ID

43212

Description

AMC-045 Quality of Life Instruments (QLQ) Phase II Trial Of Combined Modality Therapy Plus Cetuximab in HIV-Associated Anal Carcinoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7288A090-8102-4969-E040-BB89AD433657

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=7288A090-8102-4969-E040-BB89AD433657

Keywords

Versions (3)
  1. 5/9/12 5/9/12 -
  2. 8/11/14 8/11/14 - Martin Dugas
  3. 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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Anal Cancer NCT00324415 Quality of Life - AMC-045 Quality of Life Instruments (QLQ)_2937315v1_0

English

No Instruction available.

1 forms  
  1. StudyEvent: AMC-045 Quality of Life Instruments (QLQ)
    1. No Instruction available.
Unnamed1
Description

Unnamed1

Visit number
Description

Hospital Admission Ordinal Number

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
NCI Thesaurus ObjectClass
C16696
NCI Thesaurus Property
C25385
UMLS CUI-1
C1549755
Date Questionnaire Completed (mm/dd/yyyy)
Description

QualityofLifeCompleteAssessmentDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS 2011AA ValueDomain
C0011008
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25250
UMLS 2011AA Property
C0205197
NCI Thesaurus Property
C25367
EORTC QLQ-C30 (version 3)
Description

EORTC QLQ-C30 (version 3)

Do you have any trouble doing strenuous activities, like carrying a heavy shopping bag or a suitcase
Description

QualityofLifePhysicalActivityDifficultyAssessmentScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C17708
UMLS 2011AA Property
C0026606
NCI Thesaurus Property
C62189
UMLS 2011AA Property
C1299586
Do you have any trouble taking a long walk
Description

QualityofLifeLongWalkingDifficultyAssessmentScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C62189
UMLS 2011AA Property
C1299586
NCI Thesaurus Property
C73554
UMLS 2011AA Property
C0080331
NCI Thesaurus Property
C25248
UMLS 2011AA Property
C0205166
Do you have any trouble taking a short walk outside of the house
Description

QualityofLifeShortWalkingDifficultyAssessmentScale

Data type

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C62189
UMLS 2011AA Property
C1299586
NCI Thesaurus Property
C73554
UMLS 2011AA Property
C0080331
NCI Thesaurus Property
C25249
UMLS 2011AA Property
C1806781
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Do you need to stay in bed or a chair during the day
Description

QualityofLifeBedRestAssessmentScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C45985
UMLS 2011AA Property
C0004910
Do you need help with eating, dressing, washing yourself or using the toilet
Description

QualityofLifeHouseholdActivitySupportAssessmentScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C37902
UMLS 2011AA Property
C1521721
NCI Thesaurus Property
C53291
UMLS 2011AA Property
C1708387
Eortc1
Description

Eortc1

Were you limited in doing either your work or other daily activities?
Description

QualityofLifeReducedOccupationAssessmentScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C25640
UMLS 2011AA Property
C0392756
NCI Thesaurus Property
C25193
UMLS 2011AA Property
C0028811
Were you limited in pursuing your hobbies or other leisure time activities?
Description

QualityofLifeReducedHobbyAssessmentScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C25640
UMLS 2011AA Property
C0392756
NCI Thesaurus Property
C73426
UMLS 2011AA Property
C0019826
Were you short of breath
Description

DyspneaAssessmentResponseScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C20989
UMLS 2011AA ObjectClass
C0031809
NCI Thesaurus Property
C25755
UMLS 2011AA Property
C0871261
NCI Thesaurus ObjectClass
C2998
UMLS 2011AA ObjectClass
C0013404
Have you had pain
Description

PainAssessmentResponseScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C20989
UMLS 2011AA ObjectClass
C0031809
NCI Thesaurus Property
C25755
UMLS 2011AA Property
C0871261
NCI Thesaurus ObjectClass
C3303
UMLS 2011AA ObjectClass
C0030193
Did you need to rest
Description

SomnolenceAssessmentResponseScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C20989
UMLS 2011AA ObjectClass
C0031809
NCI Thesaurus Property
C25755
UMLS 2011AA Property
C0871261
NCI Thesaurus ObjectClass
C26754
UMLS 2011AA ObjectClass
C2830004
Eortc2
Description

Eortc2

Have you had trouble sleeping
Description

PatientDifficultySleepingAssessmentScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C73425
UMLS 2011AA Property
C0037313
NCI Thesaurus Property
C62189
UMLS 2011AA Property
C1299586
Have you felt weak
Description

FatigueAssessmentResponseScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C20989
UMLS 2011AA ObjectClass
C0031809
NCI Thesaurus Property
C25755
UMLS 2011AA Property
C0871261
NCI Thesaurus ObjectClass
C3036
UMLS 2011AA ObjectClass
C0015672
Have you lacked appetite
Description

AppetiteAssessmentResponseScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C20989
UMLS 2011AA ObjectClass
C0031809
NCI Thesaurus Property
C25755
UMLS 2011AA Property
C0871261
NCI Thesaurus ObjectClass
C25152
UMLS 2011AA ObjectClass
C0003618
Have you felt nauseated
Description

NauseaAssessmentResponseScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C20989
UMLS 2011AA ObjectClass
C0031809
NCI Thesaurus Property
C25755
UMLS 2011AA Property
C0871261
NCI Thesaurus ObjectClass
C3258
UMLS 2011AA ObjectClass
C0027497
Have you vomited
Description

VomitingAssessmentResponseType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C20989
UMLS 2011AA ObjectClass
C0031809
NCI Thesaurus Property
C25755
UMLS 2011AA Property
C0871261
Eortc3
Description

Eortc3

Have you been constipated
Description

ConstipationAssessmentResponseType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C20989
UMLS 2011AA ObjectClass
C0031809
NCI Thesaurus Property
C25755
UMLS 2011AA Property
C0871261
Have you had diarrhea
Description

DiarrheaAssessmentResponseType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C20989
UMLS 2011AA ObjectClass
C0031809
NCI Thesaurus Property
C25755
UMLS 2011AA Property
C0871261
Were you tired
Description

LethargyAssessmentResponseType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C20989
UMLS 2011AA ObjectClass
C0031809
NCI Thesaurus Property
C25755
UMLS 2011AA Property
C0871261
Did pain interfere with your daily activities
Description

PatientEnjoymentofLifePainRestrictedQualityofLifeScale

Data type

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Metathesaurus ObjectClass
CL196329
NCI Thesaurus Property
C3303
UMLS 2011AA Property
C0030193
NCI Metathesaurus Property
CL212559
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ValueDomain
C17047
UMLS 2011AA ValueDomain
C0518214
Have you had difficulty in concentrating on things, like reading a newspaper or watching television
Description

Quality-of-LifeAssessmentPatientDifficultyAttentionConcentrationScale

Data type

text

Alias
NCI Thesaurus ObjectClass
C15584
UMLS 2011AA ObjectClass
C0281588
NCI Thesaurus Property
C16960
UMLS 2011AA Property
C0030705
NCI Thesaurus Property
C62189
UMLS 2011AA Property
C1299586
NCI Thesaurus Property
C41209
UMLS 2011AA Property
C0004268
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ValueDomain
C17047
UMLS 2011AA ValueDomain
C0518214
Eortc4
Description

Eortc4

Did you feel tense
Description

PatientNervousAssessmentQualityofLifeScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ValueDomain
C17047
UMLS 2011AA ValueDomain
C0518214
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property
C25584
UMLS 2011AA Property
C0599851
Did you worry
Description

DistressAssessmentResponseType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C20989
UMLS 2011AA ObjectClass
C0031809
NCI Thesaurus Property
C25755
UMLS 2011AA Property
C0871261
Did you feel irritable
Description

EmotionalAssessmentResponseType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C20989
UMLS 2011AA ObjectClass
C0031809
NCI Thesaurus Property
C25755
UMLS 2011AA Property
C0871261
Did you feel depressed
Description

PatientDepressionAssessmentQualityofLifeScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ValueDomain
C17047
UMLS 2011AA ValueDomain
C0518214
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property
C2982
UMLS 2011AA Property
C0011570
Have you had difficulty remembering things
Description

MemoryDysfunctionAssessmentResponseType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus Property
C25755
UMLS 2011AA Property
C0871261
NCI Thesaurus ObjectClass
C25367
NCI Thesaurus ObjectClass
C46084
UMLS 2011AA ObjectClass
C0233794
Eortc5
Description

Eortc5

Has your physical condition or medical treatment interfered with your family life
Description

FamilyAssessmentRequiredResponseType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C20989
UMLS 2011AA ObjectClass
C0031809
NCI Thesaurus Property
C25755
UMLS 2011AA Property
C0871261
Has your physical condition or medical treatment interfered with your social activities
Description

Quality-of-LifeAssessmentPatientFatigueActivityScale

Data type

text

Alias
NCI Thesaurus ObjectClass
C15584
UMLS 2011AA ObjectClass
C0281588
NCI Thesaurus Property
C16960
UMLS 2011AA Property
C0030705
NCI Thesaurus Property
C43431
UMLS 2011AA Property
C0441655
NCI Thesaurus Property
C3036
UMLS 2011AA Property
C0015672
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ValueDomain
C17047
UMLS 2011AA ValueDomain
C0518214
Has your physical condition or medical treatment caused you financial difficulties
Description

DiseaseTherapyPaymentAssessmentResponseType

Data type

text

Alias
NCI Thesaurus ObjectClass
C25367
NCI Thesaurus ObjectClass
C2991
UMLS 2011AA ObjectClass
C0012634
NCI Thesaurus ObjectClass
C15368
NCI Thesaurus ObjectClass
C25371
UMLS 2011AA ObjectClass
C0680264
NCI Thesaurus Property
C25755
UMLS 2011AA Property
C0871261
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
How would you rate your overall health during the past week? (For the following questions please circle the number between 1 and 7 that best applies to you)
Description

OverallPatientHealthAssessmentScore

Data type

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus ObjectClass
C25605
UMLS 2011AA ObjectClass
C1561607
NCI Thesaurus Property
C25178
UMLS 2011AA Property
C0018684
NCI Thesaurus ValueDomain
C25338
UMLS 2011AA ValueDomain
C0449820
How would you rate your overall quality of life during the past week? (For the following questions please circle the number between 1 and 7 that best applies to you)
Description

PatientQualityofLifeAssessmentScore

Data type

text

Alias
NCI Thesaurus Property
C17047
UMLS 2011AA Property
C0518214
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus ValueDomain
C25338
UMLS 2011AA ValueDomain
C0449820
Additional Concerns
Description

Additional Concerns

Did you urinate frequently during the day
Description

UrinaryFrequencyDaytimeOccurrenceType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C26906
UMLS 2011AA ObjectClass
C0677481
NCI Thesaurus Property
C25275
UMLS 2011AA Property
C2745955
NCI Thesaurus Property
C64928
UMLS 2011AA Property
C0332169
Did you urinate frequently during the night?
Description

UrinaryFrequencyNightTimeOccurrenceType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus ObjectClass
C26906
UMLS 2011AA ObjectClass
C0677481
NCI Thesaurus Property
C25275
UMLS 2011AA Property
C2745955
NCI Thesaurus Property
C65001
UMLS 2011AA Property
C0240526
Did you have pain when you urinated?
Description

UrinationPainType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus Property
C3303
UMLS 2011AA Property
C0030193
NCI Thesaurus ObjectClass
C25744
UMLS 2011AA ObjectClass
C0042034
Did you have a bloated feeling in your abdomen
Description

QualityofLifeAbdominalMuscleCrampSwellingAssessmentType

Data type

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25217
UMLS 2011AA Property
C1516048
NCI Thesaurus Property
C25342
UMLS 2011AA Property
C0000726
NCI Thesaurus Property
C3399
UMLS 2011AA Property
C0038999
NCI Thesaurus Property
C34827
UMLS 2011AA Property
C0026821
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
Did you have abdominal pain?
Description

AbdominalPainPresentQOLExperienceType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus Property
C25626
UMLS 2011AA Property
C0150312
NCI Thesaurus ObjectClass
C3303
UMLS 2011AA ObjectClass
C0030193
NCI Thesaurus ObjectClass
C25342
UMLS 2011AA ObjectClass
C0000726
Did you have pain in your buttocks?
Description

QualityofLifeGluteusMaximusPainAssessmentScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C3303
UMLS 2011AA Property
C0030193
NCI Thesaurus Property
C52560
UMLS 2011AA Property
C0224424
Were you bothered by gas (flatulence)?
Description

QualityofLifeFlatulenceAssessmentScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C37954
UMLS 2011AA Property
C0016204
Did you belch?
Description

QualityofLifeEructationAssessmentScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C50550
UMLS 2011AA Property
C0014724
Have you lost weight?
Description

QualityofLifeWeightLossAssessmentScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C3445
UMLS 2011AA Property
C1262477
Did you have a dry mouth?
Description

QualityofLifeXerostomiaAssessmentScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C26917
UMLS 2011AA Property
C0043352
NCI Thesaurus Property
C25367
Have you had thin or lifeless hair as a result of your disease or treatment
Description

QualityofLifeAlopeciaAssessmentScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C2865
Did food and drink taste different from usual?
Description

QualityofLifeGustationDifferenceAssessmentScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C46003
UMLS 2011AA Property
C1705242
NCI Thesaurus Property
C20620
UMLS 2011AA Property
C0039336
Have you felt physically less attractive as a result of your disease or treatment?
Description

QualityofLifeUnattractiveTherapeuticProcedureAssessmentScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C49236
UMLS 2011AA Property
C0087111
NCI Thesaurus Property
C73115
UMLS 2011AA Property
C2349015
Have you been feeling less feminine/masculine as a result of your disease or treatment?
Description

QualityofLifeUnattractiveGenderTherapeuticProcedureAssessmentScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C49236
UMLS 2011AA Property
C0087111
NCI Thesaurus Property
C17357
UMLS 2011AA Property
C0079399
Have you been dissatisfied with your body?
Description

QualityofLifeBodyDissatisfactionAssessmentScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C13041
UMLS 2011AA Property
C1268086
NCI Thesaurus Property
C62184
UMLS 2011AA Property
C0870433
Were you worried about your health in the future?
Description

QualityofLifeAnxietyFutureHealthAssessmentScale

Data type

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C26696
UMLS 2011AA Property
C0003467
NCI Thesaurus Property
C67527
UMLS 2011AA Property
C0016884
NCI Thesaurus Property
C25178
UMLS 2011AA Property
C0018684
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
During The Past Four Weeks:
Description

During The Past Four Weeks:

To what extent were you interested in sex?
Description

Sex Behavior Quality of Life Sexual Arousal Occurrence Assessment Scale

Data type

integer

Alias
NCI Thesaurus ObjectClass
C17047
NCI Thesaurus ObjectClass
C17127
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C25275
NCI Thesaurus Property
C73522
NCI Thesaurus ValueDomain
C25664
UMLS CUI-1
C0023618
To what extent were you sexually active (with or without intercourse)?
Description

Sex Behavior Quality of Life Sexual Intercourse Occurrence Assessment Scale

Data type

integer

Alias
NCI Thesaurus ObjectClass
C17047
NCI Thesaurus ObjectClass
C17127
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C25275
NCI Thesaurus Property
C72881
NCI Thesaurus ValueDomain
C25664
UMLS CUI-1
C0036864
To what extent was sex enjoyable for you? (Answer this question only if you have been sexually active)
Description

SexBehaviorQualityofLifeSexualIntercourseSatisfactionAssessmentScale

Data type

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass
C17127
UMLS 2011AA ObjectClass
C0036864
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C62185
UMLS 2011AA Property
C0242428
NCI Thesaurus Property
C72881
UMLS 2011AA Property
C0009253
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Did you have difficulty getting or maintaining an erection? (For men only)
Description

SexBehaviorQualityofLifeErectionMaintenanceDifficultyAssessmentScale

Data type

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass
C17127
UMLS 2011AA ObjectClass
C0036864
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C53297
UMLS 2011AA Property
C0024501
NCI Thesaurus Property
C62189
UMLS 2011AA Property
C1299586
NCI Thesaurus Property
C25740
UMLS 2011AA Property
C0030847
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Did you have problems with ejaculation (e.g., so-called 'dry ejaculation')? (For men only)
Description

SexBehaviorQualityofLifeSexualIntercourseEjaculationDifficultyAssessmentScale

Data type

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass
C17127
UMLS 2011AA ObjectClass
C0036864
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C62189
UMLS 2011AA Property
C1299586
NCI Thesaurus Property
C72881
UMLS 2011AA Property
C0009253
NCI Thesaurus Property
C16531
UMLS 2011AA Property
C0013746
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Did you have a dry vagina during intercourse? (Only for women who have had intercourse)
Description

SexBehaviorQualityofLifeVaginaCellularSecretionDifficultyAssessmentScale

Data type

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass
C17127
UMLS 2011AA ObjectClass
C0036864
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C12407
UMLS 2011AA Property
C0042232
NCI Thesaurus Property
C62189
UMLS 2011AA Property
C1299586
NCI Thesaurus Property
C17119
UMLS 2011AA Property
C1327616
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Did you have pain during intercourse? (Only for women who have had intercourse)
Description

SexBehaviorQualityofLifePainDuringSexualIntercourseOccurrenceAssessmentScale

Data type

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass
C17127
UMLS 2011AA ObjectClass
C0036864
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C3303
UMLS 2011AA Property
C0030193
NCI Thesaurus Property
C25275
UMLS 2011AA Property
C2745955
NCI Thesaurus Property
C25490
UMLS 2011AA Property
C0347984
NCI Thesaurus Property
C72881
UMLS 2011AA Property
C0009253
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Stoma
Description

Stoma

Do you have a stoma (colostomy bag)?
Description

PersonStomaPresentInd-2

Data type

text

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus Property
C25626
UMLS 2011AA Property
C0150312
NCI Thesaurus Property
C13345
UMLS 2011AA Property
C1955856
Only For Patients Without A Stoma (colostomy Bag):
Description

Only For Patients Without A Stoma (colostomy Bag):

Did you have frequent bowel movements during the day?
Description

QualityofLifeDefecationFrequencyAssessmentScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C25515
UMLS 2011AA Property
C0439603
NCI Thesaurus Property
C62787
UMLS 2011AA Property
C0011135
Did you have frequent bowel movements during the night?
Description

QualityofLifeDefecationFrequencyNightTimeAssessmentScale

Data type

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C25515
UMLS 2011AA Property
C0439603
NCI Thesaurus Property
C65001
UMLS 2011AA Property
C0240526
NCI Thesaurus Property
C62787
UMLS 2011AA Property
C0011135
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Did you feel the urge to move your bowels without actually producing any stools
Description

QualityofLifeDefecationNeedAssessmentScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C41204
UMLS 2011AA Property
C0027552
NCI Thesaurus Property
C62787
UMLS 2011AA Property
C0011135
Have you had any unintentional release of stools
Description

QualityofLifeFecesAccidentAssessmentScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C13234
UMLS 2011AA Property
C0015733
NCI Thesaurus Property
C34340
UMLS 2011AA Property
C0000924
Have you had blood with your stools
Description

QualityofLifeBloodFecesAssessmentScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C12434
UMLS 2011AA Property
C0229664
NCI Thesaurus Property
C13234
UMLS 2011AA Property
C0015733
Have you had difficulty in moving your bowels
Description

PatientBowelActionAssessmentQualityofLifeScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ValueDomain
C17047
UMLS 2011AA ValueDomain
C0518214
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property
C16968
UMLS 2011AA Property
C0031133
Have your bowel movements been painful?
Description

QualityofLifeDefecationPainAssessmentScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C3303
UMLS 2011AA Property
C0030193
NCI Thesaurus Property
C62787
UMLS 2011AA Property
C0011135
Unnamed 4
Description

Unnamed 4

Were you afraid that other people would be able to hear your stoma
Description

StomaQualityofLifeFlatulenceAssessmentScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C37954
UMLS 2011AA Property
C0016204
NCI Thesaurus ObjectClass
C13345
UMLS 2011AA ObjectClass
C1955856
Were you afraid that other people would be able to smell your stools
Description

StomaQualityofLifeOlfactionAssessmentScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25367
NCI Thesaurus ObjectClass
C13345
UMLS 2011AA ObjectClass
C1955856
NCI Thesaurus Property
C17139
UMLS 2011AA Property
C0037361
Were you worried about possible leakage from the stoma bag?
Description

StomaQualityofLifeLeakageAnxietyAssessmentScale

Data type

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass
C13345
UMLS 2011AA ObjectClass
C1955856
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C26696
UMLS 2011AA Property
C0003467
NCI Thesaurus Property
C40416
UMLS 2011AA Property
C0015376
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Did you have problems with caring for your stoma
Description

StomaQualityofLifeCareProblemAssessmentScale

Data type

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus ObjectClass
C13345
UMLS 2011AA ObjectClass
C1955856
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C28020
UMLS 2011AA Property
C0033213
NCI Thesaurus Property
C61488
UMLS 2011AA Property
C1947933
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
Was your skin around the stoma irritated
Description

StomaQualityofLifeSkinIrritationAssessmentScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C50743
UMLS 2011AA Property
C0152030
NCI Thesaurus ObjectClass
C13345
UMLS 2011AA ObjectClass
C1955856
Did you feel embarassed because of your stoma
Description

StomaQualityofLifeEmbarrassmentAssessmentScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25367
NCI Thesaurus Property
C62187
UMLS 2011AA Property
C0679112
NCI Thesaurus ObjectClass
C13345
UMLS 2011AA ObjectClass
C1955856
Did you feel less complete because of your stoma
Description

StomaQualityofLifeIncompleteAssessmentScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C49160
UMLS 2011AA Property
C0205257
NCI Thesaurus Property
C25367
NCI Thesaurus ObjectClass
C13345
UMLS 2011AA ObjectClass
C1955856
Supplemental Quality Of Life Questions
Description

Supplemental Quality Of Life Questions

How satisfied are you with your current degree of anal or anal/rectal function (on a scale of 1-10 with 1 being totally dissatisfied to 10 totally satisfied)
Description

BowelPatientSelfAssessmentQualityofLifeScale

Data type

double

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property
C25200
UMLS 2011AA Property
C0036588
NCI Thesaurus ObjectClass
C12736
UMLS 2011AA ObjectClass
C0021853
How well does your anus function (MEMORIAL SLOAN KETTERING ANAL FUNCTION SCALE)
Description

BowelPatientRoutineActivityAssessmentGrade

Data type

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus ObjectClass
C12736
UMLS 2011AA ObjectClass
C0021853
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property
C43431
UMLS 2011AA Property
C0441655
NCI Thesaurus Property
C47893
UMLS 2011AA Property
C0205547
NCI Thesaurus ValueDomain
C18000
UMLS 2011AA ValueDomain
C0919553
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1 forms
  1. StudyEvent: AMC-045 Quality of Life Instruments (QLQ)
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Unnamed1
Visit number
Item
Visit number
text
C25337 (NCI Thesaurus ValueDomain)
C16696 (NCI Thesaurus ObjectClass)
C25385 (NCI Thesaurus Property)
C1549755 (UMLS CUI-1)
QualityofLifeCompleteAssessmentDate
Item
Date Questionnaire Completed (mm/dd/yyyy)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
C25367 (NCI Thesaurus Property)
Item Group
EORTC QLQ-C30 (version 3)
Item
Do you have any trouble doing strenuous activities, like carrying a heavy shopping bag or a suitcase
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C17708 (NCI Thesaurus Property)
C0026606 (UMLS 2011AA Property)
C62189 (NCI Thesaurus Property)
C1299586 (UMLS 2011AA Property)
CL.1
Code List
Do you have any trouble doing strenuous activities, like carrying a heavy shopping bag or a suitcase
CL Item
A Little (A little)
CL Item
1 (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
4 (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
5 (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Do you have any trouble taking a long walk
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C62189 (NCI Thesaurus Property)
C1299586 (UMLS 2011AA Property)
C73554 (NCI Thesaurus Property)
C0080331 (UMLS 2011AA Property)
C25248 (NCI Thesaurus Property)
C0205166 (UMLS 2011AA Property)
CL.2
Code List
Do you have any trouble taking a long walk
CL Item
A Little (A little)
CL Item
1 (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
4 (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
5 (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Do you have any trouble taking a short walk outside of the house
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C62189 (NCI Thesaurus Property)
C1299586 (UMLS 2011AA Property)
C73554 (NCI Thesaurus Property)
C0080331 (UMLS 2011AA Property)
C25249 (NCI Thesaurus Property)
C1806781 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.3
Code List
Do you have any trouble taking a short walk outside of the house
CL Item
A Little (A little)
CL Item
1 (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
4 (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
5 (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Do you need to stay in bed or a chair during the day
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C45985 (NCI Thesaurus Property)
C0004910 (UMLS 2011AA Property)
CL.4
Code List
Do you need to stay in bed or a chair during the day
CL Item
A Little (A little)
CL Item
1 (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
4 (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
5 (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Do you need help with eating, dressing, washing yourself or using the toilet
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C37902 (NCI Thesaurus Property)
C1521721 (UMLS 2011AA Property)
C53291 (NCI Thesaurus Property)
C1708387 (UMLS 2011AA Property)
CL.5
Code List
Do you need help with eating, dressing, washing yourself or using the toilet
CL Item
A Little (A little)
CL Item
1 (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
4 (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
5 (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item Group
Eortc1
Item
Were you limited in doing either your work or other daily activities?
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C25640 (NCI Thesaurus Property)
C0392756 (UMLS 2011AA Property)
C25193 (NCI Thesaurus Property)
C0028811 (UMLS 2011AA Property)
CL.6
Code List
Were you limited in doing either your work or other daily activities?
CL Item
A Little (A little)
CL Item
1 (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
4 (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
5 (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Were you limited in pursuing your hobbies or other leisure time activities?
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C25640 (NCI Thesaurus Property)
C0392756 (UMLS 2011AA Property)
C73426 (NCI Thesaurus Property)
C0019826 (UMLS 2011AA Property)
CL.7
Code List
Were you limited in pursuing your hobbies or other leisure time activities?
CL Item
A Little (A little)
CL Item
1 (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
4 (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
5 (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Were you short of breath
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
C2998 (NCI Thesaurus ObjectClass)
C0013404 (UMLS 2011AA ObjectClass)
CL.8
Code List
Were you short of breath
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Have you had pain
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
C3303 (NCI Thesaurus ObjectClass)
C0030193 (UMLS 2011AA ObjectClass)
CL.9
Code List
Have you had pain
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Did you need to rest
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
C26754 (NCI Thesaurus ObjectClass)
C2830004 (UMLS 2011AA ObjectClass)
CL.10
Code List
Did you need to rest
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item Group
Eortc2
Item
Have you had trouble sleeping
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C73425 (NCI Thesaurus Property)
C0037313 (UMLS 2011AA Property)
C62189 (NCI Thesaurus Property)
C1299586 (UMLS 2011AA Property)
CL.11
Code List
Have you had trouble sleeping
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Have you felt weak
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
C3036 (NCI Thesaurus ObjectClass)
C0015672 (UMLS 2011AA ObjectClass)
CL.12
Code List
Have you felt weak
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Have you lacked appetite
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
C25152 (NCI Thesaurus ObjectClass)
C0003618 (UMLS 2011AA ObjectClass)
CL.13
Code List
Have you lacked appetite
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Have you felt nauseated
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
C3258 (NCI Thesaurus ObjectClass)
C0027497 (UMLS 2011AA ObjectClass)
CL.14
Code List
Have you felt nauseated
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Have you vomited
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
CL.15
Code List
Have you vomited
CL Item
A Little (A little)
CL Item
1 (Not at all)
C91213 (NCI Thesaurus)
CL Item
4 (Quite a bit)
C91216 (NCI Thesaurus)
CL Item
5 (Very much)
C91217 (NCI Thesaurus)
Item Group
Eortc3
Item
Have you been constipated
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
CL.16
Code List
Have you been constipated
CL Item
A Little (A little)
CL Item
1 (Not at all)
C91213 (NCI Thesaurus)
CL Item
4 (Quite a bit)
C91216 (NCI Thesaurus)
CL Item
5 (Very much)
C91217 (NCI Thesaurus)
Item
Have you had diarrhea
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
CL.17
Code List
Have you had diarrhea
CL Item
A Little (A little)
CL Item
1 (Not at all)
C91213 (NCI Thesaurus)
CL Item
4 (Quite a bit)
C91216 (NCI Thesaurus)
CL Item
5 (Very much)
C91217 (NCI Thesaurus)
Item
Were you tired
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
CL.18
Code List
Were you tired
CL Item
A Little (A little)
CL Item
1 (Not at all)
C91213 (NCI Thesaurus)
CL Item
4 (Quite a bit)
C91216 (NCI Thesaurus)
CL Item
5 (Very much)
C91217 (NCI Thesaurus)
Item
Did pain interfere with your daily activities
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
CL196329 (NCI Metathesaurus ObjectClass)
C3303 (NCI Thesaurus Property)
C0030193 (UMLS 2011AA Property)
CL212559 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ValueDomain)
C0518214 (UMLS 2011AA ValueDomain)
CL.19
Code List
Did pain interfere with your daily activities
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
C70543 (NCI Thesaurus)
C2003901 (UMLS 2011AA)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Have you had difficulty in concentrating on things, like reading a newspaper or watching television
text
C15584 (NCI Thesaurus ObjectClass)
C0281588 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C62189 (NCI Thesaurus Property)
C1299586 (UMLS 2011AA Property)
C41209 (NCI Thesaurus Property)
C0004268 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ValueDomain)
C0518214 (UMLS 2011AA ValueDomain)
CL.20
Code List
Have you had difficulty in concentrating on things, like reading a newspaper or watching television
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
C70543 (NCI Thesaurus)
C2003901 (UMLS 2011AA)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item Group
Eortc4
Item
Did you feel tense
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ValueDomain)
C0518214 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25584 (NCI Thesaurus Property)
C0599851 (UMLS 2011AA Property)
CL.21
Code List
Did you feel tense
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
C70543 (NCI Thesaurus)
C2003901 (UMLS 2011AA)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Did you worry
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
CL.22
Code List
Did you worry
CL Item
A Little (A little)
CL Item
1 (Not at all)
C91213 (NCI Thesaurus)
CL Item
4 (Quite a bit)
C91216 (NCI Thesaurus)
CL Item
5 (Very much)
C91217 (NCI Thesaurus)
Item
Did you feel irritable
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
CL.23
Code List
Did you feel irritable
CL Item
A Little (A little)
CL Item
1 (Not at all)
C91213 (NCI Thesaurus)
CL Item
4 (Quite a bit)
C91216 (NCI Thesaurus)
CL Item
5 (Very much)
C91217 (NCI Thesaurus)
Item
Did you feel depressed
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ValueDomain)
C0518214 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C2982 (NCI Thesaurus Property)
C0011570 (UMLS 2011AA Property)
CL.24
Code List
Did you feel depressed
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
C70543 (NCI Thesaurus)
C2003901 (UMLS 2011AA)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Have you had difficulty remembering things
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
C25367 (NCI Thesaurus ObjectClass)
C46084 (NCI Thesaurus ObjectClass)
C0233794 (UMLS 2011AA ObjectClass)
CL.25
Code List
Have you had difficulty remembering things
CL Item
A Little (A little)
CL Item
1 (Not at all)
C91213 (NCI Thesaurus)
CL Item
4 (Quite a bit)
C91216 (NCI Thesaurus)
CL Item
5 (Very much)
C91217 (NCI Thesaurus)
Item Group
Eortc5
Item
Has your physical condition or medical treatment interfered with your family life
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
CL.26
Code List
Has your physical condition or medical treatment interfered with your family life
CL Item
A Little (A little)
CL Item
1 (Not at all)
C91213 (NCI Thesaurus)
CL Item
4 (Quite a bit)
C91216 (NCI Thesaurus)
CL Item
5 (Very much)
C91217 (NCI Thesaurus)
Item
Has your physical condition or medical treatment interfered with your social activities
text
C15584 (NCI Thesaurus ObjectClass)
C0281588 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C43431 (NCI Thesaurus Property)
C0441655 (UMLS 2011AA Property)
C3036 (NCI Thesaurus Property)
C0015672 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ValueDomain)
C0518214 (UMLS 2011AA ValueDomain)
CL.27
Code List
Has your physical condition or medical treatment interfered with your social activities
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
C70543 (NCI Thesaurus)
C2003901 (UMLS 2011AA)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Has your physical condition or medical treatment caused you financial difficulties
text
C25367 (NCI Thesaurus ObjectClass)
C2991 (NCI Thesaurus ObjectClass)
C0012634 (UMLS 2011AA ObjectClass)
C15368 (NCI Thesaurus ObjectClass)
C25371 (NCI Thesaurus ObjectClass)
C0680264 (UMLS 2011AA ObjectClass)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
CL.28
Code List
Has your physical condition or medical treatment caused you financial difficulties
CL Item
A Little (A little)
CL Item
1 (Not at all)
C91213 (NCI Thesaurus)
CL Item
4 (Quite a bit)
C91216 (NCI Thesaurus)
CL Item
5 (Very much)
C91217 (NCI Thesaurus)
Item
How would you rate your overall health during the past week? (For the following questions please circle the number between 1 and 7 that best applies to you)
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25605 (NCI Thesaurus ObjectClass)
C1561607 (UMLS 2011AA ObjectClass)
C25178 (NCI Thesaurus Property)
C0018684 (UMLS 2011AA Property)
C25338 (NCI Thesaurus ValueDomain)
C0449820 (UMLS 2011AA ValueDomain)
CL.29
Code List
How would you rate your overall health during the past week? (For the following questions please circle the number between 1 and 7 that best applies to you)
CL Item
1 (1)
CL Item
2 (2)
C66833 (NCI Thesaurus)
C0205448 (UMLS 2011AA)
CL Item
3 (3)
CL Item
4 (4)
CL Item
5 (5)
CL Item
6 (6)
CL Item
7 (7)
Item
How would you rate your overall quality of life during the past week? (For the following questions please circle the number between 1 and 7 that best applies to you)
text
C17047 (NCI Thesaurus Property)
C0518214 (UMLS 2011AA Property)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25338 (NCI Thesaurus ValueDomain)
C0449820 (UMLS 2011AA ValueDomain)
CL.30
Code List
How would you rate your overall quality of life during the past week? (For the following questions please circle the number between 1 and 7 that best applies to you)
CL Item
1 (1)
CL Item
2 (2)
C66833 (NCI Thesaurus)
C0205448 (UMLS 2011AA)
CL Item
3 (3)
CL Item
4 (4)
CL Item
5 (5)
CL Item
6 (6)
CL Item
7 (7)
Item Group
Additional Concerns
Item
Did you urinate frequently during the day
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C26906 (NCI Thesaurus ObjectClass)
C0677481 (UMLS 2011AA ObjectClass)
C25275 (NCI Thesaurus Property)
C2745955 (UMLS 2011AA Property)
C64928 (NCI Thesaurus Property)
C0332169 (UMLS 2011AA Property)
CL.31
Code List
Did you urinate frequently during the day
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
A Little (A little)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
Item
Did you urinate frequently during the night?
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C26906 (NCI Thesaurus ObjectClass)
C0677481 (UMLS 2011AA ObjectClass)
C25275 (NCI Thesaurus Property)
C2745955 (UMLS 2011AA Property)
C65001 (NCI Thesaurus Property)
C0240526 (UMLS 2011AA Property)
CL.32
Code List
Did you urinate frequently during the night?
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
A Little (A little)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
Item
Did you have pain when you urinated?
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C3303 (NCI Thesaurus Property)
C0030193 (UMLS 2011AA Property)
C25744 (NCI Thesaurus ObjectClass)
C0042034 (UMLS 2011AA ObjectClass)
CL.33
Code List
Did you have pain when you urinated?
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
A Little (A little)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
Item
Did you have a bloated feeling in your abdomen
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25217 (NCI Thesaurus Property)
C1516048 (UMLS 2011AA Property)
C25342 (NCI Thesaurus Property)
C0000726 (UMLS 2011AA Property)
C3399 (NCI Thesaurus Property)
C0038999 (UMLS 2011AA Property)
C34827 (NCI Thesaurus Property)
C0026821 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
CL.34
Code List
Did you have a bloated feeling in your abdomen
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
A Little (A little)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
Item
Did you have abdominal pain?
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C3303 (NCI Thesaurus ObjectClass)
C0030193 (UMLS 2011AA ObjectClass)
C25342 (NCI Thesaurus ObjectClass)
C0000726 (UMLS 2011AA ObjectClass)
CL.35
Code List
Did you have abdominal pain?
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
A Little (A little)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
Item
Did you have pain in your buttocks?
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C3303 (NCI Thesaurus Property)
C0030193 (UMLS 2011AA Property)
C52560 (NCI Thesaurus Property)
C0224424 (UMLS 2011AA Property)
CL.36
Code List
Did you have pain in your buttocks?
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
A Little (A little)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Were you bothered by gas (flatulence)?
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C37954 (NCI Thesaurus Property)
C0016204 (UMLS 2011AA Property)
CL.37
Code List
Were you bothered by gas (flatulence)?
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
A Little (A little)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Did you belch?
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C50550 (NCI Thesaurus Property)
C0014724 (UMLS 2011AA Property)
CL.38
Code List
Did you belch?
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
A Little (A little)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Have you lost weight?
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C3445 (NCI Thesaurus Property)
C1262477 (UMLS 2011AA Property)
CL.39
Code List
Have you lost weight?
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
A Little (A little)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Did you have a dry mouth?
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C26917 (NCI Thesaurus Property)
C0043352 (UMLS 2011AA Property)
C25367 (NCI Thesaurus Property)
CL.40
Code List
Did you have a dry mouth?
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
A Little (A little)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Have you had thin or lifeless hair as a result of your disease or treatment
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C2865 (NCI Thesaurus Property)
CL.41
Code List
Have you had thin or lifeless hair as a result of your disease or treatment
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
A Little (A little)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Did food and drink taste different from usual?
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C46003 (NCI Thesaurus Property)
C1705242 (UMLS 2011AA Property)
C20620 (NCI Thesaurus Property)
C0039336 (UMLS 2011AA Property)
CL.42
Code List
Did food and drink taste different from usual?
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
A Little (A little)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Have you felt physically less attractive as a result of your disease or treatment?
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C49236 (NCI Thesaurus Property)
C0087111 (UMLS 2011AA Property)
C73115 (NCI Thesaurus Property)
C2349015 (UMLS 2011AA Property)
CL.43
Code List
Have you felt physically less attractive as a result of your disease or treatment?
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
A Little (A little)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Have you been feeling less feminine/masculine as a result of your disease or treatment?
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C49236 (NCI Thesaurus Property)
C0087111 (UMLS 2011AA Property)
C17357 (NCI Thesaurus Property)
C0079399 (UMLS 2011AA Property)
CL.44
Code List
Have you been feeling less feminine/masculine as a result of your disease or treatment?
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
A Little (A little)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Have you been dissatisfied with your body?
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C13041 (NCI Thesaurus Property)
C1268086 (UMLS 2011AA Property)
C62184 (NCI Thesaurus Property)
C0870433 (UMLS 2011AA Property)
CL.45
Code List
Have you been dissatisfied with your body?
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
A Little (A little)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Were you worried about your health in the future?
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C26696 (NCI Thesaurus Property)
C0003467 (UMLS 2011AA Property)
C67527 (NCI Thesaurus Property)
C0016884 (UMLS 2011AA Property)
C25178 (NCI Thesaurus Property)
C0018684 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.46
Code List
Were you worried about your health in the future?
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
A Little (A little)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item Group
During The Past Four Weeks:
Item
To what extent were you interested in sex?
integer
C17047 (NCI Thesaurus ObjectClass)
C17127 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus Property)
C25275 (NCI Thesaurus Property)
C73522 (NCI Thesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C0023618 (UMLS CUI-1)
CL.47
Code List
To what extent were you interested in sex?
CL Item
Not At All (0)
CL Item
A Little (1)
CL Item
Quite A Bit (2)
CL Item
Very Much (3)
Item
To what extent were you sexually active (with or without intercourse)?
integer
C17047 (NCI Thesaurus ObjectClass)
C17127 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus Property)
C25275 (NCI Thesaurus Property)
C72881 (NCI Thesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C0036864 (UMLS CUI-1)
CL.48
Code List
To what extent were you sexually active (with or without intercourse)?
CL Item
Not At All (0)
CL Item
A Little (1)
CL Item
Quite A Bit (2)
CL Item
Very Much (3)
Item
To what extent was sex enjoyable for you? (Answer this question only if you have been sexually active)
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C17127 (NCI Thesaurus ObjectClass)
C0036864 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C62185 (NCI Thesaurus Property)
C0242428 (UMLS 2011AA Property)
C72881 (NCI Thesaurus Property)
C0009253 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.49
Code List
To what extent was sex enjoyable for you? (Answer this question only if you have been sexually active)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
A Little (A little)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Did you have difficulty getting or maintaining an erection? (For men only)
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C17127 (NCI Thesaurus ObjectClass)
C0036864 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C53297 (NCI Thesaurus Property)
C0024501 (UMLS 2011AA Property)
C62189 (NCI Thesaurus Property)
C1299586 (UMLS 2011AA Property)
C25740 (NCI Thesaurus Property)
C0030847 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.50
Code List
Did you have difficulty getting or maintaining an erection? (For men only)
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
Item
Did you have problems with ejaculation (e.g., so-called 'dry ejaculation')? (For men only)
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C17127 (NCI Thesaurus ObjectClass)
C0036864 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C62189 (NCI Thesaurus Property)
C1299586 (UMLS 2011AA Property)
C72881 (NCI Thesaurus Property)
C0009253 (UMLS 2011AA Property)
C16531 (NCI Thesaurus Property)
C0013746 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.51
Code List
Did you have problems with ejaculation (e.g., so-called 'dry ejaculation')? (For men only)
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
Item
Did you have a dry vagina during intercourse? (Only for women who have had intercourse)
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C17127 (NCI Thesaurus ObjectClass)
C0036864 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C12407 (NCI Thesaurus Property)
C0042232 (UMLS 2011AA Property)
C62189 (NCI Thesaurus Property)
C1299586 (UMLS 2011AA Property)
C17119 (NCI Thesaurus Property)
C1327616 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.52
Code List
Did you have a dry vagina during intercourse? (Only for women who have had intercourse)
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
Item
Did you have pain during intercourse? (Only for women who have had intercourse)
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C17127 (NCI Thesaurus ObjectClass)
C0036864 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C3303 (NCI Thesaurus Property)
C0030193 (UMLS 2011AA Property)
C25275 (NCI Thesaurus Property)
C2745955 (UMLS 2011AA Property)
C25490 (NCI Thesaurus Property)
C0347984 (UMLS 2011AA Property)
C72881 (NCI Thesaurus Property)
C0009253 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.53
Code List
Did you have pain during intercourse? (Only for women who have had intercourse)
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
Item Group
Stoma
Item
Do you have a stoma (colostomy bag)?
text
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C13345 (NCI Thesaurus Property)
C1955856 (UMLS 2011AA Property)
CL.54
Code List
Do you have a stoma (colostomy bag)?
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item Group
Only For Patients Without A Stoma (colostomy Bag):
Item
Did you have frequent bowel movements during the day?
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C25515 (NCI Thesaurus Property)
C0439603 (UMLS 2011AA Property)
C62787 (NCI Thesaurus Property)
C0011135 (UMLS 2011AA Property)
CL.55
Code List
Did you have frequent bowel movements during the day?
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Did you have frequent bowel movements during the night?
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C25515 (NCI Thesaurus Property)
C0439603 (UMLS 2011AA Property)
C65001 (NCI Thesaurus Property)
C0240526 (UMLS 2011AA Property)
C62787 (NCI Thesaurus Property)
C0011135 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.56
Code List
Did you have frequent bowel movements during the night?
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Did you feel the urge to move your bowels without actually producing any stools
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C41204 (NCI Thesaurus Property)
C0027552 (UMLS 2011AA Property)
C62787 (NCI Thesaurus Property)
C0011135 (UMLS 2011AA Property)
CL.57
Code List
Did you feel the urge to move your bowels without actually producing any stools
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Have you had any unintentional release of stools
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C13234 (NCI Thesaurus Property)
C0015733 (UMLS 2011AA Property)
C34340 (NCI Thesaurus Property)
C0000924 (UMLS 2011AA Property)
CL.58
Code List
Have you had any unintentional release of stools
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Have you had blood with your stools
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C12434 (NCI Thesaurus Property)
C0229664 (UMLS 2011AA Property)
C13234 (NCI Thesaurus Property)
C0015733 (UMLS 2011AA Property)
CL.59
Code List
Have you had blood with your stools
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Have you had difficulty in moving your bowels
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ValueDomain)
C0518214 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C16968 (NCI Thesaurus Property)
C0031133 (UMLS 2011AA Property)
CL.60
Code List
Have you had difficulty in moving your bowels
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
C70543 (NCI Thesaurus)
C2003901 (UMLS 2011AA)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item
Have your bowel movements been painful?
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C3303 (NCI Thesaurus Property)
C0030193 (UMLS 2011AA Property)
C62787 (NCI Thesaurus Property)
C0011135 (UMLS 2011AA Property)
CL.61
Code List
Have your bowel movements been painful?
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
C91213 (NCI Thesaurus)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
C91217 (NCI Thesaurus)
Item Group
Unnamed 4
Item
Were you afraid that other people would be able to hear your stoma
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C37954 (NCI Thesaurus Property)
C0016204 (UMLS 2011AA Property)
C13345 (NCI Thesaurus ObjectClass)
C1955856 (UMLS 2011AA ObjectClass)
CL.62
Code List
Were you afraid that other people would be able to hear your stoma
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
Item
Were you afraid that other people would be able to smell your stools
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C13345 (NCI Thesaurus ObjectClass)
C1955856 (UMLS 2011AA ObjectClass)
C17139 (NCI Thesaurus Property)
C0037361 (UMLS 2011AA Property)
CL.63
Code List
Were you afraid that other people would be able to smell your stools
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
Item
Were you worried about possible leakage from the stoma bag?
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C13345 (NCI Thesaurus ObjectClass)
C1955856 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C26696 (NCI Thesaurus Property)
C0003467 (UMLS 2011AA Property)
C40416 (NCI Thesaurus Property)
C0015376 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.64
Code List
Were you worried about possible leakage from the stoma bag?
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
Item
Did you have problems with caring for your stoma
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C13345 (NCI Thesaurus ObjectClass)
C1955856 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C28020 (NCI Thesaurus Property)
C0033213 (UMLS 2011AA Property)
C61488 (NCI Thesaurus Property)
C1947933 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
CL.65
Code List
Did you have problems with caring for your stoma
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
Item
Was your skin around the stoma irritated
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C50743 (NCI Thesaurus Property)
C0152030 (UMLS 2011AA Property)
C13345 (NCI Thesaurus ObjectClass)
C1955856 (UMLS 2011AA ObjectClass)
CL.66
Code List
Was your skin around the stoma irritated
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
Item
Did you feel embarassed because of your stoma
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C62187 (NCI Thesaurus Property)
C0679112 (UMLS 2011AA Property)
C13345 (NCI Thesaurus ObjectClass)
C1955856 (UMLS 2011AA ObjectClass)
CL.67
Code List
Did you feel embarassed because of your stoma
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
Item
Did you feel less complete because of your stoma
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C49160 (NCI Thesaurus Property)
C0205257 (UMLS 2011AA Property)
C25367 (NCI Thesaurus Property)
C13345 (NCI Thesaurus ObjectClass)
C1955856 (UMLS 2011AA ObjectClass)
CL.68
Code List
Did you feel less complete because of your stoma
CL Item
A Little (A little)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
CL Item
Very Much (Very much)
C91217 (NCI Thesaurus)
Item Group
Supplemental Quality Of Life Questions
Item
How satisfied are you with your current degree of anal or anal/rectal function (on a scale of 1-10 with 1 being totally dissatisfied to 10 totally satisfied)
double
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25200 (NCI Thesaurus Property)
C0036588 (UMLS 2011AA Property)
C12736 (NCI Thesaurus ObjectClass)
C0021853 (UMLS 2011AA ObjectClass)
CL.69
Code List
How satisfied are you with your current degree of anal or anal/rectal function (on a scale of 1-10 with 1 being totally dissatisfied to 10 totally satisfied)
CL Item
0 (0)
C0919414 (NCI Metathesaurus)
CL Item
1 (1)
CL Item
10 (10)
CL Item
2 (2)
C66833 (NCI Thesaurus)
C0205448 (UMLS 2011AA)
CL Item
3 (3)
CL Item
4 (4)
CL Item
5 (5)
CL Item
6 (6)
CL Item
7 (7)
CL Item
8 (8)
CL Item
9 (9)
Item
How well does your anus function (MEMORIAL SLOAN KETTERING ANAL FUNCTION SCALE)
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C12736 (NCI Thesaurus ObjectClass)
C0021853 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C43431 (NCI Thesaurus Property)
C0441655 (UMLS 2011AA Property)
C47893 (NCI Thesaurus Property)
C0205547 (UMLS 2011AA Property)
C18000 (NCI Thesaurus ValueDomain)
C0919553 (UMLS 2011AA ValueDomain)
CL.70
Code List
How well does your anus function (MEMORIAL SLOAN KETTERING ANAL FUNCTION SCALE)
CL Item
Excellent; Typically 1-2 Bowel Movements Per Day And No Soilage (Excellent; Typically 1-2 bowel movements per day and no soilage)
CL Item
Good; Typically 3-4 Bowel Movements Per Day And/or Mild Soilage (Good; Typically 3-4 bowel movements per day and/or mild soilage)
CL Item
Fair; >4 Bowel Movements A Day At Least At Times And/or Moderate Soilage (Fair; >4 bowel movements a day at least at times and/or moderate soilage)
CL Item
Poor; Incontinence (Poor; Incontinence)
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