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CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Chiari I Malformation
Sub-Domain: History of Disease/Injury Event
CRF: CMI - Headache Score
Item count: 22 (22 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C05400
Injury date time
InjDateTime
Date (and time, if applicable and known) of injury
Date of injury
  
Date or Date & Time
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
SCI CDEs: INJURYDT
CMI - Headache Score
History of Disease/Injury Event
Disease/Injury Related Events
Injury date and time
 
Free-Form Entry
       
C21778
Headache primary anatomic site
HeaPriAntmicSite
The location related to the anatomic site of the primary headache
Primary headache site
Suboccipital;Retro-orbital;Frontal;Temporal;Vertex;Whole head;N/A;
Suboccipital;Retro-orbital;Frontal;Temporal;Vertex;Whole head;N/A;
Numeric Values
"Max score (Primary area)
S: 3+2 = 5
R: 3+2=5
F: 1+2=3
T: 1+2=3
V: 2+2=4
W: 3+2=5
Total - 5 Max; 0 Min"
No references available
Adult;Pediatric
Exploratory
1.0
6/2/2016
Aliases for variable name not defined
CMI - Headache Score
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
0
5
     
C21780
Headache primary laterality anatomic site
HeaPriLatAntmicSite
The location related to the lateral site of the primary headache
Primary headache site
Right;Left;Both;N/A;
Right;Left;Both;N/A;
Alphanumeric
"Max score (Primary area)
S: 3+2 = 5
R: 3+2=5
F: 1+2=3
T: 1+2=3
V: 2+2=4
W: 3+2=5
Total - 5 Max; 0 Min"
No references available
Adult;Pediatric
Exploratory
1.0
6/2/2016
Aliases for variable name not defined
CMI - Headache Score
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C21782
Headache primary laterality anatomic site score
HeaPriLatAntmicSitScore
The score relating to the anatomic site of the primary headache.
Score
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Exploratory
1.0
6/2/2016
Aliases for variable name not defined
CMI - Headache Score
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
0
5
     
C21783
Headache focal point extension radiation type
HeaFocPoiExtRadTyp
The type of extension from the focal point of the headache
Extension from a focal point
Cervical;Retro-orbital;Frontal;Temporal;Vertex;
Cervical;Retro-orbital;Frontal;Temporal;Vertex;
Alphanumeric
"Cervical(3) =3
Retro-orbital(R) = 3
Frontal (F) = 1
Temporal (T) = 1
Vertex(V) = 2

Max score:
C: 3+2 = 5
R: 3+2=5
F: 1+2=3
T: 1+2=3
V: 2+2=4
W: 3+2=5
Total - 25 Max; 0 Min"
No references available
Adult;Pediatric
Supplemental
1.0
6/2/2016
Aliases for variable name not defined
CMI - Headache Score
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C21785
Headache focal point extension radiation score
HeaFocPoiExtRadScore
The score relating to the extension from the focal point of a headache.
Score
  
Numeric Values
"Max score:
C: 3+2 = 5
R: 3+2=5
F: 1+2=3
T: 1+2=3
V: 2+2=4
W: 3+2=5
Total - 25 Max; 0 Min"
No references available
Adult;Pediatric
Supplemental
1.0
6/2/2016
Aliases for variable name not defined
CMI - Headache Score
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
0
25
     
C21786
Headache combination quality type
HeaCombQuaTyp
The quality of the patient's headache.
Essential nature, attribute or characteristic
Pressure;Pounding;Dull ache;Sharp;Burning;Electric-like;
Pressure;Pounding;Dull ache;Sharp;Burning;Electric-like;
Alphanumeric
"Pressure (P)=3
Pounding (P1)=3
Dull ache (D)=2
Sharp (S)=1
Burning (B)=1
Electric-like (E)=0
Max score (All qualities):10"
No references available
Adult;Pediatric
Supplemental
1.0
6/2/2016
Aliases for variable name not defined
CMI - Headache Score
History of Disease/Injury Event
Disease/Injury Related Events
  
Multiple Pre-Defined Values Selected
       
C21788
Headache quality score
HeaQuaScore
The score related to the quality of the patient's headache.
Score
  
Numeric Values
"Pressure (P)=3
Pounding (P1)=3
Dull ache (D)=2
Sharp (S)=1
Burning (B)=1
Electric-like (E)=0"
No references available
Adult;Pediatric
Supplemental
1.0
6/2/2016
Aliases for variable name not defined
CMI - Headache Score
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
0
10
     
C15917
Headache typical pain intensity scale
HeadacheTypPainIntstyRateScale
Rating scale for the pain of this headache on a scale of 0 -10
Intensity on a 1 to 10 scale without medication
  
Numeric Values
1 to 10 integer units only
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
CMI - Headache Score
History of Disease/Injury Event
Disease/Injury Related Events
Headache typical pain intensity rating scale
 
Single Pre-Defined Value Selected
       
C21790
Headache frequency type
HeaFreqTyp
The rate at which a headache occurs over a period of time.
Rate at which headache occurs over a period of time
Continuous/prolonged;Daily;Weekly;Monthly;Yearly;
Continuous/prolonged;Daily;Weekly;Monthly;Yearly;
Alphanumeric
"identify single descriptive
Max score: 5"
No references available
Adult;Pediatric
Exploratory
1.0
6/2/2016
Aliases for variable name not defined
CMI - Headache Score
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C21791
Headache frequency score
HeaFreqScore
The score relating to the rate at which the patient's headache occurs over a period of time.
Score
  
Numeric Values
"identify single descriptive
Max score: 5"
No references available
Adult;Pediatric
Exploratory
1.0
6/2/2016
Aliases for variable name not defined
CMI - Headache Score
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
1
5
     
C21833
Headache symptom association type
HeaSymptmAssTyp
The type as related to symptoms consistently associated with headache
Symptoms consistently associated with headache
Nausea;Vomiting;Scotoma;Scintillations;Photophobia;Phonophobia;
Nausea;Vomiting;Scotoma;Scintillations;Photophobia;Phonophobia;
Alphanumeric
"Nausea=3
Vomiting=2
Scotoma=2
Scintillations=1
Photophobia=1
Phonophobia=1
Identify any that apply
Max score:
10"
No references available
Adult;Pediatric
Supplemental
1.0
6/6/2016
Aliases for variable name not defined
CMI - Headache Score
History of Disease/Injury Event
Disease/Injury Related Events
  
Multiple Pre-Defined Values Selected
       
C21834
Headache symptom association score
HeaSymptmAssScore
The score related to symptoms consistently associated with headache.
Score
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/6/2016
Aliases for variable name not defined
CMI - Headache Score
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
0
10
     
C21835
Headache temporal association type
HeaTemAssTyp
The type as related to time of occurrence of consistent headache.
Consistent headache occurrence in time
Daily;With activity/stress;Nocturnal;Present on awakening;Menstrual;After awakening;End of day;With quiet/rest;
Daily;With activity/stress;Nocturnal;Present on awakening;Menstrual;After awakening;End of day;With quiet/rest;
Alphanumeric
Scoring criteria: Identify any that apply. Daily=3 With activity/stress=3 Nocturnal=3 Present on awakening=2 Menstrual=1 After awaking=1End of day=1 With quiet/rest=1 Max score: 15.
No references available
Adult;Pediatric
Supplemental
1.0
6/6/2016
Aliases for variable name not defined
CMI - Headache Score
History of Disease/Injury Event
Disease/Injury Related Events
  
Multiple Pre-Defined Values Selected
       
C21836
Headache temporal association score
HeaTemAssScore
The score related to time of occurrence of consistent headache.
Score
  
Numeric Values
Max Score: 15
No references available
Adult;Pediatric
Supplemental
1.0
6/6/2016
Aliases for variable name not defined
CMI - Headache Score
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
0
15
     
C21837
Headache duration type
HeaDurTyp
The type as related to duration of headache.
Length of time headache is present
Fleeting;Hours;Days;Weeks;Continuous/prolonged;
Fleeting;Hours;Days;Weeks;Continuous/prolonged;
Alphanumeric
"identify single descriptive
Max score: 5"
No references available
Adult;Pediatric
Exploratory
1.0
6/6/2016
Aliases for variable name not defined
CMI - Headache Score
History of Disease/Injury Event
Disease/Injury Related Events
  
Single Pre-Defined Value Selected
       
C21838
Headache duration score
HeaDurScore
The score related to type of duration of headache.
Score
  
Numeric Values
Max score: 5
No references available
Adult;Pediatric
Exploratory
1.0
6/6/2016
Aliases for variable name not defined
CMI - Headache Score
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
1
5
     
C21839
Headache pain relief factor type
HeaPaiRelFacTyp
The type as related to pain relief factor for headache.
Factor relieving headache pain
Lying down;Sleeping;Medication (anti-inflam);Sitting or standing up;Wearing neck collar;
Lying down;Sleeping;Medication (anti-inflam);Sitting or standing up;Wearing neck collar;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/6/2016
Aliases for variable name not defined
CMI - Headache Score
History of Disease/Injury Event
Disease/Injury Related Events
  
Multiple Pre-Defined Values Selected
       
C21841
Headache pain relief factor score
HeaPaiRelFacScore
The score related to pain relief factor for headache.
Score
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/6/2016
Aliases for variable name not defined
CMI - Headache Score
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
0
10
     
C21842
Headache aggravating pain factor type
HeaAggPaiRelFacTyp
The type as related to factor aggravating headache pain.
Factors increasing headache pain
Coughing;Sneezing;Lifting;Straining at stool;Exercise;Laughing;Singing;Crying;Orgasm;Neck: Flexion;Neck: Extension;Neck: Rotation;
Coughing;Sneezing;Lifting;Straining at stool;Exercise;Laughing;Singing;Crying;Orgasm;Neck: Flexion;Neck: Extension;Neck: Rotation;
Alphanumeric
"Coughing=3
Sneezing=3
Lifting=3
Straining at stool=3
Exercise=3
Laughing=3
Singing=2
Crying=1
Orgasm=1
Neck: Flexion=1
Neck: Extension=1
Neck: Rotation=1" Identify any that apply
No references available
Adult;Pediatric
Exploratory
1.0
6/6/2016
Aliases for variable name not defined
CMI - Headache Score
History of Disease/Injury Event
Disease/Injury Related Events
  
Multiple Pre-Defined Values Selected
       
C21843
Headache aggravating pain factor score
HeaAggPaiFacScore
The score related to factor aggravating headache pain.
Score
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Exploratory
1.0
6/6/2016
Aliases for variable name not defined
CMI - Headache Score
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
0
25
     
C21844
Headache assessment total score
HeaAssTotScore
The total score of headache assessment.
Total Score
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Exploratory
1.0
6/6/2016
Aliases for variable name not defined
CMI - Headache Score
History of Disease/Injury Event
Disease/Injury Related Events
  
Free-Form Entry
0
120
     
07-21-2019
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