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Información:
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ID
18077
Descripción
Study Type: Interventional Study Design: Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment Official Title: Therapy for Chronic Cold Agglutinin Disease: A Prospective, Non-Randomized Multi-Center Study Demonstrating the Efficacy of Terminal Complement Inhibition in Patients With Cold Agglutinin Disease Using Eculizumab EudraCT-Nummer 2009-01696697 ClinicalTrials.gov-Identifier NCT01303952 https://clinicaltrials.gov/ct2/show/NCT01303952 Genehmigung durch Frau Ose
Link
https://clinicaltrials.gov/ct2/show/NCT01303952
Palabras clave
Versiones (10)
- 7/10/16 7/10/16 -
- 10/10/16 10/10/16 -
- 11/10/16 11/10/16 -
- 17/10/16 17/10/16 -
- 18/10/16 18/10/16 -
- 21/10/16 21/10/16 -
- 23/10/16 23/10/16 -
- 24/10/16 24/10/16 -
- 27/10/16 27/10/16 -
- 2/11/16 2/11/16 -
Subido en
18 de octubre de 2016
DOI
Para solicitar uno, por favor iniciar sesión.
Licencia
Creative Commons BY-NC 3.0 Legacy
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Screening and Observation Period UK Essen Therapy of Chronic Cold Agglutinin Disease With Eculizumab NCT01303952
Screening and Observation Period UK Essen Therapy of Chronic Cold Agglutinin Disease With Eculizumab NCT01303952
Similar models
Screening and Observation Period UK Essen Therapy of Chronic Cold Agglutinin Disease With Eculizumab NCT01303952
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
In-/Exclusion Criteria
C1512693 (UMLS CUI-1)
C0680251 (UMLS CUI-2)
C0680251 (UMLS CUI-2)
Patient number
Item
Pat.-No.
integer
C1830427 (UMLS CUI [1])
The patient gave his or her consent on
Item
The patient gave his or her consent on
text
C2985782 (UMLS CUI [1])
Item
Are all inclusion criteria fulfilled?
integer
C1512693 (UMLS CUI [1])
CL Item
no (0)
CL Item
yes (1)
Item
Are none of the exclusion criteria fulfilled?
integer
C2828389 (UMLS CUI [1])
Code List
Are none of the exclusion criteria fulfilled?
CL Item
no (0)
CL Item
yes (1)
Item Group
Demographics, Vital Signs and Examinations
C1955348 (UMLS CUI-1)
C0518766 (UMLS CUI-3)
C0582103 (UMLS CUI-5)
C0518766 (UMLS CUI-3)
C0582103 (UMLS CUI-5)
Date of Screening
Item
Date of Screening
text
C0011008 (UMLS CUI [1,1])
C1710477 (UMLS CUI [1,2])
C1710477 (UMLS CUI [1,2])
Date of Birth
Item
Date of Birth
text
C0421451 (UMLS CUI [1])
CL Item
Male (1)
CL Item
Female (2)
CL Item
German (1)
CL Item
other (2)
specify nationality
Item
specify nationality
text
C0027473 (UMLS CUI [1])
Height
Item
Height
float
C0005890 (UMLS CUI [1])
Weight
Item
Weight
float
C0005910 (UMLS CUI [1])
LDH
Item
LDH
float
C0202113 (UMLS CUI [1])
1. Systolic blood pressure
Item
1. Systolic blood pressure
integer
C0871470 (UMLS CUI [1])
1. Diastolic blood pressure
Item
1. Diastolic blood pressure
integer
C0428883 (UMLS CUI [1])
2. Systolic blood pressure
Item
2. Systolic blood pressure
integer
C0871470 (UMLS CUI [1])
2. Diastolic blood pressure
Item
2. Diastolic blood pressure
integer
C0428883 (UMLS CUI [1])
3. Systolic blood pressure
Item
3. Systolic blood pressure
integer
C0871470 (UMLS CUI [1])
3. Diastolic blood pressure
Item
3. Diastolic blood pressure
integer
C0428883 (UMLS CUI [1])
Sitting heart rate
Item
Sitting heart rate
integer
C2029904 (UMLS CUI [1])
Body temperature
Item
Body temperature
float
C0005903 (UMLS CUI [1])
CL Item
without pathologic findings (0)
CL Item
with pathologic findings (1)
CL Item
without pathologic findings (0)
CL Item
with pathologic findings (1)
CL Item
without pathologic findings , 1=with pathologic findings (0)
CL Item
without pathologic findings (0)
CL Item
with pathologic findings (1)
Walk distance
Item
Walk distance
integer
C3854161 (UMLS CUI [1])
CL Item
no (0)
CL Item
yes (1)
Date of first Cold Agglutin Disease
Item
Date of first Cold Agglutin Disease diagnosis
date
C0011008 (UMLS CUI [1,1])
C0175816 (UMLS CUI [1,2])
C0175816 (UMLS CUI [1,2])
Item
Thrombophlebitis/Deep Vein Thrombosis
integer
C0040046 (UMLS CUI [1])
C0149871 (UMLS CUI [2])
C0149871 (UMLS CUI [2])
CL Item
no (0)
CL Item
yes (1)
CL Item
no (0)
CL Item
yes (1)
CL Item
no (0)
CL Item
yes (1)
CL Item
no (0)
CL Item
yes (1)
CL Item
no (0)
CL Item
yes (1)
CL Item
no (0)
CL Item
yes (1)
CL Item
no (0)
CL Item
yes (1)
CL Item
no (0)
CL Item
yes (1)
CL Item
no (0)
CL Item
yes (1)
Item
Portal Vein Thrombosis (Budd-Chiari)
integer
C0155773 (UMLS CUI [1])
CL Item
no (0)
CL Item
yes (1)
CL Item
no (0)
CL Item
yes (1)
Item
Acute Peripheral Vascular Occlusion
integer
C0240728 (UMLS CUI [1])
CL Item
no (0)
CL Item
yes (1)
CL Item
no (0)
CL Item
yes (1)
Item
Patient suffers from other accompanying illnesses?
integer
C0009488 (UMLS CUI [1])
CL Item
no (0)
CL Item
yes (1)
Item
Only for Woman (under 50): Is the pregnancy test negativ?
integer
C0032976 (UMLS CUI [1])
Code List
Only for Woman (under 50): Is the pregnancy test negativ?
CL Item
no (0)
CL Item
yes (1)
Comments
Item
Comments
text
C0947611 (UMLS CUI [1])
Signature date
Item
Signature date
date
C0807937 (UMLS CUI [1])
CL Item
no (0)
CL Item
yes (1)
Date of blood transfusion
Item
Date of blood transfusion
date
C1264703 (UMLS CUI [1])
Number of units
Item
Number of units
integer
C0086252 (UMLS CUI [1,1])
C0449961 (UMLS CUI [1,2])
C0449961 (UMLS CUI [1,2])
Hemoglobin before transfusion
Item
Hemoglobin before transfusion
float
C0518015 (UMLS CUI [1])
Item
Any special events circumstances transfusion?
integer
C0877248 (UMLS CUI [1,1])
C1879316 (UMLS CUI [1,2])
C1879316 (UMLS CUI [1,2])
CL Item
no (0)
CL Item
yes (1)
if yes, please specify
Item
if yes, please specify
text
C0877248 (UMLS CUI [1,1])
C1879316 (UMLS CUI [1,2])
C1879316 (UMLS CUI [1,2])
Signature date
Item
Signature date
date
C0807937 (UMLS CUI [1])
CL Item
no (0)
CL Item
yes (1)
Item Group
Preexisting and concomitant diseases
C0243087 (UMLS CUI-1)
Item
The patient has no preexisting/concomitant diseases
integer
C0243087 (UMLS CUI [1])
CL Item
no (0)
CL Item
yes (1)
Signature date
Item
Signature date
date
C0807937 (UMLS CUI [1])
CL Item
no (0)
CL Item
yes (1)
CD No
Item
text
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
satisfied with talking about
Item
text
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
Item
feel close to other people
integer
C2984048 (UMLS CUI [1])
C2984059 (UMLS CUI [2])
C2984059 (UMLS CUI [2])
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
Item
satisfied with fighting against the illness
integer
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
Item
cope with disease
integer
C0009967 (UMLS CUI [1,1])
C0012634 (UMLS CUI [1,2])
C0012634 (UMLS CUI [1,2])
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
Item
tiredness limiting starting things
integer
C0015672 (UMLS CUI [1,1])
C0439659 (UMLS CUI [1,2])
C0439659 (UMLS CUI [1,2])
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
Item
tiredness limits finishing things
integer
C0015672 (UMLS CUI [1,1])
C3259534 (UMLS CUI [1,2])
C3259534 (UMLS CUI [1,2])
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
Item
need help with usual activities
integer
C3898152 (UMLS CUI [1])
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
Item
frustrated by fatigue
integer
C0016770 (UMLS CUI [1,1])
C0015672 (UMLS CUI [1,2])
C0015672 (UMLS CUI [1,2])
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
Item
fatigue limiting social activity
integer
C3898911 (UMLS CUI [1])
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
Item
1. In general, would you say your health is:
integer
C1142435 (UMLS CUI [1])
CL Item
Excellent (1)
CL Item
Very good (2)
CL Item
Good (3)
CL Item
Fair (4)
CL Item
Poor (5)
Item
2. Compared to one year ago, how would you rate your health in general now?
integer
Code List
2. Compared to one year ago, how would you rate your health in general now?
CL Item
Much better now than one year ago (1)
CL Item
Somewhat better now than one year ago (2)
CL Item
About the same (3)
CL Item
Somewhat worse now than one year ago (4)
CL Item
Much worse now than one year ago (5)
limited in activities
Item
3. The following items are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much?
text
Item
a) Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports
integer
C3827557 (UMLS CUI [1])
Code List
a) Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports
CL Item
Yes, limited a lot (1)
CL Item
Yes, limited a little (2)
CL Item
No, not limited at all (3)
Item
b) Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf
integer
C3833417 (UMLS CUI [1])
Code List
b) Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf
CL Item
Yes, limited a lot (1)
CL Item
Yes, limited a little (2)
CL Item
No, not limited at all (3)
CL Item
Yes, limited a lot (1)
CL Item
Yes, limited a little (2)
CL Item
No, not limited at all (3)
Item
d) Climbing several flights of stairs
integer
C3831080 (UMLS CUI [1])
CL Item
Yes, limited a lot (1)
CL Item
Yes, limited a little (2)
CL Item
No, not limited at all (3)
CL Item
Yes, limited a lot (1)
CL Item
Yes, limited a little (2)
CL Item
No, not limited at all (3)
Item
f) Bending, kneeling, or stooping
integer
C3831371 (UMLS CUI [1])
CL Item
Yes, limited a lot (1)
CL Item
Yes, limited a little (2)
CL Item
No, not limited at all (3)
CL Item
Yes, limited a lot (1)
CL Item
Yes, limited a little (2)
CL Item
No, not limited at all (3)
CL Item
Yes, limited a lot (1)
CL Item
Yes, limited a little (2)
CL Item
No, not limited at all (3)
CL Item
Yes, limited a lot (1)
CL Item
Yes, limited a little (2)
CL Item
No, not limited at all (3)
CL Item
Yes, limited a lot (1)
CL Item
Yes, limited a little (2)
CL Item
No, not limited at all (3)
problems in past 4 weeks
Item
4. During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health?
text
Item
a) Cut down the amount of time you spent on work or other activities
integer
C0585074 (UMLS CUI [1])
Code List
a) Cut down the amount of time you spent on work or other activities
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
A little of the time (4)
CL Item
None of the time (5)
Item
b) Accomplished less than you would like
integer
C3900126 (UMLS CUI [1])
Code List
b) Accomplished less than you would like
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
A little of the time (4)
CL Item
None of the time (5)
Item
c) Were limited in the kind of work or other activities
integer
C3898591 (UMLS CUI [1])
Code List
c) Were limited in the kind of work or other activities
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
A little of the time (4)
CL Item
None of the time (5)
Item
d) Had difficulty performing the work or other activities (for example, it took extra effort)
integer
C3898961 (UMLS CUI [1])
Code List
d) Had difficulty performing the work or other activities (for example, it took extra effort)
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
A little of the time (4)
CL Item
None of the time (5)
emotional problems
Item
5. During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)?
text
Item
a) Cut down the amount of time you spent on work or other activities
integer
C0585074 (UMLS CUI [1,1])
C0677660 (UMLS CUI [1,2])
C0677660 (UMLS CUI [1,2])
Code List
a) Cut down the amount of time you spent on work or other activities
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
A little of the time (4)
CL Item
None of the time (5)
Item
b) Accomplished less than you would like
integer
C3900126 (UMLS CUI [1])
Code List
b) Accomplished less than you would like
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
A little of the time (4)
CL Item
None of the time (5)
Item
c) Didn't do work or other activities as carefully as usual
integer
C3899381 (UMLS CUI [1])
Code List
c) Didn't do work or other activities as carefully as usual
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
A little of the time (4)
CL Item
None of the time (5)
Item
6. During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups?
integer
C0677660 (UMLS CUI [1,1])
C3829529 (UMLS CUI [1,2])
C3829529 (UMLS CUI [1,2])
Code List
6. During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups?
CL Item
Not at all (1)
CL Item
Slightly (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
Item
7. How much bodily pain have you had during the past 4 weeks?
integer
C0030193 (UMLS CUI [1])
Code List
7. How much bodily pain have you had during the past 4 weeks?
CL Item
None (1)
CL Item
Very mild (2)
CL Item
Mild (3)
CL Item
Moderate (4)
CL Item
Severe (5)
CL Item
Very severe (6)
Item
8. During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?
integer
C3898033 (UMLS CUI [1])
Code List
8. During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?
CL Item
Not at all (1)
CL Item
A Little bit (2)
CL Item
Moderately (3)
CL Item
Quite a bit (4)
CL Item
Extremely (5)
feelings last 4 weeks
Item
9. These questions are about how you feel and how things have been with you during the past 4 weeks. For each question, please give the one answer that comes closest to the way you have been feeling.
text
Code List
a) Did you feel full of pep?
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
A little of the time (4)
CL Item
None of the time (5)
Item
b) Have you been a very nervous person?
integer
C3475469 (UMLS CUI [1])
Code List
b) Have you been a very nervous person?
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
A little of the time (4)
CL Item
None of the time (5)
Item
c) Have you felt so down in the dumps that nothing could cheer you up?
integer
C3475473 (UMLS CUI [1])
Code List
c) Have you felt so down in the dumps that nothing could cheer you up?
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
A little of the time (4)
CL Item
None of the time (5)
Item
d) Have you felt calm and peaceful?
integer
C3475471 (UMLS CUI [1])
Code List
d) Have you felt calm and peaceful?
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
A little of the time (4)
CL Item
None of the time (5)
Code List
e) Did you have a lot of energy?
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
A little of the time (4)
CL Item
None of the time (5)
Item
f) Have you felt downhearted and blue?
integer
C3475472 (UMLS CUI [1])
Code List
f) Have you felt downhearted and blue?
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
A little of the time (4)
CL Item
None of the time (5)
Code List
g) Did you feel worn out?
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
A little of the time (4)
CL Item
None of the time (5)
Code List
h) Have you been a happy person?
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
A little of the time (4)
CL Item
None of the time (5)
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
A little of the time (4)
CL Item
None of the time (5)
Item
10. During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)?
integer
C0677660 (UMLS CUI [1,1])
C0521102 (UMLS CUI [1,2])
C3641834 (UMLS CUI [1,3])
C0521102 (UMLS CUI [1,2])
C3641834 (UMLS CUI [1,3])
Code List
10. During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)?
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
A little of the time (4)
CL Item
None of the time (5)
How TRUE or FALSE is each of the following statements for you.
Item
11. How TRUE or FALSE is each of the following statements for you.
text
Item
a) I seem to get sick a little easier than other people
integer
C3899028 (UMLS CUI [1])
Code List
a) I seem to get sick a little easier than other people
CL Item
Definitely true (1)
CL Item
Mostly true (2)
CL Item
Don't know (3)
CL Item
Mostly false (4)
CL Item
Definitely false (5)
Item
b) I am as healthy as anybody I know
integer
C3900054 (UMLS CUI [1])
CL Item
Definitely true (1)
CL Item
Mostly true (2)
CL Item
Don't know (3)
CL Item
Mostly false (4)
CL Item
Definitely false (5)
Item
c) I expect my health to get worse
integer
C3475697 (UMLS CUI [1])
CL Item
Definitely true (1)
CL Item
Mostly true (2)
CL Item
Don't know (3)
CL Item
Mostly false (4)
CL Item
Definitely false (5)
CL Item
Definitely true (1)
CL Item
Mostly true (2)
CL Item
Don't know (3)
CL Item
Mostly false (4)
CL Item
Definitely false (5)