CDE Detailed Report

Disease: Headache
Sub-Domain: Imaging Diagnostics
CRF: Quantitative Sensory Testing (QST)

Displaying 1 - 38 of 38
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 / 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
C58649 Quantitative sensory testing decrease stimulation rate unit of measure QSTDecrStimRtUOM The unit of measure for the rate of decrease of stimulation in quantitative sensory testing. Related to "Quantitative sensory testing decrease stimulation rate value". The unit of measure for the rate of decrease of stimulation in quantitative sensory testing. Related to "Quantitative sensory testing decrease stimulation rate value". Rate of decrease of stimulation (e.g. degrees Celsius per second) Alphanumeric

No additional instructions

Shy ME, Frohman EM, So YT et. al. Quantitative sensory testing: report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology 2003;60:898-904. ••••• Walk D, Sehgal N, Moeller-Bertram T, et. al. Quantitative sensory testing and mapping: a review of nonautomated quantitative methods for examination of the patient with neuropathic pain. Clin J Pain 2009;25:632-640. ••••• Chong PST, Cros DP. AAEM practice topic in electrodiagnostic medicine – technology literature review: quantitative sensory testing. Muscle Nerve 2004;29:734-737. ••••• Rolke P, Magerl W, Andrews Campbell K, et. al. Quantitative sensory testing: a comprehensive protocol for clinical trials. European Journal of Pain 2006;10:77-88. ••••• Rolke R, Baron R, Maier C, et. al. Quantitative sensory testing in the German Research Network on Neuropathic Pain (DFNS): standardized protocol and reference values. Pain 2006;123:231-243 Adult;Pediatric Supplemental 1.00 2019-11-20 11:12:31.0 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations 100

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C58648 Quantitative sensory testing increase stimulation rate unit of measure QSTIncrStimRtUOM The unit of measure for the rate of increase of stimulation in quantitative sensory testing. Related to "Quantitative sensory testing increase stimulation rate value". The unit of measure for the rate of increase of stimulation in quantitative sensory testing. Related to "Quantitative sensory testing increase stimulation rate value". Rate of increase of stimulation (e.g., degrees Celsius per second) Alphanumeric

No additional instructions

Shy ME, Frohman EM, So YT et. al. Quantitative sensory testing: report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology 2003;60:898-904. ••••• Walk D, Sehgal N, Moeller-Bertram T, et. al. Quantitative sensory testing and mapping: a review of nonautomated quantitative methods for examination of the patient with neuropathic pain. Clin J Pain 2009;25:632-640. ••••• Chong PST, Cros DP. AAEM practice topic in electrodiagnostic medicine – technology literature review: quantitative sensory testing. Muscle Nerve 2004;29:734-737. ••••• Rolke P, Magerl W, Andrews Campbell K, et. al. Quantitative sensory testing: a comprehensive protocol for clinical trials. European Journal of Pain 2006;10:77-88. ••••• Rolke R, Baron R, Maier C, et. al. Quantitative sensory testing in the German Research Network on Neuropathic Pain (DFNS): standardized protocol and reference values. Pain 2006;123:231-24 Adult;Pediatric Supplemental 1.00 2019-11-20 11:12:31.0 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations 100

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C18023 Pain intensity stimulation result PainIntStimResltScal Scale of 0-10 used to measure the intensity of the pain resulting from stimulation Scale of 0-10 used to measure the intensity of the pain resulting from stimulation Intensity of pain resulting from stimulation on a scale from 0-10 0;1;2;3;4;5;6;7;8;9;10 0 (No pain);;;;;;;;;;10 (Most severe pain) Numeric values

Investigators shuold provide a definition of pain threshold for their particular study. (Example threshold: 0 = No pain, 10 = Most severe pain)

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C15914 Quantitative sensory testing stimulation anatomic site QntSnsryTstStmAntmicSteTxt Body site stimulated for QST Body site stimulated for QST Body site stimulated Alphanumeric

Indicate body location for stimulation

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations 255

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C15927 Quantitative sensory testing increase stimulation rate value QntSnsryTstIncrStimRateVal Rate of increase of stimulation used during testing Rate of increase of stimulation used during testing Rate of increase of stimulation Numeric Values

No additional instructions

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations

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C18024 Temperature skin unit of measure TempSkinUOM The units of measure for participant/subject's baseline skin temperature The units of measure for participant/subject's baseline skin temperature Participant/subject's baseline skin temperature F;C degrees Fahrenheit;degrees Celsius Alphanumeric No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C15915 Trial performed count TrialPerfCt Number of times test was performed. Number of times test was performed. Number of times test was performed Numeric Values

If more than one, specify method used to combine data from individual tests

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations

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C15928 Quantitative sensory testing decrease stimulation rate value QntSnsryTstDecrStimRateVal Rate of decrease of stimulation used during testing Rate of decrease of stimulation used during testing Rate of decrease of stimulation Numeric Values

No additional instructions

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations

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C19028 Quantitative sensory testing outcome other text QSTOutcmeOTH The free-text field related to 'Quantitative sensory testing outcome type' specifying other text. Type of QST outcome being measured. The free-text field related to 'Quantitative sensory testing outcome type' specifying other text. Type of QST outcome being measured. Other, specify Alphanumeric

Choose all that apply and define the type of outcome(s) chosen. Investigators should provide a definition of pain threshold for their particular study.

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations 4000

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C15916 Statistical method used text StatMethdUsedTxt Details specifying the statistical method used to combine data if test was performed more than once. Details specifying the statistical method used to combine data if test was performed more than once. If more than one, specify method used to combine data from individual tests Alphanumeric

No additional instructions

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations 255

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C15929 Quantitative sensory testing stimulus duration QntSnsryTstStimDur Duration of stimulus used during testing Duration of stimulus used during testing Stimulus duration Numeric Values

No additional comments

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations

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C19029 Quantitative sensory testing stimulation other text QSTStmOTH The free-text field related to 'Quantitative sensory testing stimulation type' specifying other text. Type of QST stimulation The free-text field related to 'Quantitative sensory testing stimulation type' specifying other text. Type of QST stimulation Other, specify Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations 4000

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C15918 Quantitative sensory testing test methodology type QntSnsryTstTstMethdTyp Type of methodology used for QST imaging Type of methodology used for QST imaging Testing methodology Method of limits;Method of levels;Other, specify Method of limits;Method of levels;Other, specify Alphanumeric

Choose all the apply

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C15930 Quantitative sensory testing stimulus duration unit of measure QntSnsryTstStimDurMeasrUnit The units used to measure duration of stimuli The units used to measure duration of stimuli Stimulus duration seconds;minutes seconds;minutes Alphanumeric

Choose one

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C19030 Quantitative sensory testing test methodology other text QSTTstMethdOTH The free-text field related to 'Quantitative sensory testing test methodology type' specifying other text. Type of methodology used for QST imaging The free-text field related to 'Quantitative sensory testing test methodology type' specifying other text. Type of methodology used for QST imaging Other methodology used, specify Alphanumeric

Choose all the apply

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations 4000

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C15920 Quantitative sensory testing test equipment text QntSnsryTstTstEquipTxt Description of equipment used for testing Description of equipment used for testing Equipment used for testing Alphanumeric

No additional instructions

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations 255

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C15931 Quantitative sensory testing vibration electrical stimuli frequency value QntSnsryTstVibElecStmFreqVal Frequency of vibration or electrical stimuli used during testing Frequency of vibration or electrical stimuli used during testing Frequency of vibration or electrical stimuli used Numeric values

Include the units

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations

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C55774 Imaging headache relation time type ImagHeadacheRelTimeTyp The type of timing of the imaging in relation to headache. The type of timing of the imaging in relation to headache. Timing of recordings Inter-Ictal;Ictal;Peri-Ictal Inter-Ictal;Ictal;Peri-Ictal Alphanumeric

Report the timing of recordings in relation to the headache. The precise time windows for peri-ictal and inter-ictal vary with headache type. For episodic migraine, an interval of at least 72h from the lat and before the next attack is generallaccepted for "inter-ictal".

Adult;Pediatric Supplemental 1.00 2017-05-31 12:14:56.0 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C15921 Quantitative sensory testing maximum stimulation intensity value QntSnsryTstMaxStmIntstyVal Measure of the maximum level of stimulation used during the testing Measure of the maximum level of stimulation used during the testing Maximum intensity of stimulation (e.g. maximum temperature, maximum pressure; include units of measurement) Alphanumeric

Examples include maximum temperature and, maximum pressure. Include units of measurement.

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations 255

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C15932 Quantitative sensory testing stimulus rest period duration QntSnsryTstStmRestPdDur Duration between stimulus rest periods/intertrial intervals Duration between stimulus rest periods/intertrial intervals Duration between stimuli/intertial intervals Numeric Values

No additional instructions

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations

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C01580 Temperature unit of measure TempUOM Unit of measure for the temperature numerical value Unit of measure for the temperature numerical value Exam room temperature at the time of testing F;C degrees Fahrenheit;degrees Celsius Alphanumeric

Indicate the units used to measure temperature- degrees Celsius (°C) or degrees Fahrenheit (°F).

Unified Code for Units of Measure - http://unitsofmeasure.org/ Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

2956267
C55775 Imaging ictal pain intensity value ImagIctPainIntensVal The value related to the intensity of the subject's pain if the timing is ictal The value related to the intensity of the subject's pain if the timing is ictal If ictal, pain intensity at the time of recordings Numeric Values Adult;Pediatric Supplemental 1.00 2017-05-31 12:19:15.0 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations

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0 10
C15922 Quantitative sensory testing maximum stimulus duration QntSnsryTstMaxStmDur Maximum duration of stimuli used during the testing Maximum duration of stimuli used during the testing Maximum duration of stimuli Numeric Values

Indicate numeric value of maximum stimuli in seconds or minutes

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations

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C15933 Quantitative sensory testing stimulus rest period duration unit of measure QntSnsryTstStmRstPdDurMeasrUnt The units used to measure duration between stimulus rest periods The units used to measure duration between stimulus rest periods Duration between stimuli/intertial intervals seconds;minutes seconds;minutes Alphanumeric

Choose one

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C15910 Assessment date and time AssessDateTime The date of participant's injury The date of participant's injury Date of test 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 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations

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C55776 Imaging ictal headache since onset duration ImagIctHeadSinceOnsetDur The duration of time since the onset of the subject's headache if it was ictal. The duration of time since the onset of the subject's headache if it was ictal. If ictal, duration of time since onset of headache (include units) Numeric Values Adult;Pediatric Supplemental 1.00 2017-05-31 12:21:21.0 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations

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C15923 Quantitative sensory testing maximum stimuli duration unit of measure QntSnsryTstMaxStmDurMeasrUnt The units used to measure maximum stimuli The units used to measure maximum stimuli Maximum duration of stimuli seconds;minutes seconds;minutes Alphanumeric

Choose one

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C15934 Temperature skin measurement TempSkinMeasr The participant/subject's baseline skin temperature The participant/subject's baseline skin temperature Participant/subject's baseline skin temperature Numeric Values

Indicate numeric value of baseline skin temperature recorded in degrees Fahrenheit or Celsius

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations

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C15911 Quantitative sensory testing outcome type QntSnsryTstOutcmeTyp Type of QST outcome being measured. Type of QST outcome being measured. Outcome Pain threshold;Pain tolerance threshold;Detection threshold;Other, specify Pain threshold;Pain tolerance threshold;Detection threshold;Other, specify Alphanumeric

Choose all that apply and define the type of outcome(s) chosen. Investigators should provide a definition of pain threshold for their particular study.

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C55777 Imaging inter peri ictal headache since end duration ImagInterPeriIctHeadSincEndDur The duration of time since the end of the subject's last inter-ictal or peri-ictal headahe. The duration of time since the end of the subject's last inter-ictal or peri-ictal headahe. If inter-ictal or peri-ictal, duraton of time since end of last headache (include units) Numeric Values Adult;Pediatric Supplemental 1.00 2017-05-31 12:23:34.0 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations

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C15924 Data point exceed safety parameter indicator DataPtExceedSftyParamInd Indicates whether there were any data points that exceeded the safety parameters Indicates whether there were any data points that exceeded the safety parameters Were there any data points that exceeded the safety parameters noted above? Yes;No Yes;No Alphanumeric

If yes, specify how these data points were handled statistically

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C15935 Exam room temperature measurement ExamRoomTempMeasr The exam room temperature at the time of testing The exam room temperature at the time of testing Exam room temperature at the time of testing Numeric Values

Indicate numeric value of baseline skin temperature recorded in degrees Fahrenheit or Celsius

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations

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C15912 Quantitative sensory testing outcome text QntSnsryTstOutcmeTxt Definition of the QST outcome(s) chosen Definition of the QST outcome(s) chosen Please define the type of outcome(s) chosen above Alphanumeric

Provide a definition for each outcome selected in "Outcome"

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations 255

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C55778 Imaging inter peri ictal next headache start duration ImagInterPeriIctNextHeStartDur The duration of time until the start of the subject's next inter-ictal or peri-ictal headache. The duration of time until the start of the subject's next inter-ictal or peri-ictal headache. If inter-ictal or peri-ictal, duration of time until start of next headache (include units) Numeric Values Adult;Pediatric Supplemental 1.00 2017-05-31 12:23:34.0 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations

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C15925 Quantitative sensory testing examiner count QntSnsryTstExmnrCt Number of examiners performing QST throughout the study Number of examiners performing QST throughout the study Number of examiners performing QST throughout the study Numeric Values

The purpose of this element is to determine whther or not QST was performed by one investigator

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations

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C18022 Data point exceed safety parameter description text DataPtExceedSftyParamDesTxt Description specifying how the data points that exceeded the safety parameters were handled statistically Description specifying how the data points that exceeded the safety parameters were handled statistically If Yes, specify how these data points were handled statistically Alphanumeric

If yes, specify how these data points were handled statistically

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations 255

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C15913 Quantitative sensory testing stimulation type QntSnsryTstStmTyp Type of QST stimulation Type of QST stimulation Type of stimulation Heat;Cold;Pressure;Vibration;Electrical;Other, specify Heat;Cold;Pressure;Vibration;Electrical;Other, specify Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C15926 Quantitative sensory testing thermode electrode size value QntSnsryTstThermdElectrdSizVal Size of the thermode/electrode used during testing Size of the thermode/electrode used during testing Thermode/electrode size Numeric Values

Include units

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Quantitative Sensory Testing (QST) Imaging Diagnostics Assessments and Examinations

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CSV