ID

15830

Beschreibung

NINDS Common Data Elements (Symptoms, Frequency and Severity - Baseline; Headache) Used from the National Institute of Neurological Disorders and Stroke Common Data Elements (https://www.commondataelements.ninds.nih.gov/) References: Grinnon ST, Miller K, Marler JR, Lu Y, Stout A, Odenkirchen J, Kunitz S. National Institute of Neurological Disorders and Stroke Common Data Element Project - approach and methods. Clin Trials. 2012;9(3):322-9.

Link

https://www.commondataelements.ninds.nih.gov/

Stichworte

Versionen (1)
  1. 15.06.16 15.06.16 -
Hochgeladen am

15. Juni 2016

DOI

Für eine Beantragung loggen Sie sich ein.

Lizenz

Creative Commons BY-NC 3.0
Modell Kommentare :

Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.

Zurück zu Modell Kommentaren
Itemgroup Kommentare für :

Item Kommentare für :

Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.

NINDS CDE Symptoms, Frequency and Severity - Headache

Englisch

Symptoms, Frequency and Severity - Baseline

1 Formulare  
Demographics
Beschreibung

Demographics

Study ID
Beschreibung

Study ID

Datentyp

text

Alias
UMLS CUI [1]
C2826693
Study site name
Beschreibung

Study site

Datentyp

text

Alias
UMLS CUI [1]
C2825164
Subject ID
Beschreibung

Subject ID

Datentyp

text

Alias
UMLS CUI [1]
C2348585
Symptoms, Frequency and Severity - Baseline
Beschreibung

Symptoms, Frequency and Severity - Baseline

Data collected date (m m/dd/yyyy):
Beschreibung

Date Data collected

Datentyp

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C4019276
Does the participant/subject suffer from headaches?
Beschreibung

Headache

Datentyp

integer

Alias
UMLS CUI [1]
C0018681
If the participant/subject suffers from headaches, describe the typical pain severity:
Beschreibung

Headache

Datentyp

integer

Alias
UMLS CUI [1]
C0018681
If the participant/subject suffers from severe headaches, which of the following best describes how the participant/subject is usually affected?
Beschreibung

Headache

Datentyp

integer

Alias
UMLS CUI [1]
C0018681
Rate your typical pain on a scale of 0 - 10 (“0” = no pain & “10” = the worst pain):
Beschreibung

VAS Headache

Datentyp

integer

Alias
UMLS CUI [1,1]
C2732809
UMLS CUI [1,2]
C0018681
When the participant/subject has a headache, does he/she experience Nausea?
Beschreibung

Headache; Nausea

Datentyp

integer

Alias
UMLS CUI [1]
C0018681
UMLS CUI [2]
C0027497
When the participant/subject has a headache, does he/she experience Vomiting
Beschreibung

Headache; Vomiting

Datentyp

integer

Alias
UMLS CUI [1]
C0018681
UMLS CUI [2]
C0042963
When the participant/subject has a headache, does he/she experience Dizziness
Beschreibung

Headache; Dizziness

Datentyp

integer

Alias
UMLS CUI [1]
C0018681
UMLS CUI [2]
C0042571
When the participant/subject has a headache, does he/she experience Vertigo
Beschreibung

The feeling that you or your environment is moving or spinning; an illusion of movement

Datentyp

integer

Alias
UMLS CUI [1]
C0018681
UMLS CUI [2]
C0012833
When the participant/subject has a headache, does he/she experience Nonvertigo
Beschreibung

The feeling of unsteadiness, lightheaded, motion sickness

Datentyp

integer

Alias
UMLS CUI [1]
C0018681
UMLS CUI [2,1]
C0012833
UMLS CUI [2,2]
C0026603
When the participant/subject has a headache, does he/she experience Increased neck pain or stiffness
Beschreibung

Headache; Increased neck pain or stiffness

Datentyp

integer

Alias
UMLS CUI [1]
C0018681
UMLS CUI [2,1]
C0007859
UMLS CUI [2,2]
C0151315
When the participant/subject has a headache, does he/she experience Increased sensitivity to light
Beschreibung

Headache; Increased sensitivity to light

Datentyp

integer

Alias
UMLS CUI [1]
C0018681
UMLS CUI [2]
C0085636
When the participant/subject has a headache, does he/she experience Increased sensitivity to noise
Beschreibung

Headache; Increased sensitivity to noise

Datentyp

integer

Alias
UMLS CUI [1]
C0018681
UMLS CUI [2]
C3843207
When the participant/subject has a headache, does he/she experience Increased sensitivity to smell
Beschreibung

Headache; Increased sensitivity to smell

Datentyp

integer

Alias
UMLS CUI [1]
C0018681
UMLS CUI [2]
C0234259
When the participant/subject has a headache, does he/she experience pain made worse by routine physical activity
Beschreibung

Headache; Increased Pain by routine physical activity

Datentyp

integer

Alias
UMLS CUI [1]
C0018681
UMLS CUI [2]
C4054844
When the participant/subject has a headache, does he/she experience pain on one side of head only
Beschreibung

Headache; Pain on one side of head only

Datentyp

integer

Alias
UMLS CUI [1]
C0018681
UMLS CUI [2]
C0877781
When the participant/subject has a headache, does he/she experience pulsating/throbbing headaches
Beschreibung

Headache; Pulsating/throbbing headaches

Datentyp

integer

Alias
UMLS CUI [1]
C0018681
UMLS CUI [2]
C3843209
When the participant/subject has a headache, does he/she experience weakness on one side
Beschreibung

Headache; Weakness on one side

Datentyp

integer

Alias
UMLS CUI [1]
C0018681
UMLS CUI [2]
C2203001
When the participant/subject has a headache, does he/she experience seeing shimmering lights, lines, dark spots, other shapes or colors before the eyes, before or during the headache and lasts more than a few minutes but less than an hour
Beschreibung

Headache; Visual symptoms

Datentyp

integer

Alias
UMLS CUI [1]
C0018681
UMLS CUI [2]
C0422943
When the participant/subject has a headache, does he/she experience one-sided numbness of lips, tongue, fingers, or legs that migrates or moves and starts before the headache becomes severe and lasts less than an hour
Beschreibung

Headache; tactile symptoms

Datentyp

integer

Alias
UMLS CUI [1]
C0018681
UMLS CUI [2]
C3843205
On average, how many days per month has the participant/subject had headaches in the past 3 months (based on a 30 day month)?
Beschreibung

Headache days per month

Datentyp

integer

Alias
UMLS CUI [1,1]
C0018681
UMLS CUI [1,2]
C0556971
Actual average number of days per month the participant/subject had headaches in the past 3 months (numeric value between 0 and 30)
Beschreibung

Headache days per month

Datentyp

integer

Alias
UMLS CUI [1,1]
C0018681
UMLS CUI [1,2]
C0556971
Does this recent 3 month frequency represent a change compared to the prior 3 months?
Beschreibung

Headache days per month

Datentyp

boolean

Alias
UMLS CUI [1,1]
C0018681
UMLS CUI [1,2]
C0556971
Does this recent 3 month frequency represent a change compared to the prior 3 months? If yes, specify change:
Beschreibung

Headache days per month

Datentyp

integer

Alias
UMLS CUI [1,1]
C0018681
UMLS CUI [1,2]
C0556971
Zum Seitenanfang zurückkehren

Ähnliche Modelle

Symptoms, Frequency and Severity - Baseline

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Demographics
Study ID
Item
Study ID
text
C2826693 (UMLS CUI [1])
Study site
Item
Study site name
text
C2825164 (UMLS CUI [1])
Subject ID
Item
Subject ID
text
C2348585 (UMLS CUI [1])
Item Group
Symptoms, Frequency and Severity - Baseline
Date Data collected
Item
Data collected date (m m/dd/yyyy):
date
C0011008 (UMLS CUI [1,1])
C4019276 (UMLS CUI [1,2])
Item
Does the participant/subject suffer from headaches?
integer
C0018681 (UMLS CUI [1])
Headache
Code List
Does the participant/subject suffer from headaches?
CL Item
Yes  (1)
CL Item
No (STOP) (2)
Item
If the participant/subject suffers from headaches, describe the typical pain severity:
integer
C0018681 (UMLS CUI [1])
Headache
Code List
If the participant/subject suffers from headaches, describe the typical pain severity:
CL Item
Mild (Most of the time I can ignore my headache and continue what I am doing) (1)
CL Item
Moderate (My headache makes concentration difficult, but I can perform undemanding tasks) (2)
CL Item
Severe (I cannot concentrate nor do much of anything) (3)
Item
If the participant/subject suffers from severe headaches, which of the following best describes how the participant/subject is usually affected?
integer
C0018681 (UMLS CUI [1])
Headache
Code List
If the participant/subject suffers from severe headaches, which of the following best describes how the participant/subject is usually affected?
CL Item
Able to work/function normally (1)
CL Item
Working ability or activity impaired to some degree (2)
CL Item
Working ability or activity severely impaired (3)
CL Item
Bed rest required (4)
VAS Headache
Item
Rate your typical pain on a scale of 0 - 10 (“0” = no pain & “10” = the worst pain):
integer
C2732809 (UMLS CUI [1,1])
C0018681 (UMLS CUI [1,2])
Item
When the participant/subject has a headache, does he/she experience Nausea?
integer
C0018681 (UMLS CUI [1])
C0027497 (UMLS CUI [2])
Headache
Code List
When the participant/subject has a headache, does he/she experience Nausea?
CL Item
0 Never (1)
CL Item
1 Rarely (2)
CL Item
2 Less than half the time (3)
CL Item
3 Half the time or more (4)
Item
When the participant/subject has a headache, does he/she experience Vomiting
integer
C0018681 (UMLS CUI [1])
C0042963 (UMLS CUI [2])
Headache
Code List
When the participant/subject has a headache, does he/she experience Vomiting
CL Item
0 Never (1)
CL Item
1 Rarely (2)
CL Item
2 Less than half the time (3)
CL Item
3 Half the time or more (4)
Item
When the participant/subject has a headache, does he/she experience Dizziness
integer
C0018681 (UMLS CUI [1])
C0042571 (UMLS CUI [2])
Headache
Code List
When the participant/subject has a headache, does he/she experience Dizziness
CL Item
0 Never (1)
CL Item
1 Rarely (2)
CL Item
2 Less than half the time (3)
CL Item
3 Half the time or more (4)
Item
When the participant/subject has a headache, does he/she experience Vertigo
integer
C0018681 (UMLS CUI [1])
C0012833 (UMLS CUI [2])
Headache
Code List
When the participant/subject has a headache, does he/she experience Vertigo
CL Item
0 Never (1)
CL Item
1 Rarely (2)
CL Item
2 Less than half the time (3)
CL Item
3 Half the time or more (4)
Item
When the participant/subject has a headache, does he/she experience Nonvertigo
integer
C0018681 (UMLS CUI [1])
C0012833 (UMLS CUI [2,1])
C0026603 (UMLS CUI [2,2])
Headache
Code List
When the participant/subject has a headache, does he/she experience Nonvertigo
CL Item
0 Never (1)
CL Item
1 Rarely (2)
CL Item
2 Less than half the time (3)
CL Item
3 Half the time or more (4)
Item
When the participant/subject has a headache, does he/she experience Increased neck pain or stiffness
integer
C0018681 (UMLS CUI [1])
C0007859 (UMLS CUI [2,1])
C0151315 (UMLS CUI [2,2])
Headache
Code List
When the participant/subject has a headache, does he/she experience Increased neck pain or stiffness
CL Item
0 Never (1)
CL Item
1 Rarely (2)
CL Item
2 Less than half the time (3)
CL Item
3 Half the time or more (4)
Item
When the participant/subject has a headache, does he/she experience Increased sensitivity to light
integer
C0018681 (UMLS CUI [1])
C0085636 (UMLS CUI [2])
Headache
Code List
When the participant/subject has a headache, does he/she experience Increased sensitivity to light
CL Item
0 Never (1)
CL Item
1 Rarely (2)
CL Item
2 Less than half the time (3)
CL Item
3 Half the time or more (4)
Item
When the participant/subject has a headache, does he/she experience Increased sensitivity to noise
integer
C0018681 (UMLS CUI [1])
C3843207 (UMLS CUI [2])
Headache
Code List
When the participant/subject has a headache, does he/she experience Increased sensitivity to noise
CL Item
0 Never (1)
CL Item
1 Rarely (2)
CL Item
2 Less than half the time (3)
CL Item
3 Half the time or more (4)
Item
When the participant/subject has a headache, does he/she experience Increased sensitivity to smell
integer
C0018681 (UMLS CUI [1])
C0234259 (UMLS CUI [2])
Headache
Code List
When the participant/subject has a headache, does he/she experience Increased sensitivity to smell
CL Item
0 Never (1)
CL Item
1 Rarely (2)
CL Item
2 Less than half the time (3)
CL Item
3 Half the time or more (4)
Item
When the participant/subject has a headache, does he/she experience pain made worse by routine physical activity
integer
C0018681 (UMLS CUI [1])
C4054844 (UMLS CUI [2])
Headache
Code List
When the participant/subject has a headache, does he/she experience pain made worse by routine physical activity
CL Item
0 Never (1)
CL Item
1 Rarely (2)
CL Item
2 Less than half the time (3)
CL Item
3 Half the time or more (4)
Item
When the participant/subject has a headache, does he/she experience pain on one side of head only
integer
C0018681 (UMLS CUI [1])
C0877781 (UMLS CUI [2])
Headache
Code List
When the participant/subject has a headache, does he/she experience pain on one side of head only
CL Item
0 Never (1)
CL Item
1 Rarely (2)
CL Item
2 Less than half the time (3)
CL Item
3 Half the time or more (4)
Item
When the participant/subject has a headache, does he/she experience pulsating/throbbing headaches
integer
C0018681 (UMLS CUI [1])
C3843209 (UMLS CUI [2])
Headache
Code List
When the participant/subject has a headache, does he/she experience pulsating/throbbing headaches
CL Item
0 Never (1)
CL Item
1 Rarely (2)
CL Item
2 Less than half the time (3)
CL Item
3 Half the time or more (4)
Item
When the participant/subject has a headache, does he/she experience weakness on one side
integer
C0018681 (UMLS CUI [1])
C2203001 (UMLS CUI [2])
Headache
Code List
When the participant/subject has a headache, does he/she experience weakness on one side
CL Item
0 Never (1)
CL Item
1 Rarely (2)
CL Item
2 Less than half the time (3)
CL Item
3 Half the time or more (4)
Item
When the participant/subject has a headache, does he/she experience seeing shimmering lights, lines, dark spots, other shapes or colors before the eyes, before or during the headache and lasts more than a few minutes but less than an hour
integer
C0018681 (UMLS CUI [1])
C0422943 (UMLS CUI [2])
Headache
Code List
When the participant/subject has a headache, does he/she experience seeing shimmering lights, lines, dark spots, other shapes or colors before the eyes, before or during the headache and lasts more than a few minutes but less than an hour
CL Item
0 Never (1)
CL Item
1 Rarely (2)
CL Item
2 Less than half the time (3)
CL Item
3 Half the time or more (4)
Item
When the participant/subject has a headache, does he/she experience one-sided numbness of lips, tongue, fingers, or legs that migrates or moves and starts before the headache becomes severe and lasts less than an hour
integer
C0018681 (UMLS CUI [1])
C3843205 (UMLS CUI [2])
Headache
Code List
When the participant/subject has a headache, does he/she experience one-sided numbness of lips, tongue, fingers, or legs that migrates or moves and starts before the headache becomes severe and lasts less than an hour
CL Item
0 Never (1)
CL Item
1 Rarely (2)
CL Item
2 Less than half the time (3)
CL Item
3 Half the time or more (4)
Item
On average, how many days per month has the participant/subject had headaches in the past 3 months (based on a 30 day month)?
integer
C0018681 (UMLS CUI [1,1])
C0556971 (UMLS CUI [1,2])
Headache days per month
Code List
On average, how many days per month has the participant/subject had headaches in the past 3 months (based on a 30 day month)?
CL Item
0-4 days per month (1)
CL Item
5-9 days per month (2)
CL Item
10-14 days per month (3)
CL Item
15-19 days per month (4)
CL Item
>24 days per month (5)
CL Item
Continuous/nearly continuous (essentially no headache-free time) (6)
Headache days per month
Item
Actual average number of days per month the participant/subject had headaches in the past 3 months (numeric value between 0 and 30)
integer
C0018681 (UMLS CUI [1,1])
C0556971 (UMLS CUI [1,2])
Headache days per month
Item
Does this recent 3 month frequency represent a change compared to the prior 3 months?
boolean
C0018681 (UMLS CUI [1,1])
C0556971 (UMLS CUI [1,2])
Item
Does this recent 3 month frequency represent a change compared to the prior 3 months? If yes, specify change:
integer
C0018681 (UMLS CUI [1,1])
C0556971 (UMLS CUI [1,2])
Headache days per month
Code List
Does this recent 3 month frequency represent a change compared to the prior 3 months? If yes, specify change:
CL Item
Increased  (1)
CL Item
Decreased  (2)
CL Item
Unchanged (3)
Zum Seitenanfang zurückkehren 

Kontakt

Benutzen Sie dieses Formular für Rückmeldungen, Fragen und Verbesserungsvorschläge.

Mit * gekennzeichnete Felder sind notwendig.

Hilfe

Benötigen Sie Hilfe bei der Suche? Um mehr Details zu erfahren und die Suche effektiver nutzen zu können schauen Sie sich doch das entsprechende Video auf unserer Tutorial Seite an.

Zum Video