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Modified (AUSVIQUOL) Quality of Life Questionnaire

7 forms  
General health perception
Description

General health perception

How has your health been in the last month in comparison with other people you know of the same age?
Description

I.94

Data type

text

Alias
UMLS CUI [1,1]
C0018759
UMLS CUI [1,2]
C1517741
UMLS CUI [1,3]
C0439231
Did the diagnosis of vascular disease affect your
Description

I.95

Data type

text

Alias
UMLS CUI [1,1]
C0011900
UMLS CUI [1,2]
C0042373
UMLS CUI [1,3]
C0392760
If you have had a vascular surgery, how would you rate your health after surgery?
Description

I.96

Data type

text

Alias
UMLS CUI [1,1]
C0042381
UMLS CUI [1,2]
C0018759
In comparison with your health 1 year ago, how would you rate your health now?
Description

I.97

Data type

text

Alias
UMLS CUI [1,1]
C0018759
UMLS CUI [1,2]
C0439234
UMLS CUI [1,3]
C1707455
Do you suffer from neurological symptoms?
Description

I.98

Data type

text

Alias
UMLS CUI [1,1]
C0235031
Have you felt lonely, unhappy, depressed, or anxious over the past month?
Description

I.99

Data type

text

Alias
UMLS CUI [1,1]
C0497307
UMLS CUI [1,2]
C0023974
UMLS CUI [1,3]
C0003467
UMLS CUI [1,4]
C0439231
In general, have there been any changes in your life that you feel have been detrimental to your quality of life?
Description

I.100

Data type

text

Alias
UMLS CUI [1,1]
C0392747
UMLS CUI [1,2]
C0034380
UMLS CUI [1,3]
C3640815
How is your medical knowledge about your rare vascular disease?
Description

I.101

Data type

text

Alias
UMLS CUI [1,1]
C1386497
UMLS CUI [1,2]
C0376554
UMLS CUI [1,3]
C0042373
UMLS CUI [1,4]
C0522498
Do you feel well informed / treated at your medical centre?
Description

I.102

Data type

text

Alias
UMLS CUI [1,1]
C1533716
UMLS CUI [1,2]
C0087111
UMLS CUI [1,3]
C1514623
UMLS CUI [1,4]
C0565990
Have you attended supporting groups for your disease?
Description

I.103

Data type

text

Alias
UMLS CUI [1,1]
C0036606
UMLS CUI [1,2]
C2827364
Would you appreciate further reference centres / supporting groups/ networking expert groups concerning your rare vascular disease?
Description

I.104

Data type

text

Alias
UMLS CUI [1,1]
C2346843
UMLS CUI [1,2]
C1517331
UMLS CUI [1,3]
C0036606
UMLS CUI [1,4]
C1882071
UMLS CUI [1,5]
C0019994
UMLS CUI [1,6]
C0522498
UMLS CUI [1,7]
C0042373
Does your disease affect familial and social life?
Description

I.105

Data type

text

Alias
UMLS CUI [1,1]
C0392760
UMLS CUI [1,2]
C0815198
UMLS CUI [1,3]
C3476515
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Similar models

Modified (AUSVIQUOL) Quality of Life Questionnaire

7 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
General health perception
Item
How has your health been in the last month in comparison with other people you know of the same age?
text
C0018759 (UMLS CUI [1,1])
C1517741 (UMLS CUI [1,2])
C0439231 (UMLS CUI [1,3])
CL.11
Code List
How has your health been in the last month in comparison with other people you know of the same age?
CL Item
Excellent (1)
C1961136 (UMLS CUI [1,1])
CL Item
Very Good (2)
C3641222 (UMLS CUI [1,1])
CL Item
Good (3)
C0205170 (UMLS CUI [1,1])
CL Item
Fair (4)
C2911689 (UMLS CUI [1,1])
CL Item
Poor (5)
C2700379 (UMLS CUI [1,1])
Item
Did the diagnosis of vascular disease affect your
text
C0011900 (UMLS CUI [1,1])
C0042373 (UMLS CUI [1,2])
C0392760 (UMLS CUI [1,3])
CL.12
Code List
Did the diagnosis of vascular disease affect your
CL Item
psychological health (1)
C0205486 (UMLS CUI [1,1])
C0018759 (UMLS CUI [1,2])
CL Item
physical health (2)
C0517226 (UMLS CUI [1,1])
CL Item
both (3)
C1706086 (UMLS CUI [1,1])
CL Item
none of the above (4)
C0549184 (UMLS CUI [1,1])
Item
If you have had a vascular surgery, how would you rate your health after surgery?
text
C0042381 (UMLS CUI [1,1])
C0018759 (UMLS CUI [1,2])
CL.13
Code List
If you have had a vascular surgery, how would you rate your health after surgery?
CL Item
a lot better than before (1)
C2984081 (UMLS CUI [1,1])
C3841449 (UMLS CUI [1,2])
CL Item
a little better than before (2)
C2984078 (UMLS CUI [1,1])
C3841646 (UMLS CUI [1,2])
CL Item
the same as before (3)
C0442739 (UMLS CUI [1,1])
CL Item
a little worse than before (4)
C2984078 (UMLS CUI [1,1])
C1457868 (UMLS CUI [1,2])
CL Item
a lot worse than before (5)
C2984081 (UMLS CUI [1,1])
C1457868 (UMLS CUI [1,2])
Item
In comparison with your health 1 year ago, how would you rate your health now?
text
C0018759 (UMLS CUI [1,1])
C0439234 (UMLS CUI [1,2])
C1707455 (UMLS CUI [1,3])
CL.13
Code List
In comparison with your health 1 year ago, how would you rate your health now?
CL Item
a lot better than before (1)
C2984081 (UMLS CUI [1,1])
C3841449 (UMLS CUI [1,2])
CL Item
a little better than before (2)
C2984078 (UMLS CUI [1,1])
C3841646 (UMLS CUI [1,2])
CL Item
the same as before (3)
C0442739 (UMLS CUI [1,1])
CL Item
a little worse than before (4)
C2984078 (UMLS CUI [1,1])
C1457868 (UMLS CUI [1,2])
CL Item
a lot worse than before (5)
C2984081 (UMLS CUI [1,1])
C1457868 (UMLS CUI [1,2])
Item
Do you suffer from neurological symptoms?
text
C0235031 (UMLS CUI [1,1])
CL.14
Code List
Do you suffer from neurological symptoms?
CL Item
Never (1)
C2003901 (UMLS CUI [1,1])
CL Item
Occasionally (2)
C1998882 (UMLS CUI [1,1])
CL Item
Sometimes (3)
C1998882 (UMLS CUI [1,1])
CL Item
Often (4)
C0332183 (UMLS CUI [1,1])
CL Item
Continuously (5)
C0549178 (UMLS CUI [1,1])
Item
Have you felt lonely, unhappy, depressed, or anxious over the past month?
text
C0497307 (UMLS CUI [1,1])
C0023974 (UMLS CUI [1,2])
C0003467 (UMLS CUI [1,3])
C0439231 (UMLS CUI [1,4])
CL.14
Code List
Have you felt lonely, unhappy, depressed, or anxious over the past month?
CL Item
Never (1)
C2003901 (UMLS CUI [1,1])
CL Item
Occasionally (2)
C1998882 (UMLS CUI [1,1])
CL Item
Sometimes (3)
C1998882 (UMLS CUI [1,1])
CL Item
Often (4)
C0332183 (UMLS CUI [1,1])
CL Item
Continuously (5)
C0549178 (UMLS CUI [1,1])
Item
In general, have there been any changes in your life that you feel have been detrimental to your quality of life?
text
C0392747 (UMLS CUI [1,1])
C0034380 (UMLS CUI [1,2])
C3640815 (UMLS CUI [1,3])
CL.15
Code List
In general, have there been any changes in your life that you feel have been detrimental to your quality of life?
CL Item
yes (1)
C1705108 (UMLS CUI [1,1])
CL Item
no (2)
C1298908 (UMLS CUI [1,1])
Item
How is your medical knowledge about your rare vascular disease?
text
C1386497 (UMLS CUI [1,1])
C0376554 (UMLS CUI [1,2])
C0042373 (UMLS CUI [1,3])
C0522498 (UMLS CUI [1,4])
CL.11
Code List
How is your medical knowledge about your rare vascular disease?
CL Item
Excellent (1)
C1961136 (UMLS CUI [1,1])
CL Item
Very Good (2)
C3641222 (UMLS CUI [1,1])
CL Item
Good (3)
C0205170 (UMLS CUI [1,1])
CL Item
Fair (4)
C2911689 (UMLS CUI [1,1])
CL Item
Poor (5)
C2700379 (UMLS CUI [1,1])
Item
Do you feel well informed / treated at your medical centre?
text
C1533716 (UMLS CUI [1,1])
C0087111 (UMLS CUI [1,2])
C1514623 (UMLS CUI [1,3])
C0565990 (UMLS CUI [1,4])
CL.16
Code List
Do you feel well informed / treated at your medical centre?
CL Item
yes (1)
C1705108 (UMLS CUI [1,1])
CL Item
more or less (2)
CL Item
no (3)
C1298908 (UMLS CUI [1,1])
Item
Have you attended supporting groups for your disease?
text
C0036606 (UMLS CUI [1,1])
C2827364 (UMLS CUI [1,2])
CL.15
Code List
Have you attended supporting groups for your disease?
CL Item
yes (1)
C1705108 (UMLS CUI [1,1])
CL Item
no (2)
C1298908 (UMLS CUI [1,1])
Item
Would you appreciate further reference centres / supporting groups/ networking expert groups concerning your rare vascular disease?
text
C2346843 (UMLS CUI [1,1])
C1517331 (UMLS CUI [1,2])
C0036606 (UMLS CUI [1,3])
C1882071 (UMLS CUI [1,4])
C0019994 (UMLS CUI [1,5])
C0522498 (UMLS CUI [1,6])
C0042373 (UMLS CUI [1,7])
CL.15
Code List
Would you appreciate further reference centres / supporting groups/ networking expert groups concerning your rare vascular disease?
CL Item
yes (1)
C1705108 (UMLS CUI [1,1])
CL Item
no (2)
C1298908 (UMLS CUI [1,1])
Item
Does your disease affect familial and social life?
text
C0392760 (UMLS CUI [1,1])
C0815198 (UMLS CUI [1,2])
C3476515 (UMLS CUI [1,3])
CL.17
Code List
Does your disease affect familial and social life?
CL Item
yes (1)
C1705108 (UMLS CUI [1,1])
CL Item
sometimes (2)
C1998882 (UMLS CUI [1,1])
CL Item
no (3)
C1298908 (UMLS CUI [1,1])
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