ID

44121

Description

NSABP Protocol B-36 Quality of Life Questionnaire (English Version) Comparison of Two Combination Chemotherapy Regimens in Treating Women With Breast Cancer NCT00087178 Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=C907A026-1DAB-1D7C-E034-0003BA12F5E7

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=C907A026-1DAB-1D7C-E034-0003BA12F5E7

Keywords

  1. 8/7/14 8/7/14 - Martin Dugas
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 3/20/15 3/20/15 - Martin Dugas
  4. 4/10/21 4/10/21 - Ahmed Rafee, MD
  5. 9/20/21 9/20/21 -
Copyright Holder

folgt

Uploaded on

September 20, 2021

DOI

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License

Creative Commons BY 4.0

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Breast Cancer Chemotherapy (NCT00087178)

No Instruction available.

  1. StudyEvent: NSABP Protocol B-36 Quality of Life Questionnaire (English Version)
    1. No Instruction available.
Header
Description

Header

Alias
UMLS CUI-1
C1320722
Patient Initials (Last, First Middle)
Description

Patient Initials

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS CUI-1
C2986440
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C25536
NSABP Patient ID
Description

Patient ID NSABP

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS CUI-1
C2348585
NCI Thesaurus ObjectClass
C16960
UMLS CUI-2
C1513905
NCI Thesaurus Property
C25364
NCI Thesaurus Property-2
C15818
Institution Name
Description

Institution Name

Data type

text

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

Affiliate Name

Data type

text

Alias
NCI Thesaurus ObjectClass
C21541
UMLS CUI-1
C1510825
NCI Thesaurus ObjectClass-2
C25413
NCI Thesaurus Property
C25364
NCI Thesaurus ValueDomain
C25191
NCI Thesaurus ValueDomain-2
C21541
Staff member administering form (Last Name)
Description

PersonFormAdministrationLastName

Data type

text

Alias
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus Property
C19464
UMLS 2011AA Property
C0376315
NCI Thesaurus ValueDomain-2
C25551
UMLS 2011AA ValueDomain-2
C1517741
NCI Thesaurus Property-2
C25409
UMLS 2011AA Property-2
C1533734
Staff member administering form, first name
Description

PersonFormAdministrationFirstName

Data type

text

Alias
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus Property
C19464
UMLS 2011AA Property
C0376315
NCI Thesaurus Property-2
C25409
UMLS 2011AA Property-2
C1533734
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ValueDomain-2
C25509
UMLS 2011AA ValueDomain-2
C1279901
Staff Member Administering Form, Phone
Description

PersonFormAdministrationPhoneNumber

Data type

text

Alias
NCI Thesaurus ValueDomain
C25337
UMLS 2011AA ValueDomain
C0237753
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus Property
C19464
UMLS 2011AA Property
C0376315
NCI Thesaurus Property-2
C25409
UMLS 2011AA Property-2
C1533734
Today's Date (Month Day Year)
Description

Today'sDate

Data type

text

Time point
Description

Time point

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C20989
NCI Thesaurus Property
C25616
UMLS CUI-1
C0031809
UMLS CUI-2
C1948053
This form is being filled out
Description

This form is being filled out

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus Property
C25190
NCI Thesaurus ObjectClass
C40988
NCI Thesaurus Property-2
C25250
UMLS CUI-1
C0027361
UMLS CUI-2
C1516308
UMLS CUI-3
C0205197
Date this questionnaire is completed (For example, if you were completing the questionnaire on September 8, 2003, you would write 09 08 2003 in the boxes.)
Description

QuestionnaireCompletionDate

Data type

date

Alias
NCI Thesaurus ValueDomain
C25164
UMLS CUI-1
C2826959
Quality of life
Description

Quality of life

Alias
UMLS CUI-1
C0451401
I have a lack of energy.
Description

FatigueAssessmentResponseScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
NCI Thesaurus ObjectClass
C20989
NCI Thesaurus Property
C25755
NCI Thesaurus ObjectClass-2
C3036
UMLS CUI-1
C0015672
I have nausea.
Description

NauseaAssessmentResponseScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
NCI Thesaurus ObjectClass
C20989
NCI Thesaurus Property
C25755
NCI Thesaurus ObjectClass-2
C3258
UMLS CUI-1
C0027497
Because of my physical condition, I have trouble meeting the needs of my family.
Description

Because of my physical condition, I have trouble meeting the needs of my family.

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
I have pain.
Description

PainAssessmentResponseScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
NCI Thesaurus ObjectClass
C20989
NCI Thesaurus Property
C25755
NCI Thesaurus ObjectClass-2
C3303
UMLS CUI-1
C0030193
I am bothered by side effects of treatment.
Description

AdverseEventAssessmentResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus Property
C20989
NCI Thesaurus ObjectClass
C41331
NCI Thesaurus Property-2
C38757
UMLS CUI-1
C0877248
I feel ill.
Description

IllnessAssessmentResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C2987492
I am forced to spend time in bed.
Description

BedrestAssessmentResponse

Data type

text

Alias
UMLS CUI-1
C0004910
I feel close to my friends.
Description

FriendsCloseAssessmentResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C2984048
I get emotional support from my family.
Description

FamilyPatientEmotionalSupportAssessmentQualityofLifeScale

Data type

text

Alias
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus ObjectClass-2
C25173
NCI Thesaurus Property
C20989
NCI Metathesaurus Property
C0600015
NCI Thesaurus ValueDomain
C25664
NCI Thesaurus ValueDomain-2
C17047
UMLS CUI-1
C2984050
I get support from my friends.
Description

SupportAssessmentExternalResponseType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C20989
NCI Thesaurus Property
C25755
UMLS CUI-1
C2984072
My family has accepted my illness.
Description

IllnessAcceptanceAssessmentResponse

Data type

text

Alias
UMLS CUI-1
C2984053
I am satisfied with family communication about my illness.
Description

CommunicationSatisfiedAssessmentResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C2984054
I feel close to my partner. (or the person who is my main support)
Description

PartnerClosenessAssessmentResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C2984059
If you prefer not to answer it, please check this box and go to the next section. (Regardless of your current level of sexual activity, please answer the following question.)
Description

QuestionNotResponsInd-2

Data type

boolean

I am satisfied with my sex life.
Description

Iamsatisfiedwithmysexlife

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C0871356
I feel sad.
Description

PatientDepressionAssessmentQualityofLifeScale

Data type

text

Alias
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C20989
NCI Thesaurus Property-2
C2982
NCI Thesaurus ValueDomain
C25664
NCI Thesaurus ValueDomain-2
C17047
UMLS CUI-1
C0011581
I am satisfied with how I am coping with my illness.
Description

PatientAcceptanceofIllnessAssessmentQualityofLifeScale

Data type

text

Alias
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C20989
NCI Metathesaurus Property
CL140183
NCI Thesaurus ValueDomain
C25664
NCI Thesaurus ValueDomain-2
C17047
UMLS CUI-1
C0009967
I am losing hope in the fight against my illness.
Description

LostHopeAssessmentResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C2984056
I feel nervous.
Description

PatientNervousAssessmentQualityofLifeScale

Data type

text

Alias
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C20989
NCI Thesaurus Property-2
C25584
NCI Thesaurus ValueDomain
C25664
NCI Thesaurus ValueDomain-2
C17047
UMLS CUI-1
C0027769
I worry about dying.
Description

WorryPatientDeathAssessmentQualityofLifeScale

Data type

text

Alias
NCI Thesaurus ObjectClass
C16960
NCI Metathesaurus ObjectClass
C0233481
NCI Thesaurus Property
C20989
NCI Thesaurus Property-2
C28554
NCI Thesaurus ValueDomain
C25664
NCI Thesaurus ValueDomain-2
C17047
UMLS CUI-1
C2984076
I worry that my condition will get worse.
Description

WorseAssessmentResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C2984075
I am able to work. (include work at home)
Description

WorkAssessmentResponseType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C20989
NCI Thesaurus Property
C25755
UMLS CUI-1
C2984044
My work is fulfilling. (include work at home)
Description

WorkFullfillingAssessmentResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C2984074
I am able to enjoy life.
Description

LifeAssessmentResponseType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C20989
NCI Thesaurus Property
C25755
UMLS CUI-1
C2984051
I have accepted my illness.
Description

I have accepted my illness.

Data type

text

Alias
UMLS CUI-1
C2984045
I am sleeping well.
Description

I am sleeping well.

Data type

text

Alias
NCI Thesaurus ObjectClass
C16960
NCI Thesaurus Property
C20989
NCI Metathesaurus Property
C0037313
NCI Thesaurus ValueDomain
C25664
NCI Thesaurus ValueDomain-2
C17047
UMLS CUI-1
C2984071
I am enjoying the things I usually do.
Description

I am enjoying the things I usually do.

Data type

text

Alias
NCI Thesaurus ObjectClass
C17047
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C62185
NCI Thesaurus Property-3
C73426
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C2984052
I am content with the quality of my life right now.
Description

I am content with the quality of my life right now.

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C2984049
I have been short of breath.
Description

I have been short of breath.

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C0013404
I am self-conscious about the way I dress.
Description

DressAssessmentResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C3475654
One or both of my arms are swollen or tender.
Description

ArmSwollenAssessmentResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C0577598
I feel sexually attractive.
Description

I feel sexually attractive.

Data type

text

Alias
UMLS CUI-1
C3274934
I am bothered by hair loss.
Description

HairLossAssessmentResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C3831302
I worry that other members of my family might someday get the same illness I have.
Description

IllnessDevelopFamilyAssessmentResponse

Data type

text

Alias
UMLS CUI [1]
C3476047
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C20989
NCI Thesaurus Property
C25755
I worry about the effect of stress on my illness.
Description

IllnessStressAssessmentResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C3274929
I am bothered by a change in weight.
Description

I am bothered by a change in weight.

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C20989
NCI Thesaurus Property
C25755
UMLS CUI-1
C3274921
I am able to feel like a woman.
Description

I am able to feel like a woman.

Data type

text

Alias
UMLS CUI [1]
C3475547
NCI Thesaurus ValueDomain
C25284
headaches
Description

HeadachePresentQOLSeverityStatus

Data type

text

Alias
NCI Thesaurus Property
C25626
NCI Thesaurus ObjectClass
C34661
NCI Thesaurus ValueDomain
C25688
UMLS CUI-1
C0018681
indigestion
Description

DyspepsiaAssessmentResponseType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C20989
NCI Thesaurus Property
C25755
UMLS CUI-1
C0013395
nausea
Description

nausea

Data type

text

Alias
UMLS CUI-1
C0027497
heartburn
Description

HeartburnAssessmentResponseType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C20989
NCI Thesaurus Property
C25755
UMLS CUI-1
C0018834
vomiting
Description

VomitingAssessmentResponseType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C20989
NCI Thesaurus Property
C25755
UMLS CUI-1
C0042963
passing a lot of gas (flatulence)
Description

FlatulenceAssessmentResponseType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C20989
NCI Thesaurus Property
C25755
UMLS CUI-1
C0016204
mouth sores
Description

MouthAssessmentResponseType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C20989
NCI Thesaurus Property
C25755
UMLS CUI-1
C0149745
diarrhea
Description

DiarrheaAssessmentResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C20989
NCI Thesaurus Property
C25755
UMLS CUI-1
C0011991
skin problems (including rash, dry skin, itching, irritation or redness)
Description

DermalAssessmentResponseType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C20989
NCI Thesaurus Property
C25755
UMLS CUI-1
C0281822
numbness or tingling in hands or feet
Description

ExtremitiesNumbnessAssessmentResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C3828645
fever or shivering (shaking, chills)
Description

FeverAssessmentResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C0015967
difficulty with bladder control
Description

Difficultywithbladdercontrol

Data type

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS CUI-1
C3639680
constipation
Description

ConstipationAssessmentResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C0009806
hot flashes
Description

hot flashes

Data type

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS CUI-1
C0600142
genital itching or irritation
Description

GenitalItchingAssessmentResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C0033777
mood swings
Description

EmotionsAssessmentResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C0085633
vaginal discharge
Description

VaginalDischargeAssessmentResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C0227791
vaginal bleeding or spotting
Description

Vaginalbleedingorspotting

Data type

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS CUI-1
C3475970
vaginal dryness
Description

VaginalDrynessAssessmentResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C0241633
pain with intercourse
Description

Painwithintercourse

Data type

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS CUI-1
C0423742
cramps
Description

CrampsAssessmentResult

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C0026821
general aches and pains
Description

Generalachesandpains

Data type

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS CUI-1
C0281856
joint pains
Description

Jointpains

Data type

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS CUI-1
C0003862
swelling of hands
Description

ExtremityAssessmentResponseType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C20989
NCI Thesaurus Property
C25755
UMLS CUI-1
C0575805
muscle stiffness
Description

Musclestiffness

Data type

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS CUI-1
C0221170
weight gain
Description

weight gain

Data type

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS CUI-1
C0043094
weight loss
Description

WeightLossAssessmentResponseInd-2

Data type

text

Alias
NCI Thesaurus ValueDomain
C38147
NCI Thesaurus ObjectClass
C20989
NCI Thesaurus Property
C25755
NCI Thesaurus ObjectClass-2
C3445
UMLS CUI-1
C1262477
unhappy with appearance of my body
Description

Unhappywithappearanceofmybody

Data type

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS CUI-1
C3274925
forgetfulness
Description

forgetfulness

Data type

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS CUI-1
C0542476
night sweats
Description

night sweats

Data type

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS CUI-1
C0028081
cold sweats
Description

cold sweats

Data type

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS CUI-1
C0232431
difficulty concentrating
Description

difficulty concentrating

Data type

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS CUI-1
C0947509
Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports
Description

Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C20989
NCI Thesaurus Property
C25755
UMLS CUI-1
C2963465
Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf
Description

Moderateactivities,suchasmovingatable,pushingavacuumcleaner,bowling,orplayinggolf

Data type

text

Alias
UMLS CUI-1
C3833417
Lifting or carrying groceries
Description

QualityofLifePhysicalActivityDifficultyAssessmentScale

Data type

text

Alias
NCI Thesaurus ObjectClass
C17047
NCI Thesaurus Property
C25367
NCI Thesaurus Property-2
C17708
NCI Thesaurus Property-3
C62189
NCI Thesaurus ValueDomain
C25664
UMLS CUI-1
C3829286
Climbing several flights of stairs
Description

ClimbingStairsPhysicalActivityAssessmentScale

Data type

text

Alias
NCI Thesaurus ValueDomain
C25664
NCI Thesaurus Property
C20989
NCI Metathesaurus ObjectClass
CL299704
NCI Thesaurus ObjectClass
C17708
UMLS CUI-1
C3831080
Bending, kneeling, or stooping
Description

BendingPhysicalAssessmentResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C3831371
Walking more than a mile
Description

AmbulatePhysicalOneMileAssessmentResult

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C3827523
Walking several hundred yards
Description

AmbulatePhysicalSeveralHundredYardsAssessmentResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C2963458
Walking one hundred yards
Description

MobileAssessmentShortResponseType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C20989
NCI Thesaurus Property
C25755
UMLS CUI-1
C2963456
Bathing or dressing yourself
Description

BathingPhysicalAssessmentResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C3831396
Did you feel full of life?
Description

Did you feel full of life?

Data type

integer

Alias
UMLS CUI-1
C3829819
Did you have a lot of energy?
Description

VitalityAssessmentResponseType

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
NCI Thesaurus ObjectClass
C20989
NCI Thesaurus Property
C25755
UMLS CUI-1
C3828394
Did you feel worn out?
Description

WornOutVitalityAssessmentResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C3828399
Did you feel tired?
Description

TiredVitalityAssessmentResponse

Data type

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS CUI-1
C3539029
Please score your overall quality of life as of today on an 11-point scale where 0 indicates being in the worst possible health and 10 indicates being in perfect health.
Description

Pleasescoreyouroverallqualityoflifeasoftodayonan11-pointscalewhere0indicatesbeingintheworstpossiblehealthand10indicatesbeinginperfecthealth.

Data type

integer

Alias
UMLS CUI-1
C0451401

Similar models

No Instruction available.

  1. StudyEvent: NSABP Protocol B-36 Quality of Life Questionnaire (English Version)
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Header
C1320722 (UMLS CUI-1)
Patient Initials
Item
Patient Initials (Last, First Middle)
text
C25191 (NCI Thesaurus ValueDomain)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
Patient ID NSABP
Item
NSABP Patient ID
text
C25337 (NCI Thesaurus ValueDomain)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C1513905 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C15818 (NCI Thesaurus Property-2)
Institution Name
Item
Institution Name
text
C25191 (NCI Thesaurus ValueDomain)
C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass)
C21541 (NCI Thesaurus ValueDomain-2)
C25364 (NCI Thesaurus Property)
Affiliate Name
Item
Affiliate Name
text
C21541 (NCI Thesaurus ObjectClass)
C1510825 (UMLS CUI-1)
C25413 (NCI Thesaurus ObjectClass-2)
C25364 (NCI Thesaurus Property)
C25191 (NCI Thesaurus ValueDomain)
C21541 (NCI Thesaurus ValueDomain-2)
PersonFormAdministrationLastName
Item
Staff member administering form (Last Name)
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C19464 (NCI Thesaurus Property)
C0376315 (UMLS 2011AA Property)
C25551 (NCI Thesaurus ValueDomain-2)
C1517741 (UMLS 2011AA ValueDomain-2)
C25409 (NCI Thesaurus Property-2)
C1533734 (UMLS 2011AA Property-2)
PersonFormAdministrationFirstName
Item
Staff member administering form, first name
text
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C19464 (NCI Thesaurus Property)
C0376315 (UMLS 2011AA Property)
C25409 (NCI Thesaurus Property-2)
C1533734 (UMLS 2011AA Property-2)
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25509 (NCI Thesaurus ValueDomain-2)
C1279901 (UMLS 2011AA ValueDomain-2)
PersonFormAdministrationPhoneNumber
Item
Staff Member Administering Form, Phone
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C19464 (NCI Thesaurus Property)
C0376315 (UMLS 2011AA Property)
C25409 (NCI Thesaurus Property-2)
C1533734 (UMLS 2011AA Property-2)
Today'sDate
Item
Today's Date (Month Day Year)
text
Item
Time point
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25616 (NCI Thesaurus Property)
C0031809 (UMLS CUI-1)
C1948053 (UMLS CUI-2)
Code List
Time point
CL Item
12 Months (12 months)
CL Item
18 Months (18 months)
CL Item
24 Months (24 months)
CL Item
30 Months (30 months)
CL Item
36 Months (36 months)
CL Item
6 Months (6 months)
CL Item
Baseline (baseline)
C25213 (NCI Thesaurus)
C1442488 (UMLS 2011AA)
CL Item
Day 1 Of Cycle 4 (Day 1 of Cycle 4)
Item
This form is being filled out
text
C25284 (NCI Thesaurus ValueDomain)
C25190 (NCI Thesaurus Property)
C40988 (NCI Thesaurus ObjectClass)
C25250 (NCI Thesaurus Property-2)
C0027361 (UMLS CUI-1)
C1516308 (UMLS CUI-2)
C0205197 (UMLS CUI-3)
Code List
This form is being filled out
CL Item
0 By Patient In Office (By patient in doctor's office)
CL Item
By patient not in doctor's office (By patient not in doctor's office)
CL Item
1 By Clinical Staff On Phone With Patient (By clinical staff on phone with patient)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
Questionnaire date
Item
Date this questionnaire is completed (For example, if you were completing the questionnaire on September 8, 2003, you would write 09 08 2003 in the boxes.)
date
C25164 (NCI Thesaurus ValueDomain)
C2826959 (UMLS CUI-1)
Item Group
Quality of life
C0451401 (UMLS CUI-1)
Item
I have a lack of energy.
text
C25664 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C3036 (NCI Thesaurus ObjectClass-2)
C0015672 (UMLS CUI-1)
Code List
I have a lack of energy.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I have nausea.
text
C25664 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C3258 (NCI Thesaurus ObjectClass-2)
C0027497 (UMLS CUI-1)
Code List
I have nausea.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
Because of my physical condition, I have trouble meeting the needs of my family.
text
C25284 (NCI Thesaurus ValueDomain)
Code List
Because of my physical condition, I have trouble meeting the needs of my family.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I have pain.
text
C25664 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C3303 (NCI Thesaurus ObjectClass-2)
C0030193 (UMLS CUI-1)
Code List
I have pain.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I am bothered by side effects of treatment.
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus Property)
C41331 (NCI Thesaurus ObjectClass)
C38757 (NCI Thesaurus Property-2)
C0877248 (UMLS CUI-1)
Code List
I am bothered by side effects of treatment.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I feel ill.
text
C25284 (NCI Thesaurus ValueDomain)
C2987492 (UMLS CUI-1)
Code List
I feel ill.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I am forced to spend time in bed.
text
C0004910 (UMLS CUI-1)
Code List
I am forced to spend time in bed.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I feel close to my friends.
text
C25284 (NCI Thesaurus ValueDomain)
C2984048 (UMLS CUI-1)
Code List
I feel close to my friends.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I get emotional support from my family.
text
C16960 (NCI Thesaurus ObjectClass)
C25173 (NCI Thesaurus ObjectClass-2)
C20989 (NCI Thesaurus Property)
C0600015 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C2984050 (UMLS CUI-1)
Code List
I get emotional support from my family.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I get support from my friends.
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C2984072 (UMLS CUI-1)
Code List
I get support from my friends.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
My family has accepted my illness.
text
C2984053 (UMLS CUI-1)
Code List
My family has accepted my illness.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I am satisfied with family communication about my illness.
text
C25284 (NCI Thesaurus ValueDomain)
C2984054 (UMLS CUI-1)
Code List
I am satisfied with family communication about my illness.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I feel close to my partner. (or the person who is my main support)
text
C25284 (NCI Thesaurus ValueDomain)
C2984059 (UMLS CUI-1)
Code List
I feel close to my partner. (or the person who is my main support)
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Question no response
Item
If you prefer not to answer it, please check this box and go to the next section. (Regardless of your current level of sexual activity, please answer the following question.)
boolean
Item
I am satisfied with my sex life.
text
C25284 (NCI Thesaurus ValueDomain)
C0871356 (UMLS CUI-1)
Code List
I am satisfied with my sex life.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I feel sad.
text
C16960 (NCI Thesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
C2982 (NCI Thesaurus Property-2)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C0011581 (UMLS CUI-1)
Code List
I feel sad.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I am satisfied with how I am coping with my illness.
text
C16960 (NCI Thesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
CL140183 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C0009967 (UMLS CUI-1)
Code List
I am satisfied with how I am coping with my illness.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I am losing hope in the fight against my illness.
text
C25284 (NCI Thesaurus ValueDomain)
C2984056 (UMLS CUI-1)
Code List
I am losing hope in the fight against my illness.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I feel nervous.
text
C16960 (NCI Thesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
C25584 (NCI Thesaurus Property-2)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C0027769 (UMLS CUI-1)
Code List
I feel nervous.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I worry about dying.
text
C16960 (NCI Thesaurus ObjectClass)
C0233481 (NCI Metathesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
C28554 (NCI Thesaurus Property-2)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C2984076 (UMLS CUI-1)
Code List
I worry about dying.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I worry that my condition will get worse.
text
C25284 (NCI Thesaurus ValueDomain)
C2984075 (UMLS CUI-1)
Code List
I worry that my condition will get worse.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I am able to work. (include work at home)
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C2984044 (UMLS CUI-1)
Code List
I am able to work. (include work at home)
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
My work is fulfilling. (include work at home)
text
C25284 (NCI Thesaurus ValueDomain)
C2984074 (UMLS CUI-1)
Code List
My work is fulfilling. (include work at home)
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I am able to enjoy life.
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C2984051 (UMLS CUI-1)
Code List
I am able to enjoy life.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I have accepted my illness.
text
C2984045 (UMLS CUI-1)
Code List
I have accepted my illness.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I am sleeping well.
text
C16960 (NCI Thesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
C0037313 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C2984071 (UMLS CUI-1)
Code List
I am sleeping well.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I am enjoying the things I usually do.
text
C17047 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus Property)
C62185 (NCI Thesaurus Property-2)
C73426 (NCI Thesaurus Property-3)
C25284 (NCI Thesaurus ValueDomain)
C2984052 (UMLS CUI-1)
Code List
I am enjoying the things I usually do.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I am content with the quality of my life right now.
text
C25284 (NCI Thesaurus ValueDomain)
C2984049 (UMLS CUI-1)
Code List
I am content with the quality of my life right now.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I have been short of breath.
text
C25284 (NCI Thesaurus ValueDomain)
C0013404 (UMLS CUI-1)
Code List
I have been short of breath.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I am self-conscious about the way I dress.
text
C25284 (NCI Thesaurus ValueDomain)
C3475654 (UMLS CUI-1)
Code List
I am self-conscious about the way I dress.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
One or both of my arms are swollen or tender.
text
C25284 (NCI Thesaurus ValueDomain)
C0577598 (UMLS CUI-1)
Code List
One or both of my arms are swollen or tender.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I feel sexually attractive.
text
C3274934 (UMLS CUI-1)
Code List
I feel sexually attractive.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I am bothered by hair loss.
text
C25284 (NCI Thesaurus ValueDomain)
C3831302 (UMLS CUI-1)
Code List
I am bothered by hair loss.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I worry that other members of my family might someday get the same illness I have.
text
C3476047 (UMLS CUI [1])
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
Code List
I worry that other members of my family might someday get the same illness I have.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I worry about the effect of stress on my illness.
text
C25284 (NCI Thesaurus ValueDomain)
C3274929 (UMLS CUI-1)
Code List
I worry about the effect of stress on my illness.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I am bothered by a change in weight.
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C3274921 (UMLS CUI-1)
Code List
I am bothered by a change in weight.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
I am able to feel like a woman.
text
C3475547 (UMLS CUI [1])
C25284 (NCI Thesaurus ValueDomain)
Code List
I am able to feel like a woman.
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
headaches
text
C25626 (NCI Thesaurus Property)
C34661 (NCI Thesaurus ObjectClass)
C25688 (NCI Thesaurus ValueDomain)
C0018681 (UMLS CUI-1)
Code List
headaches
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
indigestion
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C0013395 (UMLS CUI-1)
Code List
indigestion
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
nausea
text
C0027497 (UMLS CUI-1)
Code List
nausea
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
heartburn
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C0018834 (UMLS CUI-1)
Code List
heartburn
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
vomiting
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C0042963 (UMLS CUI-1)
Code List
vomiting
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
passing a lot of gas (flatulence)
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C0016204 (UMLS CUI-1)
Code List
passing a lot of gas (flatulence)
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
mouth sores
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C0149745 (UMLS CUI-1)
Code List
mouth sores
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
diarrhea
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C0011991 (UMLS CUI-1)
Code List
diarrhea
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
skin problems (including rash, dry skin, itching, irritation or redness)
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C0281822 (UMLS CUI-1)
Code List
skin problems (including rash, dry skin, itching, irritation or redness)
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
numbness or tingling in hands or feet
text
C25284 (NCI Thesaurus ValueDomain)
C3828645 (UMLS CUI-1)
Code List
numbness or tingling in hands or feet
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
fever or shivering (shaking, chills)
text
C25284 (NCI Thesaurus ValueDomain)
C0015967 (UMLS CUI-1)
Code List
fever or shivering (shaking, chills)
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
difficulty with bladder control
text
C25180 (NCI Thesaurus ValueDomain)
C3639680 (UMLS CUI-1)
Code List
difficulty with bladder control
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
constipation
text
C25284 (NCI Thesaurus ValueDomain)
C0009806 (UMLS CUI-1)
Code List
constipation
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
hot flashes
text
C25180 (NCI Thesaurus ValueDomain)
C0600142 (UMLS CUI-1)
Code List
hot flashes
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
genital itching or irritation
text
C25284 (NCI Thesaurus ValueDomain)
C0033777 (UMLS CUI-1)
Code List
genital itching or irritation
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
mood swings
text
C25284 (NCI Thesaurus ValueDomain)
C0085633 (UMLS CUI-1)
Code List
mood swings
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
vaginal discharge
text
C25284 (NCI Thesaurus ValueDomain)
C0227791 (UMLS CUI-1)
Code List
vaginal discharge
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
vaginal bleeding or spotting
text
C25180 (NCI Thesaurus ValueDomain)
C3475970 (UMLS CUI-1)
Code List
vaginal bleeding or spotting
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
vaginal dryness
text
C25284 (NCI Thesaurus ValueDomain)
C0241633 (UMLS CUI-1)
Code List
vaginal dryness
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
pain with intercourse
text
C25180 (NCI Thesaurus ValueDomain)
C0423742 (UMLS CUI-1)
Code List
pain with intercourse
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
cramps
text
C25284 (NCI Thesaurus ValueDomain)
C0026821 (UMLS CUI-1)
Code List
cramps
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
general aches and pains
text
C25180 (NCI Thesaurus ValueDomain)
C0281856 (UMLS CUI-1)
Code List
general aches and pains
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
joint pains
text
C25180 (NCI Thesaurus ValueDomain)
C0003862 (UMLS CUI-1)
Code List
joint pains
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
swelling of hands
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C0575805 (UMLS CUI-1)
Code List
swelling of hands
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
muscle stiffness
text
C25180 (NCI Thesaurus ValueDomain)
C0221170 (UMLS CUI-1)
Code List
muscle stiffness
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
weight gain
text
C25180 (NCI Thesaurus ValueDomain)
C0043094 (UMLS CUI-1)
Code List
weight gain
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
weight loss
text
C38147 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C3445 (NCI Thesaurus ObjectClass-2)
C1262477 (UMLS CUI-1)
Code List
weight loss
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
unhappy with appearance of my body
text
C25180 (NCI Thesaurus ValueDomain)
C3274925 (UMLS CUI-1)
Code List
unhappy with appearance of my body
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
forgetfulness
text
C25180 (NCI Thesaurus ValueDomain)
C0542476 (UMLS CUI-1)
Code List
forgetfulness
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
night sweats
text
C25180 (NCI Thesaurus ValueDomain)
C0028081 (UMLS CUI-1)
Code List
night sweats
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
cold sweats
text
C25180 (NCI Thesaurus ValueDomain)
C0232431 (UMLS CUI-1)
Code List
cold sweats
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
difficulty concentrating
text
C25180 (NCI Thesaurus ValueDomain)
C0947509 (UMLS CUI-1)
Code List
difficulty concentrating
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very much (5)
C2984081 (UMLS CUI-1)
Item
Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C2963465 (UMLS CUI-1)
Code List
Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports
CL Item
Yes, limited a lot (4)
C3829282 (UMLS CUI-1)
CL Item
Yes, limited a little (2)
C3829283 (UMLS CUI-1)
CL Item
No, not limited at all (1)
C3845941 (UMLS CUI-1)
Item
Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf
text
C3833417 (UMLS CUI-1)
Code List
Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf
CL Item
Yes, limited a lot (4)
C3829282 (UMLS CUI-1)
CL Item
Yes, limited a little (2)
C3829283 (UMLS CUI-1)
CL Item
No, not limited at all (1)
C3845941 (UMLS CUI-1)
Item
Lifting or carrying groceries
text
C17047 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus Property)
C17708 (NCI Thesaurus Property-2)
C62189 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C3829286 (UMLS CUI-1)
Code List
Lifting or carrying groceries
CL Item
Yes, limited a lot (4)
C3829282 (UMLS CUI-1)
CL Item
Yes, limited a little (2)
C3829283 (UMLS CUI-1)
CL Item
No, not limited at all (1)
C3845941 (UMLS CUI-1)
Item
Climbing several flights of stairs
text
C25664 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus Property)
CL299704 (NCI Metathesaurus ObjectClass)
C17708 (NCI Thesaurus ObjectClass)
C3831080 (UMLS CUI-1)
Code List
Climbing several flights of stairs
CL Item
Yes, limited a lot (4)
C3829282 (UMLS CUI-1)
CL Item
Yes, limited a little (2)
C3829283 (UMLS CUI-1)
CL Item
No, not limited at all (1)
C3845941 (UMLS CUI-1)
Item
Bending, kneeling, or stooping
text
C25284 (NCI Thesaurus ValueDomain)
C3831371 (UMLS CUI-1)
Code List
Bending, kneeling, or stooping
CL Item
Yes, limited a lot (4)
C3829282 (UMLS CUI-1)
CL Item
Yes, limited a little (2)
C3829283 (UMLS CUI-1)
CL Item
No, not limited at all (1)
C3845941 (UMLS CUI-1)
Item
Walking more than a mile
text
C25284 (NCI Thesaurus ValueDomain)
C3827523 (UMLS CUI-1)
Code List
Walking more than a mile
CL Item
Yes, limited a lot (4)
C3829282 (UMLS CUI-1)
CL Item
Yes, limited a little (2)
C3829283 (UMLS CUI-1)
CL Item
No, not limited at all (1)
C3845941 (UMLS CUI-1)
Item
Walking several hundred yards
text
C25284 (NCI Thesaurus ValueDomain)
C2963458 (UMLS CUI-1)
Code List
Walking several hundred yards
CL Item
Yes, limited a lot (4)
C3829282 (UMLS CUI-1)
CL Item
Yes, limited a little (2)
C3829283 (UMLS CUI-1)
CL Item
No, not limited at all (1)
C3845941 (UMLS CUI-1)
Item
Walking one hundred yards
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C2963456 (UMLS CUI-1)
Code List
Walking one hundred yards
CL Item
Yes, limited a lot (4)
C3829282 (UMLS CUI-1)
CL Item
Yes, limited a little (2)
C3829283 (UMLS CUI-1)
CL Item
No, not limited at all (1)
C3845941 (UMLS CUI-1)
Item
Bathing or dressing yourself
text
C25284 (NCI Thesaurus ValueDomain)
C3831396 (UMLS CUI-1)
Code List
Bathing or dressing yourself
CL Item
Yes, limited a lot (4)
C3829282 (UMLS CUI-1)
CL Item
Yes, limited a little (2)
C3829283 (UMLS CUI-1)
CL Item
No, not limited at all (1)
C3845941 (UMLS CUI-1)
Item
Did you feel full of life?
integer
C3829819 (UMLS CUI-1)
Code List
Did you feel full of life?
CL Item
None of the time (1)
C3812882 (UMLS CUI-1)
CL Item
A little of the time (2)
C3831570 (UMLS CUI-1)
CL Item
Some of the time (3)
C3827992 (UMLS CUI-1)
CL Item
Most of the time (4)
C3828954 (UMLS CUI-1)
CL Item
All of the time (5)
C3812891 (UMLS CUI-1)
Item
Did you have a lot of energy?
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C3828394 (UMLS CUI-1)
Code List
Did you have a lot of energy?
CL Item
None of the time (1)
C3812882 (UMLS CUI-1)
CL Item
A little of the time (2)
C3831570 (UMLS CUI-1)
CL Item
Some of the time (3)
C3827992 (UMLS CUI-1)
CL Item
Most of the time (4)
C3828954 (UMLS CUI-1)
CL Item
All of the time (5)
C3812891 (UMLS CUI-1)
Item
Did you feel worn out?
text
C25284 (NCI Thesaurus ValueDomain)
C3828399 (UMLS CUI-1)
Code List
Did you feel worn out?
CL Item
None of the time (1)
C3812882 (UMLS CUI-1)
CL Item
A little of the time (2)
C3831570 (UMLS CUI-1)
CL Item
Some of the time (3)
C3827992 (UMLS CUI-1)
CL Item
Most of the time (4)
C3828954 (UMLS CUI-1)
CL Item
All of the time (5)
C3812891 (UMLS CUI-1)
Item
Did you feel tired?
text
C25284 (NCI Thesaurus ValueDomain)
C3539029 (UMLS CUI-1)
Code List
Did you feel tired?
CL Item
None of the time (1)
C3812882 (UMLS CUI-1)
CL Item
A little of the time (2)
C3831570 (UMLS CUI-1)
CL Item
Some of the time (3)
C3827992 (UMLS CUI-1)
CL Item
Most of the time (4)
C3828954 (UMLS CUI-1)
CL Item
All of the time (5)
C3812891 (UMLS CUI-1)
Item
Please score your overall quality of life as of today on an 11-point scale where 0 indicates being in the worst possible health and 10 indicates being in perfect health.
integer
C0451401 (UMLS CUI-1)
Code List
Please score your overall quality of life as of today on an 11-point scale where 0 indicates being in the worst possible health and 10 indicates being in perfect health.
CL Item
0 (0)
C0919414 (NCI Metathesaurus)
CL Item
1 (1)
CL Item
2 (2)
C66833 (NCI Thesaurus)
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)
CL Item
10 (10)

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