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  1. StudyEvent: MetLife - Dental Survey 01
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Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Contact Information
DentistIdentifierFirstName
Item
First Name
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25509 (NCI Thesaurus ValueDomain)
C1279901 (UMLS 2011AA ValueDomain)
C52654 (NCI Thesaurus ObjectClass)
C0011441 (UMLS 2011AA ObjectClass)
DentistIdentifierLastName
Item
Last Name
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C52654 (NCI Thesaurus ObjectClass)
C0011441 (UMLS 2011AA ObjectClass)
C25551 (NCI Thesaurus ValueDomain)
C1517741 (UMLS 2011AA ValueDomain)
OrganizationName
Item
Practice Name
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C19711 (NCI Thesaurus ObjectClass)
C1522486 (UMLS 2011AA ObjectClass)
PersonAddressName
Item
Street Address
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25407 (NCI Thesaurus Property)
C1442065 (UMLS 2011AA Property)
PersonAddressCityName
Item
City/Town
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25407 (NCI Thesaurus Property)
C1442065 (UMLS 2011AA Property)
C25160 (NCI Thesaurus ValueDomain)
C0008848 (UMLS 2011AA ValueDomain)
PersonAddressStateCode
Item
State
text
C25162 (NCI Thesaurus ValueDomain)
C0805701 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25407 (NCI Thesaurus Property)
C1442065 (UMLS 2011AA Property)
AddressPostalCode
Item
ZIP Code
text
C25162 (NCI Thesaurus Property)
C0805701 (UMLS 2011AA Property)
C25621 (NCI Thesaurus ObjectClass)
C1514254 (UMLS 2011AA ObjectClass)
ResponsiblePersonE-mailAddressText
Item
Email Address
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C25657 (NCI Thesaurus ObjectClass)
C1273518 (UMLS 2011AA ObjectClass)
C42775 (NCI Thesaurus Property)
C1705961 (UMLS 2011AA Property)
OrganizationPhoneNumber
Item
Practice Phone Number
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25395 (NCI Thesaurus Property)
C0039457 (UMLS 2011AA Property)
C19711 (NCI Thesaurus ObjectClass)
C1522486 (UMLS 2011AA ObjectClass)
PersonFaxNumber
Item
Fax Number
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C25210 (NCI Thesaurus Property)
C0085205 (UMLS 2011AA Property)
C25210 (NCI Thesaurus ValueDomain)
C0085205 (UMLS 2011AA ValueDomain)
Item Group
A. Post Operative Hypersensitivity With Composite Resin Restorations
Item
Is the frequency of composite resin hypersensitivity a concern in your practice
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C3114 (NCI Thesaurus Property)
C0020517 (UMLS 2011AA Property)
C52586 (NCI Thesaurus Property)
C1711229 (UMLS 2011AA Property)
C25275 (NCI Thesaurus Property)
C2745955 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.1
Code List
Is the frequency of composite resin hypersensitivity a concern in your practice
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
What is your estimate of the percentage of Class I restorations with this problem
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C3114 (NCI Thesaurus Property)
C0020517 (UMLS 2011AA Property)
C25275 (NCI Thesaurus Property)
C2745955 (UMLS 2011AA Property)
C52572 (NCI Thesaurus Property)
C1707399 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
CL.2
Code List
What is your estimate of the percentage of Class I restorations with this problem
CL Item
Less Than 1% (Less than 1%)
CL Item
1-3% (1-3%)
CL Item
3-5% (3-5%)
CL Item
5-10% (5-10%)
CL Item
Greater Than 10% (Greater than 10%)
CL Item
No Response (No Response)
Item
How frequently have you noticed hypersensitivity in two or more restorations for a number of patients
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C3114 (NCI Thesaurus Property)
C0020517 (UMLS 2011AA Property)
C25275 (NCI Thesaurus Property)
C2745955 (UMLS 2011AA Property)
C52572 (NCI Thesaurus Property)
C1707399 (UMLS 2011AA Property)
C25515 (NCI Thesaurus ValueDomain)
C0439603 (UMLS 2011AA ValueDomain)
CL.3
Code List
How frequently have you noticed hypersensitivity in two or more restorations for a number of patients
CL Item
Often (Often)
CL Item
Occasionally (Occasionally)
CL Item
Never (Never)
CL Item
No Response (No Response)
Item
Do you routinely use a self-etching dentin bonding system for composite restorations
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C52586 (NCI Thesaurus Property)
C1711229 (UMLS 2011AA Property)
C25340 (NCI Thesaurus Property)
C0457083 (UMLS 2011AA Property)
C52579 (NCI Thesaurus Property)
C1710045 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.4
Code List
Do you routinely use a self-etching dentin bonding system for composite restorations
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
Do you routinely use a resin modified glass ionomer liner for composite restorations
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C25340 (NCI Thesaurus Property)
C0457083 (UMLS 2011AA Property)
C52585 (NCI Thesaurus Property)
C1709917 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.5
Code List
Do you routinely use a resin modified glass ionomer liner for composite restorations
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item Group
B. Dental Care For Pregnant Women
Item
Do you provide comprehensive dental care for pregnant women in your practice
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C16576 (NCI Thesaurus Property)
C0086287 (UMLS 2011AA Property)
C25742 (NCI Thesaurus Property)
C0032961 (UMLS 2011AA Property)
C52640 (NCI Thesaurus Property)
C0009586 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.6
Code List
Do you provide comprehensive dental care for pregnant women in your practice
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
Do you limit treatment of pregnant women to emergency care
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C16576 (NCI Thesaurus Property)
C0086287 (UMLS 2011AA Property)
C25742 (NCI Thesaurus Property)
C0032961 (UMLS 2011AA Property)
C52641 (NCI Thesaurus Property)
C1527398 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.7
Code List
Do you limit treatment of pregnant women to emergency care
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
About how many individual pregnant women present for care in your dental practice
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C16576 (NCI Thesaurus Property)
C0086287 (UMLS 2011AA Property)
C25742 (NCI Thesaurus Property)
C0032961 (UMLS 2011AA Property)
C16495 (NCI Thesaurus Property)
C0011292 (UMLS 2011AA Property)
C25515 (NCI Thesaurus ValueDomain)
C0439603 (UMLS 2011AA ValueDomain)
CL.8
Code List
About how many individual pregnant women present for care in your dental practice
CL Item
Less Than One Every Six Months (Less than one every six months)
CL Item
About One Every Three Months (About one every three months)
CL Item
About One A Month (About one a month)
CL Item
About Two A Month (About two a month)
CL Item
More Than Two A Month (More than two a month)
CL Item
No Response (No Response)
Item
Does your state have guidelines for treatment of pregnant women
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C16576 (NCI Thesaurus ObjectClass)
C0086287 (UMLS 2011AA ObjectClass)
C15368 (NCI Thesaurus ObjectClass)
C25742 (NCI Thesaurus ObjectClass)
C0032961 (UMLS 2011AA ObjectClass)
C30010 (NCI Thesaurus Property)
C1301808 (UMLS 2011AA Property)
C17564 (NCI Thesaurus Property)
C0162791 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.9
Code List
Does your state have guidelines for treatment of pregnant women
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
No Response (No Response)
Item Group
C. Porcelain Repair
Item
How often is porcelain repair employed in your practice on a per month basis
text
C52584 (NCI Thesaurus ObjectClass)
C1709602 (UMLS 2011AA ObjectClass)
C29846 (NCI Thesaurus Property)
C0439231 (UMLS 2011AA Property)
C41136 (NCI Thesaurus Property)
C0226984 (UMLS 2011AA Property)
C52673 (NCI Thesaurus Property)
C0033284 (UMLS 2011AA Property)
C25340 (NCI Thesaurus Property)
C0457083 (UMLS 2011AA Property)
C25515 (NCI Thesaurus ValueDomain)
C0439603 (UMLS 2011AA ValueDomain)
CL.10
Code List
How often is porcelain repair employed in your practice on a per month basis
CL Item
Less Than Once (Less than once)
CL Item
One Or Two Times (One or two times)
CL Item
Three Or Four Times (Three or four times)
CL Item
More Than Four Times (More than four times)
CL Item
No Response (No Response)
Item
How often do these repairs fail
text
C52584 (NCI Thesaurus ObjectClass)
C1709602 (UMLS 2011AA ObjectClass)
C25745 (NCI Thesaurus Property)
C0231174 (UMLS 2011AA Property)
C41136 (NCI Thesaurus Property)
C0226984 (UMLS 2011AA Property)
C25275 (NCI Thesaurus Property)
C2745955 (UMLS 2011AA Property)
C52673 (NCI Thesaurus Property)
C0033284 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.11
Code List
How often do these repairs fail
CL Item
Less Than Or Equal To 25% Of The Time (Less than or equal to 25% of the time)
CL Item
26 - 50% Of The Time (26 - 50% of the time)
CL Item
51 - 75% Of The Time (51 - 75% of the time)
CL Item
Greater Than 75% Of The Time (Greater than 75% of the time)
CL Item
No Response (No Response)
Item
Do you use hydrofluoric acid etching of porcelain during the repair
text
C52584 (NCI Thesaurus ObjectClass)
C1709602 (UMLS 2011AA ObjectClass)
C41136 (NCI Thesaurus Property)
C0226984 (UMLS 2011AA Property)
C52673 (NCI Thesaurus Property)
C0033284 (UMLS 2011AA Property)
C25340 (NCI Thesaurus Property)
C0457083 (UMLS 2011AA Property)
C52570 (NCI Thesaurus Property)
C1706697 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.12
Code List
Do you use hydrofluoric acid etching of porcelain during the repair
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
Do you use "micro etching" (sandblasting) during a porcelain repair
text
C52584 (NCI Thesaurus ObjectClass)
C1709602 (UMLS 2011AA ObjectClass)
C41136 (NCI Thesaurus Property)
C0226984 (UMLS 2011AA Property)
C52673 (NCI Thesaurus Property)
C0033284 (UMLS 2011AA Property)
C25340 (NCI Thesaurus Property)
C0457083 (UMLS 2011AA Property)
C52577 (NCI Thesaurus Property)
C1709022 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.13
Code List
Do you use "micro etching" (sandblasting) during a porcelain repair
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
Do you use both "micro etching" and hyrofluorid acid etching
text
C52584 (NCI Thesaurus ObjectClass)
C1709602 (UMLS 2011AA ObjectClass)
C25340 (NCI Thesaurus Property)
C0457083 (UMLS 2011AA Property)
C52570 (NCI Thesaurus Property)
C1706697 (UMLS 2011AA Property)
C52577 (NCI Thesaurus Property)
C1709022 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.14
Code List
Do you use both "micro etching" and hyrofluorid acid etching
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item Group
C. Porcelain Repair
Item
In mildly symptomatic teeth do you selectively leave caries in deep preparations to avoid pulpal exposure
text
C37895 (NCI Thesaurus ObjectClass)
C1609982 (UMLS 2011AA ObjectClass)
C52594 (NCI Thesaurus ObjectClass)
C1707305 (UMLS 2011AA ObjectClass)
C49160 (NCI Thesaurus Property)
C0205257 (UMLS 2011AA Property)
C52571 (NCI Thesaurus Property)
C1707304 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.15
Code List
In mildly symptomatic teeth do you selectively leave caries in deep preparations to avoid pulpal exposure
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
If yes to the above, what method of indirect pulp capping procedure do you follow
text
C37895 (NCI Thesaurus ObjectClass)
C1609982 (UMLS 2011AA ObjectClass)
C52594 (NCI Thesaurus ObjectClass)
C1707305 (UMLS 2011AA ObjectClass)
C15368 (NCI Thesaurus Property)
C52576 (NCI Thesaurus Property)
C1708499 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
CL.16
Code List
If yes to the above, what method of indirect pulp capping procedure do you follow
CL Item
Apply A Caoh Product (Apply a CaOH product)
CL Item
Apply A Resin Modified Glass Ionomer (Apply a resin modified glass ionomer)
CL Item
Apply A Self-etching Dentin Bonding Agent (Apply a self-etching dentin bonding agent)
CL Item
Apply A Zinc Oxide Eugenol Product (Apply a zinc oxide eugenol product)
CL Item
None Of The Above (None of the above)
CL Item
No Response (No Response)
Item
If no to the above, do you usually
text
C37895 (NCI Thesaurus ObjectClass)
C1609982 (UMLS 2011AA ObjectClass)
C52594 (NCI Thesaurus ObjectClass)
C1707305 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
C52571 (NCI Thesaurus Property)
C1707304 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.17
Code List
If no to the above, do you usually
CL Item
Remove All Carious Dentin And Perform A Direct Pulp Cap (Remove all carious dentin and perform a direct pulp cap)
CL Item
Remove All Carious Dentin And Perform Endodontic Therapy (Remove all carious dentin and perform endodontic therapy)
CL Item
No Response (No Response)
Item
If you must perform a direct pulp cap which procedure do you follow after stopping the bleeding
text
C37895 (NCI Thesaurus ObjectClass)
C1609982 (UMLS 2011AA ObjectClass)
C52594 (NCI Thesaurus ObjectClass)
C1707305 (UMLS 2011AA ObjectClass)
C15368 (NCI Thesaurus Property)
C52574 (NCI Thesaurus Property)
C0846817 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
CL.18
Code List
If you must perform a direct pulp cap which procedure do you follow after stopping the bleeding
CL Item
Apply A Caoh Product (Apply a CaOH product)
CL Item
Apply A Resin Modified Glass Ionomer (Apply a resin modified glass ionomer)
CL Item
Apply A Self-etching Dentin Bonding Agent (Apply a self-etching dentin bonding agent)
CL Item
Apply A Zinc Oxide Eugenol Product (Apply a zinc oxide eugenol product)
CL Item
None Of The Above (None of the above)
CL Item
No Response (No Response)
Item Group
E. Smoking Cessation
Item
Do you have a smoking cessation program in your practice
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C25471 (NCI Thesaurus Property)
C0521116 (UMLS 2011AA Property)
C17427 (NCI Thesaurus Property)
C0085134 (UMLS 2011AA Property)
C25340 (NCI Thesaurus Property)
C0457083 (UMLS 2011AA Property)
C52647 (NCI Thesaurus Property)
C1709697 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.19
Code List
Do you have a smoking cessation program in your practice
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
If yes, what percentage of the patients approached concerning this program participates
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C25608 (NCI Thesaurus Property)
C0679823 (UMLS 2011AA Property)
C25471 (NCI Thesaurus Property)
C0521116 (UMLS 2011AA Property)
C17427 (NCI Thesaurus Property)
C0085134 (UMLS 2011AA Property)
C52647 (NCI Thesaurus Property)
C1709697 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
CL.20
Code List
If yes, what percentage of the patients approached concerning this program participates
CL Item
<5% (<5%)
CL Item
5-10% (5-10%)
CL Item
10-20% (10-20%)
CL Item
20-30% (20-30%)
CL Item
>30% (>30%)
CL Item
No Response (No Response)
Item
If no, would you consider incorporation of a program if it were reimbursed for each patient enrolled
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C25431 (NCI Thesaurus Property)
C0439659 (UMLS 2011AA Property)
C17427 (NCI Thesaurus Property)
C0085134 (UMLS 2011AA Property)
C25340 (NCI Thesaurus Property)
C0457083 (UMLS 2011AA Property)
C52647 (NCI Thesaurus Property)
C1709697 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.21
Code List
If no, would you consider incorporation of a program if it were reimbursed for each patient enrolled
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
Is a course on smoking cessation required for a dental license in your state
text
C30010 (NCI Thesaurus ObjectClass)
C1301808 (UMLS 2011AA ObjectClass)
C52649 (NCI Thesaurus ObjectClass)
C1707676 (UMLS 2011AA ObjectClass)
C17427 (NCI Thesaurus Property)
C0085134 (UMLS 2011AA Property)
C38015 (NCI Thesaurus Property)
C52647 (NCI Thesaurus Property)
C1709697 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.22
Code List
Is a course on smoking cessation required for a dental license in your state
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
Unknown (Unknown)
C17998 (NCI Thesaurus)
C0439673 (UMLS 2011AA)
CL Item
No Response (No Response)
Item Group
F. Visual Classification Of Caries
Item
Are you aware of visual classification systems for the progress of caries
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C52593 (NCI Thesaurus ObjectClass)
C0011334 (UMLS 2011AA ObjectClass)
C25161 (NCI Thesaurus Property)
C0008902 (UMLS 2011AA Property)
C38059 (NCI Thesaurus Property)
C0234621 (UMLS 2011AA Property)
CL.23
Code List
Are you aware of visual classification systems for the progress of caries
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
Do you routinely employ a caries risk assessment of patients in your practice that is part of the patient chart
text
C52593 (NCI Thesaurus ObjectClass)
C0011334 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C17102 (NCI Thesaurus Property)
C0035647 (UMLS 2011AA Property)
C45258 (NCI Thesaurus Property)
C0025102 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.24
Code List
Do you routinely employ a caries risk assessment of patients in your practice that is part of the patient chart
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
Do you place any of your patients on a caries management program with the intent of promoting remineralization of early lesions
text
C52593 (NCI Thesaurus ObjectClass)
C0011334 (UMLS 2011AA ObjectClass)
C15368 (NCI Thesaurus Property)
C12506 (NCI Thesaurus Property)
C0040426 (UMLS 2011AA Property)
C52578 (NCI Thesaurus Property)
C1711362 (UMLS 2011AA Property)
C52647 (NCI Thesaurus Property)
C1709697 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.25
Code List
Do you place any of your patients on a caries management program with the intent of promoting remineralization of early lesions
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item Group
G. Cracked Tooth
Item
How often in a month do you diagnose and treat a patient for one or more cracked posterior teeth
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C15368 (NCI Thesaurus Property)
C52666 (NCI Thesaurus Property)
C1709609 (UMLS 2011AA Property)
C52648 (NCI Thesaurus Property)
C1706353 (UMLS 2011AA Property)
C29846 (NCI Thesaurus ValueDomain)
C0439231 (UMLS 2011AA ValueDomain)
C25515 (NCI Thesaurus ValueDomain)
C0439603 (UMLS 2011AA ValueDomain)
CL.26
Code List
How often in a month do you diagnose and treat a patient for one or more cracked posterior teeth
CL Item
Less Than Once (Less than once)
CL Item
Once (Once)
CL Item
Two Or Three (Two or three)
CL Item
Four (Four)
C66835 (NCI Thesaurus)
C0205450 (UMLS 2011AA)
CL Item
More Than Four (once A Week Or More) (More than four (once a week or more))
CL Item
No Response (No Response)
Item
Do you feel the diagnosis of a cracked tooth is a routine procedure
text
C52666 (NCI Thesaurus ObjectClass)
C1709609 (UMLS 2011AA ObjectClass)
C52648 (NCI Thesaurus ObjectClass)
C1706353 (UMLS 2011AA ObjectClass)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C47893 (NCI Thesaurus Property)
C0205547 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.27
Code List
Do you feel the diagnosis of a cracked tooth is a routine procedure
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
What method besides visualization and radiographs do you primarily use to assist with diagnosis
text
C52666 (NCI Thesaurus ObjectClass)
C1709609 (UMLS 2011AA ObjectClass)
C52648 (NCI Thesaurus ObjectClass)
C1706353 (UMLS 2011AA ObjectClass)
C16847 (NCI Thesaurus Property)
C0449851 (UMLS 2011AA Property)
C15220 (NCI Thesaurus Property)
C0011900 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
CL.28
Code List
What method besides visualization and radiographs do you primarily use to assist with diagnosis
CL Item
Biting On A Wooden "stick" For A Period Of Time (Biting on a wooden "stick" for a period of time)
CL Item
Use Of A "tooth Sleuth" (Use of a "tooth sleuth")
CL Item
Desiccation With Air Syringe (Desiccation with air syringe)
CL Item
No Response (No Response)
Item Group
H. Leaking Sealant Detection
Item
Do you routinely apply sealants to children's teeth in your practice
text
C39299 (NCI Thesaurus ObjectClass)
C0231335 (UMLS 2011AA ObjectClass)
C52587 (NCI Thesaurus ObjectClass)
C0729415 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C47893 (NCI Thesaurus Property)
C0205547 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.29
Code List
Do you routinely apply sealants to children's teeth in your practice
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
Do you routinely apply sealants to young adults (16-30 years of age) teeth in your practice
text
C52587 (NCI Thesaurus ObjectClass)
C0729415 (UMLS 2011AA ObjectClass)
C27954 (NCI Thesaurus ObjectClass)
C0205653 (UMLS 2011AA ObjectClass)
C38000 (NCI Thesaurus Property)
C0884358 (UMLS 2011AA Property)
C47893 (NCI Thesaurus Property)
C0205547 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.30
Code List
Do you routinely apply sealants to young adults (16-30 years of age) teeth in your practice
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
Would a dye with good sensitivity for detection of a leaking sealant be useful in your practice
text
C461 (NCI Thesaurus ObjectClass)
C0013343 (UMLS 2011AA ObjectClass)
C52587 (NCI Thesaurus Property)
C0729415 (UMLS 2011AA Property)
C25340 (NCI Thesaurus Property)
C0457083 (UMLS 2011AA Property)
C40416 (NCI Thesaurus Property)
C0015376 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.31
Code List
Would a dye with good sensitivity for detection of a leaking sealant be useful in your practice
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item
If detection of leaking sealant was possible would this change and/or increase your use of sealants in your practice
text
C461 (NCI Thesaurus ObjectClass)
C0013343 (UMLS 2011AA ObjectClass)
C52587 (NCI Thesaurus Property)
C0729415 (UMLS 2011AA Property)
C25572 (NCI Thesaurus Property)
C25340 (NCI Thesaurus Property)
C0457083 (UMLS 2011AA Property)
C40416 (NCI Thesaurus Property)
C0015376 (UMLS 2011AA Property)
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
CL.32
Code List
If detection of leaking sealant was possible would this change and/or increase your use of sealants in your practice
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No Response (No Response)
Item Group
Ii. Professional Information
DentalSchoolIdentifierName
Item
Dental school
text
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C52652 (NCI Thesaurus ObjectClass)
C0036376 (UMLS 2011AA ObjectClass)
C42614 (NCI Thesaurus ValueDomain)
C0027365 (UMLS 2011AA ValueDomain)
DentistDentalSchoolGraduationDate
Item
Year graduated
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C52581 (NCI Thesaurus Property)
C1711333 (UMLS 2011AA Property)
C52654 (NCI Thesaurus ObjectClass)
C0011441 (UMLS 2011AA ObjectClass)
C52652 (NCI Thesaurus Property)
C0036376 (UMLS 2011AA Property)
DentistAcademicDegreeText
Item
Degree
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
C25354 (NCI Thesaurus Property)
C0542560 (UMLS 2011AA Property)
C52654 (NCI Thesaurus ObjectClass)
C0011441 (UMLS 2011AA ObjectClass)
DentistProfessionalPracticeAffiliateYearNumber
Item
Years in practice
double
C52654 (NCI Thesaurus ObjectClass)
C0011441 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus Property)
C0033284 (UMLS 2011AA Property)
C25412 (NCI Thesaurus Property)
C1510825 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C29848 (NCI Thesaurus ValueDomain)
C0439234 (UMLS 2011AA ValueDomain)
Item
General Practice or Specialist
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52654 (NCI Thesaurus Property)
C0011441 (UMLS 2011AA Property)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
CL.33
Code List
General Practice or Specialist
CL Item
Generalist (Generalist)
CL Item
Specialist (Specialist)
Item
If Specialist, which
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C52654 (NCI Thesaurus ObjectClass)
C0011441 (UMLS 2011AA ObjectClass)
C52653 (NCI Thesaurus Property)
C0037777 (UMLS 2011AA Property)
CL.34
Code List
If Specialist, which
CL Item
Endodontics (Endodontics)
C0014149 (NCI Metathesaurus)
CL Item
Oral Surgery (Oral Surgery)
C17174 (NCI Thesaurus)
C0038908 (UMLS 2011AA)
CL Item
Orthodontics (Orthodontics)
C0029335 (NCI Metathesaurus)
CL Item
Pediatric Dentistry (Pediatric Dentistry)
C0030763 (NCI Metathesaurus)
C0030763 (NCI Metathesaurus)
CL Item
Periodontics (Periodontics)
DentalProfessionalPracticeMemberYearNumber
Item
Number of years at current practice location
double
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C25368 (NCI Thesaurus Property)
C0680022 (UMLS 2011AA Property)
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C29848 (NCI Thesaurus ValueDomain)
C0439234 (UMLS 2011AA ValueDomain)
DentistBirthDate
Item
Date of Birth (mm/dd/yyyy)
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C52654 (NCI Thesaurus ObjectClass)
C0011441 (UMLS 2011AA ObjectClass)
C25155 (NCI Thesaurus Property)
C0005615 (UMLS 2011AA Property)
Item
Gender
text
C25372 (NCI Thesaurus ValueDomain)
C0683312 (UMLS 2011AA ValueDomain)
C52654 (NCI Thesaurus ObjectClass)
C0011441 (UMLS 2011AA ObjectClass)
C17357 (NCI Thesaurus Property)
C0079399 (UMLS 2011AA Property)
CL.35
Code List
Gender
CL Item
Male (Male)
C20197 (NCI Thesaurus)
C0086582 (UMLS 2011AA)
CL Item
Female (Female)
C16576 (NCI Thesaurus)
C0086287 (UMLS 2011AA)
Item
Ethnicity
text
C25372 (NCI Thesaurus Property)
C0683312 (UMLS 2011AA Property)
C25372 (NCI Thesaurus ValueDomain)
C0683312 (UMLS 2011AA ValueDomain)
C16564 (NCI Thesaurus ObjectClass)
C0015031 (UMLS 2011AA ObjectClass)
CL.36
Code List
Ethnicity
CL Item
A Person Not Meeting The Definition For Hispanic Or Latino. (NOT HISPANIC OR LATINO)
C41222 (NCI Thesaurus)
C1518424 (UMLS 2011AA)
CL Item
A Person Of Mexican, Puerto Rican, Cuban, Central Or South American Or Other Spanish Culture Or Origin, Regardless Of Race. (HISPANIC OR LATINO)
C17459 (NCI Thesaurus)
C0086409 (UMLS 2011AA)
Item
If Hispanic or Latino, specify
text
C25372 (NCI Thesaurus ValueDomain)
C0683312 (UMLS 2011AA ValueDomain)
C17459 (NCI Thesaurus Property)
C0086409 (UMLS 2011AA Property)
C52654 (NCI Thesaurus ObjectClass)
C0011441 (UMLS 2011AA ObjectClass)
C16564 (NCI Thesaurus Property)
C0015031 (UMLS 2011AA Property)
CL.37
Code List
If Hispanic or Latino, specify
CL Item
Mexican (Mexican)
C67113 (NCI Thesaurus)
C0240339 (UMLS 2011AA)
CL Item
Puerto Rican (Puerto Rican)
C67112 (NCI Thesaurus)
C0034043 (UMLS 2011AA)
CL Item
Cuban (Cuban)
CL024966 (NCI Metathesaurus)
CL Item
Central American (Central American)
C0238914 (NCI Metathesaurus)
CL Item
Nos (NOS)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
DentistHispanicEthnicGroupSpecify
Item
Specify (If other,)
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C17459 (NCI Thesaurus Property)
C0086409 (UMLS 2011AA Property)
C52654 (NCI Thesaurus ObjectClass)
C0011441 (UMLS 2011AA ObjectClass)
C16564 (NCI Thesaurus Property)
C0015031 (UMLS 2011AA Property)
Item
Race
text
C25372 (NCI Thesaurus ValueDomain)
C0683312 (UMLS 2011AA ValueDomain)
C52654 (NCI Thesaurus ObjectClass)
C0011441 (UMLS 2011AA ObjectClass)
C17049 (NCI Thesaurus Property)
C0034510 (UMLS 2011AA Property)
C25692 (NCI Thesaurus Property)
C1515010 (UMLS 2011AA Property)
CL.38
Code List
Race
CL Item
Asian Indian (Asian Indian)
C41262 (NCI Thesaurus)
C1524069 (UMLS 2011AA)
CL Item
Black Or African American (Black or African American)
CL Item
Chinese (Chinese)
C43391 (NCI Thesaurus)
C0152035 (UMLS 2011AA)
CL Item
Filipino (Filipino)
C43393 (NCI Thesaurus)
C1556093 (UMLS 2011AA)
CL Item
Japanese (Japanese)
C43392 (NCI Thesaurus)
C1556094 (UMLS 2011AA)
CL Item
Korean (Korean)
C43395 (NCI Thesaurus)
C1556095 (UMLS 2011AA)
CL Item
Native American Or Alaskan Native (Native American or Alaskan Native)
CL Item
Native Hawaiian Or Other Pacific Islander (Native Hawaiian or Other Pacific Islander)
CL025744 (NCI Metathesaurus)
CL025744 (NCI Metathesaurus)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
CL Item
Other Asian (Other Asian)
CL208989 (NCI Metathesaurus)
CL Item
Vietnamese (Vietnamese)
C43396 (NCI Thesaurus)
C1561452 (UMLS 2011AA)
CL Item
White (White)
CL107068 (NCI Metathesaurus)
DentistSubcategoryRaceSpecify
Item
Specify (If other,)
text
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
C52654 (NCI Thesaurus ObjectClass)
C0011441 (UMLS 2011AA ObjectClass)
C17049 (NCI Thesaurus Property)
C0034510 (UMLS 2011AA Property)
C25692 (NCI Thesaurus Property)
C1515010 (UMLS 2011AA Property)
Item Group
Iii. Description Of Your Practice
DentalProfessionalPracticeActivePatientBaseCount
Item
What is your approximate active patient chart count
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C45329 (NCI Thesaurus Property)
C0205177 (UMLS 2011AA Property)
C52644 (NCI Thesaurus Property)
C1709483 (UMLS 2011AA Property)
C25463 (NCI Thesaurus ValueDomain)
C0750480 (UMLS 2011AA ValueDomain)
DentalProfessionalPracticeMalePatientDemographicsPercentageValue
Item
Males (Estimate the percentage of your patients that are - Percentage should add up to 100% )
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C20197 (NCI Thesaurus Property)
C0086582 (UMLS 2011AA Property)
C16495 (NCI Thesaurus Property)
C0011292 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
DentalProfessionalPracticeFemalePatientDemographicsPercentageValue
Item
Females (Estimate the percentage of your patients that are - Percentage should add up to 100% )
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C16576 (NCI Thesaurus Property)
C0086287 (UMLS 2011AA Property)
C16495 (NCI Thesaurus Property)
C0011292 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
DentalProfessionalPracticeNotHispanicorLatinoPatientDemographicsPercentageValue
Item
Not Hispanic or Latino (Estimate the percentage of your patients that are - Ethnicity)
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C41222 (NCI Thesaurus Property)
C1518424 (UMLS 2011AA Property)
C16495 (NCI Thesaurus Property)
C0011292 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
DentalProfessionalPracticeHispanicPatientDemographicsPercentageValue
Item
Hispanic or Latino (Estimate the percentage of your patients that are - Ethnicity)
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C17459 (NCI Thesaurus Property)
C0086409 (UMLS 2011AA Property)
C16495 (NCI Thesaurus Property)
C0011292 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
DentalProfessionalPracticeWhitePatientDemographicsPercentageValue
Item
White (Estimate the percentage of your patients that are - Race)
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C41261 (NCI Thesaurus Property)
C0007457 (UMLS 2011AA Property)
C16495 (NCI Thesaurus Property)
C0011292 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
DentalProfessionalPracticeAfricanAmericanPatientDemographicsPercentageValue
Item
Black or African American (Estimate the percentage of your patients that are - Race)
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C16352 (NCI Thesaurus Property)
C0085756 (UMLS 2011AA Property)
C16495 (NCI Thesaurus Property)
C0011292 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
DentalProfessionalPracticeAmericanIndianorAlaskaNativePatientDemographicsPercentageValue
Item
Native American or Alaskan Native (Estimate the percentage of your patients that are - Race)
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C41259 (NCI Thesaurus Property)
C1515945 (UMLS 2011AA Property)
C16495 (NCI Thesaurus Property)
C0011292 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
DentalProfessionalPracticeNativeHawaiianorOtherPacificIslandePatientDemographicsPercentageValue
Item
Native Hawaiian or Other Pacific Islander (Estimate the percentage of your patients that are - Race)
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C41219 (NCI Thesaurus Property)
C1513907 (UMLS 2011AA Property)
C16495 (NCI Thesaurus Property)
C0011292 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
DentalProfessionalPracticeAsianPatientDemographicsPercentageValue
Item
Asian (Estimate the percentage of your patients that are - Race)
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C41260 (NCI Thesaurus Property)
C0078988 (UMLS 2011AA Property)
C16495 (NCI Thesaurus Property)
C0011292 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
DentalProfessionalPracticeOtherPatientDemographicsPercentageValue
Item
Other (Estimate the percentage of your patients that are - Race)
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C17649 (NCI Thesaurus Property)
C0205394 (UMLS 2011AA Property)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C16495 (NCI Thesaurus Property)
C0011292 (UMLS 2011AA Property)
C25613 (NCI Thesaurus ValueDomain)
C0439165 (UMLS 2011AA ValueDomain)
C25712 (NCI Thesaurus ValueDomain)
C1522609 (UMLS 2011AA ValueDomain)
DentalProfessionalPracticeOtherPatientDemographicsSpecify
Item
Specify (If other,)
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C17649 (NCI Thesaurus Property)
C0205394 (UMLS 2011AA Property)
C16960 (NCI Thesaurus Property)
C0030705 (UMLS 2011AA Property)
C16495 (NCI Thesaurus Property)
C0011292 (UMLS 2011AA Property)
C25685 (NCI Thesaurus ValueDomain)
C1521902 (UMLS 2011AA ValueDomain)
Item
How would you characterize your practice
text
C41136 (NCI Thesaurus ObjectClass)
C0226984 (UMLS 2011AA ObjectClass)
C52673 (NCI Thesaurus ObjectClass)
C0033284 (UMLS 2011AA ObjectClass)
C25341 (NCI Thesaurus Property)
C0450429 (UMLS 2011AA Property)
C37957 (NCI Thesaurus Property)
C1517526 (UMLS 2011AA Property)
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
CL.39
Code List
How would you characterize your practice
CL Item
Rural (Rural)
CL Item
Suburban (Suburban)
CL Item
Urban (Urban)
C77950 (NCI Thesaurus)
C2700386 (UMLS 2011AA)
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