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ID

43270

Description

Southwest Oncology Group S0421 FACT-P Questionnaire: Step 1 Randomization Form NCT00134056 Docetaxel and Prednisone With or Without Atrasentan in Treating Patients With Stage IV Prostate Cancer and Bone Metastases That Did Not Respond to Previous Hormone Therapy Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=F159B9D6-FD84-2C7B-E034-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=F159B9D6-FD84-2C7B-E034-0003BA3F9857

Keywords

  1. 9/19/12 9/19/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 6/9/15 6/9/15 -
  4. 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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    Southwest Oncology Group S0421 FACT-P Questionnaire: Step 1 Randomization Form NCT00134056

    No Instruction available.

    1. StudyEvent: Southwest Oncology Group S0421 FACT-P Questionnaire: Step 1 Randomization Form
      1. No Instruction available.
    Header
    Description

    Header

    SWOG Patient ID
    Description

    Trial subject ID SWOG

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C2348585
    NCI Thesaurus ObjectClass
    C16960
    UMLS CUI-2
    C1519429
    NCI Thesaurus Property
    C25364
    NCI Thesaurus Property-2
    C25699
    SWOG Study No.
    Description

    Protocol ID SWOG

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C3274381
    NCI Thesaurus ObjectClass
    C25320
    UMLS CUI-2
    C1519429
    NCI Thesaurus Property
    C25364
    NCI Thesaurus Property-2
    C25699
    Registration Step
    Description

    Registration Number

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C1514821
    NCI Thesaurus ObjectClass
    C25646
    UMLS CUI-2
    C0237753
    NCI Thesaurus Property
    C16154
    NCI Thesaurus ValueDomain-2
    C16154
    Planned Assessment
    Description

    PlannedAssessmentPeriodType

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C20989
    UMLS 2011AA ObjectClass
    C0031809
    NCI Thesaurus Property
    C25616
    UMLS 2011AA Property
    C1948053
    Patient Initials (L, F M)
    Description

    Patient Initials

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C2986440
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25536
    Institution/Affiliate
    Description

    Institution Name

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C25454
    UMLS CUI-1
    C1301943
    NCI Thesaurus ObjectClass-2
    C21541
    NCI Thesaurus Property
    C25364
    NCI Thesaurus ValueDomain
    C25191
    NCI Thesaurus ValueDomain-2
    C21541
    Physician
    Description

    Investigator Name

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C2826892
    NCI Thesaurus Property
    C25364
    NCI Thesaurus ObjectClass
    C17089
    NCI Thesaurus ObjectClass-2
    C25644
    Participating Group Name
    Description

    Participating Group

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C2347449
    NCI Thesaurus ObjectClass
    C25608
    NCI Thesaurus ObjectClass-2
    C17005
    NCI Thesaurus Property
    C25364
    Participating Study No.
    Description

    Study Number Participating Group

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C3274381
    NCI Thesaurus ObjectClass
    C25320
    UMLS CUI-2
    C2347449
    NCI Thesaurus Property
    C25608
    NCI Thesaurus Property-2
    C25364
    Participating Patient ID
    Description

    Trial subject ID Participating Group

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C2348585
    NCI Thesaurus ObjectClass
    C16960
    UMLS CUI-2
    C2347449
    NCI Thesaurus Property
    C25608
    NCI Thesaurus Property-2
    C25364
    Randomization questions
    Description

    Randomization questions

    I have a lack of energy
    Description

    PatientEnergyAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus Property-2
    C48058
    UMLS 2011AA Property-2
    C0542479
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I have nausea
    Description

    PatientNauseaAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus Property-2
    C3258
    UMLS 2011AA Property-2
    C0027497
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    Because of my phyical condition, I have trouble meeting the needs of my family
    Description

    PatientGeneralPhysicalConditionAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Metathesaurus Property
    CL104641
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I have pain
    Description

    PatientPainAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus Property-2
    C3303
    UMLS 2011AA Property-2
    C0030193
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I am bothered by side effects of treatment
    Description

    PatientAdverseEventAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus Property-2
    C41331
    UMLS 2011AA Property-2
    C0877248
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I feel ill
    Description

    PatientMalaiseAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus Property-2
    C3832
    UMLS 2011AA Property-2
    C0231218
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I am forced to spend time in bed
    Description

    PatientBedRestAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    I feel close to my friends
    Description

    FriendsPatientintimacyAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Metathesaurus ObjectClass
    C0079382
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Metathesaurus Property
    C0600015
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I get emotional support from my family
    Description

    FamilyPatientEmotionalSupportAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus ObjectClass-2
    C25173
    UMLS 2011AA ObjectClass-2
    C0015576
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Metathesaurus Property
    C0600015
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I get support from my friends
    Description

    FriendsPatientEmotionalSupportAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Metathesaurus ObjectClass
    C0079382
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Metathesaurus Property
    C0600015
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    My family has accepted my illness
    Description

    FamilyPatientAcceptanceofIllnessAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus ObjectClass-2
    C25173
    UMLS 2011AA ObjectClass-2
    C0015576
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Metathesaurus Property
    CL140183
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please check this box and go to the next section.
    Description

    PatientCurrentSexualActivityAssessmentRefusalText

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25367
    NCI Thesaurus Property-2
    C25471
    UMLS 2011AA Property
    C0521116
    NCI Thesaurus Property-3
    C17127
    UMLS 2011AA Property-2
    C0036864
    NCI Thesaurus ValueDomain
    C25704
    UMLS 2011AA ValueDomain
    C1527021
    I am satisfied with family communication about my illness
    Description

    FamilyPatientCommunicationAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus ObjectClass-2
    C25173
    UMLS 2011AA ObjectClass-2
    C0015576
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus Property-2
    C16452
    UMLS 2011AA Property-2
    C0009452
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I feel close to my partner (or the person who is my main support)
    Description

    Ifeelclosetomypartner(orthepersonwhoismymainsupport)

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    I am satisfied with my sex life
    Description

    SatisfactionPatientCurrentSexualActivityAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25367
    NCI Thesaurus Property-2
    C62185
    UMLS 2011AA Property
    C0242428
    NCI Metathesaurus Property
    C0043227
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I feel sad
    Description

    PatientDepressionAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus Property-2
    C2982
    UMLS 2011AA Property-2
    C0011570
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I am satisfied with how I am coping with my illness
    Description

    SatisfactionPatientAbilitytoCopeAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25367
    NCI Thesaurus Property-2
    C62185
    UMLS 2011AA Property
    C0242428
    NCI Metathesaurus Property
    C0043227
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I am losing hope in the fight against my illness
    Description

    PatientDespondencyAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Metathesaurus Property
    C0392375
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I feel nervous
    Description

    PatientNervousAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus Property-2
    C25584
    UMLS 2011AA Property-2
    C0599851
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I worry about dying
    Description

    WorryPatientDeathAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Metathesaurus ObjectClass
    C0233481
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus Property-2
    C28554
    UMLS 2011AA Property-2
    C0011065
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I worry that my condition will get worse
    Description

    WorryPatientDeteriorationAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Metathesaurus ObjectClass
    C0233481
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus Property-2
    C25751
    UMLS 2011AA Property-2
    C0868945
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I am able to work (include work at home)
    Description

    AbilityPatientWorkAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Metathesaurus ObjectClass
    C0085732
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Metathesaurus Property
    C0043227
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    My work (include work at home) is fulfilling
    Description

    SatisfactionPatientWorkAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C25367
    NCI Thesaurus Property-2
    C62185
    UMLS 2011AA Property
    C0242428
    NCI Metathesaurus Property
    C0043227
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I am able to enjoy life
    Description

    PatientEnjoymentofLifeAssessmentQualityofLifeAssessment

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Metathesaurus Property
    CL196329
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I have accepted my illness
    Description

    PatientAcceptanceofIllnessAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Metathesaurus Property
    CL140183
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I am sleeping well
    Description

    PatientSleepAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Metathesaurus Property
    C0037313
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I am enjoying things I usually do for fun
    Description

    PleasurePatientRecreationAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Metathesaurus ObjectClass
    C0679105
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Metathesaurus Property
    C0034872
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I am content with the quality of my life right now
    Description

    PatientQualityofLifeAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C17047
    UMLS 2011AA Property
    C0518214
    NCI Thesaurus Property-2
    C20989
    UMLS 2011AA Property-2
    C0031809
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I am losing weight
    Description

    PatientWeightLossAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus Property-2
    C3445
    UMLS 2011AA Property-2
    C1262477
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I have a good appetite
    Description

    PatientAppetiteAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus Property-2
    C25152
    UMLS 2011AA Property-2
    C0003618
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I have aches and pains that bother me
    Description

    PatientAcheAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Metathesaurus Property
    C0234238
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I have certain areas of my body where I experience significant pain
    Description

    SignificantPatientLocalizedPainAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus ObjectClass-2
    C41130
    UMLS 2011AA ObjectClass-2
    C0750502
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Metathesaurus Property
    CL232212
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    My pain keeps me from doing things I want to do
    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-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I am satisfied with my present comfort level
    Description

    PatientComfortLevelAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Metathesaurus Property
    CL231787
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I am able to feel like a man
    Description

    PatientMasculinityAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Metathesaurus Property
    C0042757
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I have trouble moving my bowels
    Description

    PatientBowelActionAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus Property-2
    C16968
    UMLS 2011AA Property-2
    C0031133
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I have difficulty urinating
    Description

    PatientDysuriaAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus Property-2
    C2999
    UMLS 2011AA Property-2
    C0013428
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I urinate more frequently than usual
    Description

    QualityofLifeUrinationIncreaseFrequencyEvaluationScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C17047
    UMLS 2011AA ObjectClass
    C0518214
    NCI Thesaurus Property
    C25214
    UMLS 2011AA Property
    C0220825
    NCI Thesaurus Property-2
    C25533
    UMLS 2011AA Property-2
    C0442805
    NCI Thesaurus Property-3
    C25515
    UMLS 2011AA Property-3
    C0439603
    NCI Thesaurus Property-4
    C25744
    UMLS 2011AA Property-4
    C0042034
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    My problems with urinating limit my activities
    Description

    UrinarySymptomsPatientLimitationAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Metathesaurus ObjectClass
    C0426359
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Metathesaurus Property
    C0449295
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    I am able to have and maintain an erection
    Description

    PatientErectionAssessmentQualityofLifeScale

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus Property-2
    C25740
    UMLS 2011AA Property-2
    C0030847
    NCI Thesaurus ValueDomain
    C25664
    UMLS 2011AA ValueDomain
    C0349674
    NCI Thesaurus ValueDomain-2
    C17047
    UMLS 2011AA ValueDomain-2
    C0518214
    Below is a list of statements that other people with your illness have said are important. By selecting one (1) box per line, please indicate how true each statement has been for you during the past 7 days. Please select a box by marking an "X" in it.
    Description

    Belowisalistofstatementsthatotherpeoplewithyourillnesshavesaidareimportant.Byselectingone(1)boxperline,pleaseindicatehowtrueeachstatementhasbeenforyouduringthepast7days.Pleaseselectaboxbymarkingan"X"init.

    Data type

    text

    Patient status assessment
    Description

    Patient status assessment

    How would you rate your overall health during the past week
    Description

    OverallPatientHealthAssessmentScore

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus ObjectClass-2
    C25605
    UMLS 2011AA ObjectClass-2
    C1561607
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus Property-2
    C25178
    UMLS 2011AA Property-2
    C0018684
    NCI Thesaurus ValueDomain
    C25338
    UMLS 2011AA ValueDomain
    C0449820
    How would you rate your overall quality of life during the past week
    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-2
    C20989
    UMLS 2011AA Property-2
    C0031809
    NCI Thesaurus ValueDomain
    C25338
    UMLS 2011AA ValueDomain
    C0449820

    Similar models

    No Instruction available.

    1. StudyEvent: Southwest Oncology Group S0421 FACT-P Questionnaire: Step 1 Randomization Form
      1. No Instruction available.
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Header
    Trial subject ID SWOG
    Item
    SWOG Patient ID
    text
    C25337 (NCI Thesaurus ValueDomain)
    C2348585 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C1519429 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    C25699 (NCI Thesaurus Property-2)
    Protocol ID SWOG
    Item
    SWOG Study No.
    text
    C25337 (NCI Thesaurus ValueDomain)
    C3274381 (UMLS CUI-1)
    C25320 (NCI Thesaurus ObjectClass)
    C1519429 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    C25699 (NCI Thesaurus Property-2)
    Registration Number
    Item
    Registration Step
    text
    C25337 (NCI Thesaurus ValueDomain)
    C1514821 (UMLS CUI-1)
    C25646 (NCI Thesaurus ObjectClass)
    C0237753 (UMLS CUI-2)
    C16154 (NCI Thesaurus Property)
    C16154 (NCI Thesaurus ValueDomain-2)
    Item
    Planned Assessment
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C20989 (NCI Thesaurus ObjectClass)
    C0031809 (UMLS 2011AA ObjectClass)
    C25616 (NCI Thesaurus Property)
    C1948053 (UMLS 2011AA Property)
    Code List
    Planned Assessment
    CL Item
    Prestudy (Prestudy)
    CL Item
    Week 10 (Week 10)
    CL Item
    Week 19 (Week 19)
    CL Item
    Week 28 (Week 28)
    CL Item
    Week 37 (Week 37)
    Patient Initials
    Item
    Patient Initials (L, F M)
    text
    C25191 (NCI Thesaurus ValueDomain)
    C2986440 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25536 (NCI Thesaurus Property)
    Institution Name
    Item
    Institution/Affiliate
    text
    C25454 (NCI Thesaurus ObjectClass)
    C1301943 (UMLS CUI-1)
    C21541 (NCI Thesaurus ObjectClass-2)
    C25364 (NCI Thesaurus Property)
    C25191 (NCI Thesaurus ValueDomain)
    C21541 (NCI Thesaurus ValueDomain-2)
    Investigator Name
    Item
    Physician
    text
    C25191 (NCI Thesaurus ValueDomain)
    C2826892 (UMLS CUI-1)
    C25364 (NCI Thesaurus Property)
    C17089 (NCI Thesaurus ObjectClass)
    C25644 (NCI Thesaurus ObjectClass-2)
    Participating Group
    Item
    Participating Group Name
    text
    C25191 (NCI Thesaurus ValueDomain)
    C2347449 (UMLS CUI-1)
    C25608 (NCI Thesaurus ObjectClass)
    C17005 (NCI Thesaurus ObjectClass-2)
    C25364 (NCI Thesaurus Property)
    Study Number Participating Group
    Item
    Participating Study No.
    text
    C25337 (NCI Thesaurus ValueDomain)
    C3274381 (UMLS CUI-1)
    C25320 (NCI Thesaurus ObjectClass)
    C2347449 (UMLS CUI-2)
    C25608 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    Trial subject ID Participating Group
    Item
    Participating Patient ID
    text
    C25337 (NCI Thesaurus ValueDomain)
    C2348585 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C2347449 (UMLS CUI-2)
    C25608 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    Item Group
    Randomization questions
    Item
    I have a lack of energy
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C48058 (NCI Thesaurus Property-2)
    C0542479 (UMLS 2011AA Property-2)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I have a lack of energy
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I have nausea
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C3258 (NCI Thesaurus Property-2)
    C0027497 (UMLS 2011AA Property-2)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I have nausea
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    Because of my phyical condition, I have trouble meeting the needs of my family
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    CL104641 (NCI Metathesaurus Property)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    Because of my phyical condition, I have trouble meeting the needs of my family
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I have pain
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C3303 (NCI Thesaurus Property-2)
    C0030193 (UMLS 2011AA Property-2)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I have pain
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I am bothered by side effects of treatment
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C41331 (NCI Thesaurus Property-2)
    C0877248 (UMLS 2011AA Property-2)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I am bothered by side effects of treatment
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I feel ill
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C3832 (NCI Thesaurus Property-2)
    C0231218 (UMLS 2011AA Property-2)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I feel ill
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I am forced to spend time in bed
    text
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    Code List
    I am forced to spend time in bed
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I feel close to my friends
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C0079382 (NCI Metathesaurus ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C0600015 (NCI Metathesaurus Property)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I feel close to my friends
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I get emotional support from my family
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25173 (NCI Thesaurus ObjectClass-2)
    C0015576 (UMLS 2011AA ObjectClass-2)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C0600015 (NCI Metathesaurus Property)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I get emotional support from my family
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I get support from my friends
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C0079382 (NCI Metathesaurus ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C0600015 (NCI Metathesaurus Property)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I get support from my friends
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    My family has accepted my illness
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25173 (NCI Thesaurus ObjectClass-2)
    C0015576 (UMLS 2011AA ObjectClass-2)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    CL140183 (NCI Metathesaurus Property)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    My family has accepted my illness
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    PatientCurrentSexualActivityAssessmentRefusalText
    Item
    Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please check this box and go to the next section.
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25367 (NCI Thesaurus Property)
    C25471 (NCI Thesaurus Property-2)
    C0521116 (UMLS 2011AA Property)
    C17127 (NCI Thesaurus Property-3)
    C0036864 (UMLS 2011AA Property-2)
    C25704 (NCI Thesaurus ValueDomain)
    C1527021 (UMLS 2011AA ValueDomain)
    Item
    I am satisfied with family communication about my illness
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25173 (NCI Thesaurus ObjectClass-2)
    C0015576 (UMLS 2011AA ObjectClass-2)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C16452 (NCI Thesaurus Property-2)
    C0009452 (UMLS 2011AA Property-2)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I am satisfied with family communication about my illness
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I feel close to my partner (or the person who is my main support)
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    Code List
    I feel close to my partner (or the person who is my main support)
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    Item
    I am satisfied with my sex life
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25367 (NCI Thesaurus Property)
    C62185 (NCI Thesaurus Property-2)
    C0242428 (UMLS 2011AA Property)
    C0043227 (NCI Metathesaurus Property)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I am satisfied with my sex life
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I feel sad
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C2982 (NCI Thesaurus Property-2)
    C0011570 (UMLS 2011AA Property-2)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I feel sad
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I am satisfied with how I am coping with my illness
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25367 (NCI Thesaurus Property)
    C62185 (NCI Thesaurus Property-2)
    C0242428 (UMLS 2011AA Property)
    C0043227 (NCI Metathesaurus Property)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I am satisfied with how I am coping with my illness
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I am losing hope in the fight against my illness
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C0392375 (NCI Metathesaurus Property)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I am losing hope in the fight against my illness
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I feel nervous
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C25584 (NCI Thesaurus Property-2)
    C0599851 (UMLS 2011AA Property-2)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I feel nervous
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I worry about dying
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C0233481 (NCI Metathesaurus ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C28554 (NCI Thesaurus Property-2)
    C0011065 (UMLS 2011AA Property-2)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I worry about dying
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I worry that my condition will get worse
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C0233481 (NCI Metathesaurus ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C25751 (NCI Thesaurus Property-2)
    C0868945 (UMLS 2011AA Property-2)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I worry that my condition will get worse
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I am able to work (include work at home)
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C0085732 (NCI Metathesaurus ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C0043227 (NCI Metathesaurus Property)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I am able to work (include work at home)
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    My work (include work at home) is fulfilling
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25367 (NCI Thesaurus Property)
    C62185 (NCI Thesaurus Property-2)
    C0242428 (UMLS 2011AA Property)
    C0043227 (NCI Metathesaurus Property)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    My work (include work at home) is fulfilling
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I am able to enjoy life
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    CL196329 (NCI Metathesaurus Property)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I am able to enjoy life
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I have accepted my illness
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    CL140183 (NCI Metathesaurus Property)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I have accepted my illness
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I am sleeping well
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C0037313 (NCI Metathesaurus Property)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I am sleeping well
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I am enjoying things I usually do for fun
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C0679105 (NCI Metathesaurus ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C0034872 (NCI Metathesaurus Property)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I am enjoying things I usually do for fun
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I am content with the quality of my life right now
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C17047 (NCI Thesaurus Property)
    C0518214 (UMLS 2011AA Property)
    C20989 (NCI Thesaurus Property-2)
    C0031809 (UMLS 2011AA Property-2)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I am content with the quality of my life right now
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I am losing weight
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C3445 (NCI Thesaurus Property-2)
    C1262477 (UMLS 2011AA Property-2)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I am losing weight
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I have a good appetite
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C25152 (NCI Thesaurus Property-2)
    C0003618 (UMLS 2011AA Property-2)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I have a good appetite
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I have aches and pains that bother me
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C0234238 (NCI Metathesaurus Property)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I have aches and pains that bother me
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I have certain areas of my body where I experience significant pain
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C41130 (NCI Thesaurus ObjectClass-2)
    C0750502 (UMLS 2011AA ObjectClass-2)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    CL232212 (NCI Metathesaurus Property)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I have certain areas of my body where I experience significant pain
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    My pain keeps me from doing things I want to do
    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-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    My pain keeps me from doing things I want to do
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I am satisfied with my present comfort level
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    CL231787 (NCI Metathesaurus Property)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I am satisfied with my present comfort level
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I am able to feel like a man
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C0042757 (NCI Metathesaurus Property)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I am able to feel like a man
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I have trouble moving my bowels
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C16968 (NCI Thesaurus Property-2)
    C0031133 (UMLS 2011AA Property-2)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I have trouble moving my bowels
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I have difficulty urinating
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C2999 (NCI Thesaurus Property-2)
    C0013428 (UMLS 2011AA Property-2)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I have difficulty urinating
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I urinate more frequently than usual
    text
    C17047 (NCI Thesaurus ObjectClass)
    C0518214 (UMLS 2011AA ObjectClass)
    C25214 (NCI Thesaurus Property)
    C0220825 (UMLS 2011AA Property)
    C25533 (NCI Thesaurus Property-2)
    C0442805 (UMLS 2011AA Property-2)
    C25515 (NCI Thesaurus Property-3)
    C0439603 (UMLS 2011AA Property-3)
    C25744 (NCI Thesaurus Property-4)
    C0042034 (UMLS 2011AA Property-4)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I urinate more frequently than usual
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    My problems with urinating limit my activities
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C0426359 (NCI Metathesaurus ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C0449295 (NCI Metathesaurus Property)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    My problems with urinating limit my activities
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Item
    I am able to have and maintain an erection
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C25740 (NCI Thesaurus Property-2)
    C0030847 (UMLS 2011AA Property-2)
    C25664 (NCI Thesaurus ValueDomain)
    C0349674 (UMLS 2011AA ValueDomain)
    C17047 (NCI Thesaurus ValueDomain-2)
    C0518214 (UMLS 2011AA ValueDomain-2)
    Code List
    I am able to have and maintain an erection
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    C91213 (NCI Thesaurus-2)
    C70543 (NCI Thesaurus-3)
    C2003901 (UMLS 2011AA)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    C91216 (NCI Thesaurus-2)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    C91217 (NCI Thesaurus-2)
    Belowisalistofstatementsthatotherpeoplewithyourillnesshavesaidareimportant.Byselectingone(1)boxperline,pleaseindicatehowtrueeachstatementhasbeenforyouduringthepast7days.Pleaseselectaboxbymarkingan"X"init.
    Item
    Below is a list of statements that other people with your illness have said are important. By selecting one (1) box per line, please indicate how true each statement has been for you during the past 7 days. Please select a box by marking an "X" in it.
    text
    Item Group
    Patient status assessment
    Item
    How would you rate your overall health during the past week
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C25605 (NCI Thesaurus ObjectClass-2)
    C1561607 (UMLS 2011AA ObjectClass-2)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C25178 (NCI Thesaurus Property-2)
    C0018684 (UMLS 2011AA Property-2)
    C25338 (NCI Thesaurus ValueDomain)
    C0449820 (UMLS 2011AA ValueDomain)
    Code List
    How would you rate your overall health during the past week
    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
    text
    C17047 (NCI Thesaurus Property)
    C0518214 (UMLS 2011AA Property)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property-2)
    C0031809 (UMLS 2011AA Property-2)
    C25338 (NCI Thesaurus ValueDomain)
    C0449820 (UMLS 2011AA ValueDomain)
    Code List
    How would you rate your overall quality of life during the past week
    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)

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