Item
In what language will the patient-reported outcome questionnaires be administered (VFQ-25)?
integer
C0023008 (UMLS CUI [1])
Code List
In what language will the patient-reported outcome questionnaires be administered (VFQ-25)?
ADMINISTRATION_DT [ADDT]
Item
Date Administered:
date
C1302393 (UMLS CUI [1])
Item
1. In general, would you say your overall health is:
integer
C3174572 (UMLS CUI [1])
Code List
1. In general, would you say your overall health is:
CL Item
1 - Excellent (1)
CL Item
2 - Very Good (2)
Item
2. At the present time, would you say your eyesight using both eyes (with glasses or contact lenses, if you wear them) is excellent, good, fair, poor, or very poor or are you completely blind?
integer
C3174874 (UMLS CUI [1])
Code List
2. At the present time, would you say your eyesight using both eyes (with glasses or contact lenses, if you wear them) is excellent, good, fair, poor, or very poor or are you completely blind?
CL Item
1 - Excellent (1)
CL Item
5 - Very poor (5)
CL Item
6 - Completely blind (6)
Item
3. How much of the time do you worry about your eyesight?
integer
C3174914 (UMLS CUI [1])
Code List
3. How much of the time do you worry about your eyesight?
CL Item
1 - None of the time (1)
CL Item
2 - A little of the time (2)
CL Item
3 - Some of the time (3)
CL Item
4 - Most of the time (4)
CL Item
5 - All of the time (5)
Item
4. How much pain or discomfort have you had in and around your eyes (for example, burning, itching, or aching)? Would you say it is:
integer
C3174916 (UMLS CUI [1])
Code List
4. How much pain or discomfort have you had in and around your eyes (for example, burning, itching, or aching)? Would you say it is:
CL Item
4 - Severe, or (4)
CL Item
5 - Very severe (5)
Item
5. How much difficulty do you have reading ordinary print in newspapers? Would you say you have:
integer
C3174916 (UMLS CUI [1])
Code List
5. How much difficulty do you have reading ordinary print in newspapers? Would you say you have:
CL Item
1 - No difficulty at all (1)
CL Item
2 - A little difficulty (2)
CL Item
3 - Moderate difficulty (3)
CL Item
4 - Extreme difficulty (4)
CL Item
5 - Stopped doing this because of your eyesight (5)
CL Item
6 - Stopped doing this for other reasons or not interested in doing this (6)
Item
6. How much difficulty do you have doing work or hobbies that require you to see well up close, such as cooking, sewing, fixing things around the house, or using hand tools? Would you say:
integer
C3176685 (UMLS CUI [1,1])
Code List
6. How much difficulty do you have doing work or hobbies that require you to see well up close, such as cooking, sewing, fixing things around the house, or using hand tools? Would you say:
CL Item
1 - No difficulty at all (1)
CL Item
2 - A little difficulty (2)
CL Item
3 - Moderate difficulty (3)
CL Item
4 - Extreme difficulty (4)
CL Item
5 - Stopped doing this because of your eyesight (5)
CL Item
6 - Stopped doing this for other reasons or not interested in doing this (6)
Item
7. Because of your eyesight, how much difficulty do you have finding something on a crowded shelf?
integer
C3176687 (UMLS CUI [1])
Code List
7. Because of your eyesight, how much difficulty do you have finding something on a crowded shelf?
CL Item
1 - No difficulty at all (1)
CL Item
2 - A little difficulty (2)
CL Item
3 - Moderate difficulty (3)
CL Item
4 - Extreme difficulty (4)
CL Item
5 - Stopped doing this because of your eyesight (5)
CL Item
6 - Stopped doing this for other reasons or not interested in doing this (6)
Item
7a. Wearing glasses, how much difficulty do you have reading the small print in a telephone book, on a medicine bottle, or on legal forms? Would you say:
integer
C3166557 (UMLS CUI [1])
Code List
7a. Wearing glasses, how much difficulty do you have reading the small print in a telephone book, on a medicine bottle, or on legal forms? Would you say:
CL Item
1 - No difficulty at all (1)
CL Item
2 - A little difficulty (2)
CL Item
3 - Moderate difficulty (3)
CL Item
4 - Extreme difficulty (4)
CL Item
5 - Stopped doing this because of your eyesight (5)
CL Item
6 - Stopped doing this for other reasons or not interested in doing this (6)
Item
7b. Because of your eyesight, how much difficulty do you have figuring out whether bills you receive are accurate?
integer
C3176641 (UMLS CUI [1])
Code List
7b. Because of your eyesight, how much difficulty do you have figuring out whether bills you receive are accurate?
CL Item
1 - No difficulty at all (1)
CL Item
2 - A little difficulty (2)
CL Item
3 - Moderate difficulty (3)
CL Item
4 - Extreme difficulty (4)
CL Item
5 - Stopped doing this because of your eyesight (5)
CL Item
6 - Stopped doing this for other reasons or not interested in doing this (6)
Item
7c. Because of your eyesight, how much difficulty do you have doing things like shaving, styling your hair, or putting on makeup?
integer
C3176643 (UMLS CUI [1])
Code List
7c. Because of your eyesight, how much difficulty do you have doing things like shaving, styling your hair, or putting on makeup?
CL Item
1 - No difficulty at all (1)
CL Item
2 - A little difficulty (2)
CL Item
3 - Moderate difficulty (3)
CL Item
4 - Extreme difficulty (4)
CL Item
5 - Stopped doing this because of your eyesight (5)
CL Item
6 - Stopped doing this for other reasons or not interested in doing this (6)
Item
8. How much difficulty do you have reading street signs or the names of stores?
integer
C3176689 (UMLS CUI [1,1])
Code List
8. How much difficulty do you have reading street signs or the names of stores?
CL Item
1 - No difficulty at all (1)
CL Item
2 - A little difficulty (2)
CL Item
3 - Moderate difficulty (3)
CL Item
4 - Extreme difficulty (4)
CL Item
5 - Stopped doing this because of your eyesight (5)
CL Item
6 - Stopped doing this for other reasons or not interested in doing this (6)
Item
9. Because of your eyesight, how much difficulty do you have going down steps, stairs, or curbs in dim light or at night?
integer
C3176691 (UMLS CUI [1])
Code List
9. Because of your eyesight, how much difficulty do you have going down steps, stairs, or curbs in dim light or at night?
CL Item
1 - No difficulty at all (1)
CL Item
2 - A little difficulty (2)
CL Item
3 - Moderate difficulty (3)
CL Item
4 - Extreme difficulty (4)
CL Item
5 - Stopped doing this because of your eyesight (5)
CL Item
6 - Stopped doing this for other reasons or not interested in doing this (6)
Item
10. Because of your eyesight, how much difficulty do you have noticing objects off to the side while you are walking along?
integer
C3176693 (UMLS CUI [1])
Code List
10. Because of your eyesight, how much difficulty do you have noticing objects off to the side while you are walking along?
CL Item
1 - No difficulty at all (1)
CL Item
2 - A little difficulty (2)
CL Item
3 - Moderate difficulty (3)
CL Item
4 - Extreme difficulty (4)
CL Item
5 - Stopped doing this because of your eyesight (5)
CL Item
6 - Stopped doing this for other reasons or not interested in doing this (6)
Item
10a. Because of your eyesight, how much difficulty do you have recognizing people you know from across a room?
integer
C3176645 (UMLS CUI [1,1])
Code List
10a. Because of your eyesight, how much difficulty do you have recognizing people you know from across a room?
CL Item
1 - No difficulty at all (1)
CL Item
2 - A little difficulty (2)
CL Item
3 - Moderate difficulty (3)
CL Item
4 - Extreme difficulty (4)
CL Item
5 - Stopped doing this because of your eyesight (5)
CL Item
6 - Stopped doing this for other reasons or not interested in doing this (6)
Item
10b. Because of your eyesight, how much difficulty do you have taking part in active sports or other outdoor activities that you enjoy (like golf, bowling, jogging, or walking)?
integer
C3176647 (UMLS CUI [1])
Code List
10b. Because of your eyesight, how much difficulty do you have taking part in active sports or other outdoor activities that you enjoy (like golf, bowling, jogging, or walking)?
CL Item
1 - No difficulty at all (1)
CL Item
2 - A little difficulty (2)
CL Item
3 - Moderate difficulty (3)
CL Item
4 - Extreme difficulty (4)
CL Item
5 - Stopped doing this because of your eyesight (5)
CL Item
6 - Stopped doing this for other reasons or not interested in doing this (6)
Item
10c. Because of your eyesight, how much difficulty do you have seeing and enjoying programs on TV?
integer
C3176649 (UMLS CUI [1,1])
Code List
10c. Because of your eyesight, how much difficulty do you have seeing and enjoying programs on TV?
CL Item
1 - No difficulty at all (1)
CL Item
2 - A little difficulty (2)
CL Item
3 - Moderate difficulty (3)
CL Item
4 - Extreme difficulty (4)
CL Item
5 - Stopped doing this because of your eyesight (5)
CL Item
6 - Stopped doing this for other reasons or not interested in doing this (6)
Item
11. Because of your eyesight, how much difficulty do you have seeing how people react to things you say?
integer
C3176695 (UMLS CUI [1])
Code List
11. Because of your eyesight, how much difficulty do you have seeing how people react to things you say?
CL Item
1 - No difficulty at all (1)
CL Item
2 - A little difficulty (2)
CL Item
3 - Moderate difficulty (3)
CL Item
4 - Extreme difficulty (4)
CL Item
5 - Stopped doing this because of your eyesight (5)
CL Item
6 - Stopped doing this for other reasons or not interested in doing this (6)
Item
12. Because of your eyesight, how much difficulty do you have picking out and matching your own clothes?
integer
C3176697 (UMLS CUI [1])
Code List
12. Because of your eyesight, how much difficulty do you have picking out and matching your own clothes?
CL Item
1 - No difficulty at all (1)
CL Item
2 - A little difficulty (2)
CL Item
3 - Moderate difficulty (3)
CL Item
4 - Extreme difficulty (4)
CL Item
5 - Stopped doing this because of your eyesight (5)
CL Item
6 - Stopped doing this for other reasons or not interested in doing this (6)
Item
13. Because of your eyesight, how much difficulty do you have visiting with people in their homes, at parties, or in restaurants?
integer
C3176699 (UMLS CUI [1,1])
Code List
13. Because of your eyesight, how much difficulty do you have visiting with people in their homes, at parties, or in restaurants?
CL Item
1 - No difficulty at all (1)
CL Item
2 - A little difficulty (2)
CL Item
3 - Moderate difficulty (3)
CL Item
4 - Extreme difficulty (4)
CL Item
5 - Stopped doing this because of your eyesight (5)
CL Item
6 - Stopped doing this for other reasons or not interested in doing this (6)
Item
14. Because of your eyesight, how much difficulty do you have going out to see movies, plays or sports events?
integer
C3176701 (UMLS CUI [1])
Code List
14. Because of your eyesight, how much difficulty do you have going out to see movies, plays or sports events?
CL Item
1 - No difficulty at all (1)
CL Item
2 - A little difficulty (2)
CL Item
3 - Moderate difficulty (3)
CL Item
4 - Extreme difficulty (4)
CL Item
5 - Stopped doing this because of your eyesight (5)
CL Item
6 - Stopped doing this for other reasons or not interested in doing this (6)
Item
15. Now, I’d like to ask about driving a car. Are you currently driving, at least once in a while?
integer
C3174918 (UMLS CUI [1])
Code List
15. Now, I’d like to ask about driving a car. Are you currently driving, at least once in a while?
CL Item
Yes (Skip to Q15c) (1)
Item
15a. If NO, ASK: Have you never driven a car or have you given up driving?
integer
C3174287 (UMLS CUI [1,1])
Code List
15a. If NO, ASK: Have you never driven a car or have you given up driving?
CL Item
1 - Never drove (Skip to Part 3, Q17) (1)
Item
IF GAVE UP DRIVING: Was that mainly because of your eyesight, mainly for some other reason, or because of both your eyesight and other reasons?
integer
C3166530 (UMLS CUI [1,1])
Code List
IF GAVE UP DRIVING: Was that mainly because of your eyesight, mainly for some other reason, or because of both your eyesight and other reasons?
CL Item
1 - Mainly eyesight (1)
CL Item
(Skip to Part 3, Q17) (2)
CL Item
2 - Mainly other reasons (3)
CL Item
(Skip to Part 3, Q17) (4)
CL Item
3 - Both eyesight and other reasons (5)
CL Item
(Skip to Part 3, Q17) (6)
Item
15c. IF CURRENTLY DRIVING: How much difficulty do you have driving during the daytime in familiar places? Would you say you have:
integer
C3174290 (UMLS CUI [1,1])
Code List
15c. IF CURRENTLY DRIVING: How much difficulty do you have driving during the daytime in familiar places? Would you say you have:
CL Item
1 - No difficulty at all (1)
CL Item
2 - A little difficulty (2)
CL Item
3 - Moderate difficulty (3)
CL Item
4 - Extreme difficulty (4)
Item
16. How much difficulty do you have driving at night? Would you say you have:
integer
C3174292 (UMLS CUI [1,1])
Code List
16. How much difficulty do you have driving at night? Would you say you have:
CL Item
1 - No difficulty at all (1)
CL Item
2 - A little difficulty (2)
CL Item
3 - Moderate difficulty (3)
CL Item
4 - Extreme difficulty (4)
CL Item
5 - Stopped doing this because of your eyesight (5)
CL Item
6 - Stopped doing this for other reasons or not interested in doing this (6)
Item
16a. How much difficulty do you have driving in difficult conditions, such as in bad weather, during rush hour, on the freeway, or in city traffic? Would you say you have:
integer
C3174294 (UMLS CUI [1,1])
Code List
16a. How much difficulty do you have driving in difficult conditions, such as in bad weather, during rush hour, on the freeway, or in city traffic? Would you say you have:
CL Item
1 - No difficulty at all (1)
CL Item
2 - A little difficulty (2)
CL Item
3 - Moderate difficulty (3)
CL Item
4 - Extreme difficulty (4)
CL Item
5 - Stopped doing this because of your eyesight (5)
CL Item
6 - Stopped doing this for other reasons or not interested in doing this (6)
Item
17. Do you accomplish less than you would like because of your vision?
integer
C3174296 (UMLS CUI [1])
Code List
17. Do you accomplish less than you would like because of your vision?
CL Item
1 - All of the time (1)
CL Item
2 - Most of the time (2)
CL Item
3 - Some of the time (3)
CL Item
4 - A little of the time (4)
CL Item
5 - None of the time (5)
Item
18. Are you limited in how long you can work or do other activities because of your vision?
integer
C3174298 (UMLS CUI [1,1])
Code List
18. Are you limited in how long you can work or do other activities because of your vision?
CL Item
1 - All of the time (1)
CL Item
2 - Most of the time (2)
CL Item
3 - Some of the time (3)
CL Item
4 - A little of the time (4)
CL Item
5 - None of the time (5)
Item
19. How much does pain or discomfort in or around your eyes, for example, burning, itching, or aching, keep you from doing what you’d like to be doing? Would you say:
integer
C3174920 (UMLS CUI [1])
Code List
19. How much does pain or discomfort in or around your eyes, for example, burning, itching, or aching, keep you from doing what you’d like to be doing? Would you say:
CL Item
1 - All of the time (1)
CL Item
2 - Most of the time (2)
CL Item
3 - Some of the time (3)
CL Item
4 - A little of the time (4)
CL Item
5 - None of the time (5)
Item
20. I stay home most of the time because of my eyesight...
integer
C3176629 (UMLS CUI [1])
Code List
20. I stay home most of the time because of my eyesight...
CL Item
1 - Definitely True (1)
CL Item
2 - Mostly True (2)
CL Item
4 - Mostly False (4)
CL Item
5 - Definitely False (5)
Item
21. I feel frustrated a lot of the time because of my eyesight...
integer
C3176631 (UMLS CUI [1])
Code List
21. I feel frustrated a lot of the time because of my eyesight...
CL Item
1 - Definitely True (1)
CL Item
2 - Mostly True (2)
CL Item
4 - Mostly False (4)
CL Item
5 - Definitely False (5)
Item
22. I have much less control over what I do, because of my eyesight...
integer
C3176633 (UMLS CUI [1,1])
Code List
22. I have much less control over what I do, because of my eyesight...
CL Item
1 - Definitely True (1)
CL Item
2 - Mostly True (2)
CL Item
4 - Mostly False (4)
CL Item
5 - Definitely False (5)
Item
23. Because of my eyesight, I have to rely too much on what other people tell me...
integer
C3176633 (UMLS CUI [1])
Code List
23. Because of my eyesight, I have to rely too much on what other people tell me...
CL Item
1 - Definitely True (1)
CL Item
2 - Mostly True (2)
CL Item
4 - Mostly False (4)
CL Item
5 - Definitely False (5)
Item
24. I need a lot of help from others because of my eyesight...
integer
C3176637 (UMLS CUI [1])
Code List
24. I need a lot of help from others because of my eyesight...
CL Item
1 - Definitely True (1)
CL Item
2 - Mostly True (2)
CL Item
4 - Mostly False (4)
CL Item
5 - Definitely False (5)
Item
25. I worry about doing things that will embarrass myself or others, because of my eyesight...
integer
C3176639 (UMLS CUI [1,1])
Code List
25. I worry about doing things that will embarrass myself or others, because of my eyesight...
CL Item
1 - Definitely True (1)
CL Item
2 - Mostly True (2)
CL Item
4 - Mostly False (4)
CL Item
5 - Definitely False (5)
Item
In what language will the patient-reported outcome questionnaires be administered (RetDQoL)?
integer
C0023008 (UMLS CUI [1])
Code List
In what language will the patient-reported outcome questionnaires be administered (RetDQoL)?
Item
I) In general, my present quality of life is:
integer
Code List
I) In general, my present quality of life is:
CL Item
Neither Good Nor Bad (4)
CL Item
Extremely Bad (7)
Item
II) If I did not have diabetic eye problems, my quality of life would be:
integer
Code List
II) If I did not have diabetic eye problems, my quality of life would be:
CL Item
Very Much Better (1)
CL Item
A Little Better (3)
Item
1a) If I did not have diabetic eye problems, I could handle my household tasks:
integer
Code List
1a) If I did not have diabetic eye problems, I could handle my household tasks:
CL Item
Very Much Better (1)
CL Item
A Little Better (3)
Item
1b) Handling my household tasks is:
integer
Code List
1b) Handling my household tasks is:
CL Item
Very Much Better (1)
CL Item
A Little Better (3)
Item
2a) If I did not have diabetic eye problems, I could handle my personal affairs (letters, bills, etc.):
integer
Code List
2a) If I did not have diabetic eye problems, I could handle my personal affairs (letters, bills, etc.):
CL Item
Very Much Better (1)
CL Item
A Little Better (3)
Item
2b) Handling my personal affairs is:
integer
Code List
2b) Handling my personal affairs is:
CL Item
Very Much Better (1)
CL Item
A Little Better (3)
Item
3a) If I did not have diabetic eye problems, my experience of shopping would be:
integer
Code List
3a) If I did not have diabetic eye problems, my experience of shopping would be:
CL Item
Very Much Better (1)
CL Item
A Little Better (3)
Item
3b) My experience of shopping is:
integer
Code List
3b) My experience of shopping is:
CL Item
Very Much Better (1)
CL Item
A Little Better (3)
Item
4a) If I did not have diabetic eye problems, my feelings about the future (e.g., worries, hopes) would be:
integer
Code List
4a) If I did not have diabetic eye problems, my feelings about the future (e.g., worries, hopes) would be:
CL Item
Very Much Better (1)
CL Item
A Little Better (3)
Item
4b) My feelings about the future are:
integer
Code List
4b) My feelings about the future are:
CL Item
Very Important (1)
CL Item
Somewhat Important (3)
CL Item
Not At All Important (4)
Item
5a) If I did not have diabetic eye problems, my feelings about past medical care and / or self-care (e.g., anger or regret): would be:
integer
Code List
5a) If I did not have diabetic eye problems, my feelings about past medical care and / or self-care (e.g., anger or regret): would be:
CL Item
Very Much Better (1)
CL Item
A Little Better (3)
Item
5b) My feelings about the past are:
integer
Code List
5b) My feelings about the past are:
CL Item
Very Important (1)
CL Item
Somewhat Important (3)
CL Item
Not At All Important (4)
Item
6) Are you currently working, looking for work or would you like to work?
integer
Code List
6) Are you currently working, looking for work or would you like to work?
Item
6a) If I did not have diabetic eye problems, my work life would be:
integer
Code List
6a) If I did not have diabetic eye problems, my work life would be:
CL Item
Very Much Better (1)
CL Item
A Little Better (3)
Item
6b) For me, having a work life is:
integer
Code List
6b) For me, having a work life is:
CL Item
Very Important (1)
CL Item
Somewhat Important (3)
CL Item
Not At All Important (4)
Item
7) Do you have or would you like to have a close personal relationship (e.g., husband / wife, partner)?
integer
Code List
7) Do you have or would you like to have a close personal relationship (e.g., husband / wife, partner)?
Item
7a) If I did not have diabetic eye problems, my closest personal relationship would be:
integer
Code List
7a) If I did not have diabetic eye problems, my closest personal relationship would be:
CL Item
Very Much Better (1)
CL Item
A Little Better (3)
Item
7b) For me, having a close personal relationship is:
integer
Code List
7b) For me, having a close personal relationship is:
CL Item
Very Important (1)
CL Item
Somewhat Important (3)
CL Item
Not At All Important (4)
Item
8) Do you have any family / relatives?
integer
Code List
8) Do you have any family / relatives?
Item
8a) If I did not have diabetic eye problems, my family life would be:
integer
Code List
8a) If I did not have diabetic eye problems, my family life would be:
CL Item
Very Much Better (1)
CL Item
A Little Better (3)
Item
8b) My family life is:
integer
Code List
8b) My family life is:
CL Item
Very Important (1)
CL Item
Somewhat Important (3)
CL Item
Not At All Important (4)
Item
9a) If I did not have diabetic eye problems, my friendships and social life would be:
integer
Code List
9a) If I did not have diabetic eye problems, my friendships and social life would be:
CL Item
Very Much Better (1)
CL Item
A Little Better (3)
Item
9b) My friendships and social life are:
integer
Code List
9b) My friendships and social life are:
CL Item
Very Important (1)
CL Item
Somewhat Important (3)
CL Item
Not At All Important (4)
Item
10a) If I did not have diabetic eye problems, I could do things for others as I wish:
integer
Code List
10a) If I did not have diabetic eye problems, I could do things for others as I wish:
CL Item
Very Much Better (1)
CL Item
A Little Better (3)
Item
10b) For me, doing things for others is:
integer
Code List
10b) For me, doing things for others is:
CL Item
Very Important (1)
CL Item
Somewhat Important (3)
CL Item
Not At All Important (4)
Item
11a) If I did not have diabetic eye problems, I could get out and about (e.g., on foot, or by car, bus or train):
integer
Code List
11a) If I did not have diabetic eye problems, I could get out and about (e.g., on foot, or by car, bus or train):
CL Item
Very Much Better (1)
CL Item
A Little Better (3)
Item
11b) For me, getting out and about is:
integer
Code List
11b) For me, getting out and about is:
CL Item
Very Important (1)
CL Item
Somewhat Important (3)
CL Item
Not At All Important (4)
Item
12) Do you ever go on vacation or want to go on vacation?
integer
Code List
12) Do you ever go on vacation or want to go on vacation?
Item
12) Do you ever go on vacation or want to go on vacation?
integer
Code List
12) Do you ever go on vacation or want to go on vacation?
Item
12a) If I did not have diabetic eye problems, my vacations would be:
integer
Code List
12a) If I did not have diabetic eye problems, my vacations would be:
CL Item
Very Much Better (1)
CL Item
A Little Better (3)
Item
12b) For me, vacations are:
integer
Code List
12b) For me, vacations are:
CL Item
Very Important (1)
CL Item
Somewhat Important (3)
CL Item
Not At All Important (4)
Item
13a) If I did not have diabetic eye problems, my financial situation would be:
integer
Code List
13a) If I did not have diabetic eye problems, my financial situation would be:
CL Item
Very Much Better (1)
CL Item
A Little Better (3)
Item
13b) My financial situation is:
integer
Code List
13b) My financial situation is:
CL Item
Very Important (1)
CL Item
Somewhat Important (3)
CL Item
Not At All Important (4)
Item
14a) If I did not have diabetic eye problems, the way people in general react to me would be:
integer
Code List
14a) If I did not have diabetic eye problems, the way people in general react to me would be:
CL Item
Very Much Better (1)
CL Item
A Little Better (3)
Item
14b) The way people in general react to me is:
integer
Code List
14b) The way people in general react to me is:
CL Item
Very Important (1)
CL Item
Somewhat Important (3)
CL Item
Not At All Important (4)
Item
15a) If I did not have diabetic eye problems, my physical appearance (including clothes and grooming) would be:
integer
Code List
15a) If I did not have diabetic eye problems, my physical appearance (including clothes and grooming) would be:
CL Item
Very Much Better (1)
CL Item
A Little Better (3)
Item
15b) My physical appearance is:
integer
Code List
15b) My physical appearance is:
CL Item
Very Important (1)
CL Item
Somewhat Important (3)
CL Item
Not At All Important (4)
Item
16a) If I did not have diabetic eye problems, physically I could do:
integer
Code List
16a) If I did not have diabetic eye problems, physically I could do:
CL Item
Very Much More (1)
CL Item
A Little More (3)
Item
16b) For me, how much I can do physically is:
integer
Code List
16b) For me, how much I can do physically is:
CL Item
Very Important (1)
CL Item
Somewhat Important (3)
CL Item
Not At All Important (4)
Item
17a) If I did not have diabetic eye problems, I could enjoy my leisure activities and interests (e.g., reading, TV, radio, hobbies):
integer
Code List
17a) If I did not have diabetic eye problems, I could enjoy my leisure activities and interests (e.g., reading, TV, radio, hobbies):
CL Item
Very Much More (1)
CL Item
A Little More (3)
Item
17b) My leisure activities are:
integer
Code List
17b) My leisure activities are:
CL Item
Very Important (1)
CL Item
Somewhat Important (3)
CL Item
Not At All Important (4)
Item
18a) If I did not have diabetic eye problems, my self-confidence would be:
integer
Code List
18a) If I did not have diabetic eye problems, my self-confidence would be:
CL Item
Very Much Better (1)
CL Item
A Little Better (3)
Item
18b) My self-confidence is:
integer
Code List
18b) My self-confidence is:
CL Item
Very Important (1)
CL Item
Somewhat Important (3)
CL Item
Not At All Important (4)
Item
19a) If I did not have diabetic eye problems, my motivation would be:
integer
Code List
19a) If I did not have diabetic eye problems, my motivation would be:
CL Item
Very Much Better (1)
CL Item
A Little Better (3)
Item
19b) My motivation is:
integer
Code List
19b) My motivation is:
CL Item
Very Important (1)
CL Item
Somewhat Important (3)
CL Item
Not At All Important (4)
Item
20) Are there occasions when you wish you did not need to depend on other people?
integer
Code List
20) Are there occasions when you wish you did not need to depend on other people?
Item
20a) If I did not have diabetic eye problems, I could do things independently:
integer
Code List
20a) If I did not have diabetic eye problems, I could do things independently:
CL Item
Very Much Better (1)
CL Item
A Little Better (3)
Item
20b) For me, being able to do things independently is:
integer
Code List
20b) For me, being able to do things independently is:
CL Item
Very Important (1)
CL Item
Somewhat Important (3)
CL Item
Not At All Important (4)
Item
21a) If I did not have diabetic eye problems, I would have mishaps or would lose things:
integer
Code List
21a) If I did not have diabetic eye problems, I would have mishaps or would lose things:
CL Item
Very Much Less (1)
CL Item
A Little Less (3)
Item
21b) For me, not having mishaps or losing things is:
integer
Code List
21b) For me, not having mishaps or losing things is:
CL Item
Very Important (1)
CL Item
Somewhat Important (3)
CL Item
Not At All Important (4)
Item
22a) If I did not have diabetic eye problems, the time it takes me to do things would be:
integer
Code List
22a) If I did not have diabetic eye problems, the time it takes me to do things would be:
CL Item
Very Much Less (1)
CL Item
A Little Less (3)
Item
22b) The time it takes me to do things is:
integer
Code List
22b) The time it takes me to do things is:
CL Item
Very Much Easier (1)
CL Item
A Little Easier (3)
CL Item
More Difficult (5)
Item
23a) If I did not have diabetic eye problems, I would find taking care of my diabetes (e.g., self-testing, medication, food, exercise):
integer
Code List
23a) If I did not have diabetic eye problems, I would find taking care of my diabetes (e.g., self-testing, medication, food, exercise):
CL Item
Very Much Easier (1)
CL Item
A Little Easier (3)
CL Item
More Difficult (5)
Item
23b) Taking care of my diabetes is: exercise):
integer
Code List
23b) Taking care of my diabetes is: exercise):
CL Item
Very Important (1)
CL Item
Somewhat Important (3)
CL Item
Not At All Important (4)
Item
24a) If I did not have diabetic eye problems, I could enjoy nature:
integer
Code List
24a) If I did not have diabetic eye problems, I could enjoy nature:
CL Item
Very Much More (1)
CL Item
A Little More (3)
Item
24b) My enjoyment of nature is:
integer
Code List
24b) My enjoyment of nature is:
CL Item
Very Important (1)
CL Item
Somewhat Important (3)
CL Item
Not At All Important (4)
Item
25) Do your diabetic eye problems affect your quality of life in any ways that have not been covered by the questionnaire?
integer
Code List
25) Do your diabetic eye problems affect your quality of life in any ways that have not been covered by the questionnaire?
OTHER_SPECIFY [OTHSP]
Item
Do your diabetic eye problems affect your quality of life in any ways that have not been covered by the questionnaire? If Yes, please describe in the box provided.
text
VITAL_SIGNS_RECORDS [VTLREC]
Item
Were any vital signs recorded at this visit?
boolean
C1740486 (UMLS CUI [1])
VITAL_SIGNS_DT [VTLDT]
Item
Vital Signs Date:
date
C2826644 (UMLS CUI [1])
VITAL_SIGNS_TIME [VTLTM]
Item
Vital Signs Time:
time
C2827042 (UMLS CUI [1])
TEMPERATURE [TEMP]
Item
Temp:
float
C0005903 (UMLS CUI [1])
PULSE [PULSE]
Item
Pulse:
integer
C0232117 (UMLS CUI [1])
RESPIRATION [RESP]
Item
Resp:
integer
C0231832 (UMLS CUI [1])
BLOOD_PRESSURE_SYS [BPS]
Item
Blood Pressure sys:
integer
C0871470 (UMLS CUI [1])
BLOOD_PRESSURE_DIA [BPD]
Item
Blood Pressure dys:
integer
C0428883 (UMLS CUI [1])
DISTANCE_CHAR [DSTCHR]
Item
Testing Distance: 1 meter
text
C0429925 (UMLS CUI [1])
EXAM_DT [EXMDT]
Item
Test Date:
date
C0200150 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
NOT_DONE [NOTDN]
Item
Right Eye: Not Done
boolean
C0430888 (UMLS CUI [1,1])
C0229089 (UMLS CUI [1,2])
CORRECT_READING [COTRD]
Item
Total number correct =
integer
C0846621 (UMLS CUI [1,1])
C0229089 (UMLS CUI [1,2])
CONTRAST_SENS_SCORE [TCSS]
Item
Total CS Score =
float
C0430888 (UMLS CUI [1,1])
C0449820 (UMLS CUI [1,2])
C0229089 (UMLS CUI [1,3])
NOT_DONE [NOTDN]
Item
Left Eye: Not Done
boolean
C0430888 (UMLS CUI [1,1])
C0229090 (UMLS CUI [1,2])
CORRECT_READING [COTRD]
Item
Total number correct =
integer
C0846621 (UMLS CUI [1,1])
C0229090 (UMLS CUI [1,2])
CONTRAST_SENS_SCORE [TCSS]
Item
Total CS Score =
float
C0430888 (UMLS CUI [1,1])
C0449820 (UMLS CUI [1,2])
C0229090 (UMLS CUI [1,3])
NOT_DONE [NOTDN]
Item
Right Eye: Not Done
boolean
C0430888 (UMLS CUI [1,1])
C0229089 (UMLS CUI [1,2])
CARD_NUMBER [CARDNO]
Item
Card # used:
integer
C3275277 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
C0229089 (UMLS CUI [1,3])
READING_TIME [RDTM]
Item
1a. Time to Complete:
time
C1549507 (UMLS CUI [1,1])
C0229089 (UMLS CUI [1,2])
CORRECT_READING [COTRD]
Item
b. No. of words read CORRECTLY:
integer
C0871221 (UMLS CUI [1,1])
C0229089 (UMLS CUI [1,2])
NOT_DONE [NOTDN]
Item
Left Eye: Not Done
boolean
C0430888 (UMLS CUI [1,1])
C0229090 (UMLS CUI [1,2])
CARD_NUMBER [CARDNO]
Item
Card # used:
integer
C3275277 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
C0229090 (UMLS CUI [1,3])
READING_TIME [RDTM]
Item
1a. Time to Complete:
time
C1549507 (UMLS CUI [1,1])
C0229090 (UMLS CUI [1,2])
CORRECT_READING [COTRD]
Item
b. No. of words read CORRECTLY:
integer
C0871221 (UMLS CUI [1,1])
C0229090 (UMLS CUI [1,2])
INTRAOCULAR_PRESSURE [ IOP]
Item
Pre-dose Right Eye
integer
C0578862 (UMLS CUI [1,1])
C0439565 (UMLS CUI [1,2])
C0229089 (UMLS CUI [1,3])
INTRAOCULAR_PRESSURE [ IOP]
Item
Pre-dose Right Eye Not Done
boolean
C0578862 (UMLS CUI [1,1])
C0439565 (UMLS CUI [1,2])
C0229089 (UMLS CUI [1,3])
INTRAOCULAR_PRESSURE [ IOP]
Item
Pre-dose Left Eye
integer
C0578862 (UMLS CUI [1,1])
C0439565 (UMLS CUI [1,2])
C0229090 (UMLS CUI [1,3])
INTRAOCULAR_PRESSURE [ IOP]
Item
Pre-dose Left Eye Not Done
boolean
C0578862 (UMLS CUI [1,1])
C0439565 (UMLS CUI [1,2])
C0229090 (UMLS CUI [1,3])
EXAM_DT [EXMDT]
Item
Predose Date
date
C0430888 (UMLS CUI [1,1])
C0439565 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
EXAM_TIME [EXMTM]
Item
Predose Actual Time
time
C0430888 (UMLS CUI [1,1])
C0439565 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Item
Predose Method
integer
C0430888 (UMLS CUI [1,1])
C0439565 (UMLS CUI [1,2])
C0871511 (UMLS CUI [1,3])
CL Item
Applanation tonometry (1)
CL Item
Non-contact tonometry (2)
CL Item
Pneumotonometry (4)
QV: STUDY EYE
Item
60 min post-dose Study Eye
integer
C0578862 (UMLS CUI [1,1])
C0439565 (UMLS CUI [1,2])
C0681850 (UMLS CUI [1,3])
QV: STUDY EYE
Item
60 min post-dose Study Eye Not Done
boolean
C0578862 (UMLS CUI [1,1])
C0439565 (UMLS CUI [1,2])
C0681850 (UMLS CUI [1,3])
EXAM_DT [EXMDT]
Item
60 min post-dose Date
date
C0430888 (UMLS CUI [1,1])
C0439571 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
EXAM_TIME [EXMTM]
Item
60 min post-dose Actual Time
time
C0430888 (UMLS CUI [1,1])
C0439571 (UMLS CUI [1,2])
C0040223 (UMLS CUI [1,3])
Item
60 min post-dose Method
integer
C0430888 (UMLS CUI [1,1])
C0439571 (UMLS CUI [1,2])
C0871511 (UMLS CUI [1,3])
Code List
60 min post-dose Method
CL Item
Applanation tonometry (1)
CL Item
Non-contact tonometry (2)
CL Item
Pneumotonometry (4)
EXAM_DT [EXMDT]
Item
Date of Exam:
date
C0419360 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item
Aqueous Cell
integer
C0419360 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0003662 (UMLS CUI [1,3])
C0229089 (UMLS CUI [1,4])
Item
Aqueous Flare
integer
C0419360 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0524490 (UMLS CUI [1,3])
C0229089 (UMLS CUI [1,4])
CL Item
1 - No difficulty at all (1)
CL Item
2 - A little difficulty (2)
CL Item
3 - Moderate difficulty (3)
CL Item
4 - Extreme difficulty (4)
CL Item
5 - Stopped doing this because of your eyesight (5)
CL Item
6 - Stopped doing this for other reasons or not interested in doing this (6)
Item
Vitreous Cell
integer
C0419360 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0042905 (UMLS CUI [1,3])
C0229089 (UMLS CUI [1,4])
Item
Vitreous Hemorrhage
integer
C0419360 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0042909 (UMLS CUI [1,3])
C0229089 (UMLS CUI [1,4])
Code List
Vitreous Hemorrhage
Item
Cataracts Subcapsular
integer
C0419360 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0235259 (UMLS CUI [1,3])
C0229089 (UMLS CUI [1,4])
Code List
Cataracts Subcapsular
Item
Cataracts Cortical
integer
C0419360 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0271160 (UMLS CUI [1,3])
C0229089 (UMLS CUI [1,4])
Code List
Cataracts Cortical
CL Item
1 - No difficulty at all (1)
CL Item
2 - A little difficulty (2)
CL Item
3 - Moderate difficulty (3)
CL Item
4 - Extreme difficulty (4)
CL Item
5 - Stopped doing this because of your eyesight (5)
CL Item
6 - Stopped doing this for other reasons or not interested in doing this (6)
Item
Cataracts Nuclear
integer
C0419360 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0392557 (UMLS CUI [1,3])
C0229089 (UMLS CUI [1,4])
Code List
Cataracts Nuclear
LENS_RESULT [LNSRES2]
Item
Is artificial intraocular lens implant present?
boolean
C0336564 (UMLS CUI [1,1])
C0229089 (UMLS CUI [1,2])
Item
Aqueous Cell
integer
C0419360 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0003662 (UMLS CUI [1,3])
C0229090 (UMLS CUI [1,4])
Item
Aqueous Flare
integer
C0419360 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0524490 (UMLS CUI [1,3])
C0229090 (UMLS CUI [1,4])
Item
Vitreous Cell
integer
C0419360 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0042905 (UMLS CUI [1,3])
C0229090 (UMLS CUI [1,4])
Item
Vitreous Hemorrhage
integer
C0419360 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0042909 (UMLS CUI [1,3])
C0229090 (UMLS CUI [1,4])
Code List
Vitreous Hemorrhage
Item
Cataracts Subcapsular
integer
C0419360 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0235259 (UMLS CUI [1,3])
C0229090 (UMLS CUI [1,4])
Code List
Cataracts Subcapsular
Item
Cataracts Cortical
integer
C0419360 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0271160 (UMLS CUI [1,3])
C0229090 (UMLS CUI [1,4])
Code List
Cataracts Cortical
Item
Cataracts Nuclear
integer
C0419360 (UMLS CUI [1,1])
C0243095 (UMLS CUI [1,2])
C0392557 (UMLS CUI [1,3])
C0229090 (UMLS CUI [1,4])
Code List
Cataracts Nuclear
LENS_RESULT [LNSRES2]
Item
Is artificial intraocular lens implant present?
boolean
C0336564 (UMLS CUI [1,1])
C0229090 (UMLS CUI [1,2])