ID
8218
Description
RTOG 1016 QN: Radiation Therapy Oncology Group Phase III Head and Neck Cancer Hearing Handicap Inventory for Adults (HHIA-S) Radiation Therapy With Cisplatin or Cetuximab in Treating Patients With Oropharyngeal Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9A132BA5-9085-FFE2-E040-BB89AD43727A
Link
Keywords
Versions (2)
- 9/19/12 9/19/12 -
- 1/9/15 1/9/15 - Martin Dugas
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January 9, 2015
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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NCT01302834 Quality of Life - RTOG 1016 QN: Radiation Therapy Oncology Group Phase III Head and Neck Cancer Hearing Handicap Inventory for Adults (HHIA-S) - 3183758v1.0
INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. For optimal accuracy use black ink. Mark an X in the appropriate box for fields with a choice
- StudyEvent: RTOG 1016 QN: Radiation Therapy Oncology Group Phase III Head and Neck Cancer Hearing Handicap Inventory for Adults (HHIA-S)
Description
Hearing Handicap Inventory For Adults Screening Questionnaire (newmaent Al., 1990; Newmaent Al., 1991)
Description
Assessment Date
Data type
date
Alias
- NCI Thesaurus ValueDomain
- C25164
- UMLS CUI-1
- C2985720
- NCI Thesaurus ObjectClass
- C25367
- NCI Thesaurus ValueDomain-2
- C25367
- NCI Thesaurus Property
- C38000
Description
HearingProblemQualityofLifeEmbarrassmentEvaluationStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C17047
- UMLS 2011AA ObjectClass
- C0518214
- NCI Thesaurus ObjectClass-2
- C28020
- UMLS 2011AA ObjectClass-2
- C0033213
- NCI Thesaurus ObjectClass-3
- C16670
- UMLS 2011AA ObjectClass-3
- C0018767
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property-2
- C62187
- UMLS 2011AA Property-2
- C0679112
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Description
HearingProblemQualityofLifeFrustrationEvaluationStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C17047
- UMLS 2011AA ObjectClass
- C0518214
- NCI Thesaurus ObjectClass-2
- C28020
- UMLS 2011AA ObjectClass-2
- C0033213
- NCI Thesaurus ObjectClass-3
- C16670
- UMLS 2011AA ObjectClass-3
- C0018767
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property-2
- C61483
- UMLS 2011AA Property-2
- C0016770
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Description
HearingProblemQualityofLifeAuditoryEvaluationStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C17047
- UMLS 2011AA ObjectClass
- C0518214
- NCI Thesaurus ObjectClass-2
- C28020
- UMLS 2011AA ObjectClass-2
- C0033213
- NCI Thesaurus ObjectClass-3
- C16670
- UMLS 2011AA ObjectClass-3
- C0018767
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property-2
- C37915
- UMLS 2011AA Property-2
- C0439825
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Description
HearingProblemQualityofLifeDysfunctionEvaluationStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C17047
- UMLS 2011AA ObjectClass
- C0518214
- NCI Thesaurus ObjectClass-2
- C28020
- UMLS 2011AA ObjectClass-2
- C0033213
- NCI Thesaurus ObjectClass-3
- C16670
- UMLS 2011AA ObjectClass-3
- C0018767
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property-2
- C53526
- UMLS 2011AA Property-2
- C0277785
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Description
HearingProblemQualityofLifeSpeakEvaluationStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C17047
- UMLS 2011AA ObjectClass
- C0518214
- NCI Thesaurus ObjectClass-2
- C28020
- UMLS 2011AA ObjectClass-2
- C0033213
- NCI Thesaurus ObjectClass-3
- C16670
- UMLS 2011AA ObjectClass-3
- C0018767
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property-2
- C86914
- UMLS 2011AA Property-2
- C0234856
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Description
HearingProblemQualityofLifeMovieEvaluationStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C17047
- UMLS 2011AA ObjectClass
- C0518214
- NCI Thesaurus ObjectClass-2
- C28020
- UMLS 2011AA ObjectClass-2
- C0033213
- NCI Thesaurus ObjectClass-3
- C16670
- UMLS 2011AA ObjectClass-3
- C0018767
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property-2
- C75001
- UMLS 2011AA Property-2
- C0681495
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Description
HearingProblemQualityofLifeDiscussionDisagreementEvaluationStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C17047
- UMLS 2011AA ObjectClass
- C0518214
- NCI Thesaurus ObjectClass-2
- C28020
- UMLS 2011AA ObjectClass-2
- C0033213
- NCI Thesaurus ObjectClass-3
- C16670
- UMLS 2011AA ObjectClass-3
- C0018767
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property-2
- C54274
- UMLS 2011AA Property-2
- C0680238
- NCI Thesaurus Property-3
- C71323
- UMLS 2011AA Property-3
- C2584313
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Description
HearingProblemQualityofLifeComprehensionEvaluationStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C17047
- UMLS 2011AA ObjectClass
- C0518214
- NCI Thesaurus ObjectClass-2
- C28020
- UMLS 2011AA ObjectClass-2
- C0033213
- NCI Thesaurus ObjectClass-3
- C16670
- UMLS 2011AA ObjectClass-3
- C0018767
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property-2
- C86022
- UMLS 2011AA Property-2
- C0162340
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Description
HearingProblemQualityofLifeSocialEvaluationStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C17047
- UMLS 2011AA ObjectClass
- C0518214
- NCI Thesaurus ObjectClass-2
- C28020
- UMLS 2011AA ObjectClass-2
- C0033213
- NCI Thesaurus ObjectClass-3
- C16670
- UMLS 2011AA ObjectClass-3
- C0018767
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property-2
- C62650
- UMLS 2011AA Property-2
- C0728831
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
Description
HearingProblemQualityofLifeBuildingEvaluationStatus
Data type
text
Alias
- NCI Thesaurus ObjectClass
- C17047
- UMLS 2011AA ObjectClass
- C0518214
- NCI Thesaurus ObjectClass-2
- C28020
- UMLS 2011AA ObjectClass-2
- C0033213
- NCI Thesaurus ObjectClass-3
- C16670
- UMLS 2011AA ObjectClass-3
- C0018767
- NCI Thesaurus Property
- C25214
- UMLS 2011AA Property
- C0220825
- NCI Thesaurus Property-2
- C80231
- UMLS 2011AA Property-2
- C1999269
- NCI Thesaurus ValueDomain
- C25688
- UMLS 2011AA ValueDomain
- C0449438
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INSTRUCTIONS: Complete and submit this form as required by the protocol. Information in the upper right box must be completed for this form to be accepted. For optimal accuracy use black ink. Mark an X in the appropriate box for fields with a choice
- StudyEvent: RTOG 1016 QN: Radiation Therapy Oncology Group Phase III Head and Neck Cancer Hearing Handicap Inventory for Adults (HHIA-S)
C3274381 (UMLS CUI-1)
C25320 (NCI Thesaurus ObjectClass)
C1514695 (UMLS CUI-2)
C19778 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
C0030705 (UMLS 2011AA ObjectClass)
C19778 (NCI Thesaurus ObjectClass-2)
C1514695 (UMLS 2011AA ObjectClass-2)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C49152 (NCI Thesaurus Property-2)
C1706256 (UMLS 2011AA Property-2)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C1301943 (UMLS CUI-1)
C21541 (NCI Thesaurus ObjectClass)
C21541 (NCI Thesaurus ValueDomain-2)
C25364 (NCI Thesaurus Property)
C1301943 (UMLS CUI-1)
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C0805701 (UMLS CUI-2)
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C2986440 (UMLS CUI-1)
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C25536 (NCI Thesaurus Property)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C1514695 (UMLS CUI-2)
C19778 (NCI Thesaurus Property)
C25364 (NCI Thesaurus Property-2)
C0680532 (UMLS CUI-1)
C25474 (NCI Thesaurus ObjectClass)
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C2985720 (UMLS CUI-1)
C25367 (NCI Thesaurus ObjectClass)
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C38000 (NCI Thesaurus Property)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass-2)
C0033213 (UMLS 2011AA ObjectClass-2)
C16670 (NCI Thesaurus ObjectClass-3)
C0018767 (UMLS 2011AA ObjectClass-3)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C62187 (NCI Thesaurus Property-2)
C0679112 (UMLS 2011AA Property-2)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
C1705108 (UMLS 2011AA)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass-2)
C0033213 (UMLS 2011AA ObjectClass-2)
C16670 (NCI Thesaurus ObjectClass-3)
C0018767 (UMLS 2011AA ObjectClass-3)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C61483 (NCI Thesaurus Property-2)
C0016770 (UMLS 2011AA Property-2)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
C1705108 (UMLS 2011AA)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass-2)
C0033213 (UMLS 2011AA ObjectClass-2)
C16670 (NCI Thesaurus ObjectClass-3)
C0018767 (UMLS 2011AA ObjectClass-3)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C37915 (NCI Thesaurus Property-2)
C0439825 (UMLS 2011AA Property-2)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
C1705108 (UMLS 2011AA)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass-2)
C0033213 (UMLS 2011AA ObjectClass-2)
C16670 (NCI Thesaurus ObjectClass-3)
C0018767 (UMLS 2011AA ObjectClass-3)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C53526 (NCI Thesaurus Property-2)
C0277785 (UMLS 2011AA Property-2)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
C1705108 (UMLS 2011AA)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass-2)
C0033213 (UMLS 2011AA ObjectClass-2)
C16670 (NCI Thesaurus ObjectClass-3)
C0018767 (UMLS 2011AA ObjectClass-3)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C86914 (NCI Thesaurus Property-2)
C0234856 (UMLS 2011AA Property-2)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
C1705108 (UMLS 2011AA)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass-2)
C0033213 (UMLS 2011AA ObjectClass-2)
C16670 (NCI Thesaurus ObjectClass-3)
C0018767 (UMLS 2011AA ObjectClass-3)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C75001 (NCI Thesaurus Property-2)
C0681495 (UMLS 2011AA Property-2)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
C1705108 (UMLS 2011AA)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass-2)
C0033213 (UMLS 2011AA ObjectClass-2)
C16670 (NCI Thesaurus ObjectClass-3)
C0018767 (UMLS 2011AA ObjectClass-3)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C54274 (NCI Thesaurus Property-2)
C0680238 (UMLS 2011AA Property-2)
C71323 (NCI Thesaurus Property-3)
C2584313 (UMLS 2011AA Property-3)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
C1705108 (UMLS 2011AA)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass-2)
C0033213 (UMLS 2011AA ObjectClass-2)
C16670 (NCI Thesaurus ObjectClass-3)
C0018767 (UMLS 2011AA ObjectClass-3)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C86022 (NCI Thesaurus Property-2)
C0162340 (UMLS 2011AA Property-2)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
C1705108 (UMLS 2011AA)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass-2)
C0033213 (UMLS 2011AA ObjectClass-2)
C16670 (NCI Thesaurus ObjectClass-3)
C0018767 (UMLS 2011AA ObjectClass-3)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
C62650 (NCI Thesaurus Property-2)
C0728831 (UMLS 2011AA Property-2)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
C1705108 (UMLS 2011AA)
C0518214 (UMLS 2011AA ObjectClass)
C28020 (NCI Thesaurus ObjectClass-2)
C0033213 (UMLS 2011AA ObjectClass-2)
C16670 (NCI Thesaurus ObjectClass-3)
C0018767 (UMLS 2011AA ObjectClass-3)
C25214 (NCI Thesaurus Property)
C0220825 (UMLS 2011AA Property)
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