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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

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9A132BA5-9085-FFE2-E040-BB89AD43727A

Keywords

Versions (2)
  1. 9/19/12 9/19/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
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January 9, 2015

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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

    English

    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

    1 forms  
    Unnamed Module 1
    Description

    Unnamed Module 1

    RTOG Study No.
    Description

    Protocol ID RTOG

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C3274381
    NCI Thesaurus ObjectClass
    C25320
    UMLS CUI-2
    C1514695
    NCI Thesaurus Property
    C19778
    NCI Thesaurus Property-2
    C25364
    Case #
    Description

    RadiationTherapyOncologyGroupPatientCaseIdentifierNumber

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus ObjectClass-2
    C19778
    UMLS 2011AA ObjectClass-2
    C1514695
    NCI Thesaurus Property
    C25364
    UMLS 2011AA Property
    C0600091
    NCI Thesaurus Property-2
    C49152
    UMLS 2011AA Property-2
    C1706256
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    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
    Institution No.
    Description

    Institution Number

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C1301943
    NCI Thesaurus ObjectClass
    C21541
    UMLS CUI-2
    C0805701
    NCI Thesaurus Property
    C25364
    Patient Initials
    Description

    Patient Initials

    Data type

    text

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

    Trial subject ID RTOG

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C2348585
    NCI Thesaurus ObjectClass
    C16960
    UMLS CUI-2
    C1514695
    NCI Thesaurus Property
    C19778
    NCI Thesaurus Property-2
    C25364
    Amended data
    Description

    Data amended

    Data type

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS CUI-1
    C0680532
    NCI Thesaurus ObjectClass
    C25474
    NCI Thesaurus Property
    C25416
    Hearing Handicap Inventory For Adults Screening Questionnaire (newmaent Al., 1990; Newmaent Al., 1991)
    Description

    Hearing Handicap Inventory For Adults Screening Questionnaire (newmaent Al., 1990; Newmaent Al., 1991)

    Date
    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
    Does a hearing problem cause you to feel embarrassed when meeting new people
    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
    Does a hearing problem cause you to feel frustrated when talking to members of your family
    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
    Does a hearing problem cause you difficulty hearing/understanding coworkers, clients, or customers
    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
    Do you feel handicapped by a hearing problem
    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
    Does a hearing problem cause you difficulty when visiting friends, relatives, or neighbors
    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
    Does a hearing problem cause you difficulty in the movies or theater
    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
    Does a hearing problem cause you to have arguments with family members
    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
    Does a hearing problem cause you difficulty when listening to TV or radio
    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
    Do you feel that any difficulty with your hearing limits or hampers your personal or social life
    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
    Does a hearing problem cause you difficulty when in a restaurant with relatives or friends
    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

    1 forms
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Unnamed Module 1
    Protocol ID RTOG
    Item
    RTOG Study No.
    text
    C25337 (NCI Thesaurus ValueDomain)
    C3274381 (UMLS CUI-1)
    C25320 (NCI Thesaurus ObjectClass)
    C1514695 (UMLS CUI-2)
    C19778 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    RadiationTherapyOncologyGroupPatientCaseIdentifierNumber
    Item
    Case #
    text
    C16960 (NCI Thesaurus ObjectClass)
    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)
    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)
    Institution Number
    Item
    Institution No.
    text
    C25337 (NCI Thesaurus ValueDomain)
    C1301943 (UMLS CUI-1)
    C21541 (NCI Thesaurus ObjectClass)
    C0805701 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    Patient Initials
    Item
    Patient Initials
    text
    C25191 (NCI Thesaurus ValueDomain)
    C2986440 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25536 (NCI Thesaurus Property)
    Trial subject ID RTOG
    Item
    RTOG Patient ID
    text
    C25337 (NCI Thesaurus ValueDomain)
    C2348585 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C1514695 (UMLS CUI-2)
    C19778 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    Data amended
    Item
    Amended data
    boolean
    C38148 (NCI Thesaurus ValueDomain)
    C0680532 (UMLS CUI-1)
    C25474 (NCI Thesaurus ObjectClass)
    C25416 (NCI Thesaurus Property)
    Item Group
    Hearing Handicap Inventory For Adults Screening Questionnaire (newmaent Al., 1990; Newmaent Al., 1991)
    Assessment Date
    Item
    Date
    date
    C25164 (NCI Thesaurus ValueDomain)
    C2985720 (UMLS CUI-1)
    C25367 (NCI Thesaurus ObjectClass)
    C25367 (NCI Thesaurus ValueDomain-2)
    C38000 (NCI Thesaurus Property)
    Item
    Does a hearing problem cause you to feel embarrassed when meeting new people
    text
    C17047 (NCI Thesaurus ObjectClass)
    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)
    CL.2
    Code List
    Does a hearing problem cause you to feel embarrassed when meeting new people
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    CL Item
    Sometimes (Sometimes)
    C90025 (NCI Thesaurus)
    CL Item
    No (No)
    Item
    Does a hearing problem cause you to feel frustrated when talking to members of your family
    text
    C17047 (NCI Thesaurus ObjectClass)
    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)
    CL.3
    Code List
    Does a hearing problem cause you to feel frustrated when talking to members of your family
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    CL Item
    Sometimes (Sometimes)
    C90025 (NCI Thesaurus)
    CL Item
    No (No)
    Item
    Does a hearing problem cause you difficulty hearing/understanding coworkers, clients, or customers
    text
    C17047 (NCI Thesaurus ObjectClass)
    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)
    CL.4
    Code List
    Does a hearing problem cause you difficulty hearing/understanding coworkers, clients, or customers
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    CL Item
    Sometimes (Sometimes)
    C90025 (NCI Thesaurus)
    CL Item
    No (No)
    Item
    Do you feel handicapped by a hearing problem
    text
    C17047 (NCI Thesaurus ObjectClass)
    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)
    CL.5
    Code List
    Do you feel handicapped by a hearing problem
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    CL Item
    Sometimes (Sometimes)
    C90025 (NCI Thesaurus)
    CL Item
    No (No)
    Item
    Does a hearing problem cause you difficulty when visiting friends, relatives, or neighbors
    text
    C17047 (NCI Thesaurus ObjectClass)
    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)
    CL.6
    Code List
    Does a hearing problem cause you difficulty when visiting friends, relatives, or neighbors
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    CL Item
    Sometimes (Sometimes)
    C90025 (NCI Thesaurus)
    CL Item
    No (No)
    Item
    Does a hearing problem cause you difficulty in the movies or theater
    text
    C17047 (NCI Thesaurus ObjectClass)
    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)
    CL.7
    Code List
    Does a hearing problem cause you difficulty in the movies or theater
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    CL Item
    Sometimes (Sometimes)
    C90025 (NCI Thesaurus)
    CL Item
    No (No)
    Item
    Does a hearing problem cause you to have arguments with family members
    text
    C17047 (NCI Thesaurus ObjectClass)
    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)
    CL.8
    Code List
    Does a hearing problem cause you to have arguments with family members
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    CL Item
    Sometimes (Sometimes)
    C90025 (NCI Thesaurus)
    CL Item
    No (No)
    Item
    Does a hearing problem cause you difficulty when listening to TV or radio
    text
    C17047 (NCI Thesaurus ObjectClass)
    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)
    CL.9
    Code List
    Does a hearing problem cause you difficulty when listening to TV or radio
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    CL Item
    Sometimes (Sometimes)
    C90025 (NCI Thesaurus)
    CL Item
    No (No)
    Item
    Do you feel that any difficulty with your hearing limits or hampers your personal or social life
    text
    C17047 (NCI Thesaurus ObjectClass)
    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)
    CL.10
    Code List
    Do you feel that any difficulty with your hearing limits or hampers your personal or social life
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    CL Item
    Sometimes (Sometimes)
    C90025 (NCI Thesaurus)
    CL Item
    No (No)
    Item
    Does a hearing problem cause you difficulty when in a restaurant with relatives or friends
    text
    C17047 (NCI Thesaurus ObjectClass)
    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)
    C80231 (NCI Thesaurus Property-2)
    C1999269 (UMLS 2011AA Property-2)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    CL.11
    Code List
    Does a hearing problem cause you difficulty when in a restaurant with relatives or friends
    CL Item
    Yes (Yes)
    C49488 (NCI Thesaurus)
    C1705108 (UMLS 2011AA)
    CL Item
    Sometimes (Sometimes)
    C90025 (NCI Thesaurus)
    CL Item
    No (No)
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