ID

40551

Description

CHRONIC KIDNEY DISEASE DATA COLLECTION Version 1.0.0 Revised October 25th, 2017 www.ichom.org Notice: This work was conducted using resources from ICHOM, the International Consortium for Health Outcomes Measurement (www.ICHOM.org). The content is solely the responsibility of the authors and does not necessarily represent the official views of ICHOM. Conditions: Chronic Kidney Disease Stage G3a/A3 | Chronic Kidney Disease StageG 3b/A2/A3 | Chronic Kidney Disease Stage G4 | Chronic Kidney Disease Stage G5 (KDIGO 2012 Stages) Treatment Approaches: Pre-RRT = Pre-Renal Replacement Therapy | HD = Haemodialysis | PD = Peritoneal Dialysis | Tx = Renal Transplantation | CC = Conservative Care This ODM-file contains patient reported outcome variables, to be collected at baseline and 6-monthly (HD, PD and CC) or annually (Pre-RRT and Tx) after that, from the following surveys: PROMIS-Global Health and PROMIS-29: Free for use in clinical practice. As http://www.nihpromis.org/ is the official distribution site for PROMIS questionnaires and translations, only the total score will be included in this version of the standard set. RAND-36: The RAND 36-Item Short Form Survey (SF-36) was developed at RAND as part of the Medical Outcomes Study: https://www.rand.org/health/surveys_tools/mos/36-item-short-form.html . Publication: Verberne WR, Das-Gupta Z, Allegretti AS, et al. Development of an International Standard Set of Value-Based Outcome Measures for Patients With Chronic Kidney Disease: A Report of the International Consortium for Health Outcomes Measurement (ICHOM) CKD Working Group. American Journal of Kidney Diseases. Volume 73, Issue 3, 2019, Pages 372-384, ISSN 0272-6386, https://doi.org/10.1053/j.ajkd.2018.10.007 ICHOM was supported for the Chronic Kidney Disease Standard Set by NSW Agency for Clinical Innovation, Providence Health and Services, ERCPA, santeon and Dutch Kidney Foundation. For this version of the standard set, semantic annotation with UMLS CUIs has been added.

Link

www.ichom.org

Keywords

  1. 9/12/18 9/12/18 - Sarah Riepenhausen
  2. 4/30/20 4/30/20 - Sarah Riepenhausen
Copyright Holder

ICHOM

Uploaded on

April 30, 2020

DOI

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License

Creative Commons BY-NC 4.0

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ICHOM Chronic Kidney Disease

Patient-reported Outcome

Administrative Data
Description

Administrative Data

Alias
UMLS CUI-1
C1320722
Indicate the patient's medical record number
Description

This number will not be shared with ICHOM. In the case patient-level data is submitted to ICHOM for benchmarking or research purposes, a separate ICHOM Patient Identifier will be created and cross-linking between the ICHOM Patient Identifier and the medical record number will only be known at the treating institution INCLUSION CRITERIA: All patients TIMING: On all forms REPORTING SOURCE: Administrative or clinical RESPONSE OPTIONS: According to institution

Data type

integer

Alias
UMLS CUI [1]
C1269815
Time Relative to Baseline (e.g. Baseline, 6 months follow-up, 1 year follow-up, ...)
Description

This Item does not exist in the original standard set, instead it is asked to do the following: Please timestamp all variables. Some Standard Set variables are collected at multiple timepoints, and we will ask you to submit these variables in a concatenated VARIABLEID_TIMESTAMP form for future analyses. For example, VARIABLEID_BASE (baseline); VARIABLEID_6MO (6 month follow-up); VARIABLEID_1YR (1 year follow-up), etc.

Data type

text

Alias
UMLS CUI [1,1]
C0439564
UMLS CUI [1,2]
C1442488
Patient-Reported Health and Wellbeing
Description

Patient-Reported Health and Wellbeing

Alias
UMLS CUI-1
C2987124
Which Patient-Reported Outcome Measure(s) are you using?
Description

INCLUSION CRITERIA: All patients TIMING: HD, PD & CC= Baseline and 6-monthly, Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1,1]
C2987124
UMLS CUI [1,2]
C2911685
PROMIS-29 Scores
Description

The original standard set contains all questions of PROMIS-29 with IDs from PROMIS-29_Q01 to PROMIS-29_Q29, the order may however not be identical. Please see ICHOMs reference guide. INCLUSION CRITERIA: If "1 = PROMIS-Global Health & PROMIS-29" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: (original: Single answer)

Data type

text

Alias
UMLS CUI [1]
C4330926
PROMIS Global Health Scores
Description

The original standard set contains all questions of PROMIS-Global health with IDs from PROMIS-G_Q01 to PROMIS-G_Q10, in the following order: 1-5, 9, 6, 10, 8, 7. INCLUSION CRITERIA: If "1 = PROMIS-Global Health & PROMIS-29" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: (original: Single answer)

Data type

text

Alias
UMLS CUI [1]
C3836333
In general, would you say your health is:
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly, Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828376
Compared to one year ago, how would you rate your health in general now?
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828376
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?: Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828387
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?: Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828388
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?: Lifting or carrying groceries
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828389
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?: Climbing several flights of stairs
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828390
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?: Climbing one flight of stairs
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828391
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?: Bending, kneeling, or stooping
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828392
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?: Walking more than a mile
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828386
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?: Walking several blocks
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828385
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?: Walking one block
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3827288
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?: Bathing or dressing yourself
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828393
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?: Cut down the amount of time you spent on work or other activities
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828381
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?: Accomplished less than you would like
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828382
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?: Were limited in the kind of work or other activities
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828379
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?: Had difficulty performing the work or other activities (for example, it took extra effort)
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828380
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)?: Cut down the amount of time you spent on work or other activities
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828405
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)?: Accomplished less than you would like
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828406
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)?: Didn't do work or other activities as carefully as usual
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828404
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?
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828402
How much bodily pain have you had during the past 4 weeks?
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828407
During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828383
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. How much of the time during the past 4 weeks… Did you feel full of pep?
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828401
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. How much of the time during the past 4 weeks… Have you been a very nervous person?
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828408
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. How much of the time during the past 4 weeks… Have you felt so down in the dumps that nothing could cheer you up?
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828396
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. How much of the time during the past 4 weeks… Have you felt calm and peaceful?
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828398
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. How much of the time during the past 4 weeks… Did you have a lot of energy?
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828394
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. How much of the time during the past 4 weeks… Have you felt downhearted and blue?
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828397
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. How much of the time during the past 4 weeks… Did you feel worn out?
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828399
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. How much of the time during the past 4 weeks… Have you been a happy person?
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828409
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. How much of the time during the past 4 weeks… Did you feel tired?
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828400
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.)?
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828375
How TRUE or FALSE is each of the following statements for you. I seem to get sick a little easier than other people
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828395
How TRUE or FALSE is each of the following statements for you. I am as healthy as anybody I know
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828410
How TRUE or FALSE is each of the following statements for you. I expect my health to get worse
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828403
How TRUE or FALSE is each of the following statements for you. My health is excellent
Description

INCLUSION CRITERIA: If "2 = RAND-36" to PROMCHOICE TIMING: HD, PD & CC= Baseline and 6-monthly Pre-RRT & Tx = Baseline and annually REPORTING SOURCE: Patient-reported TYPE: Single answer

Data type

integer

Alias
UMLS CUI [1]
C3828384

Similar models

Patient-reported Outcome

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Patient ID
Item
Indicate the patient's medical record number
integer
C1269815 (UMLS CUI [1])
Time Relative to Baseline
Item
Time Relative to Baseline (e.g. Baseline, 6 months follow-up, 1 year follow-up, ...)
text
C0439564 (UMLS CUI [1,1])
C1442488 (UMLS CUI [1,2])
Item Group
Patient-Reported Health and Wellbeing
C2987124 (UMLS CUI-1)
Item
Which Patient-Reported Outcome Measure(s) are you using?
integer
C2987124 (UMLS CUI [1,1])
C2911685 (UMLS CUI [1,2])
Code List
Which Patient-Reported Outcome Measure(s) are you using?
CL Item
PROMIS-Global Health and PROMIS-29 (1)
C3836333 (UMLS CUI-1)
C4330926 (UMLS CUI-2)
(Comment:en)
CL Item
RAND-36 (2)
C4481637 (UMLS CUI-1)
(Comment:en)
CL Item
SF-36v2.0 (3)
C1519136 (UMLS CUI-1)
(Comment:en)
PROMIS-29 Scores
Item
PROMIS-29 Scores
text
C4330926 (UMLS CUI [1])
PROMIS Global Health Scores
Item
PROMIS Global Health Scores
text
C3836333 (UMLS CUI [1])
Item
In general, would you say your health is:
integer
C3828376 (UMLS CUI [1])
Code List
In general, would you say your health is:
CL Item
Excellent (1)
C1961136 (UMLS CUI-1)
(Comment:en)
CL Item
Very good (2)
C3641222 (UMLS CUI-1)
(Comment:en)
CL Item
Good (3)
C0205170 (UMLS CUI-1)
(Comment:en)
CL Item
Fair (4)
C2911689 (UMLS CUI-1)
(Comment:en)
CL Item
Poor (5)
C2700379 (UMLS CUI-1)
(Comment:en)
Item
Compared to one year ago, how would you rate your health in general now?
integer
C3828376 (UMLS CUI [1])
Code List
Compared to one year ago, how would you rate your health in general now?
CL Item
Much better now than one year ago (1)
C3841449 (UMLS CUI-1)
(Comment:en)
CL Item
Somewhat better now than one year ago (2)
C3841646 (UMLS CUI-1)
(Comment:en)
CL Item
About the same (3)
C0442739 (UMLS CUI-1)
(Comment:en)
CL Item
Somewhat worse now than one year ago (4)
C3897551 (UMLS CUI-1)
(Comment:en)
CL Item
Much worse now than one year ago (5)
C3841448 (UMLS CUI-1)
(Comment:en)
Item
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?: Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports
integer
C3828387 (UMLS CUI [1])
Code List
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?: Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports
CL Item
Yes, limited a lot (1)
C3829282 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, limited a little (2)
C3829283 (UMLS CUI-1)
(Comment:en)
CL Item
No, not limited at all (3)
C3828772 (UMLS CUI-1)
(Comment:en)
Item
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?: Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf
integer
C3828388 (UMLS CUI [1])
Code List
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?: Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf
CL Item
Yes, limited a lot (1)
C3829282 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, limited a little (2)
C3829283 (UMLS CUI-1)
(Comment:en)
CL Item
No, not limited at all (3)
C3828772 (UMLS CUI-1)
(Comment:en)
Item
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?: Lifting or carrying groceries
integer
C3828389 (UMLS CUI [1])
Code List
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?: Lifting or carrying groceries
CL Item
Yes, limited a lot (1)
C3829282 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, limited a little (2)
C3829283 (UMLS CUI-1)
(Comment:en)
CL Item
No, not limited at all (3)
C3828772 (UMLS CUI-1)
(Comment:en)
Item
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?: Climbing several flights of stairs
integer
C3828390 (UMLS CUI [1])
Code List
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?: Climbing several flights of stairs
CL Item
Yes, limited a lot (1)
C3829282 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, limited a little (2)
C3829283 (UMLS CUI-1)
(Comment:en)
CL Item
No, not limited at all (3)
C3828772 (UMLS CUI-1)
(Comment:en)
Item
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?: Climbing one flight of stairs
integer
C3828391 (UMLS CUI [1])
Code List
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?: Climbing one flight of stairs
CL Item
Yes, limited a lot (1)
C3829282 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, limited a little (2)
C3829283 (UMLS CUI-1)
(Comment:en)
CL Item
No, not limited at all (3)
C3828772 (UMLS CUI-1)
(Comment:en)
Item
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?: Bending, kneeling, or stooping
integer
C3828392 (UMLS CUI [1])
Code List
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?: Bending, kneeling, or stooping
CL Item
Yes, limited a lot (1)
C3829282 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, limited a little (2)
C3829283 (UMLS CUI-1)
(Comment:en)
CL Item
No, not limited at all (3)
C3828772 (UMLS CUI-1)
(Comment:en)
Item
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?: Walking more than a mile
integer
C3828386 (UMLS CUI [1])
Code List
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?: Walking more than a mile
CL Item
Yes, limited a lot (1)
C3829282 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, limited a little (2)
C3829283 (UMLS CUI-1)
(Comment:en)
CL Item
No, not limited at all (3)
C3828772 (UMLS CUI-1)
(Comment:en)
Item
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?: Walking several blocks
integer
C3828385 (UMLS CUI [1])
Code List
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?: Walking several blocks
CL Item
Yes, limited a lot (1)
C3829282 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, limited a little (2)
C3829283 (UMLS CUI-1)
(Comment:en)
CL Item
No, not limited at all (3)
C3828772 (UMLS CUI-1)
(Comment:en)
Item
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?: Walking one block
integer
C3827288 (UMLS CUI [1])
Code List
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?: Walking one block
CL Item
Yes, limited a lot (1)
C3829282 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, limited a little (2)
C3829283 (UMLS CUI-1)
(Comment:en)
CL Item
No, not limited at all (3)
C3828772 (UMLS CUI-1)
(Comment:en)
Item
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?: Bathing or dressing yourself
integer
C3828393 (UMLS CUI [1])
Code List
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?: Bathing or dressing yourself
CL Item
Yes, limited a lot (1)
C3829282 (UMLS CUI-1)
(Comment:en)
CL Item
Yes, limited a little (2)
C3829283 (UMLS CUI-1)
(Comment:en)
CL Item
No, not limited at all (3)
C3828772 (UMLS CUI-1)
(Comment:en)
Item
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?: Cut down the amount of time you spent on work or other activities
integer
C3828381 (UMLS CUI [1])
Code List
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?: Cut down the amount of time you spent on work or other activities
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
CL Item
No (2)
C1298908 (UMLS CUI-1)
(Comment:en)
Item
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?: Accomplished less than you would like
integer
C3828382 (UMLS CUI [1])
Code List
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?: Accomplished less than you would like
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
CL Item
No (2)
C1298908 (UMLS CUI-1)
(Comment:en)
Item
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?: Were limited in the kind of work or other activities
integer
C3828379 (UMLS CUI [1])
Code List
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?: Were limited in the kind of work or other activities
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
CL Item
No (2)
C1298908 (UMLS CUI-1)
(Comment:en)
Item
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?: Had difficulty performing the work or other activities (for example, it took extra effort)
integer
C3828380 (UMLS CUI [1])
Code List
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?: Had difficulty performing the work or other activities (for example, it took extra effort)
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
CL Item
No (2)
C1298908 (UMLS CUI-1)
(Comment:en)
Item
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)?: Cut down the amount of time you spent on work or other activities
integer
C3828405 (UMLS CUI [1])
Code List
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)?: Cut down the amount of time you spent on work or other activities
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
CL Item
No (2)
C1298908 (UMLS CUI-1)
(Comment:en)
Item
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)?: Accomplished less than you would like
integer
C3828406 (UMLS CUI [1])
Code List
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)?: Accomplished less than you would like
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
CL Item
No (2)
C1298908 (UMLS CUI-1)
(Comment:en)
Item
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)?: Didn't do work or other activities as carefully as usual
integer
C3828404 (UMLS CUI [1])
Code List
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)?: Didn't do work or other activities as carefully as usual
CL Item
Yes (1)
C1705108 (UMLS CUI-1)
(Comment:en)
CL Item
No (2)
C1298908 (UMLS CUI-1)
(Comment:en)
Item
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
C3828402 (UMLS CUI [1])
Code List
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)
C2984077 (UMLS CUI-1)
(Comment:en)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
(Comment:en)
CL Item
Moderately (3)
C2984079 (UMLS CUI-1)
(Comment:en)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
(Comment:en)
CL Item
Extremely (5)
C0205403 (UMLS CUI-1)
(Comment:en)
Item
How much bodily pain have you had during the past 4 weeks?
integer
C3828407 (UMLS CUI [1])
Code List
How much bodily pain have you had during the past 4 weeks?
CL Item
None (1)
C0549184 (UMLS CUI-1)
(Comment:en)
CL Item
Very mild (2)
C4036115 (UMLS CUI-1)
(Comment:en)
CL Item
Mild (3)
C2945599 (UMLS CUI-1)
(Comment:en)
CL Item
Moderate (4)
C0205081 (UMLS CUI-1)
(Comment:en)
CL Item
Severe (5)
C0205082 (UMLS CUI-1)
(Comment:en)
CL Item
Very severe (6)
C3641272 (UMLS CUI-1)
(Comment:en)
Item
During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?
integer
C3828383 (UMLS CUI [1])
Code List
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)
C2984077 (UMLS CUI-1)
(Comment:en)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
(Comment:en)
CL Item
Moderately (3)
C2984079 (UMLS CUI-1)
(Comment:en)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
(Comment:en)
CL Item
Extremely (5)
C0205403 (UMLS CUI-1)
(Comment:en)
Item
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. How much of the time during the past 4 weeks… Did you feel full of pep?
integer
C3828401 (UMLS CUI [1])
Code List
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. How much of the time during the past 4 weeks… Did you feel full of pep?
CL Item
All of the time (1)
C3812891 (UMLS CUI-1)
(Comment:en)
CL Item
Most of the time (2)
C3828954 (UMLS CUI-1)
(Comment:en)
CL Item
A good bit of the time (3)
C3831592 (UMLS CUI-1)
(Comment:en)
CL Item
Some of the time (4)
C3827992 (UMLS CUI-1)
(Comment:en)
CL Item
A little of the time (5)
C3831570 (UMLS CUI-1)
(Comment:en)
CL Item
None of the time (6)
C3812882 (UMLS CUI-1)
(Comment:en)
Item
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. How much of the time during the past 4 weeks… Have you been a very nervous person?
integer
C3828408 (UMLS CUI [1])
Code List
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. How much of the time during the past 4 weeks… Have you been a very nervous person?
CL Item
All of the time (1)
C3812891 (UMLS CUI-1)
(Comment:en)
CL Item
Most of the time (2)
C3828954 (UMLS CUI-1)
(Comment:en)
CL Item
A good bit of the time (3)
C3831592 (UMLS CUI-1)
(Comment:en)
CL Item
Some of the time (4)
C3827992 (UMLS CUI-1)
(Comment:en)
CL Item
A little of the time (5)
C3831570 (UMLS CUI-1)
(Comment:en)
CL Item
None of the time (6)
C3812882 (UMLS CUI-1)
(Comment:en)
Item
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. How much of the time during the past 4 weeks… Have you felt so down in the dumps that nothing could cheer you up?
integer
C3828396 (UMLS CUI [1])
Code List
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. How much of the time during the past 4 weeks… Have you felt so down in the dumps that nothing could cheer you up?
CL Item
All of the time (1)
C3812891 (UMLS CUI-1)
(Comment:en)
CL Item
Most of the time (2)
C3828954 (UMLS CUI-1)
(Comment:en)
CL Item
A good bit of the time (3)
C3831592 (UMLS CUI-1)
(Comment:en)
CL Item
Some of the time (4)
C3827992 (UMLS CUI-1)
(Comment:en)
CL Item
A little of the time (5)
C3831570 (UMLS CUI-1)
(Comment:en)
CL Item
None of the time (6)
C3812882 (UMLS CUI-1)
(Comment:en)
Item
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. How much of the time during the past 4 weeks… Have you felt calm and peaceful?
integer
C3828398 (UMLS CUI [1])
Code List
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. How much of the time during the past 4 weeks… Have you felt calm and peaceful?
CL Item
All of the time (1)
C3812891 (UMLS CUI-1)
(Comment:en)
CL Item
Most of the time (2)
C3828954 (UMLS CUI-1)
(Comment:en)
CL Item
A good bit of the time (3)
C3831592 (UMLS CUI-1)
(Comment:en)
CL Item
Some of the time (4)
C3827992 (UMLS CUI-1)
(Comment:en)
CL Item
A little of the time (5)
C3831570 (UMLS CUI-1)
(Comment:en)
CL Item
None of the time (6)
C3812882 (UMLS CUI-1)
(Comment:en)
Item
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. How much of the time during the past 4 weeks… Did you have a lot of energy?
integer
C3828394 (UMLS CUI [1])
Code List
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. How much of the time during the past 4 weeks… Did you have a lot of energy?
CL Item
All of the time (1)
C3812891 (UMLS CUI-1)
(Comment:en)
CL Item
Most of the time (2)
C3828954 (UMLS CUI-1)
(Comment:en)
CL Item
A good bit of the time (3)
C3831592 (UMLS CUI-1)
(Comment:en)
CL Item
Some of the time (4)
C3827992 (UMLS CUI-1)
(Comment:en)
CL Item
A little of the time (5)
C3831570 (UMLS CUI-1)
(Comment:en)
CL Item
None of the time (6)
C3812882 (UMLS CUI-1)
(Comment:en)
Item
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. How much of the time during the past 4 weeks… Have you felt downhearted and blue?
integer
C3828397 (UMLS CUI [1])
Code List
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. How much of the time during the past 4 weeks… Have you felt downhearted and blue?
CL Item
All of the time (1)
C3812891 (UMLS CUI-1)
(Comment:en)
CL Item
Most of the time (2)
C3828954 (UMLS CUI-1)
(Comment:en)
CL Item
A good bit of the time (3)
C3831592 (UMLS CUI-1)
(Comment:en)
CL Item
Some of the time (4)
C3827992 (UMLS CUI-1)
(Comment:en)
CL Item
A little of the time (5)
C3831570 (UMLS CUI-1)
(Comment:en)
CL Item
None of the time (6)
C3812882 (UMLS CUI-1)
(Comment:en)
Item
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. How much of the time during the past 4 weeks… Did you feel worn out?
integer
C3828399 (UMLS CUI [1])
Code List
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. How much of the time during the past 4 weeks… Did you feel worn out?
CL Item
All of the time (1)
C3812891 (UMLS CUI-1)
(Comment:en)
CL Item
Most of the time (2)
C3828954 (UMLS CUI-1)
(Comment:en)
CL Item
A good bit of the time (3)
C3831592 (UMLS CUI-1)
(Comment:en)
CL Item
Some of the time (4)
C3827992 (UMLS CUI-1)
(Comment:en)
CL Item
A little of the time (5)
C3831570 (UMLS CUI-1)
(Comment:en)
CL Item
None of the time (6)
C3812882 (UMLS CUI-1)
(Comment:en)
Item
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. How much of the time during the past 4 weeks… Have you been a happy person?
integer
C3828409 (UMLS CUI [1])
Code List
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. How much of the time during the past 4 weeks… Have you been a happy person?
CL Item
All of the time (1)
C3812891 (UMLS CUI-1)
(Comment:en)
CL Item
Most of the time (2)
C3828954 (UMLS CUI-1)
(Comment:en)
CL Item
A good bit of the time (3)
C3831592 (UMLS CUI-1)
(Comment:en)
CL Item
Some of the time (4)
C3827992 (UMLS CUI-1)
(Comment:en)
CL Item
A little of the time (5)
C3831570 (UMLS CUI-1)
(Comment:en)
CL Item
None of the time (6)
C3812882 (UMLS CUI-1)
(Comment:en)
Item
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. How much of the time during the past 4 weeks… Did you feel tired?
integer
C3828400 (UMLS CUI [1])
Code List
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. How much of the time during the past 4 weeks… Did you feel tired?
CL Item
All of the time (1)
C3812891 (UMLS CUI-1)
(Comment:en)
CL Item
Most of the time (2)
C3828954 (UMLS CUI-1)
(Comment:en)
CL Item
A good bit of the time (3)
C3831592 (UMLS CUI-1)
(Comment:en)
CL Item
Some of the time (4)
C3827992 (UMLS CUI-1)
(Comment:en)
CL Item
A little of the time (5)
C3831570 (UMLS CUI-1)
(Comment:en)
CL Item
None of the time (6)
C3812882 (UMLS CUI-1)
(Comment:en)
Item
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
C3828375 (UMLS CUI [1])
Code List
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)
C3812891 (UMLS CUI-1)
(Comment:en)
CL Item
Most of the time (2)
C3828954 (UMLS CUI-1)
(Comment:en)
CL Item
A good bit of the time (3)
C3831592 (UMLS CUI-1)
(Comment:en)
CL Item
Some of the time (4)
C3827992 (UMLS CUI-1)
(Comment:en)
CL Item
A little of the time (5)
C3831570 (UMLS CUI-1)
(Comment:en)
CL Item
None of the time (6)
C3812882 (UMLS CUI-1)
(Comment:en)
Item
How TRUE or FALSE is each of the following statements for you. I seem to get sick a little easier than other people
integer
C3828395 (UMLS CUI [1])
Code List
How TRUE or FALSE is each of the following statements for you. I seem to get sick a little easier than other people
CL Item
Definitely true (1)
C3842804 (UMLS CUI-1)
(Comment:en)
CL Item
Mostly true (2)
C3842803 (UMLS CUI-1)
(Comment:en)
CL Item
Don't know (3)
C3843613 (UMLS CUI-1)
(Comment:en)
CL Item
Mostly false (4)
C3840595 (UMLS CUI-1)
(Comment:en)
CL Item
Definitely false (5)
C3842802 (UMLS CUI-1)
(Comment:en)
Item
How TRUE or FALSE is each of the following statements for you. I am as healthy as anybody I know
integer
C3828410 (UMLS CUI [1])
Code List
How TRUE or FALSE is each of the following statements for you. I am as healthy as anybody I know
CL Item
Definitely true (1)
C3842804 (UMLS CUI-1)
(Comment:en)
CL Item
Mostly true (2)
C3842803 (UMLS CUI-1)
(Comment:en)
CL Item
Don't know (3)
C3843613 (UMLS CUI-1)
(Comment:en)
CL Item
Mostly false (4)
C3840595 (UMLS CUI-1)
(Comment:en)
CL Item
Definitely false (5)
C3842802 (UMLS CUI-1)
(Comment:en)
Item
How TRUE or FALSE is each of the following statements for you. I expect my health to get worse
integer
C3828403 (UMLS CUI [1])
Code List
How TRUE or FALSE is each of the following statements for you. I expect my health to get worse
CL Item
Definitely true (1)
C3842804 (UMLS CUI-1)
(Comment:en)
CL Item
Mostly true (2)
C3842803 (UMLS CUI-1)
(Comment:en)
CL Item
Don't know (3)
C3843613 (UMLS CUI-1)
(Comment:en)
CL Item
Mostly false (4)
C3840595 (UMLS CUI-1)
(Comment:en)
CL Item
Definitely false (5)
C3842802 (UMLS CUI-1)
(Comment:en)
Item
How TRUE or FALSE is each of the following statements for you. My health is excellent
integer
C3828384 (UMLS CUI [1])
Code List
How TRUE or FALSE is each of the following statements for you. My health is excellent
CL Item
Definitely true (1)
C3842804 (UMLS CUI-1)
(Comment:en)
CL Item
Mostly true (2)
C3842803 (UMLS CUI-1)
(Comment:en)
CL Item
Don't know (3)
C3843613 (UMLS CUI-1)
(Comment:en)
CL Item
Mostly false (4)
C3840595 (UMLS CUI-1)
(Comment:en)
CL Item
Definitely false (5)
C3842802 (UMLS CUI-1)
(Comment:en)

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