ID

15830

Beskrivning

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.

Länk

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

Nyckelord

Versioner (1)
  1. 2016-06-15 2016-06-15 -
Uppladdad den

15 juni 2016

DOI

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Creative Commons BY-NC 3.0
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NINDS CDE Symptoms, Frequency and Severity - Headache

Engelsk

Symptoms, Frequency and Severity - Baseline

1 Formulär  
Demographics
Beskrivning

Demographics

Study ID
Beskrivning

Study ID

Datatyp

text

Alias
UMLS CUI [1]
C2826693
Study site name
Beskrivning

Study site

Datatyp

text

Alias
UMLS CUI [1]
C2825164
Subject ID
Beskrivning

Subject ID

Datatyp

text

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

Symptoms, Frequency and Severity - Baseline

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

Date Data collected

Datatyp

date

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

Headache

Datatyp

integer

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

Headache

Datatyp

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?
Beskrivning

Headache

Datatyp

integer

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

VAS Headache

Datatyp

integer

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

Headache; Nausea

Datatyp

integer

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

Headache; Vomiting

Datatyp

integer

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

Headache; Dizziness

Datatyp

integer

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

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

Datatyp

integer

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

The feeling of unsteadiness, lightheaded, motion sickness

Datatyp

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
Beskrivning

Headache; Increased neck pain or stiffness

Datatyp

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
Beskrivning

Headache; Increased sensitivity to light

Datatyp

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
Beskrivning

Headache; Increased sensitivity to noise

Datatyp

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
Beskrivning

Headache; Increased sensitivity to smell

Datatyp

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
Beskrivning

Headache; Increased Pain by routine physical activity

Datatyp

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
Beskrivning

Headache; Pain on one side of head only

Datatyp

integer

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

Headache; Pulsating/throbbing headaches

Datatyp

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
Beskrivning

Headache; Weakness on one side

Datatyp

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
Beskrivning

Headache; Visual symptoms

Datatyp

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
Beskrivning

Headache; tactile symptoms

Datatyp

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)?
Beskrivning

Headache days per month

Datatyp

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)
Beskrivning

Headache days per month

Datatyp

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?
Beskrivning

Headache days per month

Datatyp

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:
Beskrivning

Headache days per month

Datatyp

integer

Alias
UMLS CUI [1,1]
C0018681
UMLS CUI [1,2]
C0556971
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Similar models

Symptoms, Frequency and Severity - Baseline

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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)
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