CDE Detailed Report
Disease: content
Subdomain Name: Patient Reported Outcomes
CRF: welcome
Displaying 1 - 34 of 34
Subdomain Name: Patient Reported Outcomes
CRF: welcome
Displaying 1 - 34 of 34
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C15966 | Diary day headache indicator | DiaryDayHeadachInd | Indicator of whether the participant/subject experienced a headache on a particular day | Indicator of whether the participant/subject experienced a headache on a particular day | Did you experience a headache today? | Yes;No | Yes;No | Alphanumeric | Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C19027 | Headache worst pain anatomic other text | HdchPainWrstAntmicOTH | The free-text field related to 'Headache worst pain anatomic site' specifying other text. Location of worst headache pain | The free-text field related to 'Headache worst pain anatomic site' specifying other text. Location of worst headache pain | Other, specify | Alphanumeric |
Choose all that apply |
Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points | 4000 |
Free-Form Entry |
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| C02411 | Laterality type | LatTyp | Laterality type relative to the anatomic site of the body examined or affected | Laterality type relative to the anatomic site of the body examined or affected | Where is the location of your headache pain? | Left;Right;Bilateral | Left;Right;Bilateral | Alphanumeric |
Choose only one |
Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-08-28 16:08:00.453 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C56784 | Headache re-start medication taken other text | HdachReStartMedTakenOTH | Text describing another type of pain medication taken by the participant/subject for his/her re-started headache | Text describing another type of pain medication taken by the participant/subject for his/her re-started headach | Other, specify | Alphanumeric | Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2017-07-14 10:29:02.0 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points | 255 |
Free-Form Entry |
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| C15967 | Diary day migraine indicator | DiaryDayMigrnInd | Indicator of whether the participant/subject thought the headache was a migraine | Indicator of whether the participant/subject thought the headache was a migrain | Did you experience a migraine today? | Yes;No | Yes;No | Alphanumeric | Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C19032 | Headache typical pain other text | HdchTypcPainOTH | The free-text field related to 'Headache typical pain type' specifying other text. Type of pain the participant/subject experiences with the headache | The free-text field related to 'Headache typical pain type' specifying other text. Type of pain the participant/subject experiences with the headache | Other, specify | Alphanumeric |
Choose all that apply |
Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points | 4000 |
Free-Form Entry |
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| C15893 | Headache retire bed indicator | HdchRetireBedInd | Indicates whether the participant/subject went to bed with the headache | Indicate whether you went to bed with the headache | Went to bed with this headache? | Yes;No | Yes;No | Alphanumeric |
Answer headache end time or whether participant/subject went to bed with a headache, not both. |
Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C56785 | Headache premonitory symptom type | HdachPreSymptmTyp | The type of premonitory symptom(s) (symptoms that come before headache) that the participant/subject experienced | The type of premonitory symptom(s) (symptoms that come before headache) that the participant/subject experience | If premonitory symptoms (symptoms that come before headache), which of the following did you experience? | Nausea;Irritability;Yawning;Blurred vision;Sensitivity to light;Sensitivity to noise;Food Cravings;Mood Changes;Neck stiffness / pain;Difficulty concentrating;Fatigue | Nausea;Irritability;Yawning;Blurred vision;Sensitivity to light;Sensitivity to noise;Food Cravings;Mood Changes;Neck stiffness / pain;Difficulty concentrating;Fatigue | Alphanumeric |
Choose all that apply |
Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2017-07-14 10:49:45.0 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Multiple Pre-Defined Values Selected |
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| C15969 | Headache or migraine medication taken type | HdachMigMedctnTyp | Type of pain medication(s) taken by participant/subject | Type of pain medication(s) taken by participant/subject | What pain medication(s) other than the study drug did you take? | Acetaminophen;Almotriptan;Aspirin;Eletriptan;Frovatriptan;Ibuprofen;Naproxen;Naratriptan;Rizatriptan;Sumatriptan;Zolmitriptan;Other, specify;Dihydroergotamine (DHE);Ergotamine tartrate (ET) | Acetaminophen;Almotriptan;Aspirin;Eletriptan;Frovatriptan;Ibuprofen;Naproxen;Naratriptan;Rizatriptan;Sumatriptan;Zolmitriptan;Other, specify;Dihydroergotamine (DHE);Ergotamine tartrate (ET) | Alphanumeric |
Choose all that apply |
Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Multiple Pre-Defined Values Selected |
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| C19034 | Headache or migraine medication taken other text | HdchMigMedctnOTH | The free-text field related to 'Headache or migraine medication taken type' specifying other text. Type of pain medication(s) taken by participant/subject | The free-text field related to 'Headache or migraine medication taken type' specifying other text. Type of pain medication(s) taken by participant/subject | Other, specify | Alphanumeric |
Choose all that apply including study drug Only answer if Yes was answered for "Did you take any pain medications?" |
Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points | 4000 |
Free-Form Entry |
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| C15897 | Headache associated symptom type | HdchAssocSymptmTyp | The associated symptoms the participant/subject experienced with headache | Type of symptoms associated with the headache | Associated Symptoms | Nausea;Aggravation by or causing avoidance of routine physical activity (eg, walking or climbing stairs);Sensitive to light;Sensitive to noise;Vomiting | Nausea;Aggravation by or causing avoidance of routine physical activity (eg, walking or climbing stairs);Sensitive to light;Sensitive to noise;Vomiting | Alphanumeric |
Choose all that apply |
Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Multiple Pre-Defined Values Selected |
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| C15971 | Headache warning symptom indicator | HdchWarnSymInd | Indicator for any auras (warnings) that the headache was going to start | Indicator for any auras (warnings) that the headache was going to start | Did you have any warnings that this headache was going to start? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
No additional instructions |
Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C53077 | Migraine headache light indicator | MigraineHeadacheLightInd | Indicator as to whether light bothers participant/subject when experiencing a migraine headache | Indicator as to whether light bothers participant/subject when experiencing a migraine headache | Does light aggravate or make your headache worse? | Yes;No | Yes;No | Alphanumeric | Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-15 16:08:48.687 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C15899 | Headache worst pain anatomic site | HdchPainWrstAntmicSite | Location of worst headache pain | Location of worst headache pain | Where is the location of your headache pain that hurts the most? | Around eyes;Back;Behind eyes;Left temple;Right temple;Front;Top;Other, specify;All over;One eye | Around eyes;Back;Behind eyes;Left temple;Right temple;Front;Top;Other, specify;All over;One eye | Alphanumeric |
Choose all that apply |
Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Multiple Pre-Defined Values Selected |
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| C15972 | Headache aura symptom type | HdchAurasSymTyp | Type of aura (warning) that a headache was going to start | Type of aura (warning) that a headache was going to start | If aura symptoms (neurological symptoms that occur before and during headache), which type of aura did you have? | Motor;Brainstem;Sensory;Visual;Speech | Motor;Brainstem;Sensory;Visual;Speech | Alphanumeric |
Choose all that apply |
Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 3.10 | 2023-08-14 20:18:35.0 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Multiple Pre-Defined Values Selected |
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| C56777 | Headache start date and time | HeadacheStartDateTime | The time at which the participant/subject's headache started | The time at which the participant/subject's headache starte | What time did your headache start? | Date or Date & Time | Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2017-07-14 08:41:19.0 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Free-Form Entry |
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| C15917 | Headache typical pain intensity rate scale | HeadacheTypPainIntstyRateScl | 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 | Rate your overall pain for this headache on a scale of 0-10 | 0;1;2;3;4;5;6;7;8;9;10 | 0;1;2;3;4;5;6;7;8;9;10 | Numeric Values |
For assessing headache pain everity, we have included two scales, (NRS) 0-10, and (ordinal 4-point scale) none, mild, moderate, severe. |
Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 4.10 | 2023-06-02 10:23:14.0 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C15975 | Headache post initial study medication time interval | HdchPstInStMedctnTimeIntrvl | The time interval after taking initial study medication for headache | The time interval after taking initial study medication for headache | Time AFTER taking initial study medication | 2 hours;24 hours;48 hours | 2 hours;24 hours;48 hours | Alphanumeric |
Complete table only if you have taken study medication |
Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C56778 | Headache pain hurt most eye type | HeadPainHurtMostEyeTyp | The eye that hurts the most due to headache pain | The eye that hurts the most due to headache pai | One Eye (specify) | Left;Right | Left;Right | Alphanumeric | Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2017-07-14 09:19:51.0 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C15937 | Headache typical severity type | HeadachTypclSevertyTyp | Level of headache intensity described by the participant/subject | Level of headache intensity described by the participant/subject | Which word describes the severity of your headache? | Mild;Moderate;Severe;None | Most of the time I can ignore my headache and continue what I'm doing;My headache makes concentration difficult, but I can perform undemanding tasks;I cannot concentrate nor do much of anything;None | Alphanumeric |
For assessing headache pain everity, we have included two scales, (NRS) 0-10, and (ordinal 4-point scale) none, mild, moderate, severe. |
Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 3.10 | 2023-08-14 08:41:42.0 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C15976 | Headache post initial study medication date and time | HdchPostInStMedctnDateTime | The actual time (24 hr clock) after taking initial study medication for headache | The actual time (24 hr clock) after taking initial study medication for headache | Time (24 hr clock) AFTER taking initial study medication | 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.). |
Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Free-Form Entry |
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| C56779 | Headache sound aggravate indicator | HeadSoundAggInd | The indicator relating to whether sound aggravates the participant/subject or makes his/her headache worse | The indicator relating to whether sound aggravates the participant/subject or makes his/her headache wors | Does sound aggravate or make your headache worse? | No;Yes | No;Yes | Alphanumeric | Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2017-07-14 09:33:00.0 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C15939 | Headache typical level activities affected result | HeadachTypclLvlActvtyAffctRslt | Result of onset of headache in usually daily activities | Result of onset of headache in usually daily activities | How would you describe your abilities to perform your usual daily activities at the onset of this headache | Able to work/function normally;Bed rest required;Working ability or activity impaired to some degree;Working ability or activity severely impaired | Able to work/function normally;Bed rest required;Working ability or activity impaired to some degree;Working ability or activity severely impaired | Alphanumeric |
Should be capture at onset of headache and after taking medication |
Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C15977 | Headache end date and time | HdchEndDateTime | The time of the day the headache ended | The time of the day the headache ended | What time did your headache end? | 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.). |
Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Free-Form Entry |
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| C56780 | Headache reduce activity level indicator | HeadRedAcLvlInd | The indicator relating to whether the participant/subject's headache reduced his/her activity level | The indicator relating to whether the participant/subject's headache reduced his/her activity leve | Did this headache reduce your activity level? | No;Yes | No;Yes | Alphanumeric | Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2017-07-14 09:46:37.0 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C15950 | Headache typical pain type | HdchTypcPainTyp | Type of pain the participant/subject experiences with the headache | Type of pain the participant/subject experiences with the headache | Which of the following describes the pain you feel? | Throbbing;Pounding;Stabbing;Constant;Sharp;Pressure;Pulsating;Squeezing;Other, specify | Throbbing;Pounding;Stabbing;Constant;Sharp;Pressure;Pulsating;Squeezing;Other, specify | Alphanumeric |
Choose all that apply |
Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Multiple Pre-Defined Values Selected |
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| C15978 | Headache re-start date and time | HdchRestrtDateTime | The time of the day (24 hr clock) that the headache restarted | The time of the day (24 hr clock) that the headache restarted | If the headache has ended and restarted afterwards, what time did it restart (24 hr 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.). |
Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Free-Form Entry |
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| C56781 | Headache re-start pain medication indicator | HeadReStartPainMedInd | The indicator relating to whether the participant/subject took any pain medications for his/her re-started headache | The indicator relating to whether the participant/subject took any pain medications for his/her re-started headach | Did you take any pain medications for this headache that re-started? | No;Yes | No;Yes | Alphanumeric | Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2017-07-14 10:04:20.0 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C15961 | Headache worse during activity indicator | HeadachWorsDurngActvtyInd | Indicates whether activity or playing makes headache worse | Indicates whether activity or playing makes headache worse | Does activity or playing make this headache worse? | Yes;No;Not applicable | Yes;No;Not applicable | Alphanumeric |
No additional instructions |
Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C15979 | Headache re-start end date and time | HdchRestrtEndDateTime | The time of the day (24 hr clock) that the headache ended after headache restarted | The time of the day (24 hr clock) that the headache ended after headache restarted | If the headache has ended and restarted afterwards, what time did it end (24 hr 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.). |
Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Free-Form Entry |
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| C56782 | Headache re-start medication taken type | HdachReStartMedctnTyp | Type of pain medication(s) taken by participant/subject for his/her re-started headache | Type of pain medication(s) taken by participant/subject for his/her restarted headache | If yes, specify the type of pain medication(s) and time (24 hour format) last taken | Acetaminophen;Almotriptan;Aspirin;Eletriptan;Frovatriptan;Ibuprofen;Naproxen;Naratriptan;Rizatriptan;Sumatriptan;Zolmitriptan;Other, specify;Study drug, specify;Dihydroergotamine (DHE);Ergotamine tartrate (ET) | Acetaminophen;Almotriptan;Aspirin;Eletriptan;Frovatriptan;Ibuprofen;Naproxen;Naratriptan;Rizatriptan;Sumatriptan;Zolmitriptan;Other, specify;Study drug, specify;Dihydroergotamine (DHE);Ergotamine tartrate (ET) | Alphanumeric |
Choose all that apply |
Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Multiple Pre-Defined Values Selected |
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| C15962 | Headache affect activity level indicator | HeadachAffctActvtyLvlInd | Indicates whether the headache changes activity level (i.e., stop playing) | Indicates whether the headache changes activity level (i.e., stop playing) | Did this headache change the participant's activity level (i.e., stop playing)? | Yes;No | Yes;No | Alphanumeric |
Choose one |
No references available | Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Single Pre-Defined Value Selected |
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| C15980 | Headache affected activity type | HdchAffctActTyp | Types of school or other activities affected by the headache | Types of school or other activities affected by the headache | How did this headache affect the school and other activities | Missed a full day of school;Missed a half or part of the day of school;Functioned at less than half of your ability at school;None of the above, was not a school day;Could not do things at home;Could not participate in other activities;Functioned at less than half of his/her ability | Missed a full day of school;Missed a half or part of the day of school;Functioned at less than half of your ability at school;None of the above, was not a school day;Could not do things at home;Could not participate in other activities;Functioned at less than half of his/her ability in other activities | Alphanumeric |
Other activities include: play sports, go out, and regular play |
Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Multiple Pre-Defined Values Selected |
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| C56783 | Headache re-start medication taken time | HdachReStartMedTakenTime | The time at which the participant/subject took the pain medication for his/her re-started headache | The time at which the participant/subject took the pain medication for his/her re-started headach | Time | Date or Date & Time | Hershey AD, Powers S 2011. Amitriptyline and Topiramate in the Prevention of Childhood Migraine Study. | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2017-07-14 10:27:55.0 | Headache Diary - Preventive Therapies | Patient Reported Outcomes | Outcomes and End Points |
Free-Form Entry |
