512698
Beschreibung
PersonCurrentExternalHouseholdCigaretteHourWeekPassiveSmokeExposureCount
Datentyp
double
Alias
- NCI Thesaurus ObjectClass
- C25190
- UMLS 2011AA ObjectClass
- C0027361
- NCI Thesaurus Property
- C25471
- UMLS 2011AA Property
- C0521116
- NCI Thesaurus Property
- C1802
- UMLS 2011AA Property
- C0677453
- NCI Thesaurus Property
- C44280
- UMLS 2011AA Property
- C0205101
- NCI Thesaurus Property
- C25529
- UMLS 2011AA Property
- C0439227
- NCI Thesaurus Property
- C29844
- UMLS 2011AA Property
- C0439230
- NCI Thesaurus Property
- C41194
- UMLS 2011AA Property
- C0020052
- NCI Thesaurus Property
- C17140
- UMLS 2011AA Property
- C0037370
- NCI Thesaurus ValueDomain
- C25463
- UMLS 2011AA ValueDomain
- C0750480
Beschreibung
Comments
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No Instruction available.
- StudyEvent: Gynecologic Oncology Group Smoking History Questionnaire (Form SHQ)
C0376315 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus Property)
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C17934 (NCI Thesaurus ObjectClass)
C0453996 (UMLS 2011AA ObjectClass)
C18772 (NCI Thesaurus Property)
C0262926 (UMLS 2011AA Property)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
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C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
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C1519384 (UMLS 2011AA ObjectClass)
C1298908 (UMLS 2011AA)
C0085134 (UMLS 2011AA ObjectClass)
C25340 (NCI Thesaurus Property)
C0457083 (UMLS 2011AA Property)
C17955 (NCI Thesaurus Property)
C0358855 (UMLS 2011AA Property)
C15663 (NCI Thesaurus Property)
C0068722 (UMLS 2011AA Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0030705 (UMLS 2011AA ObjectClass)
C25536 (NCI Thesaurus Property)
C1555582 (UMLS 2011AA Property)
C18270 (NCI Thesaurus Property)
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C0521116 (UMLS 2011AA Property)
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C1705108 (UMLS 2011AA)
C0027361 (UMLS 2011AA ObjectClass)
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C0677453 (UMLS 2011AA Property)
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C0085134 (UMLS 2011AA Property)
C25150 (NCI Thesaurus Property)
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C29848 (NCI Thesaurus ValueDomain)
C0439234 (UMLS 2011AA ValueDomain)
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C0020052 (UMLS 2011AA Property)
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C0677453 (UMLS 2011AA Property)
C41194 (NCI Thesaurus Property)
C0020052 (UMLS 2011AA Property)
C17140 (NCI Thesaurus Property)
C0037370 (UMLS 2011AA Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C1298908 (UMLS 2011AA)
C1705108 (UMLS 2011AA)
C0027361 (UMLS 2011AA ObjectClass)
C25471 (NCI Thesaurus Property)
C0521116 (UMLS 2011AA Property)
C1802 (NCI Thesaurus Property)
C0677453 (UMLS 2011AA Property)
C41194 (NCI Thesaurus Property)
C0020052 (UMLS 2011AA Property)
C17140 (NCI Thesaurus Property)
C0037370 (UMLS 2011AA Property)
C25301 (NCI Thesaurus ValueDomain)
C0439228 (UMLS 2011AA ValueDomain)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
C0027361 (UMLS 2011AA ObjectClass)
C25471 (NCI Thesaurus Property)
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C1802 (NCI Thesaurus Property)
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