ARCHETYPE Expanded Prostate cancer Index Composite (EPIC) (openEHR-EHR-OBSERVATION.expanded_prostate_cancer_index_composite.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.expanded_prostate_cancer_index_composite.v0
ConceptExpanded Prostate cancer Index Composite (EPIC)
DescriptionA questionnaire used to assess the health-related quality of life (HRQOL) in patients with prostate cancer.
UseUse to record the results from the questionnaire used to assess the health-related quality of life (HRQOL) in patients with prostate cancer. This archetype consists of all 50 elements in the full EPIC questionnaire, and can be adjusted to the EPIC Short Form (EPIC-26) in a template. See the example template in the CKMs 'Resource Centre'. Even though the question numbers differ between the full EPIC-50 form and the short EPIC-26 form, they share the same unique 'Item number', which can be found in each element's 'Annotations', in the Key attribute 'epic_item_id'. This, along with the additional 'Annotations' keys 'domain', 'subscale' and 'subscale2', allows data consumers to use the archetype as a look-up structure to orchestrate the data for further analysis. This can be especially useful to perform scoring as described in "Scoring Instructions for the Expanded Prostate cancer Index Composite" and "Scoring Instructions for the Expanded Prostate cancer Index Composite Short Form". In addition each element has identified the number each question appears as in the paper form as Keys in Annotation. The Annotations Keys are as follows: - "epic_item_id" identifies the unique 'Item number' shared between EPIC 50 and EPIC Short form. - "domain" identifies which domain each question belongs to: 'Urinary', 'Bowel', 'Sexual' or 'Hormonal'. - "subscale" indicates the specific subscale ('Function' or 'Bother') associated with each question and is named in the format [domain name + subscale]. - "subscale2" indicates the specific subscale ('Incontinence' or 'Irritative/Obstructive') associated with each question in the 'Urinary' domain. - "original_form_number" identifies the number the question has in the original full Expanded Prostate Cancer Index Composite. - "short_form_number" identifies the number the question has in the Expanded Prostate Cancer Index Composite Short Form (EPIC-26) version.
PurposeTo record the results from the health-related quality of life (HRQOL) questionnaire in patients with prostate cancer.
ReferencesWei JT, Dunn RL, Litwin MS, Sandler HM, Sanda MG. Development and validation of the expanded prostate cancer index composite (EPIC) for comprehensive assessment of health-related quality of life in men with prostate cancer. Urology. 2000 Dec 20;56(6):899-905. doi: 10.1016/s0090-4295(00)00858-x. PMID: 11113727.

Scoring Instructions for the Expanded Prostate cancer Index Composite (EPIC); https://medicine.umich.edu/sites/default/files/content/downloads/EPIC-Scoring-2.2002_0.pdf

Skolarus TA, Dunn RL, Sanda MG, Chang P, Greenfield TK, Litwin MS, Wei JT; PROSTQA Consortium. Minimally important difference for the Expanded Prostate Cancer Index Composite Short Form. Urology. 2015 Jan;85(1):101-5. doi: 10.1016/j.urology.2014.08.044. PMID: 25530370; PMCID: PMC4274392.

Scoring Instructions for the Expanded Prostate cancer Index Composite Short Form (EPIC-26). https://medicine.umich.edu/sites/default/files/content/downloads/Scoring%20Instructions%20for%20the%20EPIC%2026.pdf
CopyrightWhile openEHR archetypes are all freely available under an open license, the specific content of this Expanded Prostate cancer Index Composite (EPIC) archetype is copyright protected. Any use of this archetype within implementations must be in compliance with the terms established by the copyright owners. Commercial use license inquiries can be directed to the University of Michigan as outlined below. Copyright statement: © 2000 The Regents of the University of Michigan, Regents of the University of California, Emory University and Cedars-Sinai. All rights reserved. Copyright information: MImeasures@umich.edu
AuthorsAuthor name: Vebjørn Arntzen
Organisation: Oslo University Hospital, Norway
Email: varntzen@ous-hf.no
Date originally authored: 2024-08-26
Other Details LanguageAuthor name: Vebjørn Arntzen
Organisation: Oslo University Hospital, Norway
Email: varntzen@ous-hf.no
Date originally authored: 2024-08-26
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, references=Wei JT, Dunn RL, Litwin MS, Sandler HM, Sanda MG. Development and validation of the expanded prostate cancer index composite (EPIC) for comprehensive assessment of health-related quality of life in men with prostate cancer. Urology. 2000 Dec 20;56(6):899-905. doi: 10.1016/s0090-4295(00)00858-x. PMID: 11113727. Scoring Instructions for the Expanded Prostate cancer Index Composite (EPIC); https://medicine.umich.edu/sites/default/files/content/downloads/EPIC-Scoring-2.2002_0.pdf Skolarus TA, Dunn RL, Sanda MG, Chang P, Greenfield TK, Litwin MS, Wei JT; PROSTQA Consortium. Minimally important difference for the Expanded Prostate Cancer Index Composite Short Form. Urology. 2015 Jan;85(1):101-5. doi: 10.1016/j.urology.2014.08.044. PMID: 25530370; PMCID: PMC4274392. Scoring Instructions for the Expanded Prostate cancer Index Composite Short Form (EPIC-26). https://medicine.umich.edu/sites/default/files/content/downloads/Scoring%20Instructions%20for%20the%20EPIC%2026.pdf, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=F7E25C494637DB0F0FE979F93BE1B4D2, build_uid=8dd05bc8-0b35-49e5-a012-934b04c1801a, revision=0.0.1-alpha}
Keywordsprostate cancer, quality of life, QOL, PROM, EPIC-26
Lifecyclein_development
UID6dbf9518-6b39-497c-b11c-abff5060dc63
Language useden
Citeable Identifier1013.1.7439
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=A questionnaire used to assess the health-related quality of life (HRQOL) in patients with prostate cancer., archetypeConceptComment=null, otherContributors=, originalLanguage=en, translators=
  • Norwegian Bokmål: Vebjørn Arntzen, Oslo University Hospital, varntzen@ous-hf.no

    • , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={identities=[], other_participations=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313], code=at0313, itemType=POINT_EVENT, level=2, text=Baseline, description=Scored before any treatment., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=null, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=2, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=null, extendedValues=null]], details=[], provider=[], items=[], description=[], protocol=[], ism_transition=[], context=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Over the past 4 weeks, how often have you leaked urine?, description=, comment=null, uncommonOntologyItems={epic_item_id=23, subscale2=Incontinence, subscale=Urinary function, domain=Urinary, original_form_number=1, short_form_number=1}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: More than once per day
    2: About once a day
    3: More than once a week
    4: About once a week
    5: Rarely or never
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0162], code=at0162, itemType=ELEMENT, level=4, text=Over the past 4 weeks, how often have you urinated blood?, description=, comment=null, uncommonOntologyItems={epic_item_id=24, subscale2=Urinary function, subscale=Irritative/Obstructive, domain=Urinary, original_form_number=2}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: More than once a day
    2: About once a day
    3: More than once a week
    4: About once a week
    5: Rarely or never
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0168], code=at0168, itemType=ELEMENT, level=4, text=Over the past 4 weeks, how often have you had pain or burning with urination?, description=, comment=null, uncommonOntologyItems={epic_item_id=25, subscale2=Urinary function, subscale=Irritative/Obstructive, domain=Urinary, original_form_number=3}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: More than once a day
    2: About once a day
    3: More than once a week
    4: About once a week
    5: Rarely or never
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Which of the following best describes your urinary control during the last 4 weeks?, description=, comment=null, uncommonOntologyItems={epic_item_id=26, subscale2=Urinary function, subscale=Incontinence, domain=Urinary, original_form_number=4, short_form_number=2}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: No urinary control whatsoever.
    2: Frequent dribbling
    3: Occasional dribbling
    4: Total control
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0222], code=at0222, itemType=ELEMENT, level=4, text=How many pads or adult diapers per day did you usually use to control leakage during the last 4 weeks?, description=, comment=null, uncommonOntologyItems={epic_item_id=27, subscale2=Urinary function, subscale=Incontinence, domain=Urinary, original_form_number=5, short_form_number=3}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: None
    1: 1 pad per day
    2: 2 pads per day
    3: 3 or more pads per day
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0319], code=at0319, itemType=CLUSTER, level=4, text=How big a problem, if any, had each of the following been for you during the last 4 weeks?, description=A header question, with answers to be recorded in the elements within the Cluster only., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0319]/items[at0022], code=at0022, itemType=ELEMENT, level=5, text=Dripping or leaking urine, description=, comment=null, uncommonOntologyItems={epic_item_id=28, subscale2=Urinary bother, subscale=Incontinence, domain=Urinary, original_form_number=6a, short_form_number=4a}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No problem
    1: Very Small Problem
    2: Small Problem
    3: Moderate Problem
    4: Big Problem
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0319]/items[at0028], code=at0028, itemType=ELEMENT, level=5, text=Pain or burning on urination, description=, comment=null, uncommonOntologyItems={epic_item_id=29, subscale2=Irritative/Obstructive, subscale=Urinary bother, domain=Urinary, original_form_number=6b, short_form_number=4b}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No problem
    1: Very Small Problem
    2: Small Problem
    3: Moderate Problem
    4: Big Problem
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0319]/items[at0034], code=at0034, itemType=ELEMENT, level=5, text=Bleeding with urination, description=, comment=null, uncommonOntologyItems={epic_item_id=30, subscale2=Irritative/Obstructive, subscale=Urinary bother, domain=Urinary, original_form_number=6c, short_form_number=4c}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No Problem
    1: Very Small Problem
    2: Small Problem
    3: Moderate Problem
    4: Big Problem
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0319]/items[at0040], code=at0040, itemType=ELEMENT, level=5, text=Weak urine stream or incomplete emptying, description=, comment=null, uncommonOntologyItems={epic_item_id=31, subscale2=Irritative/Obstructive, subscale=Urinary bother, domain=Urinary, original_form_number=6d, short_form_number=4d}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No Problem
    1: Very Small Problem
    2: Small Problem
    3: Moderate Problem
    4: Big Problem
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0319]/items[at0174], code=at0174, itemType=ELEMENT, level=5, text=Waking up to urinate, description=, comment=null, uncommonOntologyItems={epic_item_id=32, subscale2=Irritative/Obstructive, subscale=Urinary bother, domain=Urinary, original_form_number=6e}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No Problem
    1: Very Small Problem
    2: Small Problem
    3: Moderate Problem
    4: Big Problem
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0319]/items[at0046], code=at0046, itemType=ELEMENT, level=5, text=Need to urinate frequently during the day, description=, comment=null, uncommonOntologyItems={epic_item_id=33, subscale2=Irritative/Obstructive, subscale=Urinary bother, domain=Urinary, original_form_number=6f, short_form_number=4e}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No Problem
    1: Very Small Problem
    2: Small Problem
    3: Moderate Problem
    4: Big Problem
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0052], code=at0052, itemType=ELEMENT, level=4, text=Overall, how big a problem has your urinary function been for you during the last 4 weeks?, description=, comment=null, uncommonOntologyItems={epic_item_id=34, subscale=Urinary bother, domain=Urinary, original_form_number=7, short_form_number=5}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: No problem
    2: Very small problem
    3: Small problem
    4: Moderate problem
    5: Big problem
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0180], code=at0180, itemType=ELEMENT, level=4, text=How often have you had rectal urgency (felt like I had to pass stool, but did not) during the last 4 weeks?, description=, comment=null, uncommonOntologyItems={epic_item_id=42, subscale=Bowel function, domain=Bowel, original_form_number=8}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: More than once a day
    2: About once a day
    3: More than once a week
    4: About once a week
    5: Rarely or never
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0223], code=at0223, itemType=ELEMENT, level=4, text=How often have you had uncontrolled leakage of stool or feces?, description=, comment=null, uncommonOntologyItems={epic_item_id=43, subscale=Bowel function, domain=Bowel, original_form_number=9}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: More than once a day
    2: About once a day
    3: More than once a week
    4: About once a week
    5: Rarely or never
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0192], code=at0192, itemType=ELEMENT, level=4, text=How often have you had stools (bowel movements) that were loose or liquid (no form, watery, mushy) during the last 4 weeks?, description=, comment=null, uncommonOntologyItems={epic_item_id=44, subscale=Bowel function, domain=Bowel, original_form_number=10}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: More than once a day
    2: About once a day
    3: More than once a week
    4: About once a week
    5: Rarely or never
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0186], code=at0186, itemType=ELEMENT, level=4, text=How often have you had bloody stools during the last 4 weeks?, description=, comment=null, uncommonOntologyItems={epic_item_id=45, subscale=Bowel function, domain=Bowel, original_form_number=11}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: More than once a day
    2: About once a day
    3: More than once a week
    4: About once a week
    5: Rarely or never
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0204], code=at0204, itemType=ELEMENT, level=4, text=How often have your bowel movements been painful during the last 4 weeks?, description=, comment=null, uncommonOntologyItems={epic_item_id=46, subscale=Bowel function, domain=Bowel, original_form_number=12}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: More than once a day
    2: About once a day
    3: More than once a week
    4: About once a week
    5: Rarely or never
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0015], code=at0015, itemType=ELEMENT, level=4, text=How many bowel movements have you had on a typical day during the last 4 weeks?, description=, comment=null, uncommonOntologyItems={epic_item_id=47, subscale=Bowel function, domain=Bowel, original_form_number=13}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: Two or less
    2: Three to four
    3: Five or more
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0198], code=at0198, itemType=ELEMENT, level=4, text=How often have you had crampy pain in your abdomen, pelvis or rectum during the last 4 weeks?, description=, comment=null, uncommonOntologyItems={epic_item_id=48, subscale=Bowel function, domain=Bowel, original_form_number=14}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: More than once a day
    2: About once a day
    3: More than once a week
    4: About once a week
    5: Rarely or never
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0320], code=at0320, itemType=CLUSTER, level=4, text=How big a problem, if any, has each of the following been for you?, description=A header question, with answers to be recorded in the elements within the Cluster only., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0320]/items[at0210], code=at0210, itemType=ELEMENT, level=5, text=Urgency to have a bowel movement, description=, comment=null, uncommonOntologyItems={epic_item_id=49, subscale=Bowel bother, domain=Bowel, original_form_number=15a, short_form_number=6a}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No Problem
    1: Very Small Problem
    2: Small Problem
    3: Moderate Problem
    4: Big Problem
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0320]/items[at0059], code=at0059, itemType=ELEMENT, level=5, text=Increased frequency of bowel movements, description=, comment=null, uncommonOntologyItems={epic_item_id=50, subscale=Bowel bother, domain=Bowel, original_form_number=15b, short_form_number=6b}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No Problem
    1: Very Small Problem
    2: Small Problem
    3: Moderate Problem
    4: Big Problem
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0320]/items[at0065], code=at0065, itemType=ELEMENT, level=5, text=Watery bowel movements, description=, comment=null, uncommonOntologyItems={epic_item_id=51, subscale=Bowel bother, domain=Bowel, original_form_number=15c}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No Problem
    1: Very Small Problem
    2: Small Problem
    3: Moderate Problem
    4: Big Problem
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0320]/items[at0071], code=at0071, itemType=ELEMENT, level=5, text=Losing control of your stools, description=, comment=null, uncommonOntologyItems={epic_item_id=52, subscale=Bowel bother, domain=Bowel, original_form_number=15d, short_form_number=6c}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No Problem
    1: Very Small Problem
    2: Small Problem
    3: Moderate Problem
    4: Big Problem
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0320]/items[at0077], code=at0077, itemType=ELEMENT, level=5, text=Bloody stools, description=, comment=null, uncommonOntologyItems={epic_item_id=53, subscale=Bowel bother, domain=Bowel, original_form_number=15e, short_form_number=6d}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No Problem
    1: Very Small Problem
    2: Small Problem
    3: Moderate Problem
    4: Big Problem
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0320]/items[at0083], code=at0083, itemType=ELEMENT, level=5, text=Abdominal/Pelvic/Rectal pain, description=, comment=null, uncommonOntologyItems={epic_item_id=54, subscale=Bowel bother, domain=Bowel, original_form_number=15f, short_form_number=6e}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No Problem
    1: Very Small Problem
    2: Small Problem
    3: Moderate Problem
    4: Big Problem
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0089], code=at0089, itemType=ELEMENT, level=4, text=Overall, how big a problem have your bowel habits been for you during the last 4 weeks?, description=, comment=null, uncommonOntologyItems={epic_item_id=55, subscale=Bowel bother, domain=Bowel, original_form_number=16, short_form_number=7}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: No problem
    2: Very small problem
    3: Small problem
    4: Moderate problem
    5: Big problem
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0321], code=at0321, itemType=CLUSTER, level=4, text=How would you rate each of the following during the last 4 weeks?, description=A header question, with answers to be recorded in the elements within the Cluster only., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0321]/items[at0216], code=at0216, itemType=ELEMENT, level=5, text=Level of sexual desire, description=, comment=null, uncommonOntologyItems={epic_item_id=56, subscale=Sexual function, domain=Sexual, original_form_number=17a}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: Very Poor to None
    2: Poor
    3: Fair
    4: Good
    5: Very Good
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0321]/items[at0095], code=at0095, itemType=ELEMENT, level=5, text=Your ability to have an erection, description=, comment=null, uncommonOntologyItems={epic_item_id=57, subscale=Sexual function, domain=Sexual, original_form_number=17b, short_form_number=8a}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: Very Poor to None
    2: Poor
    3: Fair
    4: Good
    5: Very Good
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0321]/items[at0097], code=at0097, itemType=ELEMENT, level=5, text=Your ability to reach orgasm (climax), description=, comment=null, uncommonOntologyItems={epic_item_id=58, subscale=Sexual function, domain=Sexual, original_form_number=17c, short_form_number=8b}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: Very Poor to None
    2: Poor
    3: Fair
    4: Good
    5: Very Good
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0108], code=at0108, itemType=ELEMENT, level=4, text=How would you describe the usual QUALITY of your erections during the last 4 weeks?, description=, comment=null, uncommonOntologyItems={epic_item_id=59, subscale=Sexual function, domain=Sexual, original_form_number=18, short_form_number=9}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: None at all
    2: Not firm enough for any sexual activity
    3: Firm enough for masturbation and forplay only
    4: Firm enough for intercourse
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0113], code=at0113, itemType=ELEMENT, level=4, text=How would you describe the FREQUENCY of your erections during the last 4 weeks?, description=, comment=null, uncommonOntologyItems={epic_item_id=60, subscale=Sexual function, domain=Sexual, original_form_number=19, short_form_number=10}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: I NEVER had an erection when I wanted one
    2: I had an erection LESS THAN HALF the time I wanted one
    3: I had an erection ABOUT HALF the time I wanted one
    4: I had an erection MORE THAN HALF the time I wanted one
    5: I had an erection WHENEVER I wanted one
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0235], code=at0235, itemType=ELEMENT, level=4, text=How often have you awakened in the morning or night with an erection during the last 4 weeks?, description=, comment=null, uncommonOntologyItems={epic_item_id=61, subscale=Sexual function, domain=Sexual, original_form_number=20}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: Never
    2: Less than once a week
    3: About once a week
    4: Several times a week
    5: Daily
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0241], code=at0241, itemType=ELEMENT, level=4, text=During the last 4 weeks, how often did you have any sexual activity?, description=, comment=null, uncommonOntologyItems={epic_item_id=62, subscale=Sexual function, domain=Sexual, original_form_number=21}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: Not at all
    2: Less than once a week
    3: About once a week
    4: Several times a week
    5: Daily
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0247], code=at0247, itemType=ELEMENT, level=4, text=During the last 4 weeks, how often did you have sexual intercourse?, description=, comment=null, uncommonOntologyItems={epic_item_id=63, subscale=Sexual function, domain=Sexual, original_form_number=22}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: Not at all
    2: Less than once a week
    3: About once a week
    4: Several times a week
    5: Daily
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0119], code=at0119, itemType=ELEMENT, level=4, text=Overall, how would you rate your ability to function sexually during the last 4 weeks?, description=, comment=null, uncommonOntologyItems={epic_item_id=64, subscale=Sexual function, domain=Sexual, original_form_number=23, short_form_number=11}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: Very poor
    2: Poor
    3: Fair
    4: Good
    5: Very good
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0322], code=at0322, itemType=CLUSTER, level=4, text=How big a problem during the last 4 weeks, if any, has each of the following been for you?, description=A header question, with answers to be recorded in the elements within the Cluster only., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0322]/items[at0259], code=at0259, itemType=ELEMENT, level=5, text=Your level of sexual desire, description=, comment=null, uncommonOntologyItems={epic_item_id=65, subscale=Sexual bother, domain=Sexual, original_form_number=24a}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: No problem
    2: Very small problem
    3: Small problem
    4: Moderate problem
    5: Big problem
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0322]/items[at0253], code=at0253, itemType=ELEMENT, level=5, text=Your ability to have an erection, description=, comment=null, uncommonOntologyItems={epic_item_id=66, subscale=Sexual bother, domain=Sexual, original_form_number=24b}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: No problem
    2: Very small problem
    3: Small problem
    4: Moderate problem
    5: Big problem
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0322]/items[at0265], code=at0265, itemType=ELEMENT, level=5, text=Your ability to reach an orgasm, description=, comment=null, uncommonOntologyItems={epic_item_id=67, subscale=Sexual bother, domain=Sexual, original_form_number=24c}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: No problem
    2: Very small problem
    3: Small problem
    4: Moderate problem
    5: Big problem
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0125], code=at0125, itemType=ELEMENT, level=4, text=Overall, how big a problem has your sexual function or lack of sexual function been for you during the last 4 weeks?, description=, comment=null, uncommonOntologyItems={epic_item_id=68, subscale=Sexual bother, domain=Sexual, original_form_number=25, short_form_number=12}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: No problem
    2: Very small problem
    3: Small problem
    4: Moderate problem
    5: Big problem
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0271], code=at0271, itemType=ELEMENT, level=4, text=Over the last 4 weeks, how often have you experienced hot flashes?, description=, comment=null, uncommonOntologyItems={epic_item_id=69, subscale=Hormonal function, domain=Hormonal, original_form_number=26}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: More than once a day
    2: About once a day
    3: More than once a week
    4: About once a week
    5: Rarely or never
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0277], code=at0277, itemType=ELEMENT, level=4, text=How often have you had breast tenderness during the last 4 weeks?, description=, comment=null, uncommonOntologyItems={epic_item_id=70, subscale=Hormonal function, domain=Hormonal, original_form_number=27}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: More than once a day
    2: About once a day
    3: More than once a week
    4: About once a week
    5: Rarely or never
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0283], code=at0283, itemType=ELEMENT, level=4, text=During the last 4 weeks, how often have you felt depressed?, description=, comment=null, uncommonOntologyItems={epic_item_id=71, subscale=Hormonal function, domain=Hormonal, original_form_number=28}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: More than once a day
    2: About once a day
    3: More than once a week
    4: About once a week
    5: Rarely or never
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0289], code=at0289, itemType=ELEMENT, level=4, text=During the last 4 weeks, how often have you felt a lack of energy?, description=, comment=null, uncommonOntologyItems={epic_item_id=72, subscale=Hormonal function, domain=Hormonal, original_form_number=29}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: More than once a day
    2: About once a day
    3: More than once a week
    4: About once a week
    5: Rarely or never
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0295], code=at0295, itemType=ELEMENT, level=4, text=How much change in your weight have you experienced during the last 4 weeks, if any?, description=, comment=null, uncommonOntologyItems={epic_item_id=73, subscale=Hormonal function, domain=Hormonal, original_form_number=30}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: Gained 10 pounds or more
    2: Gained less than 10 pounds
    3: No change in weight
    4: Lost less than 10 pounds
    5: Lost 10 pounds or more
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0323], code=at0323, itemType=CLUSTER, level=4, text=How big a problem during the last 4 weeks, if any, has each of the following been for you?, description=A header question, with answers to be recorded in the elements within the Cluster only., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0323]/items[at0132], code=at0132, itemType=ELEMENT, level=5, text=Hot flashes, description=, comment=null, uncommonOntologyItems={epic_item_id=74, subscale=Hormonal bother, domain=Hormonal, original_form_number=31a, short_form_number=13a}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No Problem
    1: Very Small Problem
    2: Small Problem
    3: Moderate Problem
    4: Big Problem
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0323]/items[at0138], code=at0138, itemType=ELEMENT, level=5, text=Breast tenderness/enlargement, description=, comment=null, uncommonOntologyItems={epic_item_id=75, subscale=Hormonal bother, domain=Hormonal, original_form_number=31b, short_form_number=13b}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No Problem
    1: Very Small Problem
    2: Small Problem
    3: Moderate Problem
    4: Big Problem
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0323]/items[at0301], code=at0301, itemType=ELEMENT, level=5, text=Loss of body hair, description=, comment=null, uncommonOntologyItems={epic_item_id=76, subscale=Hormonal bother, domain=Hormonal, original_form_number=31c}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No Problem
    1: Very Small Problem
    2: Small Problem
    3: Moderate Problem
    4: Big Problem
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0323]/items[at0144], code=at0144, itemType=ELEMENT, level=5, text=Feeling depressed, description=, comment=null, uncommonOntologyItems={epic_item_id=77, subscale=Hormonal bother, domain=Hormonal, original_form_number=31d, short_form_number=13c}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No Problem
    1: Very Small Problem
    2: Small Problem
    3: Moderate Problem
    4: Big Problem
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0323]/items[at0150], code=at0150, itemType=ELEMENT, level=5, text=Lack of energy, description=, comment=null, uncommonOntologyItems={epic_item_id=78, subscale=Hormonal bother, domain=Hormonal, original_form_number=31e, short_form_number=13d}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No Problem
    1: Very Small Problem
    2: Small Problem
    3: Moderate Problem
    4: Big Problem
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0323]/items[at0156], code=at0156, itemType=ELEMENT, level=5, text=Change in body weight, description=, comment=null, uncommonOntologyItems={epic_item_id=79, subscale=Hormonal bother, domain=Hormonal, original_form_number=31f, short_form_number=13e}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No Problem
    1: Very Small Problem
    2: Small Problem
    3: Moderate Problem
    4: Big Problem
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0313]/data[at0003]/items[at0307], code=at0307, itemType=ELEMENT, level=4, text=Overall, how satisfied are you with the treatment you received for your prostate cancer?, description=, comment=null, uncommonOntologyItems={epic_item_id=80, original_form_number=32}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: Extremely dissatified
    2: Dissatisfied
    3: Uncertain
    4: Satisfied
    5: Extremely satisfied
    , extendedValues=null]], activities=[], relationships=[], credentials=[], target=[], source=[], state=[], content=[], contacts=[], capabilities=[]}, topLevelItems={protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0314], code=at0314, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=null, subCardinalityText=null, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0313]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[], minIndents={}, termBindingRetrievalErrorMessage=null]