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1 forms
  1. StudyEvent: NSABP Protocol B-36 Quality of Life Questionnaire (English Version)
    1. No Instruction available.
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Header
C1320722 (UMLS CUI-1)
Patient Initials
Item
Patient Initials (Last, First Middle)
text
C25191 (NCI Thesaurus ValueDomain)
C2986440 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C25536 (NCI Thesaurus Property)
Patient ID NSABP
Item
NSABP Patient ID
text
C25337 (NCI Thesaurus ValueDomain)
C2348585 (UMLS CUI-1)
C16960 (NCI Thesaurus ObjectClass)
C1513905 (UMLS CUI-2)
C25364 (NCI Thesaurus Property)
C15818 (NCI Thesaurus Property-2)
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)
Affiliate Name
Item
Affiliate Name
text
C21541 (NCI Thesaurus ObjectClass)
C1510825 (UMLS CUI-1)
C25413 (NCI Thesaurus ObjectClass-2)
C25364 (NCI Thesaurus Property)
C25191 (NCI Thesaurus ValueDomain)
C21541 (NCI Thesaurus ValueDomain-2)
PersonFormAdministrationLastName
Item
Staff member administering form (Last Name)
text
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C19464 (NCI Thesaurus Property)
C0376315 (UMLS 2011AA Property)
C25551 (NCI Thesaurus ValueDomain-2)
C1517741 (UMLS 2011AA ValueDomain-2)
C25409 (NCI Thesaurus Property-2)
C1533734 (UMLS 2011AA Property-2)
PersonFormAdministrationFirstName
Item
Staff member administering form, first name
text
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C19464 (NCI Thesaurus Property)
C0376315 (UMLS 2011AA Property)
C25409 (NCI Thesaurus Property-2)
C1533734 (UMLS 2011AA Property-2)
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25509 (NCI Thesaurus ValueDomain-2)
C1279901 (UMLS 2011AA ValueDomain-2)
PersonFormAdministrationPhoneNumber
Item
Staff Member Administering Form, Phone
text
C25337 (NCI Thesaurus ValueDomain)
C0237753 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C19464 (NCI Thesaurus Property)
C0376315 (UMLS 2011AA Property)
C25409 (NCI Thesaurus Property-2)
C1533734 (UMLS 2011AA Property-2)
Today'sDate
Item
Today's Date (Month Day Year)
text
Item
Time point
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25616 (NCI Thesaurus Property)
C0031809 (UMLS CUI-1)
C1948053 (UMLS CUI-2)
CL.1
Code List
Time point
CL Item
12 Months (12 months)
CL Item
18 Months (18 months)
CL Item
24 Months (24 months)
CL Item
30 Months (30 months)
CL Item
36 Months (36 months)
CL Item
6 Months (6 months)
CL Item
Baseline (baseline)
C25213 (NCI Thesaurus)
C1442488 (UMLS 2011AA)
CL Item
Day 1 Of Cycle 4 (Day 1 of Cycle 4)
Item
This form is being filled out
text
C25284 (NCI Thesaurus ValueDomain)
C25190 (NCI Thesaurus Property)
C40988 (NCI Thesaurus ObjectClass)
C25250 (NCI Thesaurus Property-2)
C0027361 (UMLS CUI-1)
C1516308 (UMLS CUI-2)
C0205197 (UMLS CUI-3)
CL.2
Code List
This form is being filled out
CL Item
0 By Patient In Office (By patient in doctor's office)
CL Item
By patient not in doctor's office (By patient not in doctor's office)
CL Item
1 By Clinical Staff On Phone With Patient (By clinical staff on phone with patient)
CL Item
Other (Other)
C17649 (NCI Thesaurus)
C0205394 (UMLS 2011AA)
Questionnaire date
Item
Date this questionnaire is completed (For example, if you were completing the questionnaire on September 8, 2003, you would write 09 08 2003 in the boxes.)
date
C25164 (NCI Thesaurus ValueDomain)
C2826959 (UMLS CUI-1)
Item Group
Quality of life
C0451401 (UMLS CUI-1)
Item
I have a lack of energy.
text
C25664 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C3036 (NCI Thesaurus ObjectClass-2)
C0015672 (UMLS CUI-1)
CL.3
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.
text
C25664 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C3258 (NCI Thesaurus ObjectClass-2)
C0027497 (UMLS CUI-1)
CL.3
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.
text
C25284 (NCI Thesaurus ValueDomain)
CL.3
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.
text
C25664 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C3303 (NCI Thesaurus ObjectClass-2)
C0030193 (UMLS CUI-1)
CL.3
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.
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus Property)
C41331 (NCI Thesaurus ObjectClass)
C38757 (NCI Thesaurus Property-2)
C0877248 (UMLS CUI-1)
CL.3
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.
text
C25284 (NCI Thesaurus ValueDomain)
C2987492 (UMLS CUI-1)
CL.3
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.
text
C0004910 (UMLS CUI-1)
CL.3
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
I feel close to my friends.
text
C25284 (NCI Thesaurus ValueDomain)
C2984048 (UMLS CUI-1)
CL.3
Code List
I feel close to my friends.
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 get emotional support from my family.
text
C16960 (NCI Thesaurus ObjectClass)
C25173 (NCI Thesaurus ObjectClass-2)
C20989 (NCI Thesaurus Property)
C0600015 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C2984050 (UMLS CUI-1)
CL.3
Code List
I get emotional support from 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 get support from my friends.
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C2984072 (UMLS CUI-1)
CL.3
Code List
I get support from my friends.
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 family has accepted my illness.
text
C2984053 (UMLS CUI-1)
CL.3
Code List
My family has 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 satisfied with family communication about my illness.
text
C25284 (NCI Thesaurus ValueDomain)
C2984054 (UMLS CUI-1)
CL.3
Code List
I am satisfied with family communication about 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 feel close to my partner. (or the person who is my main support)
text
C25284 (NCI Thesaurus ValueDomain)
C2984059 (UMLS CUI-1)
CL.3
Code List
I feel close to my partner. (or the person who is my main support)
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)
Question no response
Item
If you prefer not to answer it, please check this box and go to the next section. (Regardless of your current level of sexual activity, please answer the following question.)
boolean
Item
I am satisfied with my sex life.
text
C25284 (NCI Thesaurus ValueDomain)
C0871356 (UMLS CUI-1)
CL.3
Code List
I am satisfied with my sex 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 feel sad.
text
C16960 (NCI Thesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
C2982 (NCI Thesaurus Property-2)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C0011581 (UMLS CUI-1)
CL.3
Code List
I feel sad.
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 satisfied with how I am coping with my illness.
text
C16960 (NCI Thesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
CL140183 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C0009967 (UMLS CUI-1)
CL.3
Code List
I am satisfied with how I am coping with 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 losing hope in the fight against my illness.
text
C25284 (NCI Thesaurus ValueDomain)
C2984056 (UMLS CUI-1)
CL.3
Code List
I am losing hope in the fight against 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 feel nervous.
text
C16960 (NCI Thesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
C25584 (NCI Thesaurus Property-2)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C0027769 (UMLS CUI-1)
CL.3
Code List
I feel nervous.
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 worry about dying.
text
C16960 (NCI Thesaurus ObjectClass)
C0233481 (NCI Metathesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
C28554 (NCI Thesaurus Property-2)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C2984076 (UMLS CUI-1)
CL.3
Code List
I worry about dying.
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 worry that my condition will get worse.
text
C25284 (NCI Thesaurus ValueDomain)
C2984075 (UMLS CUI-1)
CL.3
Code List
I worry that my condition will get worse.
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 work. (include work at home)
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C2984044 (UMLS CUI-1)
CL.3
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 is fulfilling. (include work at home)
text
C25284 (NCI Thesaurus ValueDomain)
C2984074 (UMLS CUI-1)
CL.3
Code List
My work is fulfilling. (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
I am able to enjoy life.
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C2984051 (UMLS CUI-1)
CL.3
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
C2984045 (UMLS CUI-1)
CL.3
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
C16960 (NCI Thesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
C0037313 (NCI Metathesaurus Property)
C25664 (NCI Thesaurus ValueDomain)
C17047 (NCI Thesaurus ValueDomain-2)
C2984071 (UMLS CUI-1)
CL.3
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.
text
C17047 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus Property)
C62185 (NCI Thesaurus Property-2)
C73426 (NCI Thesaurus Property-3)
C25284 (NCI Thesaurus ValueDomain)
C2984052 (UMLS CUI-1)
CL.3
Code List
I am enjoying the things I usually 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 am content with the quality of my life right now.
text
C25284 (NCI Thesaurus ValueDomain)
C2984049 (UMLS CUI-1)
CL.3
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
I have been short of breath.
text
C25284 (NCI Thesaurus ValueDomain)
C0013404 (UMLS CUI-1)
CL.3
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 self-conscious about the way I dress.
text
C25284 (NCI Thesaurus ValueDomain)
C3475654 (UMLS CUI-1)
CL.3
Code List
I am self-conscious about the way I dress.
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
One or both of my arms are swollen or tender.
text
C25284 (NCI Thesaurus ValueDomain)
C0577598 (UMLS CUI-1)
CL.3
Code List
One or both of my arms are swollen or tender.
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 sexually attractive.
text
C3274934 (UMLS CUI-1)
CL.3
Code List
I feel sexually attractive.
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 hair loss.
text
C25284 (NCI Thesaurus ValueDomain)
C3831302 (UMLS CUI-1)
CL.3
Code List
I am bothered by hair loss.
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 worry that other members of my family might someday get the same illness I have.
text
C3476047 (UMLS CUI [1])
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
CL.3
Code List
I worry that other members of my family might someday get the same illness I have.
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 worry about the effect of stress on my illness.
text
C25284 (NCI Thesaurus ValueDomain)
C3274929 (UMLS CUI-1)
CL.3
Code List
I worry about the effect of stress on 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 bothered by a change in weight.
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C3274921 (UMLS CUI-1)
CL.3
Code List
I am bothered by a change in weight.
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 feel like a woman.
text
C3475547 (UMLS CUI [1])
C25284 (NCI Thesaurus ValueDomain)
CL.3
Code List
I am able to feel like a woman.
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
headaches
text
C25626 (NCI Thesaurus Property)
C34661 (NCI Thesaurus ObjectClass)
C25688 (NCI Thesaurus ValueDomain)
C0018681 (UMLS CUI-1)
CL.3
Code List
headaches
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
indigestion
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C0013395 (UMLS CUI-1)
CL.3
Code List
indigestion
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
nausea
text
C0027497 (UMLS CUI-1)
CL.3
Code List
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
heartburn
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C0018834 (UMLS CUI-1)
CL.3
Code List
heartburn
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
vomiting
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C0042963 (UMLS CUI-1)
CL.3
Code List
vomiting
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
passing a lot of gas (flatulence)
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C0016204 (UMLS CUI-1)
CL.3
Code List
passing a lot of gas (flatulence)
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
mouth sores
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C0149745 (UMLS CUI-1)
CL.3
Code List
mouth sores
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
diarrhea
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C0011991 (UMLS CUI-1)
CL.3
Code List
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
skin problems (including rash, dry skin, itching, irritation or redness)
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C0281822 (UMLS CUI-1)
CL.3
Code List
skin problems (including rash, dry skin, itching, irritation or redness)
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
numbness or tingling in hands or feet
text
C25284 (NCI Thesaurus ValueDomain)
C3828645 (UMLS CUI-1)
CL.3
Code List
numbness or tingling in hands or 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
fever or shivering (shaking, chills)
text
C25284 (NCI Thesaurus ValueDomain)
C0015967 (UMLS CUI-1)
CL.3
Code List
fever or shivering (shaking, chills)
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
difficulty with bladder control
text
C25180 (NCI Thesaurus ValueDomain)
C3639680 (UMLS CUI-1)
CL.3
Code List
difficulty with bladder control
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
constipation
text
C25284 (NCI Thesaurus ValueDomain)
C0009806 (UMLS CUI-1)
CL.3
Code List
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
hot flashes
text
C25180 (NCI Thesaurus ValueDomain)
C0600142 (UMLS CUI-1)
CL.3
Code List
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
genital itching or irritation
text
C25284 (NCI Thesaurus ValueDomain)
C0033777 (UMLS CUI-1)
CL.3
Code List
genital itching or irritation
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
mood swings
text
C25284 (NCI Thesaurus ValueDomain)
C0085633 (UMLS CUI-1)
CL.3
Code List
mood swings
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
vaginal discharge
text
C25284 (NCI Thesaurus ValueDomain)
C0227791 (UMLS CUI-1)
CL.3
Code List
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
vaginal bleeding or spotting
text
C25180 (NCI Thesaurus ValueDomain)
C3475970 (UMLS CUI-1)
CL.3
Code List
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
vaginal dryness
text
C25284 (NCI Thesaurus ValueDomain)
C0241633 (UMLS CUI-1)
CL.3
Code List
vaginal dryness
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
pain with intercourse
text
C25180 (NCI Thesaurus ValueDomain)
C0423742 (UMLS CUI-1)
CL.3
Code List
pain 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
cramps
text
C25284 (NCI Thesaurus ValueDomain)
C0026821 (UMLS CUI-1)
CL.3
Code List
cramps
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
general aches and pains
text
C25180 (NCI Thesaurus ValueDomain)
C0281856 (UMLS CUI-1)
CL.3
Code List
general aches and pains
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
joint pains
text
C25180 (NCI Thesaurus ValueDomain)
C0003862 (UMLS CUI-1)
CL.3
Code List
joint pains
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
swelling of hands
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C0575805 (UMLS CUI-1)
CL.3
Code List
swelling of 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
muscle stiffness
text
C25180 (NCI Thesaurus ValueDomain)
C0221170 (UMLS CUI-1)
CL.3
Code List
muscle stiffness
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
weight gain
text
C25180 (NCI Thesaurus ValueDomain)
C0043094 (UMLS CUI-1)
CL.3
Code List
weight gain
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
weight loss
text
C38147 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C3445 (NCI Thesaurus ObjectClass-2)
C1262477 (UMLS CUI-1)
CL.3
Code List
weight loss
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
unhappy with appearance of my body
text
C25180 (NCI Thesaurus ValueDomain)
C3274925 (UMLS CUI-1)
CL.3
Code List
unhappy with appearance of my body
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
forgetfulness
text
C25180 (NCI Thesaurus ValueDomain)
C0542476 (UMLS CUI-1)
CL.3
Code List
forgetfulness
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
night sweats
text
C25180 (NCI Thesaurus ValueDomain)
C0028081 (UMLS CUI-1)
CL.3
Code List
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
cold sweats
text
C25180 (NCI Thesaurus ValueDomain)
C0232431 (UMLS CUI-1)
CL.3
Code List
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
difficulty concentrating
text
C25180 (NCI Thesaurus ValueDomain)
C0947509 (UMLS CUI-1)
CL.3
Code List
difficulty concentrating
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
Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C2963465 (UMLS CUI-1)
CL.71
Code List
Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports
CL Item
Yes, limited a lot (4)
C3829282 (UMLS CUI-1)
CL Item
Yes, limited a little (2)
C3829283 (UMLS CUI-1)
CL Item
No, not limited at all (1)
C3845941 (UMLS CUI-1)
Item
Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf
text
C3833417 (UMLS CUI-1)
CL.71
Code List
Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf
CL Item
Yes, limited a lot (4)
C3829282 (UMLS CUI-1)
CL Item
Yes, limited a little (2)
C3829283 (UMLS CUI-1)
CL Item
No, not limited at all (1)
C3845941 (UMLS CUI-1)
Item
Lifting or carrying groceries
text
C17047 (NCI Thesaurus ObjectClass)
C25367 (NCI Thesaurus Property)
C17708 (NCI Thesaurus Property-2)
C62189 (NCI Thesaurus Property-3)
C25664 (NCI Thesaurus ValueDomain)
C3829286 (UMLS CUI-1)
CL.71
Code List
Lifting or carrying groceries
CL Item
Yes, limited a lot (4)
C3829282 (UMLS CUI-1)
CL Item
Yes, limited a little (2)
C3829283 (UMLS CUI-1)
CL Item
No, not limited at all (1)
C3845941 (UMLS CUI-1)
Item
Climbing several flights of stairs
text
C25664 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus Property)
CL299704 (NCI Metathesaurus ObjectClass)
C17708 (NCI Thesaurus ObjectClass)
C3831080 (UMLS CUI-1)
CL.71
Code List
Climbing several flights of stairs
CL Item
Yes, limited a lot (4)
C3829282 (UMLS CUI-1)
CL Item
Yes, limited a little (2)
C3829283 (UMLS CUI-1)
CL Item
No, not limited at all (1)
C3845941 (UMLS CUI-1)
Item
Bending, kneeling, or stooping
text
C25284 (NCI Thesaurus ValueDomain)
C3831371 (UMLS CUI-1)
CL.71
Code List
Bending, kneeling, or stooping
CL Item
Yes, limited a lot (4)
C3829282 (UMLS CUI-1)
CL Item
Yes, limited a little (2)
C3829283 (UMLS CUI-1)
CL Item
No, not limited at all (1)
C3845941 (UMLS CUI-1)
Item
Walking more than a mile
text
C25284 (NCI Thesaurus ValueDomain)
C3827523 (UMLS CUI-1)
CL.71
Code List
Walking more than a mile
CL Item
Yes, limited a lot (4)
C3829282 (UMLS CUI-1)
CL Item
Yes, limited a little (2)
C3829283 (UMLS CUI-1)
CL Item
No, not limited at all (1)
C3845941 (UMLS CUI-1)
Item
Walking several hundred yards
text
C25284 (NCI Thesaurus ValueDomain)
C2963458 (UMLS CUI-1)
CL.71
Code List
Walking several hundred yards
CL Item
Yes, limited a lot (4)
C3829282 (UMLS CUI-1)
CL Item
Yes, limited a little (2)
C3829283 (UMLS CUI-1)
CL Item
No, not limited at all (1)
C3845941 (UMLS CUI-1)
Item
Walking one hundred yards
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C2963456 (UMLS CUI-1)
CL.71
Code List
Walking one hundred yards
CL Item
Yes, limited a lot (4)
C3829282 (UMLS CUI-1)
CL Item
Yes, limited a little (2)
C3829283 (UMLS CUI-1)
CL Item
No, not limited at all (1)
C3845941 (UMLS CUI-1)
Item
Bathing or dressing yourself
text
C25284 (NCI Thesaurus ValueDomain)
C3831396 (UMLS CUI-1)
CL.71
Code List
Bathing or dressing yourself
CL Item
Yes, limited a lot (4)
C3829282 (UMLS CUI-1)
CL Item
Yes, limited a little (2)
C3829283 (UMLS CUI-1)
CL Item
No, not limited at all (1)
C3845941 (UMLS CUI-1)
Item
Did you feel full of life?
integer
C3829819 (UMLS CUI-1)
CL.80
Code List
Did you feel full of life?
CL Item
None of the time (1)
C3812882 (UMLS CUI-1)
CL Item
A little of the time (2)
C3831570 (UMLS CUI-1)
CL Item
Some of the time (3)
C3827992 (UMLS CUI-1)
CL Item
Most of the time (4)
C3828954 (UMLS CUI-1)
CL Item
All of the time (5)
C3812891 (UMLS CUI-1)
Item
Did you have a lot of energy?
text
C25284 (NCI Thesaurus ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C25755 (NCI Thesaurus Property)
C3828394 (UMLS CUI-1)
CL.80
Code List
Did you have a lot of energy?
CL Item
None of the time (1)
C3812882 (UMLS CUI-1)
CL Item
A little of the time (2)
C3831570 (UMLS CUI-1)
CL Item
Some of the time (3)
C3827992 (UMLS CUI-1)
CL Item
Most of the time (4)
C3828954 (UMLS CUI-1)
CL Item
All of the time (5)
C3812891 (UMLS CUI-1)
Item
Did you feel worn out?
text
C25284 (NCI Thesaurus ValueDomain)
C3828399 (UMLS CUI-1)
CL.80
Code List
Did you feel worn out?
CL Item
None of the time (1)
C3812882 (UMLS CUI-1)
CL Item
A little of the time (2)
C3831570 (UMLS CUI-1)
CL Item
Some of the time (3)
C3827992 (UMLS CUI-1)
CL Item
Most of the time (4)
C3828954 (UMLS CUI-1)
CL Item
All of the time (5)
C3812891 (UMLS CUI-1)
Item
Did you feel tired?
text
C25284 (NCI Thesaurus ValueDomain)
C3539029 (UMLS CUI-1)
CL.80
Code List
Did you feel tired?
CL Item
None of the time (1)
C3812882 (UMLS CUI-1)
CL Item
A little of the time (2)
C3831570 (UMLS CUI-1)
CL Item
Some of the time (3)
C3827992 (UMLS CUI-1)
CL Item
Most of the time (4)
C3828954 (UMLS CUI-1)
CL Item
All of the time (5)
C3812891 (UMLS CUI-1)
Item
Please score your overall quality of life as of today on an 11-point scale where 0 indicates being in the worst possible health and 10 indicates being in perfect health.
integer
C0451401 (UMLS CUI-1)
CL.84
Code List
Please score your overall quality of life as of today on an 11-point scale where 0 indicates being in the worst possible health and 10 indicates being in perfect health.
CL Item
0 (0)
C0919414 (NCI Metathesaurus)
CL Item
1 (1)
CL Item
2 (2)
C66833 (NCI Thesaurus)
CL Item
3 (3)
CL Item
4 (4)
CL Item
5 (5)
CL Item
6 (6)
CL Item
7 (7)
CL Item
8 (8)
CL Item
9 (9)
CL Item
10 (10)
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