ID
2470
Beschrijving
ACOSOG-Z4099 USCD Shortness of Breath Form Surgery With or Without Internal Radiation Therapy Compared With Stereotactic Body Radiation Therapy in Treating Patients With High-Risk Stage I Non-Small Cell Lung Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9869A599-BD3E-139E-E040-BB89AD432862
Link
Trefwoorden
Versies (2)
- 19-09-12 19-09-12 -
- 09-01-15 09-01-15 - Martin Dugas
Geüploaded op
19 september 2012
DOI
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Licentie
Creative Commons BY-NC 3.0 Legacy
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Lung Cancer NCT01336894 Quality of Life - ACOSOG-Z4099 USCD Shortness of Breath Form - 3178502v1.0
Instructions: For each activity listed below, please rate your breathlessness on a scale between zero and five where 0 is not at all breathless and 5 is maximally breathless or too breathless to do the activity. If the activity is one that you do not perform, please give your best estimate of breathlessness. Your responses should be for an "average" day during the past week. Please respond to all times
- StudyEvent: ACOSOG-Z4099 USCD Shortness of Breath Form
Beschrijving
How Short Of Breath Do You Get
Beschrijving
RestBreathShortnessAssessmentScale
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0443144
Beschrijving
WalkFlatBreathShortnessAssessmentScale
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0560049
Beschrijving
WalkingBreathShortnessAssessmentScale
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0080331
- NCI Metathesaurus ObjectClass
- C0392680
Beschrijving
WalkHillBreathShortnessAssessmentScale
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0580809
Beschrijving
ClimbingStairsBreathShortnessAssessmentScale
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- CL299704
- NCI Metathesaurus ObjectClass
- C0392680
Beschrijving
EatingBreathShortnessAssessmentScale
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0013470
Beschrijving
StandingUpBreathShortnessAssessmentScale
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0444796
Beschrijving
ToothbrushingBreathShortnessAssessmentScale
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Thesaurus ObjectClass
- C63734
- UMLS 2011AA ObjectClass
- C0040461
Beschrijving
ShavingBreathShortnessAssessmentScale
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0522772
Beschrijving
BathingBreathShortnessAssessmentScale
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0150141
- NCI Metathesaurus ObjectClass
- C0392680
Beschrijving
DressingBreathShortnessAssessmentScale
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- CL313791
Beschrijving
HouseCleaningBreathShortnessAssessmentScale
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0564042
Beschrijving
KitchenBreathShortnessAssessmentScale
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0557653
Beschrijving
VacuumCleanerBreathShortnessAssessmentScale
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0392308
Beschrijving
MakeBedBreathShortnessAssessmentScale
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0564030
Beschrijving
ShoppingBreathShortnessAssessmentScale
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- CL112583
Beschrijving
LaundryBreathShortnessAssessmentScale
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0542293
Beschrijving
WashingBreathShortnessAssessmentScale
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0563947
Beschrijving
LawnmowerBreathShortnessAssessmentScale
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0441054
Beschrijving
WaterBreathShortnessAssessmentScale
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0597678
- NCI Metathesaurus ObjectClass
- C0392680
Beschrijving
SexualActivityBreathShortnessAssessmentScale
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- CL197653
Beschrijving
How Much Do These Limit Your Daily Life
Beschrijving
BreathShortnessAssessmentScale
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
Beschrijving
OverexertionBreathShortnessAssessmentScale
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0301616
Beschrijving
FearBreathShortnessAssessmentScale
Datatype
text
Alias
- NCI Thesaurus ValueDomain
- C25664
- UMLS 2011AA ValueDomain
- C0349674
- NCI Thesaurus Property
- C20989
- UMLS 2011AA Property
- C0031809
- NCI Metathesaurus ObjectClass
- C0392680
- NCI Metathesaurus ObjectClass
- C0015726
Similar models
Instructions: For each activity listed below, please rate your breathlessness on a scale between zero and five where 0 is not at all breathless and 5 is maximally breathless or too breathless to do the activity. If the activity is one that you do not perform, please give your best estimate of breathlessness. Your responses should be for an "average" day during the past week. Please respond to all times
- StudyEvent: ACOSOG-Z4099 USCD Shortness of Breath Form
C0237753 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25462 (NCI Thesaurus Property)
C0700114 (UMLS 2011AA Property)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C1547383 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25536 (NCI Thesaurus Property)
C1555582 (UMLS 2011AA Property)
C0011008 (UMLS 2011AA ValueDomain)
C40988 (NCI Thesaurus ObjectClass)
C1516308 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0443144 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0560049 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0080331 (NCI Metathesaurus ObjectClass)
C0392680 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0580809 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
CL299704 (NCI Metathesaurus ObjectClass)
C0392680 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0013470 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0444796 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C63734 (NCI Thesaurus ObjectClass)
C0040461 (UMLS 2011AA ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0522772 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0150141 (NCI Metathesaurus ObjectClass)
C0392680 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
CL313791 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0564042 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0557653 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0392308 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0564030 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
CL112583 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0542293 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0563947 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0441054 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0597678 (NCI Metathesaurus ObjectClass)
C0392680 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
CL197653 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0301616 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0392680 (NCI Metathesaurus ObjectClass)
C0015726 (NCI Metathesaurus ObjectClass)
C0205448 (UMLS 2011AA)
C0806909 (UMLS 2011AA)