CDE Detailed Report

Disease: Chiari I Malformation
Sub-Domain: Epidemiology/Environmental History
CRF: Strain - Related Headache

Displaying 1 - 6 of 6
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
C15917 Headache typical pain intensity scale HeadacheTypPainIntstyRateScale Rating scale for the pain of this headache on a scale of 0 -10 Rating scale for the pain of this headache on a scale of 0 -10 Headache Intensity 1;2;3;4;5;6;7;8;9;10 1;2;3;4;5;6;7;8;9;10 Numeric Values

Score the intensity from 1 (least pain) to 10 (worst pain).

Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Strain - Related Headache Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C22229 Headache pain anatomic site HeadPainAnatSite The anatomic site relating to the subject's headache. The anatomic site relating to the subject's headache. Headache Location Occipital;Retro-orbital;Temporal;Frontal;Generalized Occipital;Retro-orbital;Temporal;Frontal;Generalized Alphanumeric

Check all applicable locations.

Adult;Pediatric Supplemental 1.00 2016-06-08 14:59:28.0 Strain - Related Headache Epidemiology/Environmental History Participant History and Family History

Multiple Pre-Defined Values Selected

C22230 Headache duration HeadDur The duration of the subject's headache. The duration of the subject's headache. Duration Less than a minute;1 to 3 minutes;1 to 6 hours;3 minutes to 1 hour;> 6 hours Less than a minute;1 to 3 minutes;1 to 6 hours;3 minutes to 1 hour;> 6 hours Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-08 15:02:51.0 Strain - Related Headache Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C22234 Headache quality type HeadQualTyp The type related to the quality of the subject's headache. The type related to the quality of the subject's headache. Headache Quality Pressure;Throbbing;Stabbing Pressure;Throbbing;Stabbing Alphanumeric Adult;Pediatric Supplemental 1.00 2016-06-08 15:07:03.0 Strain - Related Headache Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C22236 Headaches factor aggravate type HeadFacAggTyp The type related to what aggravates the subject's headache. The type related to what aggravates the subject's headache. Aggravating Factors Coughing;Laughing;Crying;Sneezing;Bending over;Orgasms Coughing;Laughing;Crying;Sneezing;Bending over;Orgasms Alphanumeric

What makes the headache worse? Check all that apply.

Adult;Pediatric Supplemental 1.00 2016-06-08 15:09:14.0 Strain - Related Headache Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C22238 Headache associate symptom type HeasAssocSymptmTyp The type related to the associated symptoms that the subject is experiencing during his/her headache. The type related to the associated symptoms that the subject is experiencing during his/her headache. Associated Symptoms Nausea;Vomiting;Phonophobia;Photophobia;Scotoma;Scintillations;Extremity symptoms Nausea;Vomiting;Phonophobia;Photophobia;Scotoma;Scintillations;Extremity symptoms Alphanumeric

Check all that apply.

Adult;Pediatric Supplemental 1.00 2016-06-08 15:12:47.0 Strain - Related Headache Epidemiology/Environmental History Participant History and Family History

Multiple Pre-Defined Values Selected

CSV