ID

14731

Beskrivning

Female participants are asked whether they have ever used Evista® or Nolvadex® and then asked length of time they used it as well as whether they are currently using it. They are asked whether they are using any over-the-counter preparations for hormone replacement or post-menopause symptoms. Lastly, they are asked about their use of prescription female hormones (number of months taken, types, dosage). ODM derived from: https://cde.nlm.nih.gov Primary source: https://www.phenxtoolkit.org/ Recent publication: Hendershot, T., Pan, H., Haines, J., Harlan, W.R., Marazita, M.L., McCarty, C.A., Ramos, E.M., and Hamilton, C.M. (2015) Using the PhenX toolkit to add standard measures to a study. Curr. Protoc. Hum. Genet. 86:1.21.1-1.21.17. doi: 10.1002/0471142905.hg0121s86 Permission to publish granted by Carol M. Hamilton.

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https://cde.nlm.nih.gov

Nyckelord

Versioner (1)
  1. 2016-04-26 2016-04-26 -
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26 april 2016

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Hormonal Therapy Protocol PhenX Toolkit

Engelsk

Hormonal Therapy Protocol PhenX Toolkit

1 Formulär  
PhenX - hormonal therapy protocol
Beskrivning

PhenX - hormonal therapy protocol

Alias
UMLS CUI-1
C3169733
Have you used Evista® (raloxifene) or Nolvadex® (tamoxifen)?
Beskrivning

Have you used Evista® (raloxifene) or Nolvadex® (tamoxifen)?

Datatyp

boolean

Alias
UMLS CUI [1]
C0720318
UMLS CUI [2]
C0919390
How many months have you used Evista®?
Beskrivning

How many months have you used Evista®?

Datatyp

integer

Alias
UMLS CUI [1]
C3174468
How many months have you used Nolvadex®?
Beskrivning

How many months have you used Nolvadex®?

Datatyp

integer

Alias
UMLS CUI [1]
C3174470
Are you currently using Evista® or Nolvadex®?
Beskrivning

Are you currently using Evista® or Nolvadex®?

Datatyp

integer

Alias
UMLS CUI [1]
C3174472
Are you currently using any over-the-counter (e.g., "herbal," "natural," or soy-based) preparations for hormone replacement or to treat post-menopausal symptoms?
Beskrivning

Are you currently using any over-the-counter (e.g., "herbal," "natural," or soy-based) preparations for hormone replacement or to treat post-menopausal symptoms?

Datatyp

boolean

Alias
UMLS CUI [1]
C3174474
What types?
Beskrivning

What types?

Datatyp

integer

Alias
UMLS CUI [1]
C3174476
Have you used prescription female hormones?
Beskrivning

Have you used prescription female hormones?

Datatyp

boolean

Alias
UMLS CUI [1]
C2054138
How many months did you use hormones?
Beskrivning

How many months did you use hormones?

Datatyp

integer

Alias
UMLS CUI [1]
C3174479
Are you currently using them (within the last month)?
Beskrivning

Are you currently using them (within the last month)?

Datatyp

boolean

Alias
UMLS CUI [1]
C3174481
Mark the type(s) of hormones you are CURRENTLY using: Combined.
Beskrivning

Mark the type(s) of hormones you are CURRENTLY using: Combined.

Datatyp

integer

Alias
UMLS CUI [1]
C3174481
Mark the type(s) of hormones you are CURRENTLY using: Estrogen.
Beskrivning

Mark the type(s) of hormones you are CURRENTLY using: Estrogen.

Datatyp

integer

Alias
UMLS CUI [1]
C3174485
Please specify Other Estrogen you are CURRENTLY using.
Beskrivning

Please specify Other Estrogen you are CURRENTLY using.

Datatyp

text

Alias
UMLS CUI [1]
C3174487
Mark the type(s) of hormones you are CURRENTLY using: Progesterone/Progestin.
Beskrivning

Mark the type(s) of hormones you are CURRENTLY using: Progesterone/Progestin.

Datatyp

integer

Alias
UMLS CUI [1]
C3174489
Please specify Other progresterone you are CURRENTLY using
Beskrivning

Please specify Other progresterone you are CURRENTLY using

Datatyp

text

Alias
UMLS CUI [1]
C3174491
Other hormones CURRENTLY used (e.g., Tri-est).
Beskrivning

Other hormones CURRENTLY used (e.g., Tri-est).

Datatyp

text

Alias
UMLS CUI [1]
C3174493
If you used oral conjugated estrogen (e.g., Premarin®), what dose did you usually take?
Beskrivning

If you used oral conjugated estrogen (e.g., Premarin®), what dose did you usually take?

Datatyp

integer

Alias
UMLS CUI [1]
C3174495
What was your pattern of hormone use (Days per Month)? Estrogen.
Beskrivning

What was your pattern of hormone use (Days per Month)? Estrogen.

Datatyp

integer

Alias
UMLS CUI [1]
C3174497
What was your pattern of hormone use (Days per Month)? Progesterone.
Beskrivning

What was your pattern of hormone use (Days per Month)? Progesterone.

Datatyp

integer

Alias
UMLS CUI [1]
C3174498
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Similar models

Hormonal Therapy Protocol PhenX Toolkit

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
PhenX - hormonal therapy protocol
C3169733 (UMLS CUI-1)
used Evista or Nolvadex
Item
Have you used Evista® (raloxifene) or Nolvadex® (tamoxifen)?
boolean
C0720318 (UMLS CUI [1])
C0919390 (UMLS CUI [2])
Item
How many months have you used Evista®?
integer
C3174468 (UMLS CUI [1])
Nolvadex months
Code List
How many months have you used Evista®?
CL Item
Not used (1)
C0445107 (UMLS CUI-1)
CL Item
1-4 months  (2)
C3843399 (UMLS CUI-1)
CL Item
5-9  (3)
C3840622 (UMLS CUI-1)
CL Item
10-14  (4)
C3840694 (UMLS CUI-1)
CL Item
15-19  (5)
C3843398 (UMLS CUI-1)
CL Item
20-24 (6)
C3843397 (UMLS CUI-1)
CL Item
Used only after 6/09 (7)
C3843396 (UMLS CUI-1)
Item
How many months have you used Nolvadex®?
integer
C3174470 (UMLS CUI [1])
Nolvadex months
Code List
How many months have you used Nolvadex®?
CL Item
Not used (1)
C0445107 (UMLS CUI-1)
CL Item
1-4 months  (2)
C3843399 (UMLS CUI-1)
CL Item
5-9  (3)
C3840622 (UMLS CUI-1)
CL Item
10-14  (4)
C3840694 (UMLS CUI-1)
CL Item
15-19  (5)
C3843398 (UMLS CUI-1)
CL Item
20-24 (6)
C3843397 (UMLS CUI-1)
CL Item
Used only after 6/09 (7)
C3843396 (UMLS CUI-1)
Item
Are you currently using Evista® or Nolvadex®?
integer
C3174472 (UMLS CUI [1])
Evista Nolvadex currently
Code List
Are you currently using Evista® or Nolvadex®?
CL Item
No, not currently (1)
C3843395 (UMLS CUI-1)
CL Item
Yes, Evista®  (2)
C3843394 (UMLS CUI-1)
CL Item
Yes, Nolvadex® (3)
C3843393 (UMLS CUI-1)
herb natural soy ERT current
Item
Are you currently using any over-the-counter (e.g., "herbal," "natural," or soy-based) preparations for hormone replacement or to treat post-menopausal symptoms?
boolean
C3174474 (UMLS CUI [1])
Item
What types?
integer
C3174476 (UMLS CUI [1])
herbal natural soy ERT type
Code List
What types?
CL Item
Soy estrogen products  (1)
C3843392 (UMLS CUI-1)
CL Item
Natural progesterone cream or wild yam cream  (2)
C3843391 (UMLS CUI-1)
CL Item
Dong Quai (e.g. Rejuvex)  (3)
C3843390 (UMLS CUI-1)
CL Item
Black Cohosh (e.g. Remifemin®)  (4)
C3843389 (UMLS CUI-1)
CL Item
Other (5)
C0205394 (UMLS CUI-1)
female hormone prescript used
Item
Have you used prescription female hormones?
boolean
C2054138 (UMLS CUI [1])
Item
How many months did you use hormones?
integer
C3174479 (UMLS CUI [1])
months female hormones used
Code List
How many months did you use hormones?
CL Item
1-4 months (1)
C3843399 (UMLS CUI-1)
CL Item
5-9  (2)
C3840622 (UMLS CUI-1)
CL Item
10-14  (3)
C3840694 (UMLS CUI-1)
CL Item
15-19  (4)
C3843398 (UMLS CUI-1)
CL Item
20-25  (5)
C3843388 (UMLS CUI-1)
CL Item
26-30 (6)
C3843387 (UMLS CUI-1)
CL Item
31-35  (7)
C3843386 (UMLS CUI-1)
CL Item
36+ months (8)
C3843385 (UMLS CUI-1)
female hormone currently using
Item
Are you currently using them (within the last month)?
boolean
C3174481 (UMLS CUI [1])
Item
Mark the type(s) of hormones you are CURRENTLY using: Combined.
integer
C3174481 (UMLS CUI [1])
current use combined hormones
Code List
Mark the type(s) of hormones you are CURRENTLY using: Combined.
CL Item
Prempro® (Beige)  (1)
C3843384 (UMLS CUI-1)
CL Item
Prempro® (Gold)  (2)
C3843383 (UMLS CUI-1)
CL Item
Prempro® (Peach)  (3)
C3843382 (UMLS CUI-1)
CL Item
Prempro® (Light Blue)  (4)
C3843381 (UMLS CUI-1)
CL Item
Premphase  (5)
C0722752 (UMLS CUI-1)
CL Item
Combipatch  (6)
C0719447 (UMLS CUI-1)
CL Item
FemHRT (7)
C1328793 (UMLS CUI-1)
Item
Mark the type(s) of hormones you are CURRENTLY using: Estrogen.
integer
C3174485 (UMLS CUI [1])
current use estrogen type
Code List
Mark the type(s) of hormones you are CURRENTLY using: Estrogen.
CL Item
Oral Premarin® or conjugated estrogens  (1)
C3843380 (UMLS CUI-1)
CL Item
Patch estrogen  (2)
C3843379 (UMLS CUI-1)
CL Item
Vaginal estrogen  (3)
C1875126 (UMLS CUI-1)
CL Item
Estrace®  (4)
C0699352 (UMLS CUI-1)
CL Item
Estrogen gels, creams, or sprays on skin  (5)
C3843378 (UMLS CUI-1)
CL Item
Estratest®  (6)
C0720294 (UMLS CUI-1)
CL Item
Ogen®  (7)
C0722236 (UMLS CUI-1)
CL Item
Other estrogen (8)
C3843377 (UMLS CUI-1)
current use estrogen other
Item
Please specify Other Estrogen you are CURRENTLY using.
text
C3174487 (UMLS CUI [1])
Item
Mark the type(s) of hormones you are CURRENTLY using: Progesterone/Progestin.
integer
C3174489 (UMLS CUI [1])
current progesterone type
Code List
Mark the type(s) of hormones you are CURRENTLY using: Progesterone/Progestin.
CL Item
Provera®/Cycrin®/MPA  (1)
C3843376 (UMLS CUI-1)
CL Item
Vaginal  (2)
C1272941 (UMLS CUI-1)
CL Item
Micronized (e.g. Prometrium®)  (3)
C3843375 (UMLS CUI-1)
CL Item
Other progresterone (4)
C3843374 (UMLS CUI-1)
current other progesteron
Item
Please specify Other progresterone you are CURRENTLY using
text
C3174491 (UMLS CUI [1])
current use hormones other
Item
Other hormones CURRENTLY used (e.g., Tri-est).
text
C3174493 (UMLS CUI [1])
Item
If you used oral conjugated estrogen (e.g., Premarin®), what dose did you usually take?
integer
C3174495 (UMLS CUI [1])
oral conjugated estrogen dose
Code List
If you used oral conjugated estrogen (e.g., Premarin®), what dose did you usually take?
CL Item
0.30 mg/day or less  (1)
C3840901 (UMLS CUI-1)
CL Item
0.45 mg/day or less  (2)
C3843373 (UMLS CUI-1)
CL Item
0.625 mg/day or less  (3)
C3843372 (UMLS CUI-1)
CL Item
0.9 mg/day or less  (4)
C3843371 (UMLS CUI-1)
CL Item
1.25 mg/day or higher  (5)
C3843370 (UMLS CUI-1)
CL Item
Unsure  (6)
C0087130 (UMLS CUI-1)
CL Item
Did not take oral conjugated estrogen (7)
C3843369 (UMLS CUI-1)
Item
What was your pattern of hormone use (Days per Month)? Estrogen.
integer
C3174497 (UMLS CUI [1])
estrogen pattern use
Code List
What was your pattern of hormone use (Days per Month)? Estrogen.
CL Item
Not used (1)
C0445107 (UMLS CUI-1)
CL Item
<1 day/mo. (2)
C3843368 (UMLS CUI-1)
CL Item
1-8 days  (3)
C3843367 (UMLS CUI-1)
CL Item
9-18  (4)
C3843366 (UMLS CUI-1)
CL Item
19-26  (5)
C3843365 (UMLS CUI-1)
CL Item
27+ days/mo. (6)
C3843364 (UMLS CUI-1)
Item
What was your pattern of hormone use (Days per Month)? Progesterone.
integer
C3174498 (UMLS CUI [1])
estrogen pattern use
Code List
What was your pattern of hormone use (Days per Month)? Progesterone.
CL Item
Not used (1)
C0445107 (UMLS CUI-1)
CL Item
<1 day/mo. (2)
C3843368 (UMLS CUI-1)
CL Item
1-8 days  (3)
C3843367 (UMLS CUI-1)
CL Item
9-18  (4)
C3843366 (UMLS CUI-1)
CL Item
19-26  (5)
C3843365 (UMLS CUI-1)
CL Item
27+ days/mo. (6)
C3843364 (UMLS CUI-1)
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