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8336

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RTOG 1016 PQ: Radiation Therapy Oncology Group Phase III Head and Neck Cancer PRO-CTCAE Assessment 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=95331A4F-A6A2-25A3-E040-BB89AD432C5C

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=95331A4F-A6A2-25A3-E040-BB89AD432C5C

Stichworte

Versionen (2)
  1. 18.12.14 18.12.14 - Martin Dugas
  2. 09.01.15 09.01.15 - Martin Dugas
Hochgeladen am

9. Januar 2015

DOI

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    NCT01302834 Quality of Life - RTOG 1016 PQ: Radiation Therapy Oncology Group Phase III Head and Neck Cancer PRO-CTCAE Assessment - 3159842v1.0

    Englisch

    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 Formulare  
    Unnamed Module 1
    Beschreibung

    Unnamed Module 1

    RTOG Study No.
    Beschreibung

    Protocol ID RTOG

    Datentyp

    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 #
    Beschreibung

    RadiationTherapyOncologyGroupPatientCaseIdentifierNumber

    Datentyp

    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
    Beschreibung

    Institution Name

    Datentyp

    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.
    Beschreibung

    Institution Number

    Datentyp

    text

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

    Patient Initials

    Datentyp

    text

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

    Trial subject ID RTOG

    Datentyp

    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
    Beschreibung

    Data amended

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38148
    UMLS CUI-1
    C0680532
    NCI Thesaurus ObjectClass
    C25474
    NCI Thesaurus Property
    C25416
    Eortc Qlq-h&n35
    Beschreibung

    Eortc Qlq-h&n35

    How OFTEN did you have NAUSEA?
    Beschreibung

    PatientNauseaAssessmentFrequency

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus Property-2
    C3258
    UMLS 2011AA Property-2
    C0027497
    NCI Thesaurus ValueDomain
    C25515
    UMLS 2011AA ValueDomain
    C0439603
    What was the SEVERITY of your NAUSEA at its WORSE
    Beschreibung

    PatientNauseaAssessmentSeverityStatus

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus Property-2
    C3258
    UMLS 2011AA Property-2
    C0027497
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    Did you LOSE ANY FINGERNAILS OR TOENAILS
    Beschreibung

    NailLossAssessmentInd-2

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ObjectClass
    C78494
    UMLS 2011AA ObjectClass
    C0263540
    What was the SEVERITY of your ACNE OR PIMPLES ON THE FACE OR CHEST at its WORST
    Beschreibung

    PatientSelf-ReportAcneSeverityStatus

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    NCI Thesaurus ObjectClass
    C21089
    UMLS 2011AA ObjectClass
    C0681906
    NCI Thesaurus Property
    C25676
    UMLS 2011AA Property
    C0439793
    NCI Thesaurus Property-2
    C27195
    UMLS 2011AA Property-2
    C0702166
    What was the SEVERITY of your NUMBNESS OR TINGLING IN YOUR HANDS OR FEET at its WORST
    Beschreibung

    PatientSelf-ReportNumbnessHandFootAssessmentStatus

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C21089
    UMLS 2011AA ObjectClass
    C0681906
    NCI Thesaurus Property
    C25367
    NCI Thesaurus Property-2
    C32622
    UMLS 2011AA Property
    C0016504
    NCI Thesaurus Property-3
    C32712
    UMLS 2011AA Property-2
    C0018563
    NCI Thesaurus Property-4
    C34857
    UMLS 2011AA Property-3
    C0028643
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    How much did NUMBNESS OR TINGLING IN YOUR HANDS OR FEET INTERFERE with your usual or daily activities
    Beschreibung

    PatientSelf-ReportNumbnessHandFootAssessmentType

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C21089
    UMLS 2011AA ObjectClass
    C0681906
    NCI Thesaurus Property
    C25367
    NCI Thesaurus Property-2
    C32622
    UMLS 2011AA Property
    C0016504
    NCI Thesaurus Property-3
    C32712
    UMLS 2011AA Property-2
    C0018563
    NCI Thesaurus Property-4
    C34857
    UMLS 2011AA Property-3
    C0028643
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    What was the SEVERITY of your COUGH at its WORST
    Beschreibung

    PatientSelf-ReportCoughAssessmentStatus

    Datentyp

    text

    Alias
    NCI Thesaurus Property
    C25367
    NCI Thesaurus Property-2
    C37935
    UMLS 2011AA Property
    C0010200
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    NCI Thesaurus ObjectClass
    C21089
    UMLS 2011AA ObjectClass
    C0681906
    How much did COUGH INTERFERE with your usual or daily activities
    Beschreibung

    PatientSelf-ReportCoughAssessmentType

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus Property
    C25367
    NCI Thesaurus Property-2
    C37935
    UMLS 2011AA Property
    C0010200
    NCI Thesaurus ObjectClass
    C21089
    UMLS 2011AA ObjectClass
    C0681906
    Pro-ctcae Assessment (cont.1)
    Beschreibung

    Pro-ctcae Assessment (cont.1)

    Did you have any RASH
    Beschreibung

    SkinRashPresentInd-2

    Datentyp

    boolean

    Alias
    NCI Thesaurus ValueDomain
    C38147
    UMLS 2011AA ValueDomain
    C1512698
    NCI Thesaurus Property
    C25626
    UMLS 2011AA Property
    C0150312
    NCI Thesaurus ObjectClass
    C39594
    UMLS 2011AA ObjectClass
    C0015230
    How OFTEN did you FEEL ANXIETY
    Beschreibung

    AnxietyAssessmentResponseFrequency

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C20989
    UMLS 2011AA ObjectClass
    C0031809
    NCI Thesaurus Property
    C25755
    UMLS 2011AA Property
    C0871261
    NCI Thesaurus ObjectClass-2
    C26696
    UMLS 2011AA ObjectClass-2
    C0003467
    NCI Thesaurus ValueDomain
    C25515
    UMLS 2011AA ValueDomain
    C0439603
    What was the SEVERITY of your ANXIETY at its WORST
    Beschreibung

    AnxietyAssessmentResponseStatus

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C20989
    UMLS 2011AA ObjectClass
    C0031809
    NCI Thesaurus Property
    C25755
    UMLS 2011AA Property
    C0871261
    NCI Thesaurus ObjectClass-2
    C26696
    UMLS 2011AA ObjectClass-2
    C0003467
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    How much did ANXIETY INTERFERE with your usual or daily activities
    Beschreibung

    AnxietyAssessmentResponseType

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C20989
    UMLS 2011AA ObjectClass
    C0031809
    NCI Thesaurus Property
    C25755
    UMLS 2011AA Property
    C0871261
    NCI Thesaurus ObjectClass-2
    C26696
    UMLS 2011AA ObjectClass-2
    C0003467
    What was the SEVERITY of your INSOMNIA (INCLUDING DIFFICULTY FALLING ASLEEP, STAYING ASLEEP, OR WAKING UP EARLY) at its WORST
    Beschreibung

    PatientSelf-ReportInsomniaAssessmentStatus

    Datentyp

    text

    Alias
    NCI Thesaurus Property
    C25367
    NCI Thesaurus Property-2
    C28286
    UMLS 2011AA Property
    C0917801
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    NCI Thesaurus ObjectClass
    C21089
    UMLS 2011AA ObjectClass
    C0681906
    How much did INSOMNIA (INCLUDING DIFFICULTY FALLING ASLEEP, STAYING ASLEEP, OR WAKING UP EARLY INTERFERE with your usual or daily activities
    Beschreibung

    PatientSelf-ReportInsomniaAssessmentType

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus Property
    C25367
    NCI Thesaurus Property-2
    C28286
    UMLS 2011AA Property
    C0917801
    NCI Thesaurus ObjectClass
    C21089
    UMLS 2011AA ObjectClass
    C0681906
    How OFTEN did you have SAD OR UNHAPPY FEELINGS
    Beschreibung

    PatientSelf-ReportSadnessAssessmentFrequency

    Datentyp

    text

    Alias
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ValueDomain
    C25515
    UMLS 2011AA ValueDomain
    C0439603
    NCI Thesaurus ObjectClass
    C21089
    UMLS 2011AA ObjectClass
    C0681906
    NCI Thesaurus Property-2
    C74534
    UMLS 2011AA Property
    C0344315
    What was the SEVERITY of your SAD OR UNHAPPY FEELINGS at their WORST
    Beschreibung

    PatientSelf-ReportSadnessAssessmentStatus

    Datentyp

    text

    Alias
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    NCI Thesaurus ObjectClass
    C21089
    UMLS 2011AA ObjectClass
    C0681906
    NCI Thesaurus Property-2
    C74534
    UMLS 2011AA Property
    C0344315
    How much did SAD OR UNHAPPY FEELINGS INTERFERE with your usual or daily activities
    Beschreibung

    PatientSelf-ReportSadnessAssessmentType

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ObjectClass
    C21089
    UMLS 2011AA ObjectClass
    C0681906
    NCI Thesaurus Property-2
    C74534
    UMLS 2011AA Property
    C0344315
    Pro-ctcae Assessment (cont.2)
    Beschreibung

    Pro-ctcae Assessment (cont.2)

    How OFTEN did you FEEL THAT NOTHING COULD CHEER YOU UP
    Beschreibung

    DepressionAssessmentResponseFrequency

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C20989
    UMLS 2011AA ObjectClass
    C0031809
    NCI Thesaurus Property
    C25755
    UMLS 2011AA Property
    C0871261
    NCI Thesaurus ObjectClass-2
    C2982
    UMLS 2011AA ObjectClass-2
    C0011570
    NCI Thesaurus ValueDomain
    C25515
    UMLS 2011AA ValueDomain
    C0439603
    What was the SEVERITY of your FEELINGS THAT NOTHING COULD CHEER YOU UP at their WORST
    Beschreibung

    DepressionAssessmentResponseStatus

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C20989
    UMLS 2011AA ObjectClass
    C0031809
    NCI Thesaurus Property
    C25755
    UMLS 2011AA Property
    C0871261
    NCI Thesaurus ObjectClass-2
    C2982
    UMLS 2011AA ObjectClass-2
    C0011570
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    How much did FEELING THAT NOTHING COULD CHEER YOU UP INTERFERE with your usual or daily activities
    Beschreibung

    DepressionAssessmentResponseType

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C20989
    UMLS 2011AA ObjectClass
    C0031809
    NCI Thesaurus Property
    C25755
    UMLS 2011AA Property
    C0871261
    NCI Thesaurus ObjectClass-2
    C2982
    UMLS 2011AA ObjectClass-2
    C0011570
    What was the SEVERITY of your MOUTH OR THROAT SORES at their WORST
    Beschreibung

    PatientSelf-ReportCankerSoreAssessmentStatus

    Datentyp

    text

    Alias
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    NCI Thesaurus ObjectClass
    C21089
    UMLS 2011AA ObjectClass
    C0681906
    NCI Thesaurus Property-2
    C62546
    UMLS 2011AA Property
    C0038363
    How much did MOUTH OR THROAT SORES INTERFERE with your usual or daily activities
    Beschreibung

    PatientSelf-ReportCankerSoreAssessmentType

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ObjectClass
    C21089
    UMLS 2011AA ObjectClass
    C0681906
    NCI Thesaurus Property-2
    C62546
    UMLS 2011AA Property
    C0038363
    Did you have any HAIR LOSS
    Beschreibung

    PatientSelf-ReportAlopeciaAssessmentType

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ObjectClass
    C21089
    UMLS 2011AA ObjectClass
    C0681906
    NCI Thesaurus Property-2
    C50575
    UMLS 2011AA Property
    C0002170
    What was the SEVERITY of your DIFFICULTY SWALLOWING at its WORST
    Beschreibung

    SwallowingFunctionCurrentDeficitStatus

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C25518
    UMLS 2011AA ObjectClass
    C0542341
    NCI Thesaurus ObjectClass-2
    C38028
    UMLS 2011AA ObjectClass-2
    C0011167
    NCI Thesaurus Property
    C25471
    UMLS 2011AA Property
    C0521116
    NCI Thesaurus Property-2
    C37940
    UMLS 2011AA Property-2
    C0011155
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    How OFTEN did you have VOMITING
    Beschreibung

    PatientVomitingSymptomFrequency

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C3442
    UMLS 2011AA Property
    C0042963
    NCI Thesaurus Property-2
    C4876
    UMLS 2011AA Property-2
    C1457887
    NCI Thesaurus ValueDomain
    C25515
    UMLS 2011AA ValueDomain
    C0439603
    What was the SEVERITY of your VOMITING at its WORST
    Beschreibung

    PatientVomitingSymptomStatus

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C3442
    UMLS 2011AA Property
    C0042963
    NCI Thesaurus Property-2
    C4876
    UMLS 2011AA Property-2
    C1457887
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    Pro-ctcae Assessment (cont.3)
    Beschreibung

    Pro-ctcae Assessment (cont.3)

    How OFTEN did you have HEARTBURN
    Beschreibung

    PatientSelf-ReportHeartburnAssessmentFrequency

    Datentyp

    text

    Alias
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ValueDomain
    C25515
    UMLS 2011AA ValueDomain
    C0439603
    NCI Thesaurus ObjectClass
    C21089
    UMLS 2011AA ObjectClass
    C0681906
    NCI Thesaurus Property-2
    C34670
    UMLS 2011AA Property
    C0018834
    What was the SEVERITY of your HEARTBURN at its WORST
    Beschreibung

    PatientSelf-ReportHeartburnAssessmentStatus

    Datentyp

    text

    Alias
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    NCI Thesaurus ObjectClass
    C21089
    UMLS 2011AA ObjectClass
    C0681906
    NCI Thesaurus Property-2
    C34670
    UMLS 2011AA Property
    C0018834
    What was the SEVERITY of your FATIGUE, TIREDNESS OR LACK OF ENERGY at its WORST
    Beschreibung

    PatientFatigueAssessmentStatus

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus Property-2
    C3036
    UMLS 2011AA Property-2
    C0015672
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    How much did FATIGUE, TIREDNESS, OR LACK OF ENERGY INTERFERE with your usual or daily activities
    Beschreibung

    PatientFatigueAssessmentType

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus Property-2
    C3036
    UMLS 2011AA Property-2
    C0015672
    What was the SEVERITY of your CONSTIPATION at its WORST
    Beschreibung

    PatientSelf-ReportConstipationAssessmentStatus

    Datentyp

    text

    Alias
    NCI Thesaurus Property
    C25367
    NCI Thesaurus Property-2
    C37930
    UMLS 2011AA Property
    C0009806
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    NCI Thesaurus ObjectClass
    C21089
    UMLS 2011AA ObjectClass
    C0681906
    What was the SEVERITY of your SKIN BURNS FROM RADIATION at their WORST
    Beschreibung

    PatientSelf-ReportSkinBurnAssessmentStatus

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C21089
    UMLS 2011AA ObjectClass
    C0681906
    NCI Thesaurus Property
    C25367
    NCI Thesaurus Property-2
    C12470
    UMLS 2011AA Property
    C1123023
    NCI Thesaurus Property-3
    C34441
    UMLS 2011AA Property-2
    C0006434
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    What was the SEVERITY of your RINGING IN YOUR EARS at its WORST
    Beschreibung

    PatientSelf-ReportTinnitusAssessmentStatus

    Datentyp

    text

    Alias
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    NCI Thesaurus ObjectClass
    C21089
    UMLS 2011AA ObjectClass
    C0681906
    NCI Thesaurus Property-2
    C50772
    UMLS 2011AA Property
    C0040264
    What was the SEVERITY of your ITCHY SKIN at its WORST
    Beschreibung

    PatientSelf-ReportPruritusAssessmentStatus

    Datentyp

    text

    Alias
    NCI Thesaurus Property
    C25367
    NCI Thesaurus Property-2
    C3344
    UMLS 2011AA Property
    C0033774
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    NCI Thesaurus ObjectClass
    C21089
    UMLS 2011AA ObjectClass
    C0681906
    Pro-ctcae Assessment (cont.4)
    Beschreibung

    Pro-ctcae Assessment (cont.4)

    What was the SEVERITY of your DRY SKIN at its WORST
    Beschreibung

    PatientSelf-ReportDrySkinAssessmentStatus

    Datentyp

    text

    Alias
    NCI Thesaurus Property
    C25367
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    NCI Thesaurus ObjectClass
    C21089
    UMLS 2011AA ObjectClass
    C0681906
    NCI Thesaurus Property-2
    C74592
    UMLS 2011AA Property
    C0151908
    What was the SEVERITY of your DECREASED APPETITE at their WORST
    Beschreibung

    PatientSelf-ReportLesserAppetiteAssessmentStatus

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C21089
    UMLS 2011AA ObjectClass
    C0681906
    NCI Thesaurus Property
    C25367
    NCI Thesaurus Property-2
    C25152
    UMLS 2011AA Property
    C0003618
    NCI Thesaurus Property-3
    C61422
    UMLS 2011AA Property-2
    C0547044
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    How much did DECREASED APPETITE INTERFERE with your usual or daily activities
    Beschreibung

    PatientSelf-ReportLesserAppetiteAssessmentType

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C21089
    UMLS 2011AA ObjectClass
    C0681906
    NCI Thesaurus Property
    C25367
    NCI Thesaurus Property-2
    C25152
    UMLS 2011AA Property
    C0003618
    NCI Thesaurus Property-3
    C61422
    UMLS 2011AA Property-2
    C0547044
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    What was the SEVERITY of your DRY MOUTH at its WORST
    Beschreibung

    PatientDryMouthAssessmentStatus

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus Property-2
    C26917
    UMLS 2011AA Property-2
    C0043352
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    What was the SEVERITY of your HOARSE VOICE at its WORST
    Beschreibung

    PatientVoiceAssessmentStatus

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    NCI Metathesaurus Property
    C0042939
    How OFTEN did you have PAIN
    Beschreibung

    PatientPainAssessmentFrequency

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus Property-2
    C3303
    UMLS 2011AA Property-2
    C0030193
    NCI Thesaurus ValueDomain
    C25515
    UMLS 2011AA ValueDomain
    C0439603
    What was the SEVERITY of PAIN at its WORST
    Beschreibung

    PatientPainAssessmentStatus

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus Property-2
    C3303
    UMLS 2011AA Property-2
    C0030193
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    How much did PAIN INTERFERE with your usual or daily activities
    Beschreibung

    PatientPainAssessmentType

    Datentyp

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C20989
    UMLS 2011AA Property
    C0031809
    NCI Thesaurus Property-2
    C3303
    UMLS 2011AA Property-2
    C0030193
    What was the SEVERITY of your PROBLEMS WITH TASTING FOOD OR DRINK at their WORST
    Beschreibung

    PatientFoodorFoodSubstanceTasteWorstProblemStatus

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus ObjectClass-2
    C38030
    NCI Thesaurus ObjectClass-3
    C1949
    UMLS 2011AA ObjectClass-2
    C0016452
    NCI Thesaurus Property
    C28020
    UMLS 2011AA Property
    C0033213
    NCI Thesaurus Property-2
    C25719
    UMLS 2011AA Property-2
    C1522166
    NCI Thesaurus ValueDomain
    C25688
    UMLS 2011AA ValueDomain
    C0449438
    How OFTEN did you have LOOSE OR WATERY STOOLS (DIARRHEA)
    Beschreibung

    QualityofLifeDiarrheaEvaluationFrequency

    Datentyp

    text

    Alias
    NCI Thesaurus ObjectClass
    C17047
    UMLS 2011AA ObjectClass
    C0518214
    NCI Thesaurus Property
    C25214
    UMLS 2011AA Property
    C0220825
    NCI Thesaurus Property-2
    C2987
    UMLS 2011AA Property-2
    C0011991
    NCI Thesaurus ValueDomain
    C25515
    UMLS 2011AA ValueDomain
    C0439603
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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 Formulare
    Name
    Typ
    Description | Question | Decode (Coded Value)
    Datentyp
    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
    Eortc Qlq-h&n35
    Item
    How OFTEN did you have NAUSEA?
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C3258 (NCI Thesaurus Property-2)
    C0027497 (UMLS 2011AA Property-2)
    C25515 (NCI Thesaurus ValueDomain)
    C0439603 (UMLS 2011AA ValueDomain)
    CL.2
    Code List
    How OFTEN did you have NAUSEA?
    CL Item
    Never (Never)
    C70543 (NCI Thesaurus)
    C2003901 (UMLS 2011AA)
    CL Item
    Rarely (Rarely)
    C73116 (NCI Thesaurus)
    C0522498 (UMLS 2011AA)
    CL Item
    Occasionally (Occasionally)
    CL Item
    Frequently (Frequently)
    CL Item
    Almost Constantly (Almost constantly)
    Item
    What was the SEVERITY of your NAUSEA at its WORSE
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C3258 (NCI Thesaurus Property-2)
    C0027497 (UMLS 2011AA Property-2)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    CL.3
    Code List
    What was the SEVERITY of your NAUSEA at its WORSE
    CL Item
    None (none)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    CL Item
    Mild (Mild)
    CL Item
    Moderate (Moderate)
    CL Item
    Severe (severe)
    CL Item
    Very Severe (Very severe)
    NailLossAssessmentInd-2
    Item
    Did you LOSE ANY FINGERNAILS OR TOENAILS
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus Property)
    C78494 (NCI Thesaurus ObjectClass)
    C0263540 (UMLS 2011AA ObjectClass)
    Item
    What was the SEVERITY of your ACNE OR PIMPLES ON THE FACE OR CHEST at its WORST
    text
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    C21089 (NCI Thesaurus ObjectClass)
    C0681906 (UMLS 2011AA ObjectClass)
    C25676 (NCI Thesaurus Property)
    C0439793 (UMLS 2011AA Property)
    C27195 (NCI Thesaurus Property-2)
    C0702166 (UMLS 2011AA Property-2)
    CL.5
    Code List
    What was the SEVERITY of your ACNE OR PIMPLES ON THE FACE OR CHEST at its WORST
    CL Item
    None (none)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    CL Item
    Mild (Mild)
    CL Item
    Moderate (Moderate)
    CL Item
    Severe (severe)
    CL Item
    Very Severe (Very severe)
    Item
    What was the SEVERITY of your NUMBNESS OR TINGLING IN YOUR HANDS OR FEET at its WORST
    text
    C21089 (NCI Thesaurus ObjectClass)
    C0681906 (UMLS 2011AA ObjectClass)
    C25367 (NCI Thesaurus Property)
    C32622 (NCI Thesaurus Property-2)
    C0016504 (UMLS 2011AA Property)
    C32712 (NCI Thesaurus Property-3)
    C0018563 (UMLS 2011AA Property-2)
    C34857 (NCI Thesaurus Property-4)
    C0028643 (UMLS 2011AA Property-3)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    CL.6
    Code List
    What was the SEVERITY of your NUMBNESS OR TINGLING IN YOUR HANDS OR FEET at its WORST
    CL Item
    None (none)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    CL Item
    Mild (Mild)
    CL Item
    Moderate (Moderate)
    CL Item
    Severe (severe)
    CL Item
    Very Severe (Very severe)
    Item
    How much did NUMBNESS OR TINGLING IN YOUR HANDS OR FEET INTERFERE with your usual or daily activities
    text
    C21089 (NCI Thesaurus ObjectClass)
    C0681906 (UMLS 2011AA ObjectClass)
    C25367 (NCI Thesaurus Property)
    C32622 (NCI Thesaurus Property-2)
    C0016504 (UMLS 2011AA Property)
    C32712 (NCI Thesaurus Property-3)
    C0018563 (UMLS 2011AA Property-2)
    C34857 (NCI Thesaurus Property-4)
    C0028643 (UMLS 2011AA Property-3)
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    CL.7
    Code List
    How much did NUMBNESS OR TINGLING IN YOUR HANDS OR FEET INTERFERE with your usual or daily activities
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    Item
    What was the SEVERITY of your COUGH at its WORST
    text
    C25367 (NCI Thesaurus Property)
    C37935 (NCI Thesaurus Property-2)
    C0010200 (UMLS 2011AA Property)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    C21089 (NCI Thesaurus ObjectClass)
    C0681906 (UMLS 2011AA ObjectClass)
    CL.8
    Code List
    What was the SEVERITY of your COUGH at its WORST
    CL Item
    None (none)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    CL Item
    Mild (Mild)
    CL Item
    Moderate (Moderate)
    CL Item
    Severe (severe)
    CL Item
    Very Severe (Very severe)
    Item
    How much did COUGH INTERFERE with your usual or daily activities
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus Property)
    C37935 (NCI Thesaurus Property-2)
    C0010200 (UMLS 2011AA Property)
    C21089 (NCI Thesaurus ObjectClass)
    C0681906 (UMLS 2011AA ObjectClass)
    CL.9
    Code List
    How much did COUGH INTERFERE with your usual or daily activities
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    Item Group
    Pro-ctcae Assessment (cont.1)
    SkinRashPresentInd-2
    Item
    Did you have any RASH
    boolean
    C38147 (NCI Thesaurus ValueDomain)
    C1512698 (UMLS 2011AA ValueDomain)
    C25626 (NCI Thesaurus Property)
    C0150312 (UMLS 2011AA Property)
    C39594 (NCI Thesaurus ObjectClass)
    C0015230 (UMLS 2011AA ObjectClass)
    Item
    How OFTEN did you FEEL ANXIETY
    text
    C20989 (NCI Thesaurus ObjectClass)
    C0031809 (UMLS 2011AA ObjectClass)
    C25755 (NCI Thesaurus Property)
    C0871261 (UMLS 2011AA Property)
    C26696 (NCI Thesaurus ObjectClass-2)
    C0003467 (UMLS 2011AA ObjectClass-2)
    C25515 (NCI Thesaurus ValueDomain)
    C0439603 (UMLS 2011AA ValueDomain)
    CL.11
    Code List
    How OFTEN did you FEEL ANXIETY
    CL Item
    Never (Never)
    C70543 (NCI Thesaurus)
    C2003901 (UMLS 2011AA)
    CL Item
    Rarely (Rarely)
    C73116 (NCI Thesaurus)
    C0522498 (UMLS 2011AA)
    CL Item
    Occasionally (Occasionally)
    CL Item
    Frequently (Frequently)
    CL Item
    Almost Constantly (Almost constantly)
    Item
    What was the SEVERITY of your ANXIETY at its WORST
    text
    C20989 (NCI Thesaurus ObjectClass)
    C0031809 (UMLS 2011AA ObjectClass)
    C25755 (NCI Thesaurus Property)
    C0871261 (UMLS 2011AA Property)
    C26696 (NCI Thesaurus ObjectClass-2)
    C0003467 (UMLS 2011AA ObjectClass-2)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    CL.12
    Code List
    What was the SEVERITY of your ANXIETY at its WORST
    CL Item
    None (none)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    CL Item
    Mild (Mild)
    CL Item
    Moderate (Moderate)
    CL Item
    Severe (severe)
    CL Item
    Very Severe (Very severe)
    Item
    How much did ANXIETY INTERFERE with your usual or daily activities
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C20989 (NCI Thesaurus ObjectClass)
    C0031809 (UMLS 2011AA ObjectClass)
    C25755 (NCI Thesaurus Property)
    C0871261 (UMLS 2011AA Property)
    C26696 (NCI Thesaurus ObjectClass-2)
    C0003467 (UMLS 2011AA ObjectClass-2)
    CL.13
    Code List
    How much did ANXIETY INTERFERE with your usual or daily activities
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    Item
    What was the SEVERITY of your INSOMNIA (INCLUDING DIFFICULTY FALLING ASLEEP, STAYING ASLEEP, OR WAKING UP EARLY) at its WORST
    text
    C25367 (NCI Thesaurus Property)
    C28286 (NCI Thesaurus Property-2)
    C0917801 (UMLS 2011AA Property)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    C21089 (NCI Thesaurus ObjectClass)
    C0681906 (UMLS 2011AA ObjectClass)
    CL.14
    Code List
    What was the SEVERITY of your INSOMNIA (INCLUDING DIFFICULTY FALLING ASLEEP, STAYING ASLEEP, OR WAKING UP EARLY) at its WORST
    CL Item
    None (none)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    CL Item
    Mild (Mild)
    CL Item
    Moderate (Moderate)
    CL Item
    Severe (severe)
    CL Item
    Very Severe (Very severe)
    Item
    How much did INSOMNIA (INCLUDING DIFFICULTY FALLING ASLEEP, STAYING ASLEEP, OR WAKING UP EARLY INTERFERE with your usual or daily activities
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus Property)
    C28286 (NCI Thesaurus Property-2)
    C0917801 (UMLS 2011AA Property)
    C21089 (NCI Thesaurus ObjectClass)
    C0681906 (UMLS 2011AA ObjectClass)
    CL.15
    Code List
    How much did INSOMNIA (INCLUDING DIFFICULTY FALLING ASLEEP, STAYING ASLEEP, OR WAKING UP EARLY INTERFERE with your usual or daily activities
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    Item
    How OFTEN did you have SAD OR UNHAPPY FEELINGS
    text
    C25367 (NCI Thesaurus Property)
    C25515 (NCI Thesaurus ValueDomain)
    C0439603 (UMLS 2011AA ValueDomain)
    C21089 (NCI Thesaurus ObjectClass)
    C0681906 (UMLS 2011AA ObjectClass)
    C74534 (NCI Thesaurus Property-2)
    C0344315 (UMLS 2011AA Property)
    CL.16
    Code List
    How OFTEN did you have SAD OR UNHAPPY FEELINGS
    CL Item
    Never (Never)
    C70543 (NCI Thesaurus)
    C2003901 (UMLS 2011AA)
    CL Item
    Rarely (Rarely)
    C73116 (NCI Thesaurus)
    C0522498 (UMLS 2011AA)
    CL Item
    Occasionally (Occasionally)
    CL Item
    Frequently (Frequently)
    CL Item
    Almost Constantly (Almost constantly)
    Item
    What was the SEVERITY of your SAD OR UNHAPPY FEELINGS at their WORST
    text
    C25367 (NCI Thesaurus Property)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    C21089 (NCI Thesaurus ObjectClass)
    C0681906 (UMLS 2011AA ObjectClass)
    C74534 (NCI Thesaurus Property-2)
    C0344315 (UMLS 2011AA Property)
    CL.17
    Code List
    What was the SEVERITY of your SAD OR UNHAPPY FEELINGS at their WORST
    CL Item
    None (none)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    CL Item
    Mild (Mild)
    CL Item
    Moderate (Moderate)
    CL Item
    Severe (severe)
    CL Item
    Very Severe (Very severe)
    Item
    How much did SAD OR UNHAPPY FEELINGS INTERFERE with your usual or daily activities
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus Property)
    C21089 (NCI Thesaurus ObjectClass)
    C0681906 (UMLS 2011AA ObjectClass)
    C74534 (NCI Thesaurus Property-2)
    C0344315 (UMLS 2011AA Property)
    CL.18
    Code List
    How much did SAD OR UNHAPPY FEELINGS INTERFERE with your usual or daily activities
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    Item Group
    Pro-ctcae Assessment (cont.2)
    Item
    How OFTEN did you FEEL THAT NOTHING COULD CHEER YOU UP
    text
    C20989 (NCI Thesaurus ObjectClass)
    C0031809 (UMLS 2011AA ObjectClass)
    C25755 (NCI Thesaurus Property)
    C0871261 (UMLS 2011AA Property)
    C2982 (NCI Thesaurus ObjectClass-2)
    C0011570 (UMLS 2011AA ObjectClass-2)
    C25515 (NCI Thesaurus ValueDomain)
    C0439603 (UMLS 2011AA ValueDomain)
    CL.19
    Code List
    How OFTEN did you FEEL THAT NOTHING COULD CHEER YOU UP
    CL Item
    Never (Never)
    C70543 (NCI Thesaurus)
    C2003901 (UMLS 2011AA)
    CL Item
    Rarely (Rarely)
    C73116 (NCI Thesaurus)
    C0522498 (UMLS 2011AA)
    CL Item
    Occasionally (Occasionally)
    CL Item
    Frequently (Frequently)
    CL Item
    Almost Constantly (Almost constantly)
    Item
    What was the SEVERITY of your FEELINGS THAT NOTHING COULD CHEER YOU UP at their WORST
    text
    C20989 (NCI Thesaurus ObjectClass)
    C0031809 (UMLS 2011AA ObjectClass)
    C25755 (NCI Thesaurus Property)
    C0871261 (UMLS 2011AA Property)
    C2982 (NCI Thesaurus ObjectClass-2)
    C0011570 (UMLS 2011AA ObjectClass-2)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    CL.20
    Code List
    What was the SEVERITY of your FEELINGS THAT NOTHING COULD CHEER YOU UP at their WORST
    CL Item
    None (none)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    CL Item
    Mild (Mild)
    CL Item
    Moderate (Moderate)
    CL Item
    Severe (severe)
    CL Item
    Very Severe (Very severe)
    Item
    How much did FEELING THAT NOTHING COULD CHEER YOU UP INTERFERE with your usual or daily activities
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C20989 (NCI Thesaurus ObjectClass)
    C0031809 (UMLS 2011AA ObjectClass)
    C25755 (NCI Thesaurus Property)
    C0871261 (UMLS 2011AA Property)
    C2982 (NCI Thesaurus ObjectClass-2)
    C0011570 (UMLS 2011AA ObjectClass-2)
    CL.21
    Code List
    How much did FEELING THAT NOTHING COULD CHEER YOU UP INTERFERE with your usual or daily activities
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    Item
    What was the SEVERITY of your MOUTH OR THROAT SORES at their WORST
    text
    C25367 (NCI Thesaurus Property)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    C21089 (NCI Thesaurus ObjectClass)
    C0681906 (UMLS 2011AA ObjectClass)
    C62546 (NCI Thesaurus Property-2)
    C0038363 (UMLS 2011AA Property)
    CL.22
    Code List
    What was the SEVERITY of your MOUTH OR THROAT SORES at their WORST
    CL Item
    None (none)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    CL Item
    Mild (Mild)
    CL Item
    Moderate (Moderate)
    CL Item
    Severe (severe)
    CL Item
    Very Severe (Very severe)
    Item
    How much did MOUTH OR THROAT SORES INTERFERE with your usual or daily activities
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus Property)
    C21089 (NCI Thesaurus ObjectClass)
    C0681906 (UMLS 2011AA ObjectClass)
    C62546 (NCI Thesaurus Property-2)
    C0038363 (UMLS 2011AA Property)
    CL.23
    Code List
    How much did MOUTH OR THROAT SORES INTERFERE with your usual or daily activities
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    Item
    Did you have any HAIR LOSS
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C25367 (NCI Thesaurus Property)
    C21089 (NCI Thesaurus ObjectClass)
    C0681906 (UMLS 2011AA ObjectClass)
    C50575 (NCI Thesaurus Property-2)
    C0002170 (UMLS 2011AA Property)
    CL.24
    Code List
    Did you have any HAIR LOSS
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    Item
    What was the SEVERITY of your DIFFICULTY SWALLOWING at its WORST
    text
    C25518 (NCI Thesaurus ObjectClass)
    C0542341 (UMLS 2011AA ObjectClass)
    C38028 (NCI Thesaurus ObjectClass-2)
    C0011167 (UMLS 2011AA ObjectClass-2)
    C25471 (NCI Thesaurus Property)
    C0521116 (UMLS 2011AA Property)
    C37940 (NCI Thesaurus Property-2)
    C0011155 (UMLS 2011AA Property-2)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    CL.25
    Code List
    What was the SEVERITY of your DIFFICULTY SWALLOWING at its WORST
    CL Item
    None (none)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    CL Item
    Mild (Mild)
    CL Item
    Moderate (Moderate)
    CL Item
    Severe (severe)
    CL Item
    Very Severe (Very severe)
    Item
    How OFTEN did you have VOMITING
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C3442 (NCI Thesaurus Property)
    C0042963 (UMLS 2011AA Property)
    C4876 (NCI Thesaurus Property-2)
    C1457887 (UMLS 2011AA Property-2)
    C25515 (NCI Thesaurus ValueDomain)
    C0439603 (UMLS 2011AA ValueDomain)
    CL.26
    Code List
    How OFTEN did you have VOMITING
    CL Item
    Never (Never)
    C70543 (NCI Thesaurus)
    C2003901 (UMLS 2011AA)
    CL Item
    Rarely (Rarely)
    C73116 (NCI Thesaurus)
    C0522498 (UMLS 2011AA)
    CL Item
    Occasionally (Occasionally)
    CL Item
    Frequently (Frequently)
    CL Item
    Almost Constantly (Almost constantly)
    Item
    What was the SEVERITY of your VOMITING at its WORST
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C3442 (NCI Thesaurus Property)
    C0042963 (UMLS 2011AA Property)
    C4876 (NCI Thesaurus Property-2)
    C1457887 (UMLS 2011AA Property-2)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    CL.27
    Code List
    What was the SEVERITY of your VOMITING at its WORST
    CL Item
    None (none)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    CL Item
    Mild (Mild)
    CL Item
    Moderate (Moderate)
    CL Item
    Severe (severe)
    CL Item
    Very Severe (Very severe)
    Item Group
    Pro-ctcae Assessment (cont.3)
    Item
    How OFTEN did you have HEARTBURN
    text
    C25367 (NCI Thesaurus Property)
    C25515 (NCI Thesaurus ValueDomain)
    C0439603 (UMLS 2011AA ValueDomain)
    C21089 (NCI Thesaurus ObjectClass)
    C0681906 (UMLS 2011AA ObjectClass)
    C34670 (NCI Thesaurus Property-2)
    C0018834 (UMLS 2011AA Property)
    CL.28
    Code List
    How OFTEN did you have HEARTBURN
    CL Item
    Never (Never)
    C70543 (NCI Thesaurus)
    C2003901 (UMLS 2011AA)
    CL Item
    Rarely (Rarely)
    C73116 (NCI Thesaurus)
    C0522498 (UMLS 2011AA)
    CL Item
    Occasionally (Occasionally)
    CL Item
    Frequently (Frequently)
    CL Item
    Almost Constantly (Almost constantly)
    Item
    What was the SEVERITY of your HEARTBURN at its WORST
    text
    C25367 (NCI Thesaurus Property)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    C21089 (NCI Thesaurus ObjectClass)
    C0681906 (UMLS 2011AA ObjectClass)
    C34670 (NCI Thesaurus Property-2)
    C0018834 (UMLS 2011AA Property)
    CL.29
    Code List
    What was the SEVERITY of your HEARTBURN at its WORST
    CL Item
    None (none)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    CL Item
    Mild (Mild)
    CL Item
    Moderate (Moderate)
    CL Item
    Severe (severe)
    CL Item
    Very Severe (Very severe)
    Item
    What was the SEVERITY of your FATIGUE, TIREDNESS OR LACK OF ENERGY at its WORST
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C3036 (NCI Thesaurus Property-2)
    C0015672 (UMLS 2011AA Property-2)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    CL.30
    Code List
    What was the SEVERITY of your FATIGUE, TIREDNESS OR LACK OF ENERGY at its WORST
    CL Item
    None (none)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    CL Item
    Mild (Mild)
    CL Item
    Moderate (Moderate)
    CL Item
    Severe (severe)
    CL Item
    Very Severe (Very severe)
    Item
    How much did FATIGUE, TIREDNESS, OR LACK OF ENERGY INTERFERE with your usual or daily activities
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C3036 (NCI Thesaurus Property-2)
    C0015672 (UMLS 2011AA Property-2)
    CL.31
    Code List
    How much did FATIGUE, TIREDNESS, OR LACK OF ENERGY INTERFERE with your usual or daily activities
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    Item
    What was the SEVERITY of your CONSTIPATION at its WORST
    text
    C25367 (NCI Thesaurus Property)
    C37930 (NCI Thesaurus Property-2)
    C0009806 (UMLS 2011AA Property)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    C21089 (NCI Thesaurus ObjectClass)
    C0681906 (UMLS 2011AA ObjectClass)
    CL.32
    Code List
    What was the SEVERITY of your CONSTIPATION at its WORST
    CL Item
    None (none)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    CL Item
    Mild (Mild)
    CL Item
    Moderate (Moderate)
    CL Item
    Severe (severe)
    CL Item
    Very Severe (Very severe)
    Item
    What was the SEVERITY of your SKIN BURNS FROM RADIATION at their WORST
    text
    C21089 (NCI Thesaurus ObjectClass)
    C0681906 (UMLS 2011AA ObjectClass)
    C25367 (NCI Thesaurus Property)
    C12470 (NCI Thesaurus Property-2)
    C1123023 (UMLS 2011AA Property)
    C34441 (NCI Thesaurus Property-3)
    C0006434 (UMLS 2011AA Property-2)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    CL.33
    Code List
    What was the SEVERITY of your SKIN BURNS FROM RADIATION at their WORST
    CL Item
    None (none)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    CL Item
    Mild (Mild)
    CL Item
    Moderate (Moderate)
    CL Item
    Severe (severe)
    CL Item
    Very Severe (Very severe)
    Item
    What was the SEVERITY of your RINGING IN YOUR EARS at its WORST
    text
    C25367 (NCI Thesaurus Property)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    C21089 (NCI Thesaurus ObjectClass)
    C0681906 (UMLS 2011AA ObjectClass)
    C50772 (NCI Thesaurus Property-2)
    C0040264 (UMLS 2011AA Property)
    CL.34
    Code List
    What was the SEVERITY of your RINGING IN YOUR EARS at its WORST
    CL Item
    None (none)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    CL Item
    Mild (Mild)
    CL Item
    Moderate (Moderate)
    CL Item
    Severe (severe)
    CL Item
    Very Severe (Very severe)
    Item
    What was the SEVERITY of your ITCHY SKIN at its WORST
    text
    C25367 (NCI Thesaurus Property)
    C3344 (NCI Thesaurus Property-2)
    C0033774 (UMLS 2011AA Property)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    C21089 (NCI Thesaurus ObjectClass)
    C0681906 (UMLS 2011AA ObjectClass)
    CL.35
    Code List
    What was the SEVERITY of your ITCHY SKIN at its WORST
    CL Item
    None (none)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    CL Item
    Mild (Mild)
    CL Item
    Moderate (Moderate)
    CL Item
    Severe (severe)
    CL Item
    Very Severe (Very severe)
    Item Group
    Pro-ctcae Assessment (cont.4)
    Item
    What was the SEVERITY of your DRY SKIN at its WORST
    text
    C25367 (NCI Thesaurus Property)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    C21089 (NCI Thesaurus ObjectClass)
    C0681906 (UMLS 2011AA ObjectClass)
    C74592 (NCI Thesaurus Property-2)
    C0151908 (UMLS 2011AA Property)
    CL.36
    Code List
    What was the SEVERITY of your DRY SKIN at its WORST
    CL Item
    None (none)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    CL Item
    Mild (Mild)
    CL Item
    Moderate (Moderate)
    CL Item
    Severe (severe)
    CL Item
    Very Severe (Very severe)
    Item
    What was the SEVERITY of your DECREASED APPETITE at their WORST
    text
    C21089 (NCI Thesaurus ObjectClass)
    C0681906 (UMLS 2011AA ObjectClass)
    C25367 (NCI Thesaurus Property)
    C25152 (NCI Thesaurus Property-2)
    C0003618 (UMLS 2011AA Property)
    C61422 (NCI Thesaurus Property-3)
    C0547044 (UMLS 2011AA Property-2)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    CL.37
    Code List
    What was the SEVERITY of your DECREASED APPETITE at their WORST
    CL Item
    None (none)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    CL Item
    Mild (Mild)
    CL Item
    Moderate (Moderate)
    CL Item
    Severe (severe)
    CL Item
    Very Severe (Very severe)
    Item
    How much did DECREASED APPETITE INTERFERE with your usual or daily activities
    text
    C21089 (NCI Thesaurus ObjectClass)
    C0681906 (UMLS 2011AA ObjectClass)
    C25367 (NCI Thesaurus Property)
    C25152 (NCI Thesaurus Property-2)
    C0003618 (UMLS 2011AA Property)
    C61422 (NCI Thesaurus Property-3)
    C0547044 (UMLS 2011AA Property-2)
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    CL.38
    Code List
    How much did DECREASED APPETITE INTERFERE with your usual or daily activities
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    Item
    What was the SEVERITY of your DRY MOUTH at its WORST
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C26917 (NCI Thesaurus Property-2)
    C0043352 (UMLS 2011AA Property-2)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    CL.39
    Code List
    What was the SEVERITY of your DRY MOUTH at its WORST
    CL Item
    None (none)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    CL Item
    Mild (Mild)
    CL Item
    Moderate (Moderate)
    CL Item
    Severe (severe)
    CL Item
    Very Severe (Very severe)
    Item
    What was the SEVERITY of your HOARSE VOICE at its WORST
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    C0042939 (NCI Metathesaurus Property)
    CL.40
    Code List
    What was the SEVERITY of your HOARSE VOICE at its WORST
    CL Item
    None (none)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    CL Item
    Mild (Mild)
    CL Item
    Moderate (Moderate)
    CL Item
    Severe (severe)
    CL Item
    Very Severe (Very severe)
    Item
    How OFTEN did you have PAIN
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C3303 (NCI Thesaurus Property-2)
    C0030193 (UMLS 2011AA Property-2)
    C25515 (NCI Thesaurus ValueDomain)
    C0439603 (UMLS 2011AA ValueDomain)
    CL.41
    Code List
    How OFTEN did you have PAIN
    CL Item
    Never (Never)
    C70543 (NCI Thesaurus)
    C2003901 (UMLS 2011AA)
    CL Item
    Rarely (Rarely)
    C73116 (NCI Thesaurus)
    C0522498 (UMLS 2011AA)
    CL Item
    Occasionally (Occasionally)
    CL Item
    Frequently (Frequently)
    CL Item
    Almost Constantly (Almost constantly)
    Item
    What was the SEVERITY of PAIN at its WORST
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C3303 (NCI Thesaurus Property-2)
    C0030193 (UMLS 2011AA Property-2)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    CL.42
    Code List
    What was the SEVERITY of PAIN at its WORST
    CL Item
    None (none)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    CL Item
    Mild (Mild)
    CL Item
    Moderate (Moderate)
    CL Item
    Severe (severe)
    CL Item
    Very Severe (Very severe)
    Item
    How much did PAIN INTERFERE with your usual or daily activities
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C20989 (NCI Thesaurus Property)
    C0031809 (UMLS 2011AA Property)
    C3303 (NCI Thesaurus Property-2)
    C0030193 (UMLS 2011AA Property-2)
    CL.43
    Code List
    How much did PAIN INTERFERE with your usual or daily activities
    CL Item
    Not At All (Not at all)
    C91213 (NCI Thesaurus)
    CL Item
    A Little Bit (A little bit)
    CL Item
    Quite A Bit (Quite a bit)
    C91216 (NCI Thesaurus)
    CL Item
    Somewhat (Somewhat)
    C91215 (NCI Thesaurus)
    CL Item
    Very Much (Very much)
    C91217 (NCI Thesaurus)
    Item
    What was the SEVERITY of your PROBLEMS WITH TASTING FOOD OR DRINK at their WORST
    text
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C38030 (NCI Thesaurus ObjectClass-2)
    C1949 (NCI Thesaurus ObjectClass-3)
    C0016452 (UMLS 2011AA ObjectClass-2)
    C28020 (NCI Thesaurus Property)
    C0033213 (UMLS 2011AA Property)
    C25719 (NCI Thesaurus Property-2)
    C1522166 (UMLS 2011AA Property-2)
    C25688 (NCI Thesaurus ValueDomain)
    C0449438 (UMLS 2011AA ValueDomain)
    CL.44
    Code List
    What was the SEVERITY of your PROBLEMS WITH TASTING FOOD OR DRINK at their WORST
    CL Item
    None (none)
    C41132 (NCI Thesaurus)
    C0549184 (UMLS 2011AA)
    CL Item
    Mild (Mild)
    CL Item
    Moderate (Moderate)
    CL Item
    Severe (severe)
    CL Item
    Very Severe (Very severe)
    Item
    How OFTEN did you have LOOSE OR WATERY STOOLS (DIARRHEA)
    text
    C17047 (NCI Thesaurus ObjectClass)
    C0518214 (UMLS 2011AA ObjectClass)
    C25214 (NCI Thesaurus Property)
    C0220825 (UMLS 2011AA Property)
    C2987 (NCI Thesaurus Property-2)
    C0011991 (UMLS 2011AA Property-2)
    C25515 (NCI Thesaurus ValueDomain)
    C0439603 (UMLS 2011AA ValueDomain)
    CL.45
    Code List
    How OFTEN did you have LOOSE OR WATERY STOOLS (DIARRHEA)
    CL Item
    Never (Never)
    C70543 (NCI Thesaurus)
    C2003901 (UMLS 2011AA)
    CL Item
    Rarely (Rarely)
    C73116 (NCI Thesaurus)
    C0522498 (UMLS 2011AA)
    CL Item
    Occasionally (Occasionally)
    CL Item
    Frequently (Frequently)
    CL Item
    Almost Constantly (Almost constantly)
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