CDE Detailed Report

Disease: Headache
Sub-Domain: Classification
CRF: Migraine Diagnosis Questionnaire

Displaying 1 - 17 of 17
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
C15943 Headache average days per month count HeadachAveDayMonthCt Actual number of headache days per month the participant/subject had in the past 3 months Actual number of headache days per month the participant/subject had in the past 3 months On average, over the last three (3) months, how many days in each month have you had a headache? Numeric Values (2013). "The International Classification of Headache Disorders, 3rd edition (beta version)." Cephalalgia<br />33(9): 629-808. Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Migraine Diagnosis Questionnaire Classification Disease/Injury Related Events

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C56104 Migraine with aura meet International Classification of Headache Disorders criteria indicator MrgnWthAuraMeetICHDCriteriaInd Indicator related to whether or not the patient/subject's condition meets the criteria for being a migraine with aura based on International Classification of Headache Disorders. Indicator related to whether or not the patient/subject's condition meets the criteria for being a migraine with aura based on International Classification of Headache Disorders. Does the participant meet the criteria for migraine with aura? No;Yes No;Yes Alphanumeric (2013). "The International Classification of Headache Disorders, 3rd edition (beta version)." Cephalalgia<br />33(9): 629-808. Adult;Pediatric Supplemental 1.00 2017-06-06 08:52:20.0 Migraine Diagnosis Questionnaire Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C56047 Migraine without aura five attacks International Classification of Headache Disorders criteria B D indicator MrgnWithoutAuraFvAttckCrtBDInd Indicator relating to whether or not the participant/subject had at least 5 migraine attacks fulfilling criteria B-D from International Classification of Headache Disorders. Indicator relating to whether or not the participant/subject had at least 5 migraine attacks fulfilling criteria B-D from International Classification of Headache Disorders. At least five attacks fulfilling criteria B-D No;Yes No;Yes Alphanumeric (2013). "The International Classification of Headache Disorders, 3rd edition (beta version)." Cephalalgia<br />33(9): 629-808. Adult;Pediatric Supplemental 1.00 2017-06-06 08:52:20.0 Migraine Diagnosis Questionnaire Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C56105 Chronic migraine fulfill International Classification of Headache Disorders criteria B C indicator ChrncMgrnFlfillICHDCrtraBCInd Indicator related to whether or not the patient/subject has headaches (tension-type-like and/or migraine) for =15 days per month for >3 months, and fulfills criteria B and C from International Classification of Headache Disorders. Indicator related to whether or not the patient/subject has headaches (tension-type-like and/or migraine) for =15 days per month for >3 months, and fulfills criteria B and C from International Classification of Headache Disorders. Headache (tension-type-like and/or migraine-like) on =15 days per month for >3 months and fulfilling criteria B and C No;Yes No;Yes Alphanumeric (2013). "The International Classification of Headache Disorders, 3rd edition (beta version)." Cephalalgia<br />33(9): 629-808. Adult;Pediatric Supplemental 1.00 2017-06-06 08:52:20.0 Migraine Diagnosis Questionnaire Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C56048 Migraine without aura headache attack 72 hours indicator MrgnWthoutAuraHdachAtck72HrInd Indicator relating to whether or not the participant/subject had at a headache attack lasting between 4 and 72 hours that was either untreated or unsuccessfully treated Indicator relating to whether or not the participant/subject had at a headache attack lasting between 4 and 72 hours that was either untreated or unsuccessfully treated Headache attacks lasting 4-72 hr (untreated or unsuccessfully treated) No;Yes No;Yes Alphanumeric (2013). "The International Classification of Headache Disorders, 3rd edition (beta version)." Cephalalgia<br />33(9): 629-808. Adult;Pediatric Supplemental 1.00 2017-06-06 08:52:20.0 Migraine Diagnosis Questionnaire Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C56110 Chronic migraine five attack fulfill International Classification of Headache Disorders criteria indicator ChrncMgrnFvAtcksFlfillCrtraInd Indicator related to whether or not the patient/subject has had 5 attacks fulfilling criteria B-D for 1.1 Migraine without aura and/or criteria B and C for 1.2 Migraine with aura from International Classification of Headache Disorders. Indicator related to whether or not the patient/subject has had 5 attacks fulfilling criteria B-D for 1.1 Migraine without aura and/or criteria B and C for 1.2 Migraine with aura from International Classification of Headache Disorders. Occuring in a patient who has had at least five attacks fulfulling criteria B-D for 1.1 Migraine without aura and/or criteria B and C for 1.2 Migraine with aura No;Yes No;Yes Alphanumeric (2013). "The International Classification of Headache Disorders, 3rd edition (beta version)." Cephalalgia<br />33(9): 629-808. Adult;Pediatric Supplemental 1.00 2017-06-06 08:52:20.0 Migraine Diagnosis Questionnaire Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C56049 Migraine without aura headache characteristics type MrgnWthoutAuraHdachChrtrstcTyp Type of characteristics of the subject/participant's migraine without aura Type of characteristics of the subject/participant's migraine without aura Headache has at least two of the following four characteristics Aggravation by or causing avoidance of routine physical activity (eg, walking or climbing stairs);Moderate or severe pain intensity;Pulsating quality;Unilateral location Aggravation by or causing avoidance of routine physical activity (eg, walking or climbing stairs);Moderate or severe pain intensity;Pulsating quality;Unilateral location Alphanumeric (2013). "The International Classification of Headache Disorders, 3rd edition (beta version)." Cephalalgia<br />33(9): 629-808. Adult;Pediatric Supplemental 1.00 2017-06-06 08:52:20.0 Migraine Diagnosis Questionnaire Classification Disease/Injury Related Events

Multiple Pre-Defined Values Selected

C56112 Chronic migraine fulfill further International Classification of Headache Disorders criteria type ChrncMgrnFlfiFrthrICHDCrtraInd Type of further criteria the patient/subject's headaches fulfill, on =8 days per month for >3 months from International Classification of Headache Disorders. Type of further criteria the patient/subject's headaches fulfill, on =8 days per month for >3 months from International Classification of Headache Disorders. On =8 days per month for >3 months, fulfilling any of the following Criteria B and C for 1.2 Migraine with aura;Criteria C and D for 1.1 Migraines without aura;Believed by the patient to be migraine at onset and relieved by a triptan or ergot derivative Criteria B and C for 1.2 Migraine with aura;Criteria C and D for 1.1 Migraines without aura;Believed by the patient to be migraine at onset and relieved by a triptan or ergot derivative Alphanumeric (2013). "The International Classification of Headache Disorders, 3rd edition (beta version)." Cephalalgia<br />33(9): 629-808. Adult;Pediatric Supplemental 1.00 2017-06-06 08:52:20.0 Migraine Diagnosis Questionnaire Classification Disease/Injury Related Events

Multiple Pre-Defined Values Selected

C56050 Migraine without aura symptom during headache type MrgnWthoutAuraSymtmDurHdachTyp Type of symptom the patient/subject reports as having occurred during his or her headache Type of symptom the patient/subject reports as having occurred during his or her headache During headache at least one of the following Nausea and/or vomitting;Photophobia and phonophobia Nausea and/or vomitting;Photophobia and phonophobia Alphanumeric (2013). "The International Classification of Headache Disorders, 3rd edition (beta version)." Cephalalgia<br />33(9): 629-808. Adult;Pediatric Supplemental 1.00 2017-06-06 08:52:20.0 Migraine Diagnosis Questionnaire Classification Disease/Injury Related Events

Multiple Pre-Defined Values Selected

C56132 Chronic migraine no better International Classification of Headache Disorders diagnosis indicator ChrncMgrnNoBttrICHDDiagnosiInd Indicator of whether the subject/participant's chronic migraine diagnosis cannot be better accounted for using another ICHD-3 diagnosis Indicator of whether the subject/participant's chronic migraine diagnosis cannot be better accounted for using another ICHD-3 diagnosis Not better accounted for by another ICHD-3 diagnosis No;Yes No;Yes Alphanumeric (2013). "The International Classification of Headache Disorders, 3rd edition (beta version)." Cephalalgia<br />33(9): 629-808. Adult;Pediatric Supplemental 1.00 2017-06-06 08:52:20.0 Migraine Diagnosis Questionnaire Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C56065 Migraine without aura not better accounted other International Classification of Headache Disorders diagnosis indicator MrgnWthoutAuraNtBtrAcntDiagInd Indicator of whether the patient/subject's migraine without aura is not better accounted for using another ICHD-3 diagnosis Indicator of whether the patient/subject's migraine without aura is not better accounted for using another ICHD-3 diagnosis Not better accounted for by another ICHD-3 diagnosis No;Yes No;Yes Alphanumeric (2013). "The International Classification of Headache Disorders, 3rd edition (beta version)." Cephalalgia<br />33(9): 629-808. Adult;Pediatric Supplemental 1.00 2017-06-06 08:52:20.0 Migraine Diagnosis Questionnaire Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C56135 Chronic migraine meet International Classification of Headache Disorders criteria indicator ChrncMgrnMeetICHDCriteriaInd Indicator related to whether or not the patient/subject's condition meets the criteria for chronic migraines based on International Classification of Headache Disorders. Indicator related to whether or not the patient/subject's condition meets the criteria for chronic migraines based on International Classification of Headache Disorders. Does the participant meet the criteria of chronic migraine? No;Yes No;Yes Alphanumeric (2013). "The International Classification of Headache Disorders, 3rd edition (beta version)." Cephalalgia<br />33(9): 629-808. Adult;Pediatric Supplemental 1.00 2017-06-06 08:52:20.0 Migraine Diagnosis Questionnaire Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C56068 Migraine without aura meet International Classification of Headache Disorders criteria indicator MrgnWthoutAuraMeetICHDCriteInd Indicator related to whether or not the patient/subject's condition meets the criteria of being a migraine without aura based on International Classification of Headache Disorders. Indicator related to whether or not the patient/subject's condition meets the criteria of being a migraine without aura based on International Classification of Headache Disorders. Does the participant meet the criteria of migraine without aura? No;Yes No;Yes Alphanumeric (2013). "The International Classification of Headache Disorders, 3rd edition (beta version)." Cephalalgia<br />33(9): 629-808. Adult;Pediatric Supplemental 1.00 2017-06-06 08:52:20.0 Migraine Diagnosis Questionnaire Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C56070 Migraine with aura two attacks fulfill International Classification of Headache Disorders criteria B C indicator MrgnWthAuraTwoAttckCrtraBCInd Indicator related to whether or not the patient/subject's has had at least two attacks that fulfill criteria B and C from International Classification of Headache Disorders. Indicator related to whether or not the patient/subject's has had at least two attacks that fulfill criteria B and C from International Classification of Headache Disorders. At least two attacked fulfilling criteria B and C No;Yes No;Yes Alphanumeric (2013). "The International Classification of Headache Disorders, 3rd edition (beta version)." Cephalalgia<br />33(9): 629-808. Adult;Pediatric Supplemental 1.00 2017-06-06 08:52:20.0 Migraine Diagnosis Questionnaire Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

C56074 Migraine with aura reversible aura symptom type MrgnWthAuraRvrsblAuraSmtmTyp Type (at least one) of reversible aura symptom that the participant/subject has experienced during a migraine Type (at least one) of reversible aura symptom that the participant/subject has experienced during a migraine One or more of the following fully reversible aura symptoms Visual;Sensory;Motor;Brainstem;Retinal;Speech and/or Language Visual;Sensory;Motor;Brainstem;Retinal;Speech and/or Language Alphanumeric (2013). "The International Classification of Headache Disorders, 3rd edition (beta version)." Cephalalgia<br />33(9): 629-808. Adult;Pediatric Supplemental 1.00 2017-06-06 08:52:20.0 Migraine Diagnosis Questionnaire Classification Disease/Injury Related Events

Multiple Pre-Defined Values Selected

C56084 Migraine with aura characteristic type MrgnWthAuraCharacteristicstyp Type of characteristics (must choose at least two) that the patient/subject's migraines have Type of characteristics (must choose at least two) that the patient/subject's migraines have At least two of the following four characteristics At least one aura symptom is unilateral;At least one aura symptom spreads gradually over =5 min, and/or two or more symptoms occus in succession;The aura is accompanied, or followed within 60 min, by headache;Each individual aura symptom lasts 5-60 min At least one aura symptom is unilateral;At least one aura symptom spreads gradually over =5 min, and/or two or more symptoms occus in succession;The aura is accompanied, or followed within 60 min, by headache;Each individual aura symptom lasts 5-60 min Alphanumeric (2013). "The International Classification of Headache Disorders, 3rd edition (beta version)." Cephalalgia<br />33(9): 629-808. Adult;Pediatric Supplemental 1.00 2017-06-06 08:52:20.0 Migraine Diagnosis Questionnaire Classification Disease/Injury Related Events

Multiple Pre-Defined Values Selected

C56103 Migraine with aura no better International Classification of Headache Disorders diagnosis indicator MrgnWthAuraNoBttrDgnssInd Indicator related to whether or not the patient/subject's condition might be better accounted for by another ICHD-3 diagnosis, and that transient ischaemic attack has been excluded Indicator related to whether or not the patient/subject's condition might be better accounted for by another ICHD-3 diagnosis, and that transient ischaemic attack has been excluded Not better accounted for by another ICHD-3 diagnosis, and transient ischemic attack has been excluded. No;Yes No;Yes Alphanumeric (2013). "The International Classification of Headache Disorders, 3rd edition (beta version)." Cephalalgia<br />33(9): 629-808. Adult;Pediatric Supplemental 1.00 2017-06-06 08:52:20.0 Migraine Diagnosis Questionnaire Classification Disease/Injury Related Events

Single Pre-Defined Value Selected

CSV