ID

43124

Description

MetLife - Dental Survey 01 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0C367FF0-9A1C-3FCD-E044-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=0C367FF0-9A1C-3FCD-E044-0003BA3F9857

Keywords

  1. 12/18/14 12/18/14 - Martin Dugas
  2. 9/20/21 9/20/21 -
Uploaded on

September 20, 2021

DOI

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License

Creative Commons BY-NC 3.0 Legacy

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Demographic - MetLife - Dental Survey 01 - 2448788v1.0

No Instruction available.

  1. StudyEvent: MetLife - Dental Survey 01
    1. No Instruction available.
Contact Information
Description

Contact Information

First Name
Description

DentistIdentifierFirstName

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus ValueDomain
C25509
UMLS 2011AA ValueDomain
C1279901
NCI Thesaurus ObjectClass
C52654
UMLS 2011AA ObjectClass
C0011441
Last Name
Description

DentistIdentifierLastName

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus ObjectClass
C52654
UMLS 2011AA ObjectClass
C0011441
NCI Thesaurus ValueDomain
C25551
UMLS 2011AA ValueDomain
C1517741
Practice Name
Description

OrganizationName

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus ObjectClass
C19711
UMLS 2011AA ObjectClass
C1522486
Street Address
Description

PersonAddressName

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus Property
C25407
UMLS 2011AA Property
C1442065
City/Town
Description

PersonAddressCityName

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus Property
C25407
UMLS 2011AA Property
C1442065
NCI Thesaurus ValueDomain
C25160
UMLS 2011AA ValueDomain
C0008848
State
Description

PersonAddressStateCode

Data type

text

Alias
NCI Thesaurus ValueDomain
C25162
UMLS 2011AA ValueDomain
C0805701
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus Property
C25407
UMLS 2011AA Property
C1442065
ZIP Code
Description

AddressPostalCode

Data type

text

Alias
NCI Thesaurus Property
C25162
UMLS 2011AA Property
C0805701
NCI Thesaurus ObjectClass
C25621
UMLS 2011AA ObjectClass
C1514254
Email Address
Description

ResponsiblePersonE-mailAddressText

Data type

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
NCI Thesaurus ObjectClass
C25657
UMLS 2011AA ObjectClass
C1273518
NCI Thesaurus Property
C42775
UMLS 2011AA Property
C1705961
Practice Phone Number
Description

OrganizationPhoneNumber

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus Property
C25395
UMLS 2011AA Property
C0039457
NCI Thesaurus ObjectClass
C19711
UMLS 2011AA ObjectClass
C1522486
Fax Number
Description

PersonFaxNumber

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus Property
C25210
UMLS 2011AA Property
C0085205
NCI Thesaurus ValueDomain
C25210
UMLS 2011AA ValueDomain
C0085205
A. Post Operative Hypersensitivity With Composite Resin Restorations
Description

A. Post Operative Hypersensitivity With Composite Resin Restorations

Is the frequency of composite resin hypersensitivity a concern in your practice
Description

DentalProfessionalPracticeResin-BasedCompositeHypersensitivityOccurrenceIndicator

Data type

text

Alias
NCI Thesaurus ObjectClass
C41136
UMLS 2011AA ObjectClass
C0226984
NCI Thesaurus ObjectClass
C52673
UMLS 2011AA ObjectClass
C0033284
NCI Thesaurus Property
C3114
UMLS 2011AA Property
C0020517
NCI Thesaurus Property
C52586
UMLS 2011AA Property
C1711229
NCI Thesaurus Property
C25275
UMLS 2011AA Property
C2745955
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
What is your estimate of the percentage of Class I restorations with this problem
Description

DentalProfessionalPracticeClassIRestorationHypersensitivityOccurrencePercentageType

Data type

text

Alias
NCI Thesaurus ObjectClass
C41136
UMLS 2011AA ObjectClass
C0226984
NCI Thesaurus ObjectClass
C52673
UMLS 2011AA ObjectClass
C0033284
NCI Thesaurus Property
C3114
UMLS 2011AA Property
C0020517
NCI Thesaurus Property
C25275
UMLS 2011AA Property
C2745955
NCI Thesaurus Property
C52572
UMLS 2011AA Property
C1707399
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ValueDomain
C25613
UMLS 2011AA ValueDomain
C0439165
How frequently have you noticed hypersensitivity in two or more restorations for a number of patients
Description

DentalProfessionalPracticeClassIRestorationHypersensitivityOccurrenceFrequency

Data type

text

Alias
NCI Thesaurus ObjectClass
C41136
UMLS 2011AA ObjectClass
C0226984
NCI Thesaurus ObjectClass
C52673
UMLS 2011AA ObjectClass
C0033284
NCI Thesaurus Property
C3114
UMLS 2011AA Property
C0020517
NCI Thesaurus Property
C25275
UMLS 2011AA Property
C2745955
NCI Thesaurus Property
C52572
UMLS 2011AA Property
C1707399
NCI Thesaurus ValueDomain
C25515
UMLS 2011AA ValueDomain
C0439603
Do you routinely use a self-etching dentin bonding system for composite restorations
Description

DentalProfessionalPracticeSelf-EtchingBondingSystemResin-BasedCompositeUseIndicator

Data type

text

Alias
NCI Thesaurus ObjectClass
C41136
UMLS 2011AA ObjectClass
C0226984
NCI Thesaurus ObjectClass
C52673
UMLS 2011AA ObjectClass
C0033284
NCI Thesaurus Property
C52586
UMLS 2011AA Property
C1711229
NCI Thesaurus Property
C25340
UMLS 2011AA Property
C0457083
NCI Thesaurus Property
C52579
UMLS 2011AA Property
C1710045
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Do you routinely use a resin modified glass ionomer liner for composite restorations
Description

DentalProfessionalPracticeResinModifiedGlassIonomerLinerUseIndicator

Data type

text

Alias
NCI Thesaurus ObjectClass
C41136
UMLS 2011AA ObjectClass
C0226984
NCI Thesaurus ObjectClass
C52673
UMLS 2011AA ObjectClass
C0033284
NCI Thesaurus Property
C25340
UMLS 2011AA Property
C0457083
NCI Thesaurus Property
C52585
UMLS 2011AA Property
C1709917
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
B. Dental Care For Pregnant Women
Description

B. Dental Care For Pregnant Women

Do you provide comprehensive dental care for pregnant women in your practice
Description

DentalProfessionalPracticePregnancyFemalePatientComprehensiveCareIndicator

Data type

text

Alias
NCI Thesaurus ObjectClass
C41136
UMLS 2011AA ObjectClass
C0226984
NCI Thesaurus ObjectClass
C52673
UMLS 2011AA ObjectClass
C0033284
NCI Thesaurus Property
C16960
UMLS 2011AA Property
C0030705
NCI Thesaurus Property
C16576
UMLS 2011AA Property
C0086287
NCI Thesaurus Property
C25742
UMLS 2011AA Property
C0032961
NCI Thesaurus Property
C52640
UMLS 2011AA Property
C0009586
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Do you limit treatment of pregnant women to emergency care
Description

DentalProfessionalPracticePregnancyFemalePatientEmergencyCareIndicator

Data type

text

Alias
NCI Thesaurus ObjectClass
C41136
UMLS 2011AA ObjectClass
C0226984
NCI Thesaurus ObjectClass
C52673
UMLS 2011AA ObjectClass
C0033284
NCI Thesaurus Property
C16960
UMLS 2011AA Property
C0030705
NCI Thesaurus Property
C16576
UMLS 2011AA Property
C0086287
NCI Thesaurus Property
C25742
UMLS 2011AA Property
C0032961
NCI Thesaurus Property
C52641
UMLS 2011AA Property
C1527398
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
About how many individual pregnant women present for care in your dental practice
Description

DentalProfessionalPracticePregnancyFemalePatientDemographicsFrequency

Data type

text

Alias
NCI Thesaurus ObjectClass
C41136
UMLS 2011AA ObjectClass
C0226984
NCI Thesaurus ObjectClass
C52673
UMLS 2011AA ObjectClass
C0033284
NCI Thesaurus Property
C16960
UMLS 2011AA Property
C0030705
NCI Thesaurus Property
C16576
UMLS 2011AA Property
C0086287
NCI Thesaurus Property
C25742
UMLS 2011AA Property
C0032961
NCI Thesaurus Property
C16495
UMLS 2011AA Property
C0011292
NCI Thesaurus ValueDomain
C25515
UMLS 2011AA ValueDomain
C0439603
Does your state have guidelines for treatment of pregnant women
Description

PregnancyFemalePatientTherapyStateGuidelinesIndicator

Data type

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus ObjectClass
C16576
UMLS 2011AA ObjectClass
C0086287
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus ObjectClass
C25742
UMLS 2011AA ObjectClass
C0032961
NCI Thesaurus Property
C30010
UMLS 2011AA Property
C1301808
NCI Thesaurus Property
C17564
UMLS 2011AA Property
C0162791
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
C. Porcelain Repair
Description

C. Porcelain Repair

How often is porcelain repair employed in your practice on a per month basis
Description

PorcelainVeneerDentalProfessionalPracticeMonthUseFrequency

Data type

text

Alias
NCI Thesaurus ObjectClass
C52584
UMLS 2011AA ObjectClass
C1709602
NCI Thesaurus Property
C29846
UMLS 2011AA Property
C0439231
NCI Thesaurus Property
C41136
UMLS 2011AA Property
C0226984
NCI Thesaurus Property
C52673
UMLS 2011AA Property
C0033284
NCI Thesaurus Property
C25340
UMLS 2011AA Property
C0457083
NCI Thesaurus ValueDomain
C25515
UMLS 2011AA ValueDomain
C0439603
How often do these repairs fail
Description

PorcelainVeneerDentalProfessionalPracticeFailureOccurrenceIndicator

Data type

text

Alias
NCI Thesaurus ObjectClass
C52584
UMLS 2011AA ObjectClass
C1709602
NCI Thesaurus Property
C25745
UMLS 2011AA Property
C0231174
NCI Thesaurus Property
C41136
UMLS 2011AA Property
C0226984
NCI Thesaurus Property
C25275
UMLS 2011AA Property
C2745955
NCI Thesaurus Property
C52673
UMLS 2011AA Property
C0033284
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Do you use hydrofluoric acid etching of porcelain during the repair
Description

PorcelainVeneerDentalProfessionalPracticeAcidEtchingUseIndicator

Data type

text

Alias
NCI Thesaurus ObjectClass
C52584
UMLS 2011AA ObjectClass
C1709602
NCI Thesaurus Property
C41136
UMLS 2011AA Property
C0226984
NCI Thesaurus Property
C52673
UMLS 2011AA Property
C0033284
NCI Thesaurus Property
C25340
UMLS 2011AA Property
C0457083
NCI Thesaurus Property
C52570
UMLS 2011AA Property
C1706697
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Do you use "micro etching" (sandblasting) during a porcelain repair
Description

PorcelainVeneerDentalProfessionalPracticeMicroetchingUseIndicator

Data type

text

Alias
NCI Thesaurus ObjectClass
C52584
UMLS 2011AA ObjectClass
C1709602
NCI Thesaurus Property
C41136
UMLS 2011AA Property
C0226984
NCI Thesaurus Property
C52673
UMLS 2011AA Property
C0033284
NCI Thesaurus Property
C25340
UMLS 2011AA Property
C0457083
NCI Thesaurus Property
C52577
UMLS 2011AA Property
C1709022
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Do you use both "micro etching" and hyrofluorid acid etching
Description

PorcelainVeneerMicroetchingAcidEtchingUseIndicator

Data type

text

Alias
NCI Thesaurus ObjectClass
C52584
UMLS 2011AA ObjectClass
C1709602
NCI Thesaurus Property
C25340
UMLS 2011AA Property
C0457083
NCI Thesaurus Property
C52570
UMLS 2011AA Property
C1706697
NCI Thesaurus Property
C52577
UMLS 2011AA Property
C1709022
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
C. Porcelain Repair
Description

C. Porcelain Repair

In mildly symptomatic teeth do you selectively leave caries in deep preparations to avoid pulpal exposure
Description

ResidualCariousDentinIncompleteCariesRemovalIndicator

Data type

text

Alias
NCI Thesaurus ObjectClass
C37895
UMLS 2011AA ObjectClass
C1609982
NCI Thesaurus ObjectClass
C52594
UMLS 2011AA ObjectClass
C1707305
NCI Thesaurus Property
C49160
UMLS 2011AA Property
C0205257
NCI Thesaurus Property
C52571
UMLS 2011AA Property
C1707304
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
If yes to the above, what method of indirect pulp capping procedure do you follow
Description

ResidualCariousDentinIndirectPulpCapTherapyType

Data type

text

Alias
NCI Thesaurus ObjectClass
C37895
UMLS 2011AA ObjectClass
C1609982
NCI Thesaurus ObjectClass
C52594
UMLS 2011AA ObjectClass
C1707305
NCI Thesaurus Property
C15368
NCI Thesaurus Property
C52576
UMLS 2011AA Property
C1708499
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
If no to the above, do you usually
Description

ResidualCariousDentinCompleteCariesRemovalIndicator

Data type

text

Alias
NCI Thesaurus ObjectClass
C37895
UMLS 2011AA ObjectClass
C1609982
NCI Thesaurus ObjectClass
C52594
UMLS 2011AA ObjectClass
C1707305
NCI Thesaurus Property
C25250
UMLS 2011AA Property
C0205197
NCI Thesaurus Property
C52571
UMLS 2011AA Property
C1707304
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
If you must perform a direct pulp cap which procedure do you follow after stopping the bleeding
Description

ResidualCariousDentinDirectPulpCapTherapyType

Data type

text

Alias
NCI Thesaurus ObjectClass
C37895
UMLS 2011AA ObjectClass
C1609982
NCI Thesaurus ObjectClass
C52594
UMLS 2011AA ObjectClass
C1707305
NCI Thesaurus Property
C15368
NCI Thesaurus Property
C52574
UMLS 2011AA Property
C0846817
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
E. Smoking Cessation
Description

E. Smoking Cessation

Do you have a smoking cessation program in your practice
Description

DentalProfessionalPracticeCurrentSmokingCessationProgramUseIndicator

Data type

text

Alias
NCI Thesaurus ObjectClass
C41136
UMLS 2011AA ObjectClass
C0226984
NCI Thesaurus ObjectClass
C52673
UMLS 2011AA ObjectClass
C0033284
NCI Thesaurus Property
C25471
UMLS 2011AA Property
C0521116
NCI Thesaurus Property
C17427
UMLS 2011AA Property
C0085134
NCI Thesaurus Property
C25340
UMLS 2011AA Property
C0457083
NCI Thesaurus Property
C52647
UMLS 2011AA Property
C1709697
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
If yes, what percentage of the patients approached concerning this program participates
Description

PatientCurrentSmokingCessationProgramParticipatingPercentageValue

Data type

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C25608
UMLS 2011AA Property
C0679823
NCI Thesaurus Property
C25471
UMLS 2011AA Property
C0521116
NCI Thesaurus Property
C17427
UMLS 2011AA Property
C0085134
NCI Thesaurus Property
C52647
UMLS 2011AA Property
C1709697
NCI Thesaurus ValueDomain
C25613
UMLS 2011AA ValueDomain
C0439165
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
If no, would you consider incorporation of a program if it were reimbursed for each patient enrolled
Description

DentalProfessionalPracticeSmokingCessationProgramBeginUseIndicator

Data type

text

Alias
NCI Thesaurus ObjectClass
C41136
UMLS 2011AA ObjectClass
C0226984
NCI Thesaurus ObjectClass
C52673
UMLS 2011AA ObjectClass
C0033284
NCI Thesaurus Property
C25431
UMLS 2011AA Property
C0439659
NCI Thesaurus Property
C17427
UMLS 2011AA Property
C0085134
NCI Thesaurus Property
C25340
UMLS 2011AA Property
C0457083
NCI Thesaurus Property
C52647
UMLS 2011AA Property
C1709697
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Is a course on smoking cessation required for a dental license in your state
Description

StateDentalLicenseSmokingCessationProgramRequirementIndicator

Data type

text

Alias
NCI Thesaurus ObjectClass
C30010
UMLS 2011AA ObjectClass
C1301808
NCI Thesaurus ObjectClass
C52649
UMLS 2011AA ObjectClass
C1707676
NCI Thesaurus Property
C17427
UMLS 2011AA Property
C0085134
NCI Thesaurus Property
C38015
NCI Thesaurus Property
C52647
UMLS 2011AA Property
C1709697
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
F. Visual Classification Of Caries
Description

F. Visual Classification Of Caries

Are you aware of visual classification systems for the progress of caries
Description

CariesVisualClassificationIndicator

Data type

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
NCI Thesaurus ObjectClass
C52593
UMLS 2011AA ObjectClass
C0011334
NCI Thesaurus Property
C25161
UMLS 2011AA Property
C0008902
NCI Thesaurus Property
C38059
UMLS 2011AA Property
C0234621
Do you routinely employ a caries risk assessment of patients in your practice that is part of the patient chart
Description

CariesRiskMedicalRecordAssessmentIndicator

Data type

text

Alias
NCI Thesaurus ObjectClass
C52593
UMLS 2011AA ObjectClass
C0011334
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property
C17102
UMLS 2011AA Property
C0035647
NCI Thesaurus Property
C45258
UMLS 2011AA Property
C0025102
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Do you place any of your patients on a caries management program with the intent of promoting remineralization of early lesions
Description

CariesToothRemineralizationProgramTherapyIndicator

Data type

text

Alias
NCI Thesaurus ObjectClass
C52593
UMLS 2011AA ObjectClass
C0011334
NCI Thesaurus Property
C15368
NCI Thesaurus Property
C12506
UMLS 2011AA Property
C0040426
NCI Thesaurus Property
C52578
UMLS 2011AA Property
C1711362
NCI Thesaurus Property
C52647
UMLS 2011AA Property
C1709697
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
G. Cracked Tooth
Description

G. Cracked Tooth

How often in a month do you diagnose and treat a patient for one or more cracked posterior teeth
Description

PatientCrackPosteriorToothTherapyMonthFrequency

Data type

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C15368
NCI Thesaurus Property
C52666
UMLS 2011AA Property
C1709609
NCI Thesaurus Property
C52648
UMLS 2011AA Property
C1706353
NCI Thesaurus ValueDomain
C29846
UMLS 2011AA ValueDomain
C0439231
NCI Thesaurus ValueDomain
C25515
UMLS 2011AA ValueDomain
C0439603
Do you feel the diagnosis of a cracked tooth is a routine procedure
Description

CrackPosteriorToothRoutineDiagnosisIndicator

Data type

text

Alias
NCI Thesaurus ObjectClass
C52666
UMLS 2011AA ObjectClass
C1709609
NCI Thesaurus ObjectClass
C52648
UMLS 2011AA ObjectClass
C1706353
NCI Thesaurus Property
C15220
UMLS 2011AA Property
C0011900
NCI Thesaurus Property
C47893
UMLS 2011AA Property
C0205547
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
What method besides visualization and radiographs do you primarily use to assist with diagnosis
Description

CrackPosteriorToothDiagnosisMethodType

Data type

text

Alias
NCI Thesaurus ObjectClass
C52666
UMLS 2011AA ObjectClass
C1709609
NCI Thesaurus ObjectClass
C52648
UMLS 2011AA ObjectClass
C1706353
NCI Thesaurus Property
C16847
UMLS 2011AA Property
C0449851
NCI Thesaurus Property
C15220
UMLS 2011AA Property
C0011900
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
H. Leaking Sealant Detection
Description

H. Leaking Sealant Detection

Do you routinely apply sealants to children's teeth in your practice
Description

PediatricSealantRoutinePerformedIndicator

Data type

text

Alias
NCI Thesaurus ObjectClass
C39299
UMLS 2011AA ObjectClass
C0231335
NCI Thesaurus ObjectClass
C52587
UMLS 2011AA ObjectClass
C0729415
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
NCI Thesaurus Property
C47893
UMLS 2011AA Property
C0205547
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Do you routinely apply sealants to young adults (16-30 years of age) teeth in your practice
Description

AdolescentSealantRoutinePerformedIndicator

Data type

text

Alias
NCI Thesaurus ObjectClass
C52587
UMLS 2011AA ObjectClass
C0729415
NCI Thesaurus ObjectClass
C27954
UMLS 2011AA ObjectClass
C0205653
NCI Thesaurus Property
C38000
UMLS 2011AA Property
C0884358
NCI Thesaurus Property
C47893
UMLS 2011AA Property
C0205547
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Would a dye with good sensitivity for detection of a leaking sealant be useful in your practice
Description

DyeSealantLeakageUseIndicator

Data type

text

Alias
NCI Thesaurus ObjectClass
C461
UMLS 2011AA ObjectClass
C0013343
NCI Thesaurus Property
C52587
UMLS 2011AA Property
C0729415
NCI Thesaurus Property
C25340
UMLS 2011AA Property
C0457083
NCI Thesaurus Property
C40416
UMLS 2011AA Property
C0015376
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
If detection of leaking sealant was possible would this change and/or increase your use of sealants in your practice
Description

DyeSealantLeakageModificationUseIndicator

Data type

text

Alias
NCI Thesaurus ObjectClass
C461
UMLS 2011AA ObjectClass
C0013343
NCI Thesaurus Property
C52587
UMLS 2011AA Property
C0729415
NCI Thesaurus Property
C25572
NCI Thesaurus Property
C25340
UMLS 2011AA Property
C0457083
NCI Thesaurus Property
C40416
UMLS 2011AA Property
C0015376
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Ii. Professional Information
Description

Ii. Professional Information

Dental school
Description

DentalSchoolIdentifierName

Data type

text

Alias
NCI Thesaurus Property
C25364
UMLS 2011AA Property
C0600091
NCI Thesaurus ObjectClass
C52652
UMLS 2011AA ObjectClass
C0036376
NCI Thesaurus ValueDomain
C42614
UMLS 2011AA ValueDomain
C0027365
Year graduated
Description

DentistDentalSchoolGraduationDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus Property
C52581
UMLS 2011AA Property
C1711333
NCI Thesaurus ObjectClass
C52654
UMLS 2011AA ObjectClass
C0011441
NCI Thesaurus Property
C52652
UMLS 2011AA Property
C0036376
Degree
Description

DentistAcademicDegreeText

Data type

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
NCI Thesaurus Property
C25354
UMLS 2011AA Property
C0542560
NCI Thesaurus ObjectClass
C52654
UMLS 2011AA ObjectClass
C0011441
Years in practice
Description

DentistProfessionalPracticeAffiliateYearNumber

Data type

double

Alias
NCI Thesaurus ObjectClass
C52654
UMLS 2011AA ObjectClass
C0011441
NCI Thesaurus Property
C52673
UMLS 2011AA Property
C0033284
NCI Thesaurus Property
C25412
UMLS 2011AA Property
C1510825
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ValueDomain
C29848
UMLS 2011AA ValueDomain
C0439234
General Practice or Specialist
Description

DentalProfessionalPracticeDentistType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C41136
UMLS 2011AA ObjectClass
C0226984
NCI Thesaurus Property
C52654
UMLS 2011AA Property
C0011441
NCI Thesaurus ObjectClass
C52673
UMLS 2011AA ObjectClass
C0033284
If Specialist, which
Description

DentistDentalSpecialtyType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C52654
UMLS 2011AA ObjectClass
C0011441
NCI Thesaurus Property
C52653
UMLS 2011AA Property
C0037777
Number of years at current practice location
Description

DentalProfessionalPracticeMemberYearNumber

Data type

double

Alias
NCI Thesaurus ObjectClass
C41136
UMLS 2011AA ObjectClass
C0226984
NCI Thesaurus ObjectClass
C52673
UMLS 2011AA ObjectClass
C0033284
NCI Thesaurus Property
C25368
UMLS 2011AA Property
C0680022
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ValueDomain
C29848
UMLS 2011AA ValueDomain
C0439234
Date of Birth (mm/dd/yyyy)
Description

DentistBirthDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C52654
UMLS 2011AA ObjectClass
C0011441
NCI Thesaurus Property
C25155
UMLS 2011AA Property
C0005615
Gender
Description

DentistGenderCategory

Data type

text

Alias
NCI Thesaurus ValueDomain
C25372
UMLS 2011AA ValueDomain
C0683312
NCI Thesaurus ObjectClass
C52654
UMLS 2011AA ObjectClass
C0011441
NCI Thesaurus Property
C17357
UMLS 2011AA Property
C0079399
Ethnicity
Description

EthnicGroupCategoryText

Data type

text

Alias
NCI Thesaurus Property
C25372
UMLS 2011AA Property
C0683312
NCI Thesaurus ValueDomain
C25372
UMLS 2011AA ValueDomain
C0683312
NCI Thesaurus ObjectClass
C16564
UMLS 2011AA ObjectClass
C0015031
If Hispanic or Latino, specify
Description

DentistHispanicEthnicGroupCategory

Data type

text

Alias
NCI Thesaurus ValueDomain
C25372
UMLS 2011AA ValueDomain
C0683312
NCI Thesaurus Property
C17459
UMLS 2011AA Property
C0086409
NCI Thesaurus ObjectClass
C52654
UMLS 2011AA ObjectClass
C0011441
NCI Thesaurus Property
C16564
UMLS 2011AA Property
C0015031
Specify (If other,)
Description

DentistHispanicEthnicGroupSpecify

Data type

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus Property
C17459
UMLS 2011AA Property
C0086409
NCI Thesaurus ObjectClass
C52654
UMLS 2011AA ObjectClass
C0011441
NCI Thesaurus Property
C16564
UMLS 2011AA Property
C0015031
Race
Description

DentistSubcategoryRaceCategory

Data type

text

Alias
NCI Thesaurus ValueDomain
C25372
UMLS 2011AA ValueDomain
C0683312
NCI Thesaurus ObjectClass
C52654
UMLS 2011AA ObjectClass
C0011441
NCI Thesaurus Property
C17049
UMLS 2011AA Property
C0034510
NCI Thesaurus Property
C25692
UMLS 2011AA Property
C1515010
Specify (If other,)
Description

DentistSubcategoryRaceSpecify

Data type

text

Alias
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
NCI Thesaurus ObjectClass
C52654
UMLS 2011AA ObjectClass
C0011441
NCI Thesaurus Property
C17049
UMLS 2011AA Property
C0034510
NCI Thesaurus Property
C25692
UMLS 2011AA Property
C1515010
Iii. Description Of Your Practice
Description

Iii. Description Of Your Practice

What is your approximate active patient chart count
Description

DentalProfessionalPracticeActivePatientBaseCount

Data type

text

Alias
NCI Thesaurus ObjectClass
C41136
UMLS 2011AA ObjectClass
C0226984
NCI Thesaurus ObjectClass
C52673
UMLS 2011AA ObjectClass
C0033284
NCI Thesaurus Property
C45329
UMLS 2011AA Property
C0205177
NCI Thesaurus Property
C52644
UMLS 2011AA Property
C1709483
NCI Thesaurus ValueDomain
C25463
UMLS 2011AA ValueDomain
C0750480
Males (Estimate the percentage of your patients that are - Percentage should add up to 100% )
Description

DentalProfessionalPracticeMalePatientDemographicsPercentageValue

Data type

text

Alias
NCI Thesaurus ObjectClass
C41136
UMLS 2011AA ObjectClass
C0226984
NCI Thesaurus ObjectClass
C52673
UMLS 2011AA ObjectClass
C0033284
NCI Thesaurus Property
C16960
UMLS 2011AA Property
C0030705
NCI Thesaurus Property
C20197
UMLS 2011AA Property
C0086582
NCI Thesaurus Property
C16495
UMLS 2011AA Property
C0011292
NCI Thesaurus ValueDomain
C25613
UMLS 2011AA ValueDomain
C0439165
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
Females (Estimate the percentage of your patients that are - Percentage should add up to 100% )
Description

DentalProfessionalPracticeFemalePatientDemographicsPercentageValue

Data type

text

Alias
NCI Thesaurus ObjectClass
C41136
UMLS 2011AA ObjectClass
C0226984
NCI Thesaurus ObjectClass
C52673
UMLS 2011AA ObjectClass
C0033284
NCI Thesaurus Property
C16960
UMLS 2011AA Property
C0030705
NCI Thesaurus Property
C16576
UMLS 2011AA Property
C0086287
NCI Thesaurus Property
C16495
UMLS 2011AA Property
C0011292
NCI Thesaurus ValueDomain
C25613
UMLS 2011AA ValueDomain
C0439165
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
Not Hispanic or Latino (Estimate the percentage of your patients that are - Ethnicity)
Description

DentalProfessionalPracticeNotHispanicorLatinoPatientDemographicsPercentageValue

Data type

text

Alias
NCI Thesaurus ObjectClass
C41136
UMLS 2011AA ObjectClass
C0226984
NCI Thesaurus ObjectClass
C52673
UMLS 2011AA ObjectClass
C0033284
NCI Thesaurus Property
C16960
UMLS 2011AA Property
C0030705
NCI Thesaurus Property
C41222
UMLS 2011AA Property
C1518424
NCI Thesaurus Property
C16495
UMLS 2011AA Property
C0011292
NCI Thesaurus ValueDomain
C25613
UMLS 2011AA ValueDomain
C0439165
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
Hispanic or Latino (Estimate the percentage of your patients that are - Ethnicity)
Description

DentalProfessionalPracticeHispanicPatientDemographicsPercentageValue

Data type

text

Alias
NCI Thesaurus ObjectClass
C41136
UMLS 2011AA ObjectClass
C0226984
NCI Thesaurus ObjectClass
C52673
UMLS 2011AA ObjectClass
C0033284
NCI Thesaurus Property
C16960
UMLS 2011AA Property
C0030705
NCI Thesaurus Property
C17459
UMLS 2011AA Property
C0086409
NCI Thesaurus Property
C16495
UMLS 2011AA Property
C0011292
NCI Thesaurus ValueDomain
C25613
UMLS 2011AA ValueDomain
C0439165
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
White (Estimate the percentage of your patients that are - Race)
Description

DentalProfessionalPracticeWhitePatientDemographicsPercentageValue

Data type

text

Alias
NCI Thesaurus ObjectClass
C41136
UMLS 2011AA ObjectClass
C0226984
NCI Thesaurus ObjectClass
C52673
UMLS 2011AA ObjectClass
C0033284
NCI Thesaurus Property
C16960
UMLS 2011AA Property
C0030705
NCI Thesaurus Property
C41261
UMLS 2011AA Property
C0007457
NCI Thesaurus Property
C16495
UMLS 2011AA Property
C0011292
NCI Thesaurus ValueDomain
C25613
UMLS 2011AA ValueDomain
C0439165
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
Black or African American (Estimate the percentage of your patients that are - Race)
Description

DentalProfessionalPracticeAfricanAmericanPatientDemographicsPercentageValue

Data type

text

Alias
NCI Thesaurus ObjectClass
C41136
UMLS 2011AA ObjectClass
C0226984
NCI Thesaurus ObjectClass
C52673
UMLS 2011AA ObjectClass
C0033284
NCI Thesaurus Property
C16960
UMLS 2011AA Property
C0030705
NCI Thesaurus Property
C16352
UMLS 2011AA Property
C0085756
NCI Thesaurus Property
C16495
UMLS 2011AA Property
C0011292
NCI Thesaurus ValueDomain
C25613
UMLS 2011AA ValueDomain
C0439165
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
Native American or Alaskan Native (Estimate the percentage of your patients that are - Race)
Description

DentalProfessionalPracticeAmericanIndianorAlaskaNativePatientDemographicsPercentageValue

Data type

text

Alias
NCI Thesaurus ObjectClass
C41136
UMLS 2011AA ObjectClass
C0226984
NCI Thesaurus ObjectClass
C52673
UMLS 2011AA ObjectClass
C0033284
NCI Thesaurus Property
C16960
UMLS 2011AA Property
C0030705
NCI Thesaurus Property
C41259
UMLS 2011AA Property
C1515945
NCI Thesaurus Property
C16495
UMLS 2011AA Property
C0011292
NCI Thesaurus ValueDomain
C25613
UMLS 2011AA ValueDomain
C0439165
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
Native Hawaiian or Other Pacific Islander (Estimate the percentage of your patients that are - Race)
Description

DentalProfessionalPracticeNativeHawaiianorOtherPacificIslandePatientDemographicsPercentageValue

Data type

text

Alias
NCI Thesaurus ObjectClass
C41136
UMLS 2011AA ObjectClass
C0226984
NCI Thesaurus ObjectClass
C52673
UMLS 2011AA ObjectClass
C0033284
NCI Thesaurus Property
C16960
UMLS 2011AA Property
C0030705
NCI Thesaurus Property
C41219
UMLS 2011AA Property
C1513907
NCI Thesaurus Property
C16495
UMLS 2011AA Property
C0011292
NCI Thesaurus ValueDomain
C25613
UMLS 2011AA ValueDomain
C0439165
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
Asian (Estimate the percentage of your patients that are - Race)
Description

DentalProfessionalPracticeAsianPatientDemographicsPercentageValue

Data type

text

Alias
NCI Thesaurus ObjectClass
C41136
UMLS 2011AA ObjectClass
C0226984
NCI Thesaurus ObjectClass
C52673
UMLS 2011AA ObjectClass
C0033284
NCI Thesaurus Property
C16960
UMLS 2011AA Property
C0030705
NCI Thesaurus Property
C41260
UMLS 2011AA Property
C0078988
NCI Thesaurus Property
C16495
UMLS 2011AA Property
C0011292
NCI Thesaurus ValueDomain
C25613
UMLS 2011AA ValueDomain
C0439165
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
Other (Estimate the percentage of your patients that are - Race)
Description

DentalProfessionalPracticeOtherPatientDemographicsPercentageValue

Data type

text

Alias
NCI Thesaurus ObjectClass
C41136
UMLS 2011AA ObjectClass
C0226984
NCI Thesaurus ObjectClass
C52673
UMLS 2011AA ObjectClass
C0033284
NCI Thesaurus Property
C17649
UMLS 2011AA Property
C0205394
NCI Thesaurus Property
C16960
UMLS 2011AA Property
C0030705
NCI Thesaurus Property
C16495
UMLS 2011AA Property
C0011292
NCI Thesaurus ValueDomain
C25613
UMLS 2011AA ValueDomain
C0439165
NCI Thesaurus ValueDomain
C25712
UMLS 2011AA ValueDomain
C1522609
Specify (If other,)
Description

DentalProfessionalPracticeOtherPatientDemographicsSpecify

Data type

text

Alias
NCI Thesaurus ObjectClass
C41136
UMLS 2011AA ObjectClass
C0226984
NCI Thesaurus ObjectClass
C52673
UMLS 2011AA ObjectClass
C0033284
NCI Thesaurus Property
C17649
UMLS 2011AA Property
C0205394
NCI Thesaurus Property
C16960
UMLS 2011AA Property
C0030705
NCI Thesaurus Property
C16495
UMLS 2011AA Property
C0011292
NCI Thesaurus ValueDomain
C25685
UMLS 2011AA ValueDomain
C1521902
How would you characterize your practice
Description

DentalProfessionalPracticeGeographicLocationType

Data type

text

Alias
NCI Thesaurus ObjectClass
C41136
UMLS 2011AA ObjectClass
C0226984
NCI Thesaurus ObjectClass
C52673
UMLS 2011AA ObjectClass
C0033284
NCI Thesaurus Property
C25341
UMLS 2011AA Property
C0450429
NCI Thesaurus Property
C37957
UMLS 2011AA Property
C1517526
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307

Similar models

No Instruction available.

  1. StudyEvent: MetLife - Dental Survey 01
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Contact Information
DentistIdentifierFirstName
Item
First Name
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25509 (NCI Thesaurus ValueDomain)
C1279901 (UMLS 2011AA ValueDomain)
C52654 (NCI Thesaurus ObjectClass)
C0011441 (UMLS 2011AA ObjectClass)
DentistIdentifierLastName
Item
Last Name
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C52654 (NCI Thesaurus ObjectClass)
C0011441 (UMLS 2011AA ObjectClass)
C25551 (NCI Thesaurus ValueDomain)
C1517741 (UMLS 2011AA ValueDomain)
OrganizationName
Item
Practice Name
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C19711 (NCI Thesaurus ObjectClass)
C1522486 (UMLS 2011AA ObjectClass)
PersonAddressName
Item
Street Address
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25407 (NCI Thesaurus Property)
C1442065 (UMLS 2011AA Property)
PersonAddressCityName
Item
City/Town
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25407 (NCI Thesaurus Property)
C1442065 (UMLS 2011AA Property)
C25160 (NCI Thesaurus ValueDomain)
C0008848 (UMLS 2011AA ValueDomain)
PersonAddressStateCode
Item
State
text
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25407 (NCI Thesaurus Property)
C1442065 (UMLS 2011AA Property)
AddressPostalCode
Item
ZIP Code
text
C25162 (NCI Thesaurus Property)
C0805701 (UMLS 2011AA Property)
C25621 (NCI Thesaurus ObjectClass)
C1514254 (UMLS 2011AA ObjectClass)
ResponsiblePersonE-mailAddressText
Item
Email Address
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C25657 (NCI Thesaurus ObjectClass)
C1273518 (UMLS 2011AA ObjectClass)
C42775 (NCI Thesaurus Property)
C1705961 (UMLS 2011AA Property)
OrganizationPhoneNumber
Item
Practice Phone Number
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25395 (NCI Thesaurus Property)
C0039457 (UMLS 2011AA Property)
C19711 (NCI Thesaurus ObjectClass)
C1522486 (UMLS 2011AA ObjectClass)
PersonFaxNumber
Item
Fax Number
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25210 (NCI Thesaurus Property)
C0085205 (UMLS 2011AA Property)
C25210 (NCI Thesaurus ValueDomain)
C0085205 (UMLS 2011AA ValueDomain)
Item Group
A. Post Operative Hypersensitivity With Composite Resin Restorations
Item
Is the frequency of composite resin hypersensitivity a concern in your practice
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C3114 (NCI Thesaurus Property)
C0020517 (UMLS 2011AA Property)
C52586 (NCI Thesaurus Property)
C1711229 (UMLS 2011AA Property)
C25275 (NCI Thesaurus Property)
C2745955 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Is the frequency of composite resin hypersensitivity a concern in your practice
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
What is your estimate of the percentage of Class I restorations with this problem
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C3114 (NCI Thesaurus Property)
C0020517 (UMLS 2011AA Property)
C25275 (NCI Thesaurus Property)
C2745955 (UMLS 2011AA Property)
C52572 (NCI Thesaurus Property)
C1707399 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
Code List
What is your estimate of the percentage of Class I restorations with this problem
CL Item
Less Than 1% (Less than 1%)
CL Item
1-3% (1-3%)
CL Item
3-5% (3-5%)
CL Item
5-10% (5-10%)
CL Item
Greater Than 10% (Greater than 10%)
CL Item
No Response (No Response)
Item
How frequently have you noticed hypersensitivity in two or more restorations for a number of patients
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C3114 (NCI Thesaurus Property)
C0020517 (UMLS 2011AA Property)
C25275 (NCI Thesaurus Property)
C2745955 (UMLS 2011AA Property)
C52572 (NCI Thesaurus Property)
C1707399 (UMLS 2011AA Property)
C25515 (NCI Thesaurus ValueDomain)
C0439603 (UMLS 2011AA ValueDomain)
Code List
How frequently have you noticed hypersensitivity in two or more restorations for a number of patients
CL Item
Often (Often)
CL Item
Occasionally (Occasionally)
CL Item
Never (Never)
CL Item
No Response (No Response)
Item
Do you routinely use a self-etching dentin bonding system for composite restorations
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C52586 (NCI Thesaurus Property)
C1711229 (UMLS 2011AA Property)
C25340 (NCI Thesaurus Property)
C0457083 (UMLS 2011AA Property)
C52579 (NCI Thesaurus Property)
C1710045 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Do you routinely use a self-etching dentin bonding system for composite restorations
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
Do you routinely use a resin modified glass ionomer liner for composite restorations
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C25340 (NCI Thesaurus Property)
C0457083 (UMLS 2011AA Property)
C52585 (NCI Thesaurus Property)
C1709917 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Do you routinely use a resin modified glass ionomer liner for composite restorations
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item Group
B. Dental Care For Pregnant Women
Item
Do you provide comprehensive dental care for pregnant women in your practice
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C16576 (NCI Thesaurus Property)
C0086287 (UMLS 2011AA Property)
C25742 (NCI Thesaurus Property)
C0032961 (UMLS 2011AA Property)
C52640 (NCI Thesaurus Property)
C0009586 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Do you provide comprehensive dental care for pregnant women in your practice
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
Do you limit treatment of pregnant women to emergency care
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C16576 (NCI Thesaurus Property)
C0086287 (UMLS 2011AA Property)
C25742 (NCI Thesaurus Property)
C0032961 (UMLS 2011AA Property)
C52641 (NCI Thesaurus Property)
C1527398 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Do you limit treatment of pregnant women to emergency care
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
About how many individual pregnant women present for care in your dental practice
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C16576 (NCI Thesaurus Property)
C0086287 (UMLS 2011AA Property)
C25742 (NCI Thesaurus Property)
C0032961 (UMLS 2011AA Property)
C16495 (NCI Thesaurus Property)
C0011292 (UMLS 2011AA Property)
C25515 (NCI Thesaurus ValueDomain)
C0439603 (UMLS 2011AA ValueDomain)
Code List
About how many individual pregnant women present for care in your dental practice
CL Item
Less Than One Every Six Months (Less than one every six months)
CL Item
About One Every Three Months (About one every three months)
CL Item
About One A Month (About one a month)
CL Item
About Two A Month (About two a month)
CL Item
More Than Two A Month (More than two a month)
CL Item
No Response (No Response)
Item
Does your state have guidelines for treatment of pregnant women
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C16576 (NCI Thesaurus ObjectClass)
C0086287 (UMLS 2011AA ObjectClass)
C15368 (NCI Thesaurus ObjectClass)
C25742 (NCI Thesaurus ObjectClass)
C0032961 (UMLS 2011AA ObjectClass)
C30010 (NCI Thesaurus Property)
C1301808 (UMLS 2011AA Property)
C17564 (NCI Thesaurus Property)
C0162791 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Does your state have guidelines for treatment of pregnant women
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
No Response (No Response)
Item Group
C. Porcelain Repair
Item
How often is porcelain repair employed in your practice on a per month basis
text
C52584 (NCI Thesaurus ObjectClass)
C1709602 (UMLS 2011AA ObjectClass)
C29846 (NCI Thesaurus Property)
C0439231 (UMLS 2011AA Property)
C41136 (NCI Thesaurus Property)
C0226984 (UMLS 2011AA Property)
C52673 (NCI Thesaurus Property)
C0033284 (UMLS 2011AA Property)
C25340 (NCI Thesaurus Property)
C0457083 (UMLS 2011AA Property)
C25515 (NCI Thesaurus ValueDomain)
C0439603 (UMLS 2011AA ValueDomain)
Code List
How often is porcelain repair employed in your practice on a per month basis
CL Item
Less Than Once (Less than once)
CL Item
One Or Two Times (One or two times)
CL Item
Three Or Four Times (Three or four times)
CL Item
More Than Four Times (More than four times)
CL Item
No Response (No Response)
Item
How often do these repairs fail
text
C52584 (NCI Thesaurus ObjectClass)
C1709602 (UMLS 2011AA ObjectClass)
C25745 (NCI Thesaurus Property)
C0231174 (UMLS 2011AA Property)
C41136 (NCI Thesaurus Property)
C0226984 (UMLS 2011AA Property)
C25275 (NCI Thesaurus Property)
C2745955 (UMLS 2011AA Property)
C52673 (NCI Thesaurus Property)
C0033284 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
How often do these repairs fail
CL Item
Less Than Or Equal To 25% Of The Time (Less than or equal to 25% of the time)
CL Item
26 - 50% Of The Time (26 - 50% of the time)
CL Item
51 - 75% Of The Time (51 - 75% of the time)
CL Item
Greater Than 75% Of The Time (Greater than 75% of the time)
CL Item
No Response (No Response)
Item
Do you use hydrofluoric acid etching of porcelain during the repair
text
C52584 (NCI Thesaurus ObjectClass)
C1709602 (UMLS 2011AA ObjectClass)
C41136 (NCI Thesaurus Property)
C0226984 (UMLS 2011AA Property)
C52673 (NCI Thesaurus Property)
C0033284 (UMLS 2011AA Property)
C25340 (NCI Thesaurus Property)
C0457083 (UMLS 2011AA Property)
C52570 (NCI Thesaurus Property)
C1706697 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Do you use hydrofluoric acid etching of porcelain during the repair
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
Do you use "micro etching" (sandblasting) during a porcelain repair
text
C52584 (NCI Thesaurus ObjectClass)
C1709602 (UMLS 2011AA ObjectClass)
C41136 (NCI Thesaurus Property)
C0226984 (UMLS 2011AA Property)
C52673 (NCI Thesaurus Property)
C0033284 (UMLS 2011AA Property)
C25340 (NCI Thesaurus Property)
C0457083 (UMLS 2011AA Property)
C52577 (NCI Thesaurus Property)
C1709022 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Do you use "micro etching" (sandblasting) during a porcelain repair
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
Do you use both "micro etching" and hyrofluorid acid etching
text
C52584 (NCI Thesaurus ObjectClass)
C1709602 (UMLS 2011AA ObjectClass)
C25340 (NCI Thesaurus Property)
C0457083 (UMLS 2011AA Property)
C52570 (NCI Thesaurus Property)
C1706697 (UMLS 2011AA Property)
C52577 (NCI Thesaurus Property)
C1709022 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Do you use both "micro etching" and hyrofluorid acid etching
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item Group
C. Porcelain Repair
Item
In mildly symptomatic teeth do you selectively leave caries in deep preparations to avoid pulpal exposure
text
C37895 (NCI Thesaurus ObjectClass)
C1609982 (UMLS 2011AA ObjectClass)
C52594 (NCI Thesaurus ObjectClass)
C1707305 (UMLS 2011AA ObjectClass)
C49160 (NCI Thesaurus Property)
C0205257 (UMLS 2011AA Property)
C52571 (NCI Thesaurus Property)
C1707304 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
In mildly symptomatic teeth do you selectively leave caries in deep preparations to avoid pulpal exposure
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
If yes to the above, what method of indirect pulp capping procedure do you follow
text
C37895 (NCI Thesaurus ObjectClass)
C1609982 (UMLS 2011AA ObjectClass)
C52594 (NCI Thesaurus ObjectClass)
C1707305 (UMLS 2011AA ObjectClass)
C15368 (NCI Thesaurus Property)
C52576 (NCI Thesaurus Property)
C1708499 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
Code List
If yes to the above, what method of indirect pulp capping procedure do you follow
CL Item
Apply A Caoh Product (Apply a CaOH product)
CL Item
Apply A Resin Modified Glass Ionomer (Apply a resin modified glass ionomer)
CL Item
Apply A Self-etching Dentin Bonding Agent (Apply a self-etching dentin bonding agent)
CL Item
Apply A Zinc Oxide Eugenol Product (Apply a zinc oxide eugenol product)
CL Item
None Of The Above (None of the above)
CL Item
No Response (No Response)
Item
If no to the above, do you usually
text
C37895 (NCI Thesaurus ObjectClass)
C1609982 (UMLS 2011AA ObjectClass)
C52594 (NCI Thesaurus ObjectClass)
C1707305 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
C52571 (NCI Thesaurus Property)
C1707304 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
If no to the above, do you usually
CL Item
Remove All Carious Dentin And Perform A Direct Pulp Cap (Remove all carious dentin and perform a direct pulp cap)
CL Item
Remove All Carious Dentin And Perform Endodontic Therapy (Remove all carious dentin and perform endodontic therapy)
CL Item
No Response (No Response)
Item
If you must perform a direct pulp cap which procedure do you follow after stopping the bleeding
text
C37895 (NCI Thesaurus ObjectClass)
C1609982 (UMLS 2011AA ObjectClass)
C52594 (NCI Thesaurus ObjectClass)
C1707305 (UMLS 2011AA ObjectClass)
C15368 (NCI Thesaurus Property)
C52574 (NCI Thesaurus Property)
C0846817 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
Code List
If you must perform a direct pulp cap which procedure do you follow after stopping the bleeding
CL Item
Apply A Caoh Product (Apply a CaOH product)
CL Item
Apply A Resin Modified Glass Ionomer (Apply a resin modified glass ionomer)
CL Item
Apply A Self-etching Dentin Bonding Agent (Apply a self-etching dentin bonding agent)
CL Item
Apply A Zinc Oxide Eugenol Product (Apply a zinc oxide eugenol product)
CL Item
None Of The Above (None of the above)
CL Item
No Response (No Response)
Item Group
E. Smoking Cessation
Item
Do you have a smoking cessation program in your practice
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C25471 (NCI Thesaurus Property)
C0521116 (UMLS 2011AA Property)
C17427 (NCI Thesaurus Property)
C0085134 (UMLS 2011AA Property)
C25340 (NCI Thesaurus Property)
C0457083 (UMLS 2011AA Property)
C52647 (NCI Thesaurus Property)
C1709697 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Do you have a smoking cessation program in your practice
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
If yes, what percentage of the patients approached concerning this program participates
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25608 (NCI Thesaurus Property)
C0679823 (UMLS 2011AA Property)
C25471 (NCI Thesaurus Property)
C0521116 (UMLS 2011AA Property)
C17427 (NCI Thesaurus Property)
C0085134 (UMLS 2011AA Property)
C52647 (NCI Thesaurus Property)
C1709697 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
Code List
If yes, what percentage of the patients approached concerning this program participates
CL Item
<5% (<5%)
CL Item
5-10% (5-10%)
CL Item
10-20% (10-20%)
CL Item
20-30% (20-30%)
CL Item
>30% (>30%)
CL Item
No Response (No Response)
Item
If no, would you consider incorporation of a program if it were reimbursed for each patient enrolled
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C25431 (NCI Thesaurus Property)
C0439659 (UMLS 2011AA Property)
C17427 (NCI Thesaurus Property)
C0085134 (UMLS 2011AA Property)
C25340 (NCI Thesaurus Property)
C0457083 (UMLS 2011AA Property)
C52647 (NCI Thesaurus Property)
C1709697 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
If no, would you consider incorporation of a program if it were reimbursed for each patient enrolled
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
Is a course on smoking cessation required for a dental license in your state
text
C30010 (NCI Thesaurus ObjectClass)
C1301808 (UMLS 2011AA ObjectClass)
C52649 (NCI Thesaurus ObjectClass)
C1707676 (UMLS 2011AA ObjectClass)
C17427 (NCI Thesaurus Property)
C0085134 (UMLS 2011AA Property)
C38015 (NCI Thesaurus Property)
C52647 (NCI Thesaurus Property)
C1709697 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Is a course on smoking cessation required for a dental license in your state
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
No Response (No Response)
Item Group
F. Visual Classification Of Caries
Item
Are you aware of visual classification systems for the progress of caries
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C52593 (NCI Thesaurus ObjectClass)
C0011334 (UMLS 2011AA ObjectClass)
C25161 (NCI Thesaurus Property)
C0008902 (UMLS 2011AA Property)
C38059 (NCI Thesaurus Property)
C0234621 (UMLS 2011AA Property)
Code List
Are you aware of visual classification systems for the progress of caries
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
Do you routinely employ a caries risk assessment of patients in your practice that is part of the patient chart
text
C52593 (NCI Thesaurus ObjectClass)
C0011334 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C17102 (NCI Thesaurus Property)
C0035647 (UMLS 2011AA Property)
C45258 (NCI Thesaurus Property)
C0025102 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Do you routinely employ a caries risk assessment of patients in your practice that is part of the patient chart
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
Do you place any of your patients on a caries management program with the intent of promoting remineralization of early lesions
text
C52593 (NCI Thesaurus ObjectClass)
C0011334 (UMLS 2011AA ObjectClass)
C15368 (NCI Thesaurus Property)
C12506 (NCI Thesaurus Property)
C0040426 (UMLS 2011AA Property)
C52578 (NCI Thesaurus Property)
C1711362 (UMLS 2011AA Property)
C52647 (NCI Thesaurus Property)
C1709697 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Do you place any of your patients on a caries management program with the intent of promoting remineralization of early lesions
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item Group
G. Cracked Tooth
Item
How often in a month do you diagnose and treat a patient for one or more cracked posterior teeth
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C15368 (NCI Thesaurus Property)
C52666 (NCI Thesaurus Property)
C1709609 (UMLS 2011AA Property)
C52648 (NCI Thesaurus Property)
C1706353 (UMLS 2011AA Property)
C29846 (NCI Thesaurus ValueDomain)
C0439231 (UMLS 2011AA ValueDomain)
C25515 (NCI Thesaurus ValueDomain)
C0439603 (UMLS 2011AA ValueDomain)
Code List
How often in a month do you diagnose and treat a patient for one or more cracked posterior teeth
CL Item
Less Than Once (Less than once)
CL Item
Once (Once)
CL Item
Two Or Three (Two or three)
CL Item
Four (Four)
C66835 (NCI Thesaurus)
C0205450 (UMLS 2011AA)
CL Item
More Than Four (once A Week Or More) (More than four (once a week or more))
CL Item
No Response (No Response)
Item
Do you feel the diagnosis of a cracked tooth is a routine procedure
text
C52666 (NCI Thesaurus ObjectClass)
C1709609 (UMLS 2011AA ObjectClass)
C52648 (NCI Thesaurus ObjectClass)
C1706353 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C47893 (NCI Thesaurus Property)
C0205547 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Do you feel the diagnosis of a cracked tooth is a routine procedure
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
What method besides visualization and radiographs do you primarily use to assist with diagnosis
text
C52666 (NCI Thesaurus ObjectClass)
C1709609 (UMLS 2011AA ObjectClass)
C52648 (NCI Thesaurus ObjectClass)
C1706353 (UMLS 2011AA ObjectClass)
C16847 (NCI Thesaurus Property)
C0449851 (UMLS 2011AA Property)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
Code List
What method besides visualization and radiographs do you primarily use to assist with diagnosis
CL Item
Biting On A Wooden "stick" For A Period Of Time (Biting on a wooden "stick" for a period of time)
CL Item
Use Of A "tooth Sleuth" (Use of a "tooth sleuth")
CL Item
Desiccation With Air Syringe (Desiccation with air syringe)
CL Item
No Response (No Response)
Item Group
H. Leaking Sealant Detection
Item
Do you routinely apply sealants to children's teeth in your practice
text
C39299 (NCI Thesaurus ObjectClass)
C0231335 (UMLS 2011AA ObjectClass)
C52587 (NCI Thesaurus ObjectClass)
C0729415 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C47893 (NCI Thesaurus Property)
C0205547 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Do you routinely apply sealants to children's teeth in your practice
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
Do you routinely apply sealants to young adults (16-30 years of age) teeth in your practice
text
C52587 (NCI Thesaurus ObjectClass)
C0729415 (UMLS 2011AA ObjectClass)
C27954 (NCI Thesaurus ObjectClass)
C0205653 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C47893 (NCI Thesaurus Property)
C0205547 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Do you routinely apply sealants to young adults (16-30 years of age) teeth in your practice
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
Would a dye with good sensitivity for detection of a leaking sealant be useful in your practice
text
C461 (NCI Thesaurus ObjectClass)
C0013343 (UMLS 2011AA ObjectClass)
C52587 (NCI Thesaurus Property)
C0729415 (UMLS 2011AA Property)
C25340 (NCI Thesaurus Property)
C0457083 (UMLS 2011AA Property)
C40416 (NCI Thesaurus Property)
C0015376 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Would a dye with good sensitivity for detection of a leaking sealant be useful in your practice
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
If detection of leaking sealant was possible would this change and/or increase your use of sealants in your practice
text
C461 (NCI Thesaurus ObjectClass)
C0013343 (UMLS 2011AA ObjectClass)
C52587 (NCI Thesaurus Property)
C0729415 (UMLS 2011AA Property)
C25572 (NCI Thesaurus Property)
C25340 (NCI Thesaurus Property)
C0457083 (UMLS 2011AA Property)
C40416 (NCI Thesaurus Property)
C0015376 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
If detection of leaking sealant was possible would this change and/or increase your use of sealants in your practice
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item Group
Ii. Professional Information
DentalSchoolIdentifierName
Item
Dental school
text
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C52652 (NCI Thesaurus ObjectClass)
C0036376 (UMLS 2011AA ObjectClass)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)
DentistDentalSchoolGraduationDate
Item
Year graduated
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C52581 (NCI Thesaurus Property)
C1711333 (UMLS 2011AA Property)
C52654 (NCI Thesaurus ObjectClass)
C0011441 (UMLS 2011AA ObjectClass)
C52652 (NCI Thesaurus Property)
C0036376 (UMLS 2011AA Property)
DentistAcademicDegreeText
Item
Degree
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C25354 (NCI Thesaurus Property)
C0542560 (UMLS 2011AA Property)
C52654 (NCI Thesaurus ObjectClass)
C0011441 (UMLS 2011AA ObjectClass)
DentistProfessionalPracticeAffiliateYearNumber
Item
Years in practice
double
C52654 (NCI Thesaurus ObjectClass)
C0011441 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus Property)
C0033284 (UMLS 2011AA Property)
C25412 (NCI Thesaurus Property)
C1510825 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C29848 (NCI Thesaurus ValueDomain)
C0439234 (UMLS 2011AA ValueDomain)
Item
General Practice or Specialist
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52654 (NCI Thesaurus Property)
C0011441 (UMLS 2011AA Property)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
Code List
General Practice or Specialist
CL Item
Generalist (Generalist)
CL Item
Specialist (Specialist)
Item
If Specialist, which
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C52654 (NCI Thesaurus ObjectClass)
C0011441 (UMLS 2011AA ObjectClass)
C52653 (NCI Thesaurus Property)
C0037777 (UMLS 2011AA Property)
Code List
If Specialist, which
CL Item
Endodontics (Endodontics)
C0014149 (NCI Metathesaurus)
CL Item
Oral Surgery (Oral Surgery)
C17174 (NCI Thesaurus)
C0038908 (UMLS 2011AA)
CL Item
Orthodontics (Orthodontics)
C0029335 (NCI Metathesaurus)
CL Item
Pediatric Dentistry (Pediatric Dentistry)
C0030763 (NCI Metathesaurus)
C0030763 (NCI Metathesaurus)
CL Item
Periodontics (Periodontics)
DentalProfessionalPracticeMemberYearNumber
Item
Number of years at current practice location
double
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C25368 (NCI Thesaurus Property)
C0680022 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C29848 (NCI Thesaurus ValueDomain)
C0439234 (UMLS 2011AA ValueDomain)
DentistBirthDate
Item
Date of Birth (mm/dd/yyyy)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C52654 (NCI Thesaurus ObjectClass)
C0011441 (UMLS 2011AA ObjectClass)
C25155 (NCI Thesaurus Property)
C0005615 (UMLS 2011AA Property)
Item
Gender
text
C25372 (NCI Thesaurus ValueDomain)
C0683312 (UMLS 2011AA ValueDomain)
C52654 (NCI Thesaurus ObjectClass)
C0011441 (UMLS 2011AA ObjectClass)
C17357 (NCI Thesaurus Property)
C0079399 (UMLS 2011AA Property)
Code List
Gender
CL Item
Male (Male)
C20197 (NCI Thesaurus)
C0086582 (UMLS 2011AA)
CL Item
Female (Female)
C16576 (NCI Thesaurus)
C0086287 (UMLS 2011AA)
Item
Ethnicity
text
C25372 (NCI Thesaurus Property)
C0683312 (UMLS 2011AA Property)
C25372 (NCI Thesaurus ValueDomain)
C0683312 (UMLS 2011AA ValueDomain)
C16564 (NCI Thesaurus ObjectClass)
C0015031 (UMLS 2011AA ObjectClass)
Code List
Ethnicity
CL Item
A Person Not Meeting The Definition For Hispanic Or Latino. (NOT HISPANIC OR LATINO)
C41222 (NCI Thesaurus)
C1518424 (UMLS 2011AA)
CL Item
A Person Of Mexican, Puerto Rican, Cuban, Central Or South American Or Other Spanish Culture Or Origin, Regardless Of Race. (HISPANIC OR LATINO)
C17459 (NCI Thesaurus)
C0086409 (UMLS 2011AA)
Item
If Hispanic or Latino, specify
text
C25372 (NCI Thesaurus ValueDomain)
C0683312 (UMLS 2011AA ValueDomain)
C17459 (NCI Thesaurus Property)
C0086409 (UMLS 2011AA Property)
C52654 (NCI Thesaurus ObjectClass)
C0011441 (UMLS 2011AA ObjectClass)
C16564 (NCI Thesaurus Property)
C0015031 (UMLS 2011AA Property)
Code List
If Hispanic or Latino, specify
CL Item
Mexican (Mexican)
C67113 (NCI Thesaurus)
C0240339 (UMLS 2011AA)
CL Item
Puerto Rican (Puerto Rican)
C67112 (NCI Thesaurus)
C0034043 (UMLS 2011AA)
CL Item
Cuban (Cuban)
CL024966 (NCI Metathesaurus)
CL Item
Central American (Central American)
C0238914 (NCI Metathesaurus)
CL Item
Nos (NOS)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
DentistHispanicEthnicGroupSpecify
Item
Specify (If other,)
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C17459 (NCI Thesaurus Property)
C0086409 (UMLS 2011AA Property)
C52654 (NCI Thesaurus ObjectClass)
C0011441 (UMLS 2011AA ObjectClass)
C16564 (NCI Thesaurus Property)
C0015031 (UMLS 2011AA Property)
Item
Race
text
C25372 (NCI Thesaurus ValueDomain)
C0683312 (UMLS 2011AA ValueDomain)
C52654 (NCI Thesaurus ObjectClass)
C0011441 (UMLS 2011AA ObjectClass)
C17049 (NCI Thesaurus Property)
C0034510 (UMLS 2011AA Property)
C25692 (NCI Thesaurus Property)
C1515010 (UMLS 2011AA Property)
Code List
Race
CL Item
Asian Indian (Asian Indian)
C41262 (NCI Thesaurus)
C1524069 (UMLS 2011AA)
CL Item
Black Or African American (Black or African American)
CL Item
Chinese (Chinese)
C43391 (NCI Thesaurus)
C0152035 (UMLS 2011AA)
CL Item
Filipino (Filipino)
C43393 (NCI Thesaurus)
C1556093 (UMLS 2011AA)
CL Item
Japanese (Japanese)
C43392 (NCI Thesaurus)
C1556094 (UMLS 2011AA)
CL Item
Korean (Korean)
C43395 (NCI Thesaurus)
C1556095 (UMLS 2011AA)
CL Item
Native American Or Alaskan Native (Native American or Alaskan Native)
CL Item
Native Hawaiian Or Other Pacific Islander (Native Hawaiian or Other Pacific Islander)
CL025744 (NCI Metathesaurus)
CL025744 (NCI Metathesaurus)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
CL Item
Other Asian (Other Asian)
CL208989 (NCI Metathesaurus)
CL Item
Vietnamese (Vietnamese)
C43396 (NCI Thesaurus)
C1561452 (UMLS 2011AA)
CL Item
White (White)
CL107068 (NCI Metathesaurus)
DentistSubcategoryRaceSpecify
Item
Specify (If other,)
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C52654 (NCI Thesaurus ObjectClass)
C0011441 (UMLS 2011AA ObjectClass)
C17049 (NCI Thesaurus Property)
C0034510 (UMLS 2011AA Property)
C25692 (NCI Thesaurus Property)
C1515010 (UMLS 2011AA Property)
Item Group
Iii. Description Of Your Practice
DentalProfessionalPracticeActivePatientBaseCount
Item
What is your approximate active patient chart count
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C45329 (NCI Thesaurus Property)
C0205177 (UMLS 2011AA Property)
C52644 (NCI Thesaurus Property)
C1709483 (UMLS 2011AA Property)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
DentalProfessionalPracticeMalePatientDemographicsPercentageValue
Item
Males (Estimate the percentage of your patients that are - Percentage should add up to 100% )
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C20197 (NCI Thesaurus Property)
C0086582 (UMLS 2011AA Property)
C16495 (NCI Thesaurus Property)
C0011292 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
DentalProfessionalPracticeFemalePatientDemographicsPercentageValue
Item
Females (Estimate the percentage of your patients that are - Percentage should add up to 100% )
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C16576 (NCI Thesaurus Property)
C0086287 (UMLS 2011AA Property)
C16495 (NCI Thesaurus Property)
C0011292 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
DentalProfessionalPracticeNotHispanicorLatinoPatientDemographicsPercentageValue
Item
Not Hispanic or Latino (Estimate the percentage of your patients that are - Ethnicity)
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C41222 (NCI Thesaurus Property)
C1518424 (UMLS 2011AA Property)
C16495 (NCI Thesaurus Property)
C0011292 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
DentalProfessionalPracticeHispanicPatientDemographicsPercentageValue
Item
Hispanic or Latino (Estimate the percentage of your patients that are - Ethnicity)
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C17459 (NCI Thesaurus Property)
C0086409 (UMLS 2011AA Property)
C16495 (NCI Thesaurus Property)
C0011292 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
DentalProfessionalPracticeWhitePatientDemographicsPercentageValue
Item
White (Estimate the percentage of your patients that are - Race)
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C41261 (NCI Thesaurus Property)
C0007457 (UMLS 2011AA Property)
C16495 (NCI Thesaurus Property)
C0011292 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
DentalProfessionalPracticeAfricanAmericanPatientDemographicsPercentageValue
Item
Black or African American (Estimate the percentage of your patients that are - Race)
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C16352 (NCI Thesaurus Property)
C0085756 (UMLS 2011AA Property)
C16495 (NCI Thesaurus Property)
C0011292 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
DentalProfessionalPracticeAmericanIndianorAlaskaNativePatientDemographicsPercentageValue
Item
Native American or Alaskan Native (Estimate the percentage of your patients that are - Race)
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C41259 (NCI Thesaurus Property)
C1515945 (UMLS 2011AA Property)
C16495 (NCI Thesaurus Property)
C0011292 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
DentalProfessionalPracticeNativeHawaiianorOtherPacificIslandePatientDemographicsPercentageValue
Item
Native Hawaiian or Other Pacific Islander (Estimate the percentage of your patients that are - Race)
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C41219 (NCI Thesaurus Property)
C1513907 (UMLS 2011AA Property)
C16495 (NCI Thesaurus Property)
C0011292 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
DentalProfessionalPracticeAsianPatientDemographicsPercentageValue
Item
Asian (Estimate the percentage of your patients that are - Race)
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C41260 (NCI Thesaurus Property)
C0078988 (UMLS 2011AA Property)
C16495 (NCI Thesaurus Property)
C0011292 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
DentalProfessionalPracticeOtherPatientDemographicsPercentageValue
Item
Other (Estimate the percentage of your patients that are - Race)
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C17649 (NCI Thesaurus Property)
C0205394 (UMLS 2011AA Property)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C16495 (NCI Thesaurus Property)
C0011292 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
DentalProfessionalPracticeOtherPatientDemographicsSpecify
Item
Specify (If other,)
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C17649 (NCI Thesaurus Property)
C0205394 (UMLS 2011AA Property)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C16495 (NCI Thesaurus Property)
C0011292 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
Item
How would you characterize your practice
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C25341 (NCI Thesaurus Property)
C0450429 (UMLS 2011AA Property)
C37957 (NCI Thesaurus Property)
C1517526 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
Code List
How would you characterize your practice
CL Item
Rural (Rural)
CL Item
Suburban (Suburban)
CL Item
Urban (Urban)
C77950 (NCI Thesaurus)
C2700386 (UMLS 2011AA)

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