ID

5499

Descrizione

Quality of Life Questionnaire Anastrozole or Tamoxifen in Treating Postmenopausal Women With Ductal Carcinoma in Situ Who Are Undergoing Lumpectomy and Radiation Therapy Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A0E240A0-FD2A-46A0-E034-080020C9C0E0

collegamento

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A0E240A0-FD2A-46A0-E034-080020C9C0E0

Keywords

  1. 26/08/12 26/08/12 -
  2. 07/08/14 07/08/14 - Martin Dugas
  3. 21/03/15 21/03/15 - Martin Dugas
  4. 10/04/21 10/04/21 - Ahmed Rafee, MD
  5. 20/09/21 20/09/21 -
Caricato su

7 agosto 2014

DOI

Per favore, per richiedere un accesso.

Licenza

Creative Commons BY-NC 3.0 Legacy

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Breast Cancer NCT00053898 Quality of Life - Quality of Life Questionnaire - 2035063v3.0

NSABP Protocol B-35 [At bottom ] Record the first three letters of patient's last name and study ID on each of the remaining pages before giving the questionnaire to the patient.

Unnamed1
Descrizione

Unnamed1

Unnamed2
Descrizione

Unnamed2

First Three Letters of Patient?s Last Name
Descrizione

FirstThreeLettersofPatient?sLastName

Tipo di dati

text

Patient Study ID
Descrizione

PatientStudyID

Tipo di dati

text

Institution Name
Descrizione

InstitutionName

Tipo di dati

text

Affiliate Name
Descrizione

AffiliateName

Tipo di dati

text

Staff member administering form
Descrizione

PersonFormAdministrationLastName

Tipo di dati

text

Alias
NCI Thesaurus ObjectClass
C25190
UMLS 2011AA ObjectClass
C0027361
NCI Thesaurus Property
C19464
UMLS 2011AA Property
C0376315
NCI Thesaurus Property
C25409
UMLS 2011AA Property
C1533734
NCI Thesaurus ValueDomain
C25191
UMLS 2011AA ValueDomain
C1547383
NCI Thesaurus ValueDomain
C25551
UMLS 2011AA ValueDomain
C1517741
Unnamed
Descrizione

Unnamed

Tipo di dati

text

Phone
Descrizione

Phone

Tipo di dati

text

Are data amended? (If yes, circle amended items in red.)
Descrizione

AmendedDataInd

Tipo di dati

text

Alias
NCI Thesaurus ObjectClass
C25474
UMLS 2011AA ObjectClass
C1511726
NCI Thesaurus Property
C25416
UMLS 2011AA Property
C1691222
Unnamed3
Descrizione

Unnamed3

Time Point for this Questionnaire (Check One)
Descrizione

TimePointforthisQuestionnaire

Tipo di dati

text

This form is being filled out
Descrizione

CaseReportFormPersonCompleteType

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25284
UMLS 2011AA ValueDomain
C0332307
NCI Thesaurus Property
C25190
UMLS 2011AA Property
C0027361
NCI Thesaurus ObjectClass
C40988
UMLS 2011AA ObjectClass
C1516308
NCI Thesaurus Property
C25250
UMLS 2011AA Property
C0205197
Unnamed4
Descrizione

Unnamed4

I was bothered by things that don't usually bother me.
Descrizione

QualityofLifeDiscomfortNormalEventAssessmentDayFrequency

Tipo di dati

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25499
UMLS 2011AA Property
C0441471
NCI Thesaurus Property
C50535
UMLS 2011AA Property
C0234215
NCI Thesaurus Property
C14165
UMLS 2011AA Property
C0205307
NCI Thesaurus Property
C25217
UMLS 2011AA Property
C1516048
NCI Thesaurus ValueDomain
C25301
UMLS 2011AA ValueDomain
C0439228
NCI Thesaurus ValueDomain
C25515
UMLS 2011AA ValueDomain
C0439603
I had trouble keeping my mind on what I was doing.
Descrizione

IhadtroublekeepingmymindonwhatIwasdoing.

Tipo di dati

text

I felt depressed
Descrizione

Ifeltdepressed

Tipo di dati

text

Alias
NCI Thesaurus ObjectClass
C17047
UMLS 2011AA ObjectClass
C0518214
NCI Thesaurus Property
C25217
UMLS 2011AA Property
C1516048
NCI Thesaurus Property
C2982
UMLS 2011AA Property
C0011570
I felt that everything I did was an effort.
Descrizione

IfeltthateverythingIdidwasaneffort.IfeltthateverythingIdidwasaneffort.Text

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
I felt hopeful about the future.
Descrizione

Ifelthopefulaboutthefuture.Ifelthopefulaboutthefuture.Text

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
I felt fearful.
Descrizione

Ifeltfearful.Ifeltfearful.Text

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25704
UMLS 2011AA ValueDomain
C1527021
My sleep was restless.
Descrizione

Mysleepwasrestless.

Tipo di dati

text

I was happy.
Descrizione

Iwashappy.

Tipo di dati

text

I felt lonely.
Descrizione

Ifeltlonely.

Tipo di dati

text

I could not get "going".
Descrizione

Icouldnotget"going".

Tipo di dati

text

Everyday Problems During The Past Four Weeks
Descrizione

Everyday Problems During The Past Four Weeks

Hot Flashes
Descrizione

HotFlashes

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Headaches
Descrizione

HeadachesInd

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
NCI Thesaurus Property
C25626
UMLS 2011AA Property
C0150312
NCI Thesaurus ObjectClass
C34661
UMLS 2011AA ObjectClass
C0018681
Difficulty with bladder control (at other times)
Descrizione

Difficultywithbladdercontrol

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Difficulty with bladder control (at other times)
Descrizione

Difficultywithbladdercontrol

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Vaginal discharge
Descrizione

VaginaldischargeInd

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Vaginal bleeding or spotting
Descrizione

Vaginalbleedingorspotting

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Genital itching/irritation
Descrizione

Genitalitching/irritation

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Vaginal dryness
Descrizione

VaginaldrynessInd

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Pain with intercourse
Descrizione

Painwithintercourse

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Breast pain
Descrizione

Breastpain

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Difficulty with breast skin
Descrizione

Difficultywithbreastskin

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Breast sensitivity/tenderness
Descrizione

Breastsensitivity/tenderness

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
General aches and pains
Descrizione

Generalachesandpains

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Joint pains
Descrizione

Jointpains

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Muscle stiffness
Descrizione

Musclestiffness

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Weight gain
Descrizione

Weightgain

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS
C0043094
Weight loss
Descrizione

WeightLossAssessmentResponseInd-2

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
NCI Thesaurus ObjectClass
C20989
UMLS 2011AA ObjectClass
C0031809
NCI Thesaurus Property
C25755
UMLS 2011AA Property
C0871261
NCI Thesaurus ObjectClass
C3445
UMLS 2011AA ObjectClass
C0043096
Unhappy with appearance of my body
Descrizione

Unhappywithappearanceofmybody

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Decreased appetite
Descrizione

Decreasedappetite

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Forgetfulness
Descrizione

Forgetfulness

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Excitability
Descrizione

Excitability

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Short temper
Descrizione

Shorttemper

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Tendency to take naps; stay in bed
Descrizione

Tendencytotakenaps;stayinbed

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Night sweats
Descrizione

Nightsweats

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Cold sweats
Descrizione

Coldsweats

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Difficulty concentrating
Descrizione

Difficultyconcentrating

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Easily distracted
Descrizione

Easilydistracted

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Trouble sleeping
Descrizione

Troublesleeping

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Early awakening
Descrizione

Earlyawakening

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Any other problems (Specify below)
Descrizione

Anyotherproblems

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Severity
Descrizione

Severity

Tipo di dati

text

Specify other problems
Descrizione

Specifyotherproblems

Tipo di dati

text

Unnamed5
Descrizione

Unnamed5

In general, would you say your health is (1)
Descrizione

HealthAssessmentStatus

Tipo di dati

text

Alias
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus ObjectClass
C25178
UMLS 2011AA ObjectClass
C0018684
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
Unnamed6
Descrizione

Unnamed6

Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf (2)
Descrizione

Moderateactivities,suchasmovingatable,pushingavacuumcleaner,bowling,orplayinggolf

Tipo di dati

text

Climbing several flights of stairs (3)
Descrizione

ClimbingStairsPhysicalActivityAssessmentScale

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Metathesaurus ObjectClass
CL299704
NCI Thesaurus ObjectClass
C17708
UMLS 2011AA ObjectClass
C0026606
Unnamed7
Descrizione

Unnamed7

Accomplished less than you would like. (6)
Descrizione

ReducedProductivityHealthAssessmentInd-2

Tipo di dati

text

Alias
NCI Thesaurus ObjectClass
C25640
UMLS 2011AA ObjectClass
C0392756
NCI Metathesaurus ObjectClass
C0033269
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property
C25178
UMLS 2011AA Property
C0018684
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
Were limited in the kind of work or other activities. (5)
Descrizione

LimitedWorkHealthAssessmentInd-2

Tipo di dati

text

Alias
NCI Metathesaurus ObjectClass
CL110648
NCI Metathesaurus ObjectClass
C0043227
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property
C25178
UMLS 2011AA Property
C0018684
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
Unnamed8
Descrizione

Unnamed8

Accomplished less than you would like. (6)
Descrizione

ReducedProductivityHealthAssessmentInd-2

Tipo di dati

text

Alias
NCI Thesaurus ObjectClass
C25640
UMLS 2011AA ObjectClass
C0392756
NCI Metathesaurus ObjectClass
C0033269
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property
C25178
UMLS 2011AA Property
C0018684
NCI Thesaurus ValueDomain
C38147
UMLS 2011AA ValueDomain
C1512698
Didn't do work or other activities as carefully as usual. (7)
Descrizione

Didn'tdoworkorotheractivitiesascarefullyasusual.

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
During the past 4 weeks, how much did pain interfere with your normal work? (8. including both work outside the home and housework)
Descrizione

PainPatientWorkAssessmentStatus

Tipo di dati

text

Alias
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus ObjectClass
C3303
UMLS 2011AA ObjectClass
C0030193
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Metathesaurus Property
C0043227
NCI Thesaurus ValueDomain
C25688
UMLS 2011AA ValueDomain
C0449438
Unnamed9
Descrizione

Unnamed9

Have you felt calm and peaceful? (9)
Descrizione

PatientRelaxationAssessmentScale

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Metathesaurus Property
C0035028
Did you feel full of pep? (10)
Descrizione

PatientVitalityAssessmentScale

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Metathesaurus Property
C0291944
Did you have a lot of energy? (11)
Descrizione

PatientEnergyAssessmentScale

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property
C48058
UMLS 2011AA Property
C0542479
Did you feel worn out? (12)
Descrizione

PatientFatigueAssessmentScale

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Thesaurus Property
C3036
UMLS 2011AA Property
C0015672
Did you feel tired? (13)
Descrizione

PatientLethargyAssessmentScale

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Metathesaurus Property
C0023380
Have you felt downhearted and blue? (14)
Descrizione

PatientMoodAssessmentScale

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25664
UMLS 2011AA ValueDomain
C0349674
NCI Thesaurus ObjectClass
C16960
UMLS 2011AA ObjectClass
C0030705
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Metathesaurus Property
C0026516
During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities? (15. like visiting with friends, relatives, etc.)
Descrizione

SocialBehaviorAssessmentDuration

Tipo di dati

text

Alias
NCI Thesaurus Property
C20989
UMLS 2011AA Property
C0031809
NCI Metathesaurus ObjectClass
C0037397
NCI Thesaurus ValueDomain
C25330
UMLS 2011AA ValueDomain
C0449238
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. (16)
Descrizione

Pleasescoreyouroverallqualityoflifeasoftodayonan11-pointscalewhere0indicatesbeingintheworstpossiblehealthand10indicatesbeinginperfecthealth.

Tipo di dati

text

Have you been sexually active during the past SIX MONTHS? (17)
Descrizione

HaveyoubeensexuallyactiveduringthepastSIXMONTHS?

Tipo di dati

text

Alias
NCI Thesaurus ValueDomain
C25180
UMLS 2011AA ValueDomain
C1522602
Unnamed10
Descrizione

Unnamed10

Lack of sexual interest (a)
Descrizione

Lackofsexualinterest

Tipo di dati

text

Difficulty in becoming sexually aroused (b)
Descrizione

Difficultyinbecomingsexuallyaroused

Tipo di dati

text

Unable to relax and enjoy sex (c)
Descrizione

Unabletorelaxandenjoysex

Tipo di dati

text

Difficulty in having orgasm (d)
Descrizione

Difficultyinhavingorgasm

Tipo di dati

text

Similar models

NSABP Protocol B-35 [At bottom ] Record the first three letters of patient's last name and study ID on each of the remaining pages before giving the questionnaire to the patient.

Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
Alias
Item Group
Unnamed1
Item Group
Unnamed2
FirstThreeLettersofPatient?sLastName
Item
First Three Letters of Patient?s Last Name
text
PatientStudyID
Item
Patient Study ID
text
InstitutionName
Item
Institution Name
text
AffiliateName
Item
Affiliate Name
text
PersonFormAdministrationLastName
Item
Staff member administering form
text
C25190 (NCI Thesaurus ObjectClass)
C0027361 (UMLS 2011AA ObjectClass)
C19464 (NCI Thesaurus Property)
C0376315 (UMLS 2011AA Property)
C25409 (NCI Thesaurus Property)
C1533734 (UMLS 2011AA Property)
C25191 (NCI Thesaurus ValueDomain)
C1547383 (UMLS 2011AA ValueDomain)
C25551 (NCI Thesaurus ValueDomain)
C1517741 (UMLS 2011AA ValueDomain)
Unnamed
Item
Unnamed
text
Phone
Item
Phone
text
Item
Are data amended? (If yes, circle amended items in red.)
text
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
Code List
Are data amended? (If yes, circle amended items in red.)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item Group
Unnamed3
Item
Time Point for this Questionnaire (Check One)
text
Code List
Time Point for this Questionnaire (Check One)
CL Item
Baseline (Baseline)
C25213 (NCI Thesaurus)
C1442488 (UMLS 2011AA)
CL Item
6 Month Follow-up (6 month follow-up)
CL Item
12 Month Follow-up (12 month follow-up)
CL Item
18 Month Follow-up (18 month follow-up)
CL Item
2 Year Follow-up (2 year follow-up)
CL Item
30 Month Follow-up (30 month follow-up)
CL Item
3 Year Follow-up (3 year follow-up)
CL Item
42 Month Follow-up (42 month follow-up)
CL Item
4 Year Follow-up (4 year follow-up)
CL Item
54 Month Follow-up (54 month follow-up)
CL Item
5 Year Follow-up (5 year follow-up)
CL Item
66 Month Follow-up (66 month follow-up)
CL Item
6 Year Follow-up (6 year follow-up)
Item
This form is being filled out
text
C25284 (NCI Thesaurus ValueDomain)
C0332307 (UMLS 2011AA ValueDomain)
C25190 (NCI Thesaurus Property)
C0027361 (UMLS 2011AA Property)
C40988 (NCI Thesaurus ObjectClass)
C1516308 (UMLS 2011AA ObjectClass)
C25250 (NCI Thesaurus Property)
C0205197 (UMLS 2011AA Property)
Code List
This form is being filled out
CL Item
0 By Patient In Office (0 By patient in office)
CL Item
1 By Clinical Staff On Phone With Patient (1 By clinical staff on phone with patient)
CL Item
2 By Patient, Mailed To Office (2 By patient, mailed to office)
Item Group
Unnamed4
Item
I was bothered by things that don't usually bother me.
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25499 (NCI Thesaurus Property)
C0441471 (UMLS 2011AA Property)
C50535 (NCI Thesaurus Property)
C0234215 (UMLS 2011AA Property)
C14165 (NCI Thesaurus Property)
C0205307 (UMLS 2011AA Property)
C25217 (NCI Thesaurus Property)
C1516048 (UMLS 2011AA Property)
C25301 (NCI Thesaurus ValueDomain)
C0439228 (UMLS 2011AA ValueDomain)
C25515 (NCI Thesaurus ValueDomain)
C0439603 (UMLS 2011AA ValueDomain)
Code List
I was bothered by things that don't usually bother me.
CL Item
Rarely Or None Of The Time (less Than 1 Day) (Rarely or none of the time (less than 1 day))
CL Item
Some Of The Time (1-2 Days) (Some of the time (1-2 days))
CL Item
Occasion. (3-4 Days) (Occasion. (3-4 days))
CL Item
Most Of The Time (5-7 Days) (Most of the time (5-7 days))
Item
I had trouble keeping my mind on what I was doing.
text
Code List
I had trouble keeping my mind on what I was doing.
CL Item
Rarely Or None Of The Time (less Than 1 Day) (Rarely or none of the time (less than 1 day))
CL Item
Some Of The Time (1-2 Days) (Some of the time (1-2 days))
CL Item
Occasion. (3-4 Days) (Occasion. (3-4 days))
CL Item
Most Of The Time (5-7 Days) (Most of the time (5-7 days))
Item
I felt depressed
text
C17047 (NCI Thesaurus ObjectClass)
C0518214 (UMLS 2011AA ObjectClass)
C25217 (NCI Thesaurus Property)
C1516048 (UMLS 2011AA Property)
C2982 (NCI Thesaurus Property)
C0011570 (UMLS 2011AA Property)
Code List
I felt depressed
CL Item
Rarely Or None Of The Time (less Than 1 Day) (Rarely or none of the time (less than 1 day))
CL Item
Some Of The Time (1-2 Days) (Some of the time (1-2 days))
CL Item
Occasion. (3-4 Days) (Occasion. (3-4 days))
CL Item
Most Of The Time (5-7 Days) (Most of the time (5-7 days))
Item
I felt that everything I did was an effort.
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
Code List
I felt that everything I did was an effort.
CL Item
Rarely Or None Of The Time (less Than 1 Day) (Rarely or none of the time (less than 1 day))
CL Item
Some Of The Time (1-2 Days) (Some of the time (1-2 days))
CL Item
Occasion. (3-4 Days) (Occasion. (3-4 days))
CL Item
Most Of The Time (5-7 Days) (Most of the time (5-7 days))
Item
I felt hopeful about the future.
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
Code List
I felt hopeful about the future.
CL Item
Rarely Or None Of The Time (less Than 1 Day) (Rarely or none of the time (less than 1 day))
CL Item
Some Of The Time (1-2 Days) (Some of the time (1-2 days))
CL Item
Occasion. (3-4 Days) (Occasion. (3-4 days))
CL Item
Most Of The Time (5-7 Days) (Most of the time (5-7 days))
Item
I felt fearful.
text
C25704 (NCI Thesaurus ValueDomain)
C1527021 (UMLS 2011AA ValueDomain)
Code List
I felt fearful.
CL Item
Rarely Or None Of The Time (less Than 1 Day) (Rarely or none of the time (less than 1 day))
CL Item
Some Of The Time (1-2 Days) (Some of the time (1-2 days))
CL Item
Occasion. (3-4 Days) (Occasion. (3-4 days))
CL Item
Most Of The Time (5-7 Days) (Most of the time (5-7 days))
Item
My sleep was restless.
text
Code List
My sleep was restless.
CL Item
Rarely Or None Of The Time (less Than 1 Day) (Rarely or none of the time (less than 1 day))
CL Item
Some Of The Time (1-2 Days) (Some of the time (1-2 days))
CL Item
Occasion. (3-4 Days) (Occasion. (3-4 days))
CL Item
Most Of The Time (5-7 Days) (Most of the time (5-7 days))
Item
I was happy.
text
Code List
I was happy.
CL Item
Rarely Or None Of The Time (less Than 1 Day) (Rarely or none of the time (less than 1 day))
CL Item
Some Of The Time (1-2 Days) (Some of the time (1-2 days))
CL Item
Occasion. (3-4 Days) (Occasion. (3-4 days))
CL Item
Most Of The Time (5-7 Days) (Most of the time (5-7 days))
Item
I felt lonely.
text
Code List
I felt lonely.
CL Item
Rarely Or None Of The Time (less Than 1 Day) (Rarely or none of the time (less than 1 day))
CL Item
Some Of The Time (1-2 Days) (Some of the time (1-2 days))
CL Item
Occasion. (3-4 Days) (Occasion. (3-4 days))
CL Item
Most Of The Time (5-7 Days) (Most of the time (5-7 days))
Item
I could not get "going".
text
Code List
I could not get "going".
CL Item
Rarely Or None Of The Time (less Than 1 Day) (Rarely or none of the time (less than 1 day))
CL Item
Some Of The Time (1-2 Days) (Some of the time (1-2 days))
CL Item
Occasion. (3-4 Days) (Occasion. (3-4 days))
CL Item
Most Of The Time (5-7 Days) (Most of the time (5-7 days))
Item Group
Everyday Problems During The Past Four Weeks
Item
Hot Flashes
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Hot Flashes
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Headaches
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
C25626 (NCI Thesaurus Property)
C0150312 (UMLS 2011AA Property)
C34661 (NCI Thesaurus ObjectClass)
C0018681 (UMLS 2011AA ObjectClass)
Code List
Headaches
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Difficulty with bladder control (at other times)
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Difficulty with bladder control (at other times)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Difficulty with bladder control (at other times)
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Difficulty with bladder control (at other times)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Vaginal discharge
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Vaginal discharge
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Vaginal bleeding or spotting
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Vaginal bleeding or spotting
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Genital itching/irritation
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Genital itching/irritation
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Vaginal dryness
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Vaginal dryness
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Pain with intercourse
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Pain with intercourse
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Breast pain
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Breast pain
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Difficulty with breast skin
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Difficulty with breast skin
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Breast sensitivity/tenderness
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Breast sensitivity/tenderness
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
General aches and pains
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
General aches and pains
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Joint pains
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Joint pains
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Muscle stiffness
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Muscle stiffness
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Weight gain
text
C25180 (NCI Thesaurus ValueDomain)
C0043094 (UMLS)
Code List
Weight gain
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Weight loss
text
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus ObjectClass)
C0031809 (UMLS 2011AA ObjectClass)
C25755 (NCI Thesaurus Property)
C0871261 (UMLS 2011AA Property)
C3445 (NCI Thesaurus ObjectClass)
C0043096 (UMLS 2011AA ObjectClass)
Code List
Weight loss
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Unhappy with appearance of my body
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Unhappy with appearance of my body
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Decreased appetite
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Decreased appetite
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Forgetfulness
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Forgetfulness
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Excitability
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Excitability
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Short temper
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Short temper
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Tendency to take naps; stay in bed
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Tendency to take naps; stay in bed
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Night sweats
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Night sweats
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Cold sweats
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Cold sweats
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Difficulty concentrating
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Difficulty concentrating
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Easily distracted
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Easily distracted
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Trouble sleeping
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Trouble sleeping
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Early awakening
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Early awakening
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Any other problems (Specify below)
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Any other problems (Specify below)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item
Severity
text
Code List
Severity
CL Item
Not At All (Not at all)
CL Item
Slightly (Slightly)
CL Item
Moderately (Moderately)
CL Item
Quite A Bit (Quite a bit)
CL Item
Extremely (Extremely)
Specifyotherproblems
Item
Specify other problems
text
Item Group
Unnamed5
Item
In general, would you say your health is (1)
text
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25178 (NCI Thesaurus ObjectClass)
C0018684 (UMLS 2011AA ObjectClass)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
Code List
In general, would you say your health is (1)
CL Item
Excellent (Excellent)
CL Item
Very Good (Very good)
CL Item
Good (Good)
C0205170 (NCI Metathesaurus)
CL Item
Fair (Fair)
CL Item
Poor (Poor)
Item Group
Unnamed6
Item
Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf (2)
text
Code List
Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf (2)
CL Item
Yes, Limited A Lot (Yes, Limited A lot)
CL Item
Yes, Limited A Little (Yes, Limited A little)
CL Item
No, Not Limited At All (No, not Limited At all)
Item
Climbing several flights of stairs (3)
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
CL299704 (NCI Metathesaurus ObjectClass)
C17708 (NCI Thesaurus ObjectClass)
C0026606 (UMLS 2011AA ObjectClass)
Code List
Climbing several flights of stairs (3)
CL Item
Yes, Limited A Lot (Yes, Limited A lot)
CL Item
Yes, Limited A Little (Yes, Limited A little)
CL Item
No, Not Limited At All (No, not Limited At all)
Item Group
Unnamed7
Item
Accomplished less than you would like. (6)
text
C25640 (NCI Thesaurus ObjectClass)
C0392756 (UMLS 2011AA ObjectClass)
C0033269 (NCI Metathesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25178 (NCI Thesaurus Property)
C0018684 (UMLS 2011AA Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
Code List
Accomplished less than you would like. (6)
CL Item
Yes (YES)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (NO)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Were limited in the kind of work or other activities. (5)
text
CL110648 (NCI Metathesaurus ObjectClass)
C0043227 (NCI Metathesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25178 (NCI Thesaurus Property)
C0018684 (UMLS 2011AA Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
Code List
Were limited in the kind of work or other activities. (5)
CL Item
Yes (YES)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (NO)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item Group
Unnamed8
Item
Accomplished less than you would like. (6)
text
C25640 (NCI Thesaurus ObjectClass)
C0392756 (UMLS 2011AA ObjectClass)
C0033269 (NCI Metathesaurus ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C25178 (NCI Thesaurus Property)
C0018684 (UMLS 2011AA Property)
C38147 (NCI Thesaurus ValueDomain)
C1512698 (UMLS 2011AA ValueDomain)
Code List
Accomplished less than you would like. (6)
CL Item
Yes (YES)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (NO)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
Didn't do work or other activities as carefully as usual. (7)
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Didn't do work or other activities as carefully as usual. (7)
CL Item
Yes (YES)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
CL Item
No (NO)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
Item
During the past 4 weeks, how much did pain interfere with your normal work? (8. including both work outside the home and housework)
text
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C3303 (NCI Thesaurus ObjectClass)
C0030193 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0043227 (NCI Metathesaurus Property)
C25688 (NCI Thesaurus ValueDomain)
C0449438 (UMLS 2011AA ValueDomain)
Code List
During the past 4 weeks, how much did pain interfere with your normal work? (8. including both work outside the home and housework)
CL Item
Not At All (Not at all)
C91213 (NCI Thesaurus)
CL Item
A Little Bit (A little bit)
CL Item
Moderately (Moderately)
CL Item
Quite A Bit (Quite a bit)
C91216 (NCI Thesaurus)
CL Item
Extremely (Extremely)
Item Group
Unnamed9
Item
Have you felt calm and peaceful? (9)
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0035028 (NCI Metathesaurus Property)
Code List
Have you felt calm and peaceful? (9)
CL Item
All Of The Time (All of the time)
CL Item
Most Of The Time (Most of the time)
CL Item
A Good Bit Of The Time (A good bit of the time)
CL Item
Some Of The Time (Some of the time)
CL Item
A Little Of The Time (A little of the time)
CL Item
None Of The Time (None of the time)
Item
Did you feel full of pep? (10)
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0291944 (NCI Metathesaurus Property)
Code List
Did you feel full of pep? (10)
CL Item
All Of The Time (All of the time)
CL Item
Most Of The Time (Most of the time)
CL Item
A Good Bit Of The Time (A good bit of the time)
CL Item
Some Of The Time (Some of the time)
CL Item
A Little Of The Time (A little of the time)
CL Item
None Of The Time (None of the time)
Item
Did you have a lot of energy? (11)
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C48058 (NCI Thesaurus Property)
C0542479 (UMLS 2011AA Property)
Code List
Did you have a lot of energy? (11)
CL Item
All Of The Time (All of the time)
CL Item
Most Of The Time (Most of the time)
CL Item
A Good Bit Of The Time (A good bit of the time)
CL Item
Some Of The Time (Some of the time)
CL Item
A Little Of The Time (A little of the time)
CL Item
None Of The Time (None of the time)
Item
Did you feel worn out? (12)
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C3036 (NCI Thesaurus Property)
C0015672 (UMLS 2011AA Property)
Code List
Did you feel worn out? (12)
CL Item
All Of The Time (All of the time)
CL Item
Most Of The Time (Most of the time)
CL Item
A Good Bit Of The Time (A good bit of the time)
CL Item
Some Of The Time (Some of the time)
CL Item
A Little Of The Time (A little of the time)
CL Item
None Of The Time (None of the time)
Item
Did you feel tired? (13)
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0023380 (NCI Metathesaurus Property)
Code List
Did you feel tired? (13)
CL Item
All Of The Time (All of the time)
CL Item
Most Of The Time (Most of the time)
CL Item
A Good Bit Of The Time (A good bit of the time)
CL Item
Some Of The Time (Some of the time)
CL Item
A Little Of The Time (A little of the time)
CL Item
None Of The Time (None of the time)
Item
Have you felt downhearted and blue? (14)
text
C25664 (NCI Thesaurus ValueDomain)
C0349674 (UMLS 2011AA ValueDomain)
C16960 (NCI Thesaurus ObjectClass)
C0030705 (UMLS 2011AA ObjectClass)
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0026516 (NCI Metathesaurus Property)
Code List
Have you felt downhearted and blue? (14)
CL Item
All Of The Time (All of the time)
CL Item
Most Of The Time (Most of the time)
CL Item
A Good Bit Of The Time (A good bit of the time)
CL Item
Some Of The Time (Some of the time)
CL Item
A Little Of The Time (A little of the time)
CL Item
None Of The Time (None of the time)
Item
During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities? (15. like visiting with friends, relatives, etc.)
text
C20989 (NCI Thesaurus Property)
C0031809 (UMLS 2011AA Property)
C0037397 (NCI Metathesaurus ObjectClass)
C25330 (NCI Thesaurus ValueDomain)
C0449238 (UMLS 2011AA ValueDomain)
Code List
During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities? (15. like visiting with friends, relatives, etc.)
CL Item
All Of The Time (All of the time)
CL Item
Most Of The Time (Most of the time)
CL Item
Some Of The Time (Some of the time)
CL Item
A Little Of The Time (A little of the time)
CL Item
None Of The Time (None of the time)
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. (16)
text
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. (16)
CL Item
0 (0)
C0919414 (NCI Metathesaurus)
CL Item
1 (1)
CL Item
2 (2)
C66833 (NCI Thesaurus)
C0205448 (UMLS 2011AA)
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)
Item
Have you been sexually active during the past SIX MONTHS? (17)
text
C25180 (NCI Thesaurus ValueDomain)
C1522602 (UMLS 2011AA ValueDomain)
Code List
Have you been sexually active during the past SIX MONTHS? (17)
CL Item
No (No)
C49487 (NCI Thesaurus)
C1298908 (UMLS 2011AA)
CL Item
Yes (Yes)
C49488 (NCI Thesaurus)
C1705108 (UMLS 2011AA)
Item Group
Unnamed10
Item
Lack of sexual interest (a)
text
Code List
Lack of sexual interest (a)
CL Item
Not A Problem (not a problem)
CL Item
A Little Problem (a little problem)
CL Item
A Definite Problem (a definite problem)
CL Item
A Serious Problem (a serious problem)
Item
Difficulty in becoming sexually aroused (b)
text
Code List
Difficulty in becoming sexually aroused (b)
CL Item
Not A Problem (not a problem)
CL Item
A Little Problem (a little problem)
CL Item
A Definite Problem (a definite problem)
CL Item
A Serious Problem (a serious problem)
Item
Unable to relax and enjoy sex (c)
text
Code List
Unable to relax and enjoy sex (c)
CL Item
Not A Problem (not a problem)
CL Item
A Little Problem (a little problem)
CL Item
A Definite Problem (a definite problem)
CL Item
A Serious Problem (a serious problem)
Item
Difficulty in having orgasm (d)
text
Code List
Difficulty in having orgasm (d)
CL Item
Not A Problem (not a problem)
CL Item
A Little Problem (a little problem)
CL Item
A Definite Problem (a definite problem)
CL Item
A Serious Problem (a serious problem)

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