3 Bedömningar

ID

42706

Beskrivning

This document contains the 36-Item Short Form Survey Instrument Version 1 (SF-36) form, developed at RAND as part of the Medical Outcomes Study. RAND owns the copyright. All of the surveys and tools from RAND Health are public documents, available without charge. For more information - e.g. on terms and conditions for use or scoring instructions: https://www.rand.org/health-care/surveys_tools/mos/36-item-short-form.html Changes made to the questionnaire should be made clearly identifiable.

Länk

https://www.rand.org/health-care/surveys_tools/mos/36-item-short-form.html

Nyckelord

  1. 2014-10-30 2014-10-30 - Martin Dugas
  2. 2019-07-03 2019-07-03 - Sarah Riepenhausen
  3. 2021-09-17 2021-09-17 -
Rättsinnehavare

RAND

Uppladdad den

17 september 2021

DOI

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Creative Commons BY-NC 3.0

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    SF-36 (RAND)

    SF-36 (RAND)

    1. StudyEvent: ODM-Test
      1. SF-36 (RAND)
    General Info
    Beskrivning

    General Info

    Alias
    UMLS CUI-1
    C1508263
    1. In general, would you say your health is:
    Beskrivning

    Perceived general health

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2]
    C0516984
    2. Compared to one year ago, how would your rate your health in general now?
    Beskrivning

    General health compared to one year ago

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2,1]
    C1707455
    UMLS CUI [2,2]
    C0516984
    The following items are about activities you might do during a typical day. Does you health now limit you in these activities? If so, how much?
    Beskrivning

    The following items are about activities you might do during a typical day. Does you health now limit you in these activities? If so, how much?

    Alias
    UMLS CUI-1
    C0449295
    UMLS CUI-2
    C0018759
    UMLS CUI-3
    C0521116
    3. Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports
    Beskrivning

    Vigorous activities limited

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2,1]
    C0018759
    UMLS CUI [2,2]
    C0439801
    UMLS CUI [2,3]
    C4060778
    4. Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf
    Beskrivning

    Moderate activities limited

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2,1]
    C0018759
    UMLS CUI [2,2]
    C0439801
    UMLS CUI [2,3]
    C3833417
    5. Lifting or carrying groceries
    Beskrivning

    Groceries limited

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2,1]
    C0018759
    UMLS CUI [2,2]
    C0439801
    UMLS CUI [2,3]
    C3829286
    6. Climbing several flights of stairs
    Beskrivning

    Stairs limited

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2,1]
    C0018759
    UMLS CUI [2,2]
    C0439801
    UMLS CUI [2,3]
    C3831080
    7. Climbing one flight of stairs
    Beskrivning

    Stairs very limited

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2,1]
    C0018759
    UMLS CUI [2,2]
    C0439801
    UMLS CUI [2,3]
    C3831081
    8. Bending, kneeling, or stooping
    Beskrivning

    Bending limited

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2,1]
    C0018759
    UMLS CUI [2,2]
    C0439801
    UMLS CUI [2,3]
    C3831371
    9. Walking more than a mile
    Beskrivning

    Long walk limited

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2,1]
    C0018759
    UMLS CUI [2,2]
    C0439801
    UMLS CUI [2,3]
    C3827523
    10. Walking several blocks
    Beskrivning

    Intermediate walk limited

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2,1]
    C0018759
    UMLS CUI [2,2]
    C0439801
    UMLS CUI [2,3]
    C0443302
    UMLS CUI [2,4]
    C0429886
    11. Walking one block
    Beskrivning

    Short walk limited

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2,1]
    C0018759
    UMLS CUI [2,2]
    C0439801
    UMLS CUI [2,3]
    C0205447
    UMLS CUI [2,4]
    C0429886
    12. Bathing or dressing yourself
    Beskrivning

    Bathing limited

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2,1]
    C0018759
    UMLS CUI [2,2]
    C0237400
    UMLS CUI [2,3]
    C0439801
    UMLS CUI [2,4]
    C3831396
    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?
    Beskrivning

    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?

    Alias
    UMLS CUI-1
    C0018759
    UMLS CUI-2
    C1546466
    UMLS CUI-3
    C3828653
    13. Cut down the amount of time you spent on work or other activities
    Beskrivning

    Work time limited

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2,1]
    C1546466
    UMLS CUI [2,2]
    C0043227
    UMLS CUI [2,3]
    C0332282
    UMLS CUI [2,4]
    C0018759
    UMLS CUI [3,1]
    C1546466
    UMLS CUI [3,2]
    C0001288
    UMLS CUI [3,3]
    C0332282
    UMLS CUI [3,4]
    C0018759
    UMLS CUI [4,1]
    C0392756
    UMLS CUI [4,2]
    C0040223
    UMLS CUI [4,3]
    C0805077
    14. Accomplished less than you would like
    Beskrivning

    Accomplishment limited

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2,1]
    C1546466
    UMLS CUI [2,2]
    C0043227
    UMLS CUI [2,3]
    C0332282
    UMLS CUI [2,4]
    C0018759
    UMLS CUI [3,1]
    C1546466
    UMLS CUI [3,2]
    C0001288
    UMLS CUI [3,3]
    C0332282
    UMLS CUI [3,4]
    C0018759
    UMLS CUI [4]
    C3900126
    15. Were limited in the kind of work or other activities
    Beskrivning

    Work limited

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2,1]
    C1546466
    UMLS CUI [2,2]
    C0043227
    UMLS CUI [2,3]
    C0332282
    UMLS CUI [2,4]
    C0018759
    UMLS CUI [3,1]
    C1546466
    UMLS CUI [3,2]
    C0001288
    UMLS CUI [3,3]
    C0332282
    UMLS CUI [3,4]
    C0018759
    UMLS CUI [4]
    C3641747
    16. Had difficulty performing the work or other activities (for example, it took extra effort)
    Beskrivning

    Working difficulty

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2,1]
    C1546466
    UMLS CUI [2,2]
    C0043227
    UMLS CUI [2,3]
    C0332282
    UMLS CUI [2,4]
    C0018759
    UMLS CUI [3,1]
    C1546466
    UMLS CUI [3,2]
    C0001288
    UMLS CUI [3,3]
    C0332282
    UMLS CUI [3,4]
    C0018759
    UMLS CUI [4]
    C1299586
    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)?
    Beskrivning

    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)?

    Alias
    UMLS CUI-1
    C0677660
    UMLS CUI-2
    C3828653
    17. Cut down the amount of time you spent on work or other activities
    Beskrivning

    Work time limited

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2,1]
    C1546466
    UMLS CUI [2,2]
    C0043227
    UMLS CUI [2,3]
    C0332282
    UMLS CUI [2,4]
    C0677660
    UMLS CUI [3,1]
    C1546466
    UMLS CUI [3,2]
    C0001288
    UMLS CUI [3,3]
    C0332282
    UMLS CUI [3,4]
    C0677660
    UMLS CUI [4,1]
    C0392756
    UMLS CUI [4,2]
    C0040223
    UMLS CUI [4,3]
    C0805077
    18. Accomplished less than you would like
    Beskrivning

    Accomplishment limited

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2,1]
    C1546466
    UMLS CUI [2,2]
    C0043227
    UMLS CUI [2,3]
    C0332282
    UMLS CUI [2,4]
    C0677660
    UMLS CUI [3,1]
    C1546466
    UMLS CUI [3,2]
    C0001288
    UMLS CUI [3,3]
    C0332282
    UMLS CUI [3,4]
    C0677660
    UMLS CUI [4]
    C3900126
    19. Didn't do work or other activities as carefully as usual
    Beskrivning

    Carefulness limited

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2,1]
    C1546466
    UMLS CUI [2,2]
    C0043227
    UMLS CUI [2,3]
    C0332282
    UMLS CUI [2,4]
    C0677660
    UMLS CUI [3,1]
    C1546466
    UMLS CUI [3,2]
    C0001288
    UMLS CUI [3,3]
    C0332282
    UMLS CUI [3,4]
    C0677660
    UMLS CUI [4,1]
    C0043227
    UMLS CUI [4,2]
    C1272696
    UMLS CUI [5,1]
    C0205394
    UMLS CUI [5,2]
    C0441655
    UMLS CUI [5,3]
    C1272696
    Past 4 weeks
    Beskrivning

    Past 4 weeks

    Alias
    UMLS CUI-1
    C3828653
    20. 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?
    Beskrivning

    Interference with social activities

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2,1]
    C0677660
    UMLS CUI [2,2]
    C0521102
    UMLS CUI [2,3]
    C0814554
    UMLS CUI [3,1]
    C0018759
    UMLS CUI [3,2]
    C0521102
    UMLS CUI [3,3]
    C0814554
    21. How much bodily pain have you had during the past 4 weeks?
    Beskrivning

    Bodily pain

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2]
    C3890602
    22. During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?
    Beskrivning

    Interference pain and work

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2,1]
    C3898033
    UMLS CUI [2,2]
    C1265611
    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.
    Beskrivning

    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.

    Alias
    UMLS CUI-1
    C3828653
    UMLS CUI-2
    C0013987
    How much of the time during the past 4 weeks . . . 23. Did you feel full of pep?
    Beskrivning

    Full of pep

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2]
    C2051663
    UMLS CUI [3]
    C3484313
    How much of the time during the past 4 weeks . . . 24. Have you been a very nervous person?
    Beskrivning

    Nervous

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2]
    C2051663
    UMLS CUI [3]
    C3829750
    How much of the time during the past 4 weeks . . . 25. Have you felt so down in the dumps that nothing could cheer you up?
    Beskrivning

    Felt down

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2]
    C2051663
    UMLS CUI [3]
    C3829738
    How much of the time during the past 4 weeks . . . 26. Have you felt calm and peaceful?
    Beskrivning

    Felt calm

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2]
    C2051663
    UMLS CUI [3]
    C0522165
    How much of the time during the past 4 weeks . . . 27. Did you have a lot of energy?
    Beskrivning

    Energy

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2]
    C2051663
    UMLS CUI [3]
    C3898912
    How much of the time during the past 4 weeks . . . 28. Have you felt downhearted and blue?
    Beskrivning

    Felt downhearted

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2]
    C2051663
    UMLS CUI [3]
    C3829743
    How much of the time during the past 4 weeks . . . 29. Did you feel worn out?
    Beskrivning

    Felt worn out?

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2]
    C2051663
    UMLS CUI [3]
    C3899145
    How much of the time during the past 4 weeks . . . 30. Have you been a happy person?
    Beskrivning

    Happiness

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2]
    C2051663
    UMLS CUI [3]
    C0018592
    How much of the time during the past 4 weeks . . . 31. Did you feel tired?
    Beskrivning

    Tired

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2]
    C2051663
    UMLS CUI [3]
    C0849970
    32. 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.)?
    Beskrivning

    Interference with social activities

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2,1]
    C0677660
    UMLS CUI [2,2]
    C0521102
    UMLS CUI [2,3]
    C0814554
    UMLS CUI [3,1]
    C0018759
    UMLS CUI [3,2]
    C0521102
    UMLS CUI [3,3]
    C0814554
    How TRUE or FALSE is each of the following statements for you.
    Beskrivning

    How TRUE or FALSE is each of the following statements for you.

    Alias
    UMLS CUI-1
    C1710187
    33. I seem to get sick a little easier than other people
    Beskrivning

    Get sick

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2]
    C1710187
    UMLS CUI [3,1]
    C3899028
    UMLS CUI [3,2]
    C2984078
    34. I am as healthy as anybody I know
    Beskrivning

    Healthy as anybody

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2]
    C1710187
    UMLS CUI [3]
    C3900054
    35. I expect my health to get worse
    Beskrivning

    Health getting worse

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2]
    C1710187
    UMLS CUI [3]
    C3475697
    36. My health is excellent
    Beskrivning

    Excellent health

    Datatyp

    integer

    Alias
    UMLS CUI [1]
    C0451287
    UMLS CUI [2]
    C1710187
    UMLS CUI [3]
    C3476206

    Similar models

    SF-36 (RAND)

    1. StudyEvent: ODM-Test
      1. SF-36 (RAND)
    Name
    Typ
    Description | Question | Decode (Coded Value)
    Datatyp
    Alias
    Item Group
    General Info
    C1508263 (UMLS CUI-1)
    Item
    1. In general, would you say your health is:
    integer
    C0451287 (UMLS CUI [1])
    C0516984 (UMLS CUI [2])
    Code List
    1. 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
    2. Compared to one year ago, how would your rate your health in general now?
    integer
    C0451287 (UMLS CUI [1])
    C1707455 (UMLS CUI [2,1])
    C0516984 (UMLS CUI [2,2])
    Code List
    2. Compared to one year ago, how would your 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 Group
    The following items are about activities you might do during a typical day. Does you health now limit you in these activities? If so, how much?
    C0449295 (UMLS CUI-1)
    C0018759 (UMLS CUI-2)
    C0521116 (UMLS CUI-3)
    Item
    3. Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports
    integer
    C0451287 (UMLS CUI [1])
    C0018759 (UMLS CUI [2,1])
    C0439801 (UMLS CUI [2,2])
    C4060778 (UMLS CUI [2,3])
    Code List
    3. 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)
    C3845941 (UMLS CUI-1)
    (Comment:en)
    Item
    4. Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf
    integer
    C0451287 (UMLS CUI [1])
    C0018759 (UMLS CUI [2,1])
    C0439801 (UMLS CUI [2,2])
    C3833417 (UMLS CUI [2,3])
    Code List
    4. 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)
    C3845941 (UMLS CUI-1)
    (Comment:en)
    Item
    5. Lifting or carrying groceries
    integer
    C0451287 (UMLS CUI [1])
    C0018759 (UMLS CUI [2,1])
    C0439801 (UMLS CUI [2,2])
    C3829286 (UMLS CUI [2,3])
    Code List
    5. 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)
    C3845941 (UMLS CUI-1)
    (Comment:en)
    Item
    6. Climbing several flights of stairs
    integer
    C0451287 (UMLS CUI [1])
    C0018759 (UMLS CUI [2,1])
    C0439801 (UMLS CUI [2,2])
    C3831080 (UMLS CUI [2,3])
    Code List
    6. 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)
    C3845941 (UMLS CUI-1)
    (Comment:en)
    Item
    7. Climbing one flight of stairs
    integer
    C0451287 (UMLS CUI [1])
    C0018759 (UMLS CUI [2,1])
    C0439801 (UMLS CUI [2,2])
    C3831081 (UMLS CUI [2,3])
    Code List
    7. 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)
    C3845941 (UMLS CUI-1)
    (Comment:en)
    Item
    8. Bending, kneeling, or stooping
    integer
    C0451287 (UMLS CUI [1])
    C0018759 (UMLS CUI [2,1])
    C0439801 (UMLS CUI [2,2])
    C3831371 (UMLS CUI [2,3])
    Code List
    8. 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)
    C3845941 (UMLS CUI-1)
    (Comment:en)
    Item
    9. Walking more than a mile
    integer
    C0451287 (UMLS CUI [1])
    C0018759 (UMLS CUI [2,1])
    C0439801 (UMLS CUI [2,2])
    C3827523 (UMLS CUI [2,3])
    Code List
    9. 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)
    C3845941 (UMLS CUI-1)
    (Comment:en)
    Item
    10. Walking several blocks
    integer
    C0451287 (UMLS CUI [1])
    C0018759 (UMLS CUI [2,1])
    C0439801 (UMLS CUI [2,2])
    C0443302 (UMLS CUI [2,3])
    C0429886 (UMLS CUI [2,4])
    Code List
    10. 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)
    C3845941 (UMLS CUI-1)
    (Comment:en)
    Item
    11. Walking one block
    integer
    C0451287 (UMLS CUI [1])
    C0018759 (UMLS CUI [2,1])
    C0439801 (UMLS CUI [2,2])
    C0205447 (UMLS CUI [2,3])
    C0429886 (UMLS CUI [2,4])
    Code List
    11. 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)
    C3845941 (UMLS CUI-1)
    (Comment:en)
    Item
    12. Bathing or dressing yourself
    integer
    C0451287 (UMLS CUI [1])
    C0018759 (UMLS CUI [2,1])
    C0237400 (UMLS CUI [2,2])
    C0439801 (UMLS CUI [2,3])
    C3831396 (UMLS CUI [2,4])
    Code List
    12. 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)
    C3845941 (UMLS CUI-1)
    (Comment:en)
    Item Group
    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?
    C0018759 (UMLS CUI-1)
    C1546466 (UMLS CUI-2)
    C3828653 (UMLS CUI-3)
    Item
    13. Cut down the amount of time you spent on work or other activities
    integer
    C0451287 (UMLS CUI [1])
    C1546466 (UMLS CUI [2,1])
    C0043227 (UMLS CUI [2,2])
    C0332282 (UMLS CUI [2,3])
    C0018759 (UMLS CUI [2,4])
    C1546466 (UMLS CUI [3,1])
    C0001288 (UMLS CUI [3,2])
    C0332282 (UMLS CUI [3,3])
    C0018759 (UMLS CUI [3,4])
    C0392756 (UMLS CUI [4,1])
    C0040223 (UMLS CUI [4,2])
    C0805077 (UMLS CUI [4,3])
    Code List
    13. 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
    14. Accomplished less than you would like
    integer
    C0451287 (UMLS CUI [1])
    C1546466 (UMLS CUI [2,1])
    C0043227 (UMLS CUI [2,2])
    C0332282 (UMLS CUI [2,3])
    C0018759 (UMLS CUI [2,4])
    C1546466 (UMLS CUI [3,1])
    C0001288 (UMLS CUI [3,2])
    C0332282 (UMLS CUI [3,3])
    C0018759 (UMLS CUI [3,4])
    C3900126 (UMLS CUI [4])
    Code List
    14. 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
    15. Were limited in the kind of work or other activities
    integer
    C0451287 (UMLS CUI [1])
    C1546466 (UMLS CUI [2,1])
    C0043227 (UMLS CUI [2,2])
    C0332282 (UMLS CUI [2,3])
    C0018759 (UMLS CUI [2,4])
    C1546466 (UMLS CUI [3,1])
    C0001288 (UMLS CUI [3,2])
    C0332282 (UMLS CUI [3,3])
    C0018759 (UMLS CUI [3,4])
    C3641747 (UMLS CUI [4])
    Code List
    15. 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
    16. Had difficulty performing the work or other activities (for example, it took extra effort)
    integer
    C0451287 (UMLS CUI [1])
    C1546466 (UMLS CUI [2,1])
    C0043227 (UMLS CUI [2,2])
    C0332282 (UMLS CUI [2,3])
    C0018759 (UMLS CUI [2,4])
    C1546466 (UMLS CUI [3,1])
    C0001288 (UMLS CUI [3,2])
    C0332282 (UMLS CUI [3,3])
    C0018759 (UMLS CUI [3,4])
    C1299586 (UMLS CUI [4])
    Code List
    16. 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 Group
    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)?
    C0677660 (UMLS CUI-1)
    C3828653 (UMLS CUI-2)
    Item
    17. Cut down the amount of time you spent on work or other activities
    integer
    C0451287 (UMLS CUI [1])
    C1546466 (UMLS CUI [2,1])
    C0043227 (UMLS CUI [2,2])
    C0332282 (UMLS CUI [2,3])
    C0677660 (UMLS CUI [2,4])
    C1546466 (UMLS CUI [3,1])
    C0001288 (UMLS CUI [3,2])
    C0332282 (UMLS CUI [3,3])
    C0677660 (UMLS CUI [3,4])
    C0392756 (UMLS CUI [4,1])
    C0040223 (UMLS CUI [4,2])
    C0805077 (UMLS CUI [4,3])
    Code List
    17. 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
    18. Accomplished less than you would like
    integer
    C0451287 (UMLS CUI [1])
    C1546466 (UMLS CUI [2,1])
    C0043227 (UMLS CUI [2,2])
    C0332282 (UMLS CUI [2,3])
    C0677660 (UMLS CUI [2,4])
    C1546466 (UMLS CUI [3,1])
    C0001288 (UMLS CUI [3,2])
    C0332282 (UMLS CUI [3,3])
    C0677660 (UMLS CUI [3,4])
    C3900126 (UMLS CUI [4])
    Code List
    18. 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
    19. Didn't do work or other activities as carefully as usual
    integer
    C0451287 (UMLS CUI [1])
    C1546466 (UMLS CUI [2,1])
    C0043227 (UMLS CUI [2,2])
    C0332282 (UMLS CUI [2,3])
    C0677660 (UMLS CUI [2,4])
    C1546466 (UMLS CUI [3,1])
    C0001288 (UMLS CUI [3,2])
    C0332282 (UMLS CUI [3,3])
    C0677660 (UMLS CUI [3,4])
    C0043227 (UMLS CUI [4,1])
    C1272696 (UMLS CUI [4,2])
    C0205394 (UMLS CUI [5,1])
    C0441655 (UMLS CUI [5,2])
    C1272696 (UMLS CUI [5,3])
    Code List
    19. 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 Group
    Past 4 weeks
    C3828653 (UMLS CUI-1)
    Item
    20. 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
    C0451287 (UMLS CUI [1])
    C0677660 (UMLS CUI [2,1])
    C0521102 (UMLS CUI [2,2])
    C0814554 (UMLS CUI [2,3])
    C0018759 (UMLS CUI [3,1])
    C0521102 (UMLS CUI [3,2])
    C0814554 (UMLS CUI [3,3])
    Code List
    20. 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)
    C2003901 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Slightly (2)
    C0750482 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Moderately (3)
    C0205081 (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
    21. How much bodily pain have you had during the past 4 weeks?
    integer
    C0451287 (UMLS CUI [1])
    C3890602 (UMLS CUI [2])
    Code List
    21. 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
    22. During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?
    integer
    C0451287 (UMLS CUI [1])
    C3898033 (UMLS CUI [2,1])
    C1265611 (UMLS CUI [2,2])
    Code List
    22. 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)
    C2003901 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Slightly (2)
    C0750482 (UMLS CUI-1)
    (Comment:en)
    CL Item
    Moderately (3)
    C0205081 (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 Group
    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.
    C3828653 (UMLS CUI-1)
    C0013987 (UMLS CUI-2)
    Item
    How much of the time during the past 4 weeks . . . 23. Did you feel full of pep?
    integer
    C0451287 (UMLS CUI [1])
    C2051663 (UMLS CUI [2])
    C3484313 (UMLS CUI [3])
    Code List
    How much of the time during the past 4 weeks . . . 23. 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
    How much of the time during the past 4 weeks . . . 24. Have you been a very nervous person?
    integer
    C0451287 (UMLS CUI [1])
    C2051663 (UMLS CUI [2])
    C3829750 (UMLS CUI [3])
    Code List
    How much of the time during the past 4 weeks . . . 24. 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
    How much of the time during the past 4 weeks . . . 25. Have you felt so down in the dumps that nothing could cheer you up?
    integer
    C0451287 (UMLS CUI [1])
    C2051663 (UMLS CUI [2])
    C3829738 (UMLS CUI [3])
    Code List
    How much of the time during the past 4 weeks . . . 25. 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
    How much of the time during the past 4 weeks . . . 26. Have you felt calm and peaceful?
    integer
    C0451287 (UMLS CUI [1])
    C2051663 (UMLS CUI [2])
    C0522165 (UMLS CUI [3])
    Code List
    How much of the time during the past 4 weeks . . . 26. 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
    How much of the time during the past 4 weeks . . . 27. Did you have a lot of energy?
    integer
    C0451287 (UMLS CUI [1])
    C2051663 (UMLS CUI [2])
    C3898912 (UMLS CUI [3])
    Code List
    How much of the time during the past 4 weeks . . . 27. 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
    How much of the time during the past 4 weeks . . . 28. Have you felt downhearted and blue?
    integer
    C0451287 (UMLS CUI [1])
    C2051663 (UMLS CUI [2])
    C3829743 (UMLS CUI [3])
    Code List
    How much of the time during the past 4 weeks . . . 28. 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
    How much of the time during the past 4 weeks . . . 29. Did you feel worn out?
    integer
    C0451287 (UMLS CUI [1])
    C2051663 (UMLS CUI [2])
    C3899145 (UMLS CUI [3])
    Code List
    How much of the time during the past 4 weeks . . . 29. 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
    How much of the time during the past 4 weeks . . . 30. Have you been a happy person?
    integer
    C0451287 (UMLS CUI [1])
    C2051663 (UMLS CUI [2])
    C0018592 (UMLS CUI [3])
    Code List
    How much of the time during the past 4 weeks . . . 30. 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
    How much of the time during the past 4 weeks . . . 31. Did you feel tired?
    integer
    C0451287 (UMLS CUI [1])
    C2051663 (UMLS CUI [2])
    C0849970 (UMLS CUI [3])
    Code List
    How much of the time during the past 4 weeks . . . 31. 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
    32. 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
    C0451287 (UMLS CUI [1])
    C0677660 (UMLS CUI [2,1])
    C0521102 (UMLS CUI [2,2])
    C0814554 (UMLS CUI [2,3])
    C0018759 (UMLS CUI [3,1])
    C0521102 (UMLS CUI [3,2])
    C0814554 (UMLS CUI [3,3])
    Code List
    32. 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 Group
    How TRUE or FALSE is each of the following statements for you.
    C1710187 (UMLS CUI-1)
    Item
    33. I seem to get sick a little easier than other people
    integer
    C0451287 (UMLS CUI [1])
    C1710187 (UMLS CUI [2])
    C3899028 (UMLS CUI [3,1])
    C2984078 (UMLS CUI [3,2])
    Code List
    33. 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
    34. I am as healthy as anybody I know
    integer
    C0451287 (UMLS CUI [1])
    C1710187 (UMLS CUI [2])
    C3900054 (UMLS CUI [3])
    Code List
    34. 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
    35. I expect my health to get worse
    integer
    C0451287 (UMLS CUI [1])
    C1710187 (UMLS CUI [2])
    C3475697 (UMLS CUI [3])
    Code List
    35. 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
    36. My health is excellent
    integer
    C0451287 (UMLS CUI [1])
    C1710187 (UMLS CUI [2])
    C3476206 (UMLS CUI [3])
    Code List
    36. 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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