Below is a list of statements that other people with your illness have said are important. By circling one (1) number per line, please indicate how true each statement has been for you during the past 7 days

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
PHYSICAL WELLBEING
C0517226 (UMLS CUI-1)
Item
I have a lack of energy
text
C16960 (NCI Thesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
C48058 (NCI Thesaurus Property-2)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C3475789 (UMLS CUI [1])
CL.1
Code List
I have a lack of energy
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I have nausea
integer
C16960 (NCI Thesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
C3258 (NCI Thesaurus Property-2)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C3844002 (UMLS CUI [1])
CL.1
Code List
I have nausea
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
Because of my physical condition, I have trouble meeting the needs of my family
integer
C16960 (NCI Thesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
CL104641 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C3261701 (UMLS CUI [1])
CL.1
Code List
Because of my physical condition, I have trouble meeting the needs of my family
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I have pain
integer
C16960 (NCI Thesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
C3303 (NCI Thesaurus Property-2)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C3482558 (UMLS CUI [1])
CL.1
Code List
I have pain
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I am bothered by side effects of treatment
integer
C16960 (NCI Thesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
C41331 (NCI Thesaurus Property-2)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C2984047 (UMLS CUI [1])
CL.1
Code List
I am bothered by side effects of treatment
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I feel ill
integer
C16960 (NCI Thesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
C3832 (NCI Thesaurus Property-2)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C3475724 (UMLS CUI [1])
CL.1
Code List
I feel ill
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I am forced to spend time in bed
integer
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C16960 (NCI Thesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
C3475632 (UMLS CUI [1])
CL.1
Code List
I am forced to spend time in bed
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item Group
FUNCTIONAL WELLBEING
C2984555 (UMLS CUI-1)
Item
I am able to work (include work at home)
text
C16960 (NCI Thesaurus ObjectClass)
C0085732 (NCI Metathesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
C0043227 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C2984044 (UMLS CUI [1])
CL.1
Code List
I am able to work (include work at home)
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
My work (include work at home) is fulfilling
text
C16960 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus Property)
C62185 (NCI Thesaurus Property-2)
C0043227 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C2984074 (UMLS CUI [1])
CL.1
Code List
My work (include work at home) is fulfilling
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I am able to enjoy life
text
C16960 (NCI Thesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
CL196329 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C2984051 (UMLS CUI [1])
CL.1
Code List
I am able to enjoy life
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I have accepted my illness
text
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C2984045 (UMLS CUI [1])
CL.1
Code List
I have accepted my illness
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I am sleeping well
text
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C2984071 (UMLS CUI [1])
CL.1
Code List
I am sleeping well
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I am enjoying the things I usually do for fun
text
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C2984052 (UMLS CUI [1])
CL.1
Code List
I am enjoying the things I usually do for fun
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I am content with the quality of my life right now
text
C16960 (NCI Thesaurus ObjectClass)
C17047 (NCI Thesaurus Property)
C20989 (NCI Thesaurus Property-2)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C2984049 (UMLS CUI [1])
CL.1
Code List
I am content with the quality of my life right now
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item Group
Additional Concerns
C3482667 (UMLS CUI-1)
Item
I have swelling in my stomach area
text
C17047 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C12391 (NCI Thesaurus Property-2)
C3399 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C0038351 (UMLS CUI [1,1])
C0038999 (UMLS CUI [1,2])
CL.1
Code List
I have swelling in my stomach area
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I have cramps in my stomach area
text
C17047 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C12391 (NCI Thesaurus Property-2)
C34827 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C0344375 (UMLS CUI [1])
CL.1
Code List
I have cramps in my stomach area
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I have discomfort or pain in my stomach area
text
C17047 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C3303 (NCI Thesaurus Property-2)
C12391 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C0221512 (UMLS CUI [1])
CL.1
Code List
I have discomfort or pain in my stomach area
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I have vaginal bleeding or spotting
text
C17047 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C26791 (NCI Thesaurus Property-2)
C12407 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C2979982 (UMLS CUI [1])
CL.1
Code List
I have vaginal bleeding or spotting
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I have vaginal discharge
text
C17047 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C12407 (NCI Thesaurus Property-2)
C34548 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C0227791 (UMLS CUI [1])
CL.1
Code List
I have vaginal discharge
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I am unhappy about a change in my appearance
text
C17047 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C25377 (NCI Thesaurus Property-2)
C25446 (NCI Thesaurus Property-3)
C62184 (NCI Thesaurus Property-4)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C3830444 (UMLS CUI [1])
CL.1
Code List
I am unhappy about a change in my appearance
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I have hot flashes
text
C17047 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C3109 (NCI Thesaurus Property-2)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C0600142 (UMLS CUI [1])
CL.1
Code List
I have hot flashes
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I have cold sweats
text
C17047 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C62180 (NCI Thesaurus Property-2)
C13280 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C0232431 (UMLS CUI [1])
CL.1
Code List
I have cold sweats
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I have night sweats
text
C17047 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C3279 (NCI Thesaurus Property-2)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C0028081 (UMLS CUI [1])
CL.1
Code List
I have night sweats
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I feel fatigued
text
C15584 (NCI Thesaurus ObjectClass)
C16960 (NCI Thesaurus Property)
C3036 (NCI Thesaurus Property-2)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C0015672 (UMLS CUI [1])
CL.1
Code List
I feel fatigued
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I have pain or discomfort with intercourse
text
C17047 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C3303 (NCI Thesaurus Property-2)
C72881 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C3475911 (UMLS CUI [1])
CL.1
Code List
I have pain or discomfort with intercourse
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I have trouble digesting food
text
C17047 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C62189 (NCI Thesaurus Property-2)
C16503 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C3475941 (UMLS CUI [1])
CL.1
Code List
I have trouble digesting food
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I have been short of breath
text
C17047 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C2998 (NCI Thesaurus Property-2)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C0013404 (UMLS CUI [1])
CL.1
Code List
I have been short of breath
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I am bothered by constipation
text
C17047 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C37930 (NCI Thesaurus Property-2)
C37942 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C3475581 (UMLS CUI [1])
CL.1
Code List
I am bothered by constipation
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I urinate more frequently than usual
text
C17047 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C25533 (NCI Thesaurus Property-2)
C25515 (NCI Thesaurus Property-3)
C25744 (NCI Thesaurus Property-4)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C3476008 (UMLS CUI [1])
CL.1
Code List
I urinate more frequently than usual
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I have discomfort or pain in my pelvic area
text
C17047 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C3303 (NCI Thesaurus Property-2)
C12767 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C3475848 (UMLS CUI [1])
CL.1
Code List
I have discomfort or pain in my pelvic area
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
My vagina feels too narrow or short
text
C17047 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C12407 (NCI Thesaurus Property-2)
C25376 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C3476242 (UMLS CUI [1])
CL.1
Code List
My vagina feels too narrow or short
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I have control of my bowels
text
C16960 (NCI Thesaurus ObjectClass)
C12736 (NCI Thesaurus ObjectClass-2)
C20989 (NCI Thesaurus Property)
C0021167 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C1290944 (UMLS CUI [1])
CL.1
Code List
I have control of my bowels
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I have diarrhea
text
C17047 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C2987 (NCI Thesaurus Property-2)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C0011991 (UMLS CUI [1])
CL.1
Code List
I have diarrhea
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item Group
Ntx4 Subscale
C3846158 (UMLS CUI-1)
Item
I have numbness or tingling in my hands
text
C16960 (NCI Thesaurus ObjectClass)
C27961 (NCI Thesaurus ObjectClass-2)
C20989 (NCI Thesaurus Property)
C0239836 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C3829780 (UMLS CUI [1])
CL.1
Code List
I have numbness or tingling in my hands
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I have numbness or tingling in my feet
text
C16960 (NCI Thesaurus ObjectClass)
C27961 (NCI Thesaurus ObjectClass-2)
C20989 (NCI Thesaurus Property)
CL108114 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C3829781 (UMLS CUI [1])
CL.1
Code List
I have numbness or tingling in my feet
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I feel discomfort in my hands
text
C16960 (NCI Thesaurus ObjectClass)
C27961 (NCI Thesaurus ObjectClass-2)
C20989 (NCI Thesaurus Property)
C32712 (NCI Thesaurus Property-2)
CL047845 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C3830164 (UMLS CUI [1])
CL.1
Code List
I feel discomfort in my hands
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I feel discomfort in my feet
text
C16960 (NCI Thesaurus ObjectClass)
C27961 (NCI Thesaurus ObjectClass-2)
C20989 (NCI Thesaurus Property)
CL050515 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C3830165 (UMLS CUI [1])
CL.1
Code List
I feel discomfort in my feet
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item Group
FACIT-Fatigue Subscale
C3272505 (UMLS CUI-1)
Item
I feel fatigued
text
C15584 (NCI Thesaurus ObjectClass)
C16960 (NCI Thesaurus Property)
C3036 (NCI Thesaurus Property-2)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C0015672 (UMLS CUI [1])
CL.1
Code List
I feel fatigued
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I feel weak all over
text
C16960 (NCI Thesaurus ObjectClass)
C27961 (NCI Thesaurus ObjectClass-2)
C20989 (NCI Thesaurus Property)
C0151786 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C3274923 (UMLS CUI [1])
CL.1
Code List
I feel weak all over
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I feel listless ("washed out")
text
C15584 (NCI Thesaurus ObjectClass)
C16960 (NCI Thesaurus Property)
C50412 (NCI Thesaurus Property-2)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C3475732 (UMLS CUI [1])
CL.1
Code List
I feel listless ("washed out")
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
How often did you feel tired
integer
C15584 (NCI Thesaurus ObjectClass)
C16960 (NCI Thesaurus Property)
C3036 (NCI Thesaurus Property-2)
C25376 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C3539029 (UMLS CUI [1])
CL.51
Code List
How often did you feel tired
CL Item
Always (1)
C2003902 (UMLS CUI-1)
CL Item
Never (2)
C2003901 (UMLS CUI-1)
CL Item
Often (3)
C0332183 (UMLS CUI-1)
CL Item
Rarely (4)
C0522498 (UMLS CUI-1)
CL Item
Sometimes (5)
C1998882 (UMLS CUI-1)
Item
I have trouble starting things because I am tired
text
C15584 (NCI Thesaurus ObjectClass)
C16960 (NCI Thesaurus Property)
C3036 (NCI Thesaurus Property-2)
C25431 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C2964014 (UMLS CUI [1])
CL.1
Code List
I have trouble starting things because I am tired
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I have trouble finishing things because I am tired
text
C15584 (NCI Thesaurus ObjectClass)
C16960 (NCI Thesaurus Property)
C3036 (NCI Thesaurus Property-2)
C25496 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C2964005 (UMLS CUI [1])
CL.1
Code List
I have trouble finishing things because I am tired
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I have energy
text
C15584 (NCI Thesaurus ObjectClass)
C16960 (NCI Thesaurus Property)
C48058 (NCI Thesaurus Property-2)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C3475854 (UMLS CUI [1])
CL.1
Code List
I have energy
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I am able to do my usual activities
text
C25284 (NCI Thesaurus ValueDomain)
C16960 (NCI Thesaurus Property)
C43431 (NCI Thesaurus Property-2)
C15584 (NCI Thesaurus ObjectClass)
C2964050 (UMLS CUI [1])
CL.1
Code List
I am able to do my usual activities
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I need to sleep during the day
text
C15584 (NCI Thesaurus ObjectClass)
C16960 (NCI Thesaurus Property)
C25301 (NCI Thesaurus Property-2)
C28185 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C2964032 (UMLS CUI [1])
CL.1
Code List
I need to sleep during the day
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I am too tired to eat
text
C15584 (NCI Thesaurus ObjectClass)
C16960 (NCI Thesaurus Property)
C3036 (NCI Thesaurus Property-2)
C28229 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C2964098 (UMLS CUI [1])
CL.1
Code List
I am too tired to eat
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I need help doing my usual activities
text
C15584 (NCI Thesaurus ObjectClass)
C16960 (NCI Thesaurus Property)
C43431 (NCI Thesaurus Property-2)
C37902 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C2964030 (UMLS CUI [1])
CL.1
Code List
I need help doing my usual activities
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I am frustrated by being too tired to do the things I want to do
text
C15584 (NCI Thesaurus ObjectClass)
C16960 (NCI Thesaurus Property)
C61483 (NCI Thesaurus Property-2)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C3475633 (UMLS CUI [1])
CL.1
Code List
I am frustrated by being too tired to do the things I want to do
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item
I have to limit my social activity because I am tired
text
C15584 (NCI Thesaurus ObjectClass)
C16960 (NCI Thesaurus Property)
C43431 (NCI Thesaurus Property-2)
C3036 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C2963999 (UMLS CUI [1])
CL.1
Code List
I have to limit my social activity because I am tired
CL Item
Not at all (1)
C2984077 (UMLS CUI-1)
CL Item
A little bit (2)
C2984078 (UMLS CUI-1)
CL Item
Somewhat (3)
C2984079 (UMLS CUI-1)
CL Item
Quite a bit (4)
C2984080 (UMLS CUI-1)
CL Item
Very Much (5)
C2984081 (UMLS CUI-1)
Item Group
Promis Fatigue Short Form 1
C3846158 (UMLS CUI-1)
Item
How often did you feel tired
integer
C15584 (NCI Thesaurus ObjectClass)
C16960 (NCI Thesaurus Property)
C3036 (NCI Thesaurus Property-2)
C25376 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C3539029 (UMLS CUI [1])
CL.51
Code List
How often did you feel tired
CL Item
Always (1)
C2003902 (UMLS CUI-1)
CL Item
Never (2)
C2003901 (UMLS CUI-1)
CL Item
Often (3)
C0332183 (UMLS CUI-1)
CL Item
Rarely (4)
C0522498 (UMLS CUI-1)
CL Item
Sometimes (5)
C1998882 (UMLS CUI-1)
Item
How often did you experience extreme exhaustion
text
C17047 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C3036 (NCI Thesaurus Property-2)
C70667 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C2963726 (UMLS CUI [1])
CL.51
Code List
How often did you experience extreme exhaustion
CL Item
Always (1)
C2003902 (UMLS CUI-1)
CL Item
Never (2)
C2003901 (UMLS CUI-1)
CL Item
Often (3)
C0332183 (UMLS CUI-1)
CL Item
Rarely (4)
C0522498 (UMLS CUI-1)
CL Item
Sometimes (5)
C1998882 (UMLS CUI-1)
Item
How often did you run out of energy
text
C16960 (NCI Thesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
C48058 (NCI Thesaurus Property-2)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C2963745 (UMLS CUI [1])
CL.51
Code List
How often did you run out of energy
CL Item
Always (1)
C2003902 (UMLS CUI-1)
CL Item
Never (2)
C2003901 (UMLS CUI-1)
CL Item
Often (3)
C0332183 (UMLS CUI-1)
CL Item
Rarely (4)
C0522498 (UMLS CUI-1)
CL Item
Sometimes (5)
C1998882 (UMLS CUI-1)
Item
How often did your fatigue limit you at work (include work at home)
text
C17047 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C25640 (NCI Thesaurus Property-2)
C3036 (NCI Thesaurus Property-3)
C25193 (NCI Thesaurus Property-4)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C2963767 (UMLS CUI [1])
CL.51
Code List
How often did your fatigue limit you at work (include work at home)
CL Item
Always (1)
C2003902 (UMLS CUI-1)
CL Item
Never (2)
C2003901 (UMLS CUI-1)
CL Item
Often (3)
C0332183 (UMLS CUI-1)
CL Item
Rarely (4)
C0522498 (UMLS CUI-1)
CL Item
Sometimes (5)
C1998882 (UMLS CUI-1)
Item
How often were you too tired to think clearly
text
C17047 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C3036 (NCI Thesaurus Property-2)
C21055 (NCI Thesaurus Property-3)
C16446 (NCI Thesaurus Property-4)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C2963794 (UMLS CUI [1])
CL.51
Code List
How often were you too tired to think clearly
CL Item
Always (1)
C2003902 (UMLS CUI-1)
CL Item
Never (2)
C2003901 (UMLS CUI-1)
CL Item
Often (3)
C0332183 (UMLS CUI-1)
CL Item
Rarely (4)
C0522498 (UMLS CUI-1)
CL Item
Sometimes (5)
C1998882 (UMLS CUI-1)
Item
How often were you too tired to take a bath or shower
text
C17047 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C3036 (NCI Thesaurus Property-2)
C65077 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C2963792 (UMLS CUI [1])
CL.51
Code List
How often were you too tired to take a bath or shower
CL Item
Always (1)
C2003902 (UMLS CUI-1)
CL Item
Never (2)
C2003901 (UMLS CUI-1)
CL Item
Often (3)
C0332183 (UMLS CUI-1)
CL Item
Rarely (4)
C0522498 (UMLS CUI-1)
CL Item
Sometimes (5)
C1998882 (UMLS CUI-1)
Item
How often did you have enough energy to exercise strenuously
text
C17047 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C16567 (NCI Thesaurus Property-2)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C2963735 (UMLS CUI [1])
CL.51
Code List
How often did you have enough energy to exercise strenuously
CL Item
Always (1)
C2003902 (UMLS CUI-1)
CL Item
Never (2)
C2003901 (UMLS CUI-1)
CL Item
Often (3)
C0332183 (UMLS CUI-1)
CL Item
Rarely (4)
C0522498 (UMLS CUI-1)
CL Item
Sometimes (5)
C1998882 (UMLS CUI-1)
Item Group
To Be Completed By Clinical Staff
C0871685 (UMLS CUI-1)
CTC Adverse Event Fatigue Grade
Item
Fatigue Grade
text
C49704 (NCI Thesaurus ObjectClass)
C3036 (NCI Thesaurus Property)
C25365 (NCI Thesaurus Property-2)
C3036 (NCI Thesaurus ValueDomain)
C18000 (NCI Thesaurus ValueDomain-2)
C1556361 (UMLS CUI [1])
Item
Status of the QOL assessment
integer
C17047 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C25688 (NCI Thesaurus ValueDomain)
C0034380 (UMLS CUI [1])
CL.59
Code List
Status of the QOL assessment
CL Item
Other (1)
C0205394 (UMLS CUI-1)
CL Item
Patient died (2)
C1546956 (UMLS CUI-1)
CL Item
Patient kept appointment, but could not complete questionnaire due to illness (3)
CL Item
Patient kept appointment, but refused to complete questionnaire for reasons other than illness (4)
CL Item
Patient off study treatment and cannot be contacted for follow-up (5)
CL Item
Questionnaire not administered due to clinical staff error (6)
CL Item
The Questionnaire Is Complete (7)
C0421497 (UMLS CUI-1)
Quality of Life, specify
Item
Other, specify
text
C25685 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ObjectClass)
C25214 (NCI Thesaurus Property)
C0034380 (UMLS CUI [1])
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