CDE Detailed Report

Disease: Headache
Sub-Domain: Activities of Daily Living/Performance
CRF: Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS)

Displaying 1 - 9 of 9
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (Question Text) Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C14678 Pediatric Migraine Disability Assessment (MIDAS) - headache school absence day count PedMIDASHeadSchAbseDayCt Count missed full school days in the last 3 months due to headaches, as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. Count missed full school days in the last 3 months due to headaches, as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. How many full school days of school were missed in the last 3months due to headaches? Numeric Values

No instructions available

This survey was developed by Richard B. Lipton, MD, Professor of Neurology, Albert Einstein College of Medicine, New York, NY, and Walter F. Stewart, MPH, PhD, Associate Professor of Epidemiology, Johns Hopkins University, Baltimore, MD Pediatric Supplemental-Highly Recommended 3.00 2013-07-16 14:01:43.01 Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS) Activities of Daily Living/Performance Outcomes and End Points

Free-Form Entry

0 92
C14679 Pediatric Migraine Disability Assessment (MIDAS) - headache school partial absence day count PedMIDASHeadSchPrtlAbseDayCt Count missed partial school days in the last 3 months due to headaches, as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. Count missed partial school days in the last 3 months due to headaches, as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. How many partial days of school were missed in the last 3 months due to headaches? Numeric Values

Do not include full days counted in the first question

This survey was developed by Richard B. Lipton, MD, Professor of Neurology, Albert Einstein College of Medicine, New York, NY, and Walter F. Stewart, MPH, PhD, Associate Professor of Epidemiology, Johns Hopkins University, Baltimore, MD Pediatric Supplemental-Highly Recommended 3.00 2013-07-16 14:01:43.01 Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS) Activities of Daily Living/Performance Outcomes and End Points

Free-Form Entry

0 92
C14680 Pediatric Migraine Disability Assessment (MIDAS) - headache decrease school function day count PedMIDASHeadDecSchFuncDayCt Count days functioning at less than half your ability in school in the last 3 months due to headaches, as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. Count days functioning at less than half your ability in school in the last 3 months due to headaches, as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. How many days in the last 3 months did you function at less than half your ability in school because of a headache? Numeric Values

Do not include days counted in the first two questions

This survey was developed by Richard B. Lipton, MD, Professor of Neurology, Albert Einstein College of Medicine, New York, NY, and Walter F. Stewart, MPH, PhD, Associate Professor of Epidemiology, Johns Hopkins University, Baltimore, MD Pediatric Supplemental-Highly Recommended 3.00 2013-07-16 14:01:43.01 Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS) Activities of Daily Living/Performance Outcomes and End Points

Free-Form Entry

0 92
C14681 Pediatric Migraine Disability Assessment (MIDAS) - headache cease home function day count PedMIDASHeadCeasHomFuncDayCt Count the days you were not able to do things at home (i.e., chores, homework, etc.) in the last 3 months due to a headache, as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. Count the days you were not able to do things at home (i.e., chores, homework, etc.) in the last 3 months due to a headache, as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. How many days were you not able to do things at home (i.e., chores, homework, etc.) due to a headache? Numeric Values

No instructions available

This survey was developed by Richard B. Lipton, MD, Professor of Neurology, Albert Einstein College of Medicine, New York, NY, and Walter F. Stewart, MPH, PhD, Associate Professor of Epidemiology, Johns Hopkins University, Baltimore, MD Pediatric Supplemental-Highly Recommended 3.00 2013-07-16 14:01:43.01 Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS) Activities of Daily Living/Performance Outcomes and End Points

Free-Form Entry

0 92
C14682 Pediatric Migraine Disability Assessment (MIDAS) - headache cease other activity function day count PedMIDASHeadCeasOActFuncDayCt Count the days you were not able to participate in other activities due to headaches (i.e., play, go out, sports, etc.), as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. Count the days you were not able to participate in other activities due to headaches (i.e., play, go out, sports, etc.), as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. How many days did you not participate in other activities due to headaches (i.e., play, go out, sports, etc.)? Numeric Values

No instructions available

This survey was developed by Richard B. Lipton, MD, Professor of Neurology, Albert Einstein College of Medicine, New York, NY, and Walter F. Stewart, MPH, PhD, Associate Professor of Epidemiology, Johns Hopkins University, Baltimore, MD Pediatric Supplemental-Highly Recommended 3.00 2013-07-16 14:01:43.01 Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS) Activities of Daily Living/Performance Outcomes and End Points

Free-Form Entry

0 92
C14683 Pediatric Migraine Disability Assessment (MIDAS) - headache decrease other activity function day count PedMIDASHeadDecOActFuncDayCt Count the days you participate in these activities, but functioned at less than half your ability, as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. Count the days you participate in these activities, but functioned at less than half your ability, as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. How many days did you participate in these activities, but functioned at less than half your ability? Numeric Values

Do not include days counted in the 5th question

This survey was developed by Richard B. Lipton, MD, Professor of Neurology, Albert Einstein College of Medicine, New York, NY, and Walter F. Stewart, MPH, PhD, Associate Professor of Epidemiology, Johns Hopkins University, Baltimore, MD Pediatric Supplemental-Highly Recommended 3.00 2013-07-16 14:01:43.01 Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS) Activities of Daily Living/Performance Outcomes and End Points

Free-Form Entry

C14684 Pediatric Migraine Disability Assessment (MIDAS) - total score PedMIDASTotalScore The total score as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. The total score as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. Total PedMIDAS score Numeric Values

No instructions available

This survey was developed by Richard B. Lipton, MD, Professor of Neurology, Albert Einstein College of Medicine, New York, NY, and Walter F. Stewart, MPH, PhD, Associate Professor of Epidemiology, Johns Hopkins University, Baltimore, MD Pediatric Supplemental-Highly Recommended 3.00 2013-07-16 14:01:43.01 Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS) Activities of Daily Living/Performance Outcomes and End Points

Free-Form Entry

C14685 Pediatric Migraine Disability Assessment (MIDAS) - headache frequency PedMIDASHeadFreq Headache frequency, as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. Headache frequency, as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. Headache Frequency Numeric Values

No instructions available

This survey was developed by Richard B. Lipton, MD, Professor of Neurology, Albert Einstein College of Medicine, New York, NY, and Walter F. Stewart, MPH, PhD, Associate Professor of Epidemiology, Johns Hopkins University, Baltimore, MD Pediatric Supplemental-Highly Recommended 3.00 2013-07-16 14:01:43.01 Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS) Activities of Daily Living/Performance Outcomes and End Points

Free-Form Entry

C14686 Pediatric Migraine Disability Assessment (MIDAS) - headache severity score PedMIDASHeadSevScore Score for headache severity, as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. Score for headache severity, as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. Headache Severity Numeric Values

No instructions available

This survey was developed by Richard B. Lipton, MD, Professor of Neurology, Albert Einstein College of Medicine, New York, NY, and Walter F. Stewart, MPH, PhD, Associate Professor of Epidemiology, Johns Hopkins University, Baltimore, MD Pediatric Supplemental-Highly Recommended 3.00 2013-07-16 14:01:43.01 Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS) Activities of Daily Living/Performance Outcomes and End Points

Free-Form Entry

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