CDE Detailed Report
Disease: Headache
Subdomain Name: Drugs
CRF: Rescue Treatments
Displaying 1 - 15 of 15
Subdomain Name: Drugs
CRF: Rescue Treatments
Displaying 1 - 15 of 15
| CDE ID | CDE Name | Variable Name | Definition | Short Description | 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 / Guidance) | Subdomain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | External Id Loinc | External Id Snomed | External Id caDSR | External Id CDISC |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C05122 | Study therapy administered date and time | StdyTherpyAdminstrdDateTime | Date (and time, if applicable and known) the study therapy was administered to the participant/subject | Date (and time, if applicable and known) the study therapy was administered to the participant/subject | Time Study Drug Administered (24 hour clock) | Date or Date & Time | Adult;Pediatric | Supplemental | 3.00 | 2013-07-18 16:35:19.49 | Rescue Treatments | Drugs | Treatment/Intervention Data |
Free-Form Entry |
3160681 | |||||||||||
| C16211 | Headache pain medication after study drug indicator | HdachPainMedctnAftrStdyDrugInd | Indicator whether the subject has received any additional pain or headache medications after the study drug was administered | Indicator whether the subject has received any additional pain or headache medications after the study drug was administered | Did the participant/subject receive any additional pain or headache medication(s) after the study drugs were administered? | Yes;No;Unknown | Yes;No(STOP);Unknown(STOP) | Alphanumeric |
If Yes, complete the rescue medication(s) that the particpant/subject received. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Rescue Treatments | Drugs | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C18736 | Medication prior or concomitant dose unit of measure other text | MedctnPriorOrConcomDoseUoMOTH | The free-text field related to 'Medication prior or concomitant dose unit of measure', specifying other text. Dosage unit of measure of the prior or concomitant medication administered | The free-text field related to 'Medication prior or concomitant dose unit of measure', specifying other text. Dosage unit of measure of the prior or concomitant medication administere | Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 2.10 | 2022-08-02 14:27:44.0 | Rescue Treatments | Drugs | Treatment/Intervention Data | 4000 |
Free-Form Entry |
3162730 | ||||||||||
| C18737 | Medication prior or concomitant route type other text | MedctnPriorOrConcomRteTypOTH | The free-text field related to 'Medication prior or concomitant route type', specifying other text. Type of access route for the administration of the prior/concomitant medication | The free-text field related to 'Medication prior or concomitant route type', specifying other text. Type of access route for the administration of the prior/concomitant medication | Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 2.00 | 2022-08-02 16:52:05.0 | Rescue Treatments | Drugs | Treatment/Intervention Data | 4000 |
Free-Form Entry |
3162743 | ||||||||||
| C22804 | Pain present eleven point intensity scale | PainPrsnt11IntensityScl | Scale for the participant's current pain intensity based on an a scale of 0-10 | Scale for the participant's current pain intensity based on an a scale of 0-10 | Pain Severity (complete one of the following scales) | 0;1;10;2;3;4;5;6;7;8;9 | 0;1;10;2;3;4;5;6;7;8;9 | Numeric Values |
Complete one of the following scales |
Adult;Pediatric | Supplemental | 4.00 | 2023-05-18 16:39:30.0 | Rescue Treatments | Drugs | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C02006 | Medication prior or concomitant dose | MedctnPriorOrConcomDose | Dose of prior/concomitant medication taken per administration | Dose of prior/concomitant medication taken per administration | Dose | Numeric Values | Adult;Pediatric | Supplemental | 3.10 | 2022-08-02 14:33:32.0 | Rescue Treatments | Drugs | Treatment/Intervention Data |
Free-Form Entry |
3162729 | |||||||||||
| C56039 | Headache migraine rescue device used name | HeadMigRescueDeviceUsedName | The name of the rescue device used in the treatment of headache or migraine | The name of the rescue device used in the treatment of headache or migrain | Device Name | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2017-06-05 14:38:04.0 | Rescue Treatments | Drugs | Treatment/Intervention Data | 255 |
Free-Form Entry |
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| C02013 | Medication prior or concomitant dose unit of measure UCUM code | MedctnPriorOrConDseUOMUCUMCode | Code that represents the dosage unit of measure of the prior or concomitant medication administered. Unified Code for Units of Measure (UCUM) | Code that represents the dosage unit of measure of the prior or concomitant medication administered. Unified Code for Units of Measure (UCUM) | Unit Administered | Alphanumeric | Adult;Pediatric | Supplemental | 3.10 | 2022-08-02 14:42:09.0 | Rescue Treatments | Drugs | Treatment/Intervention Data | 255 |
Free-Form Entry |
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| C56040 | Headache migraine rescue device used start date | HeadMigRescDevUsedStartDate | The start date on which the rescue device was used in the treatment of headache or migraine | The start date on which the rescue device was used in the treatment of headache or migrain | Start Date | Date or Date & Time | Adult;Pediatric | Supplemental | 1.00 | 2017-06-05 14:41:58.0 | Rescue Treatments | Drugs | Treatment/Intervention Data |
Free-Form Entry |
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| C02014 | Medication prior or concomitant name | MedctnPriorConcomName | Name of the prior/concomitant agent or drug administered | Name of the prior/concomitant agent or drug administere | Medication Name | Alphanumeric |
Verbatim name (generic or trade name) of the medication, including vitamins and herbal supplements the participant/subject reports taking.;Verbatim name (generic or trade name) of the rescue medication or treatment the participant/subject has received. |
RXNorm (http://www.nlm.nih.gov/research/umls/rxnorm/) | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Rescue Treatments | Drugs | Treatment/Intervention Data | 4000 |
Free-Form Entry |
3162728 | ||||||||
| C56041 | Headache migraine rescue device used end date | HeadMigRescDevUsedEndDate | The end date on which the rescue device was used in the treatment of headache or migraine | The end date on which the rescue device was used in the treatment of headache or migrain | End Date | Date or Date & Time | Adult;Pediatric | Supplemental | 1.00 | 2017-06-05 14:41:58.0 | Rescue Treatments | Drugs | Treatment/Intervention Data |
Free-Form Entry |
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| C02015 | Medication prior or concomitant route type | MedctnPriorOrConcomRteTyp | Type of access route for the administration of the prior/concomitant medication | Type of access route for the administration of the prior/concomitant medication | Route of Administration | Buccal;Inhaled;Intramuscular;Intravenous;Nasal;Oral;Rectal;By ear;Topical;Subcutaneous;Sublingual;Transdermal;Unknown;Other, specify | Buccal;Inhaled;Intramuscular;Intravenous;Nasal;Oral;Rectal;By Ear;Topical;Subcutaneous;Sublingual;Transdermal;Unknown;Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 3.10 | 2022-08-02 14:44:16.0 | Rescue Treatments | Drugs | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
3162743 | |||||||||
| C56042 | Headache severity scale | HeadacheSeverityScale | The scale of the amount of headache the participant/subject is experiencing | The scale of the amount of headache the participant/subject is experiencin | Pain Severity (complete one of the following scales) | Mild;Moderate;Severe;None | Mild;Moderate;Severe;None | Alphanumeric |
Complete one of the following scales. |
Adult;Pediatric | Supplemental | 1.00 | 2017-06-05 14:46:52.0 | Rescue Treatments | Drugs | Treatment/Intervention Data |
Single Pre-Defined Value Selected |
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| C02016 | Medication prior or concomitant start date and time | MedctnPriorOrConcmStrtDateTime | The date (and time, if applicable and known) on which the prior/concomitant medication usage began | The date (and time, if applicable and known) on which the prior/concomitant medication usage began. | Time Rescue Drug Adminstered (24 hour clock) | Date or Date & Time |
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.). |
No references available | Adult;Pediatric | Supplemental | 3.10 | 2022-08-02 16:58:56.0 | Rescue Treatments | Drugs | Treatment/Intervention Data |
Free-Form Entry |
3162752 | |||||||||
| C02025 | Medication prior or concomitant RXNorm code | MedctnPriorConcomRxNormCode | Code for name of the prior/concomitant agent or drug administered | Code for name of the prior/concomitant agent or drug administere | Medication Name | Alphanumeric |
Code the verbatim name (generic or trade name) of the rescue medication using RXNorm. |
RXNorm (http://www.nlm.nih.gov/research/umls/rxnorm/) | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Rescue Treatments | Drugs | Treatment/Intervention Data | 255 |
Free-Form Entry |
3162728 |
