PractitionersEngagedinAppliedResearchandLearningNetworkClinicalStudySiteIdentifierNumber
Item
Site Code
text
C15206 (NCI Thesaurus ObjectClass)
C0008972 (UMLS 2011AA ObjectClass)
C37901 (NCI Thesaurus ObjectClass)
C0205145 (UMLS 2011AA ObjectClass)
C52664 (NCI Thesaurus ObjectClass)
C1709628 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
PatientDentistVisitDate
Item
Date of visit
date
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C52654 (NCI Thesaurus Property)
C0011441 (UMLS 2011AA Property)
C25716 (NCI Thesaurus Property)
C0545082 (UMLS 2011AA Property)
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ValueDomain)
PatientCoordinatingIdentifierNumber
Item
Subject ID
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25462 (NCI Thesaurus Property)
C0700114 (UMLS 2011AA Property)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
PatientInitialsName
Item
Subject Initials
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25536 (NCI Thesaurus Property)
C1555582 (UMLS 2011AA Property)
Item
Treatment arm
text
C15368 (NCI Thesaurus ObjectClass)
C42651 (NCI Thesaurus ObjectClass)
C0442711 (UMLS 2011AA ObjectClass)
C32141 (NCI Thesaurus Property)
C1140618 (UMLS 2011AA Property)
C25426 (NCI Thesaurus Property)
C1516050 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
CL Item
Restoration With Rmgi (RR)
CL Item
Restoration With Dba (RD)
AssessmentPerformedDate
Item
Date of evaluation
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25367 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus ValueDomain)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
Item
Tooth quadrant
text
C12506 (NCI Thesaurus ObjectClass)
C0040426 (UMLS 2011AA ObjectClass)
C25341 (NCI Thesaurus Property)
C0450429 (UMLS 2011AA Property)
C12421 (NCI Thesaurus Property)
C0226896 (UMLS 2011AA Property)
C61106 (NCI Thesaurus Property)
C1631280 (UMLS 2011AA Property)
C13717 (NCI Thesaurus ValueDomain)
C1515974 (UMLS 2011AA ValueDomain)
CL Item
Lower Left Quadrant (Lower Left)
CL Item
Lower Right Quadrant (Lower Right)
CL Item
Upper Left Quadrant (Upper Left)
CL Item
Upper Right Quadrant (Upper Right)
DentalInstrumentationFollow-upAirSpeedDescriptionValue
Item
Air velocity
double
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C16742 (NCI Thesaurus ObjectClass)
C0348000 (UMLS 2011AA ObjectClass)
C16033 (NCI Thesaurus Property)
C1522577 (UMLS 2011AA Property)
C25365 (NCI Thesaurus Property)
C0678257 (UMLS 2011AA Property)
C73434 (NCI Thesaurus Property)
C0001861 (UMLS 2011AA Property)
C41146 (NCI Thesaurus Property)
C0678536 (UMLS 2011AA Property)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
Item
Air stimulation pain level
text
C12506 (NCI Thesaurus ObjectClass)
C0040426 (UMLS 2011AA ObjectClass)
C25201 (NCI Thesaurus ObjectClass)
C1522640 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C61406 (NCI Thesaurus Property)
C1948023 (UMLS 2011AA Property)
C73434 (NCI Thesaurus Property)
C0001861 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
Code List
Air stimulation pain level
CL Item
0 (0)
C0919414 (NCI Metathesaurus)
CL Item
2 (2)
C66833 (NCI Thesaurus)
C0205448 (UMLS 2011AA)
Item
Does the pain linger >4 seconds (after removal of air blast)
text
C12506 (NCI Thesaurus ObjectClass)
C0040426 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C25201 (NCI Thesaurus Property)
C1522640 (UMLS 2011AA Property)
C25649 (NCI Thesaurus Property)
C1527428 (UMLS 2011AA Property)
C62180 (NCI Thesaurus Property)
C0009264 (UMLS 2011AA Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
Code List
Does the pain linger >4 seconds (after removal of air blast)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Cold stimulation pain level
text
C12506 (NCI Thesaurus ObjectClass)
C0040426 (UMLS 2011AA ObjectClass)
C25201 (NCI Thesaurus ObjectClass)
C1522640 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C62180 (NCI Thesaurus Property)
C0009264 (UMLS 2011AA Property)
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
Code List
Cold stimulation pain level
CL Item
0 (0)
C0919414 (NCI Metathesaurus)
CL Item
2 (2)
C66833 (NCI Thesaurus)
C0205448 (UMLS 2011AA)
ToothColdSensitivityAssessmentDuration
Item
Time to cold sensation (length of time from pellet application until subjet raises hand)
double
C12506 (NCI Thesaurus ObjectClass)
C0040426 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C25201 (NCI Thesaurus Property)
C1522640 (UMLS 2011AA Property)
C62180 (NCI Thesaurus Property)
C0009264 (UMLS 2011AA Property)
C25330 (NCI Thesaurus ValueDomain)
C0449238 (UMLS 2011AA ValueDomain)
Item
Does the pain linger > 4 seconds
text
C12506 (NCI Thesaurus ObjectClass)
C0040426 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C25201 (NCI Thesaurus Property)
C1522640 (UMLS 2011AA Property)
C25649 (NCI Thesaurus Property)
C1527428 (UMLS 2011AA Property)
C62181 (NCI Thesaurus Property)
C2350229 (UMLS 2011AA Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
Code List
Does the pain linger > 4 seconds
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Tooth quadrant
text
C12506 (NCI Thesaurus ObjectClass)
C0040426 (UMLS 2011AA ObjectClass)
C25341 (NCI Thesaurus Property)
C0450429 (UMLS 2011AA Property)
C12421 (NCI Thesaurus Property)
C0226896 (UMLS 2011AA Property)
C61106 (NCI Thesaurus Property)
C1631280 (UMLS 2011AA Property)
C13717 (NCI Thesaurus ValueDomain)
C1515974 (UMLS 2011AA ValueDomain)
CL Item
Lower Left Quadrant (Lower Left)
CL Item
Lower Right Quadrant (Lower Right)
CL Item
Upper Left Quadrant (Upper Left)
CL Item
Upper Right Quadrant (Upper Right)
Item
During chewing of food
text
C12506 (NCI Thesaurus ObjectClass)
C0040426 (UMLS 2011AA ObjectClass)
C25201 (NCI Thesaurus ObjectClass)
C1522640 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C62062 (NCI Thesaurus Property)
C0024888 (UMLS 2011AA Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
Code List
During chewing of food
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
During clenching
text
C12506 (NCI Thesaurus ObjectClass)
C0040426 (UMLS 2011AA ObjectClass)
C25201 (NCI Thesaurus ObjectClass)
C1522640 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C25195 (NCI Thesaurus Property)
C0033095 (UMLS 2011AA Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
Code List
During clenching
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Did you check the occlusion on the treated tooth (If "Yes" to either of the above)
text
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C62301 (NCI Thesaurus ObjectClass)
C0011382 (UMLS 2011AA ObjectClass)
Code List
Did you check the occlusion on the treated tooth (If "Yes" to either of the above)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Did you adjust the occlusion (If "Yes")
text
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C62301 (NCI Thesaurus ObjectClass)
C0011382 (UMLS 2011AA ObjectClass)
C49157 (NCI Thesaurus Property)
C0456081 (UMLS 2011AA Property)
Code List
Did you adjust the occlusion (If "Yes")
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Did the patient receive rescue treatment (since the last visit)
text
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
C54055 (NCI Thesaurus ObjectClass)
C0376495 (UMLS 2011AA ObjectClass)
Code List
Did the patient receive rescue treatment (since the last visit)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Tooth quadrant
text
C12506 (NCI Thesaurus ObjectClass)
C0040426 (UMLS 2011AA ObjectClass)
C25341 (NCI Thesaurus Property)
C0450429 (UMLS 2011AA Property)
C12421 (NCI Thesaurus Property)
C0226896 (UMLS 2011AA Property)
C61106 (NCI Thesaurus Property)
C1631280 (UMLS 2011AA Property)
C13717 (NCI Thesaurus ValueDomain)
C1515974 (UMLS 2011AA ValueDomain)
CL Item
Lower Left Quadrant (Lower Left)
CL Item
Lower Right Quadrant (Lower Right)
CL Item
Upper Left Quadrant (Upper Left)
CL Item
Upper Right Quadrant (Upper Right)
Item
Which rescue treatment was provided
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
C54055 (NCI Thesaurus ObjectClass)
C0376495 (UMLS 2011AA ObjectClass)
Code List
Which rescue treatment was provided
CL Item
Dental Bonding Agent Dental Liner (Liner+DBA)
C42795 (NCI Thesaurus)
C1707677 (UMLS 2011AA)
C62092 (NCI Thesaurus)
C1880280 (UMLS 2011AA)
CL Item
Dental Bonding Agent (DBA alone)
C62092 (NCI Thesaurus)
C1880280 (UMLS 2011AA)
CL Item
Not Applicable (N/A)
C48660 (NCI Thesaurus)
C1272460 (UMLS 2011AA)
RetreatmentAdministeredDate
Item
Date rescue treatment performed
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
C54055 (NCI Thesaurus ObjectClass)
C0376495 (UMLS 2011AA ObjectClass)
Item
Was the tooth evaluated for pulpitis
text
C54055 (NCI Thesaurus ObjectClass)
C0376495 (UMLS 2011AA ObjectClass)
C25367 (NCI Thesaurus Property)
C12506 (NCI Thesaurus Property)
C0040426 (UMLS 2011AA Property)
C52595 (NCI Thesaurus Property)
C0034103 (UMLS 2011AA Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
Code List
Was the tooth evaluated for pulpitis
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Was there evidence of pulpitis (If "Yes")
text
C54055 (NCI Thesaurus ObjectClass)
C0376495 (UMLS 2011AA ObjectClass)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C12506 (NCI Thesaurus Property)
C0040426 (UMLS 2011AA Property)
C52595 (NCI Thesaurus Property)
C0034103 (UMLS 2011AA Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
Code List
Was there evidence of pulpitis (If "Yes")
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Was endodontic therapy performed (If "Yes")
text
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C52575 (NCI Thesaurus Property)
C0700632 (UMLS 2011AA Property)
C54055 (NCI Thesaurus ObjectClass)
C0376495 (UMLS 2011AA ObjectClass)
Code List
Was endodontic therapy performed (If "Yes")
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
RetreatmentEndodonticTreatmentPerformedDate
Item
Date of endodontic treatment (If "Yes")
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C52575 (NCI Thesaurus Property)
C0700632 (UMLS 2011AA Property)
C54055 (NCI Thesaurus ObjectClass)
C0376495 (UMLS 2011AA ObjectClass)
Item
How much time did it take the patient to travel to the dental office today
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C53462 (NCI Thesaurus ObjectClass)
C0040802 (UMLS 2011AA ObjectClass)
C41136 (NCI Thesaurus Property)
C0226984 (UMLS 2011AA Property)
C25167 (NCI Thesaurus Property)
C0012751 (UMLS 2011AA Property)
C16988 (NCI Thesaurus Property)
C0031834 (UMLS 2011AA Property)
C25330 (NCI Thesaurus ValueDomain)
C0449238 (UMLS 2011AA ValueDomain)
Code List
How much time did it take the patient to travel to the dental office today
CL Item
0-15 Minutes (0-15 minutes)
CL Item
16-30 Minutes (16-30 minutes)
CL Item
31-60 Minutes (31-60 minutes)
CL Item
61-90 Minutes (61-90 minutes)
CL Item
91-120 Minutes (91-120 minutes)
CL Item
More Than 120 Minutes (More than 120 minutes)
Item
How much did it cost the patient to travel to the dental office today (including parking)
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C53462 (NCI Thesaurus ObjectClass)
C0040802 (UMLS 2011AA ObjectClass)
C41136 (NCI Thesaurus Property)
C0226984 (UMLS 2011AA Property)
C16988 (NCI Thesaurus Property)
C0031834 (UMLS 2011AA Property)
C69088 (NCI Thesaurus Property)
C0220812 (UMLS 2011AA Property)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C69088 (NCI Thesaurus ValueDomain)
C0220812 (UMLS 2011AA ValueDomain)
Code List
How much did it cost the patient to travel to the dental office today (including parking)
CL Item
More Than $30 (More than $30)
Item
Did the patient have to take time away from work to come to the dental office to treat the hypersensitivity
text
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C48190 (NCI Thesaurus Property)
C0332197 (UMLS 2011AA Property)
C25172 (NCI Thesaurus Property)
C0014003 (UMLS 2011AA Property)
Code List
Did the patient have to take time away from work to come to the dental office to treat the hypersensitivity
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
How much time did he/she take off (If "Yes")
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C48190 (NCI Thesaurus Property)
C0332197 (UMLS 2011AA Property)
C25172 (NCI Thesaurus Property)
C0014003 (UMLS 2011AA Property)
C25330 (NCI Thesaurus ValueDomain)
C0449238 (UMLS 2011AA ValueDomain)
Code List
How much time did he/she take off (If "Yes")
CL Item
0-30 Minutes (0-30 minutes)
CL Item
1-2 Hours (1-2 hours)
CL Item
2-3 Hours (2-3 hours)
CL Item
3-4 Hours (3-4 hours)
CL Item
31-60 Minutes (31-60 minutes)
CL Item
More Than 4 Hours (More than 4 hours)
Item
What is the total estimated cost for the rescue treatment if patient was not participating in the study
text
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
C25382 (NCI Thesaurus Property)
C1521801 (UMLS 2011AA Property)
C54055 (NCI Thesaurus ObjectClass)
C0376495 (UMLS 2011AA ObjectClass)
C69088 (NCI Thesaurus ValueDomain)
C0220812 (UMLS 2011AA ValueDomain)
Code List
What is the total estimated cost for the rescue treatment if patient was not participating in the study
CL Item
$101-150 ($101-150)
CL Item
$151-200 ($151-200)
CL Item
$201-250 ($201-250)
CL Item
$51-100 ($51-100)
CL Item
More Than $250 (More than $250)
ResearchCommentsText
Item
Comments
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C15319 (NCI Thesaurus ObjectClass)
C25393 (NCI Thesaurus Property)
C0282411 (UMLS 2011AA Property)