CDE Detailed Report
Disease: Sickle Cell Disease
Sub-Domain: Additional Proposed Instruments
CRF: Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS)
Sub-Domain: Additional Proposed Instruments
CRF: Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS)
9 results.
| 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 | Source | Form Set | Form | Field | Domain | CDASH Variable | CDASH Definition | CDASH Label | Controlled Terminology | Prompt | Essentiality | Question Text | CDASH imp guidance | SDTM IG target | csDSR | PhenX | Data Type | CRF Completion Inst | SDTMIG Target Var | SDTMIG Target Map | Codelist Name | PVs | Pre Pop Value | Query Display | List Style |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C14678 | Pediatric Migraine Disability Assessment (MIDAS) - headache school absence day count | PedMIDASHeadSchAbseDayCt | Count missed full school days in the last 3 months due to headaches, as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. | Count missed full school days in the last 3 months due to headaches, as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. | How many full school days of school were missed in the last 3months due to headaches? | Numeric Values |
No instructions available |
This survey was developed by Richard B. Lipton, MD, Professor of Neurology, Albert Einstein College of Medicine, New York, NY, and Walter F. Stewart, MPH, PhD, Associate Professor of Epidemiology, Johns Hopkins University, Baltimore, MD | Pediatric | Proposed | 3.00 | 2013-07-16 14:01:43.01 | Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS) | Additional Proposed Instruments | Other |
Free-Form Entry |
0 | 92 | |||||||||||||||||||||||||||||
| C14679 | Pediatric Migraine Disability Assessment (MIDAS) - headache school partial absence day count | PedMIDASHeadSchPrtlAbseDayCt | Count missed partial school days in the last 3 months due to headaches, as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. | Count missed partial school days in the last 3 months due to headaches, as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. | How many partial days of school were missed in the last 3 months due to headaches? | Numeric Values |
Do not include full days counted in the first question |
This survey was developed by Richard B. Lipton, MD, Professor of Neurology, Albert Einstein College of Medicine, New York, NY, and Walter F. Stewart, MPH, PhD, Associate Professor of Epidemiology, Johns Hopkins University, Baltimore, MD | Pediatric | Proposed | 3.00 | 2013-07-16 14:01:43.01 | Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS) | Additional Proposed Instruments | Other |
Free-Form Entry |
0 | 92 | |||||||||||||||||||||||||||||
| C14680 | Pediatric Migraine Disability Assessment (MIDAS) - headache decrease school function day count | PedMIDASHeadDecSchFuncDayCt | Count days functioning at less than half your ability in school in the last 3 months due to headaches, as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. | Count days functioning at less than half your ability in school in the last 3 months due to headaches, as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. | How many days in the last 3 months did you function at less than half your ability in school because of a headache? | Numeric Values |
Do not include days counted in the first two questions |
This survey was developed by Richard B. Lipton, MD, Professor of Neurology, Albert Einstein College of Medicine, New York, NY, and Walter F. Stewart, MPH, PhD, Associate Professor of Epidemiology, Johns Hopkins University, Baltimore, MD | Pediatric | Proposed | 3.00 | 2013-07-16 14:01:43.01 | Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS) | Additional Proposed Instruments | Other |
Free-Form Entry |
0 | 92 | |||||||||||||||||||||||||||||
| C14681 | Pediatric Migraine Disability Assessment (MIDAS) - headache cease home function day count | PedMIDASHeadCeasHomFuncDayCt | Count the days you were not able to do things at home (i.e., chores, homework, etc.) in the last 3 months due to a headache, as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. | Count the days you were not able to do things at home (i.e., chores, homework, etc.) in the last 3 months due to a headache, as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. | How many days were you not able to do things at home (i.e., chores, homework, etc.) due to a headache? | Numeric Values |
No instructions available |
This survey was developed by Richard B. Lipton, MD, Professor of Neurology, Albert Einstein College of Medicine, New York, NY, and Walter F. Stewart, MPH, PhD, Associate Professor of Epidemiology, Johns Hopkins University, Baltimore, MD | Pediatric | Proposed | 3.00 | 2013-07-16 14:01:43.01 | Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS) | Additional Proposed Instruments | Other |
Free-Form Entry |
0 | 92 | |||||||||||||||||||||||||||||
| C14682 | Pediatric Migraine Disability Assessment (MIDAS) - headache cease other activity function day count | PedMIDASHeadCeasOActFuncDayCt | Count the days you were not able to participate in other activities due to headaches (i.e., play, go out, sports, etc.), as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. | Count the days you were not able to participate in other activities due to headaches (i.e., play, go out, sports, etc.), as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. | How many days did you not participate in other activities due to headaches (i.e., play, go out, sports, etc.)? | Numeric Values |
No instructions available |
This survey was developed by Richard B. Lipton, MD, Professor of Neurology, Albert Einstein College of Medicine, New York, NY, and Walter F. Stewart, MPH, PhD, Associate Professor of Epidemiology, Johns Hopkins University, Baltimore, MD | Pediatric | Proposed | 3.00 | 2013-07-16 14:01:43.01 | Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS) | Additional Proposed Instruments | Other |
Free-Form Entry |
0 | 92 | |||||||||||||||||||||||||||||
| C14683 | Pediatric Migraine Disability Assessment (MIDAS) - headache decrease other activity function day count | PedMIDASHeadDecOActFuncDayCt | Count the days you participate in these activities, but functioned at less than half your ability, as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. | Count the days you participate in these activities, but functioned at less than half your ability, as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. | How many days did you participate in these activities, but functioned at less than half your ability? | Numeric Values |
Do not include days counted in the 5th question |
This survey was developed by Richard B. Lipton, MD, Professor of Neurology, Albert Einstein College of Medicine, New York, NY, and Walter F. Stewart, MPH, PhD, Associate Professor of Epidemiology, Johns Hopkins University, Baltimore, MD | Pediatric | Proposed | 3.00 | 2013-07-16 14:01:43.01 | Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS) | Additional Proposed Instruments | Other |
Free-Form Entry |
|||||||||||||||||||||||||||||||
| C14684 | Pediatric Migraine Disability Assessment (MIDAS) - total score | PedMIDASTotalScore | The total score as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. | The total score as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. | Total PedMIDAS score | Numeric Values |
No instructions available |
This survey was developed by Richard B. Lipton, MD, Professor of Neurology, Albert Einstein College of Medicine, New York, NY, and Walter F. Stewart, MPH, PhD, Associate Professor of Epidemiology, Johns Hopkins University, Baltimore, MD | Pediatric | Proposed | 3.00 | 2013-07-16 14:01:43.01 | Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS) | Additional Proposed Instruments | Other |
Free-Form Entry |
|||||||||||||||||||||||||||||||
| C14685 | Pediatric Migraine Disability Assessment (MIDAS) - headache frequency | PedMIDASHeadFreq | Headache frequency, as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. | Headache frequency, as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. | Headache Frequency | Numeric Values |
No instructions available |
This survey was developed by Richard B. Lipton, MD, Professor of Neurology, Albert Einstein College of Medicine, New York, NY, and Walter F. Stewart, MPH, PhD, Associate Professor of Epidemiology, Johns Hopkins University, Baltimore, MD | Pediatric | Proposed | 3.00 | 2013-07-16 14:01:43.01 | Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS) | Additional Proposed Instruments | Other |
Free-Form Entry |
|||||||||||||||||||||||||||||||
| C14686 | Pediatric Migraine Disability Assessment (MIDAS) - headache severity score | PedMIDASHeadSevScore | Score for headache severity, as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. | Score for headache severity, as part of migraine disability assessment (MIDAS) questionnaire-pediatric form. | Headache Severity | Numeric Values |
No instructions available |
This survey was developed by Richard B. Lipton, MD, Professor of Neurology, Albert Einstein College of Medicine, New York, NY, and Walter F. Stewart, MPH, PhD, Associate Professor of Epidemiology, Johns Hopkins University, Baltimore, MD | Pediatric | Proposed | 3.00 | 2013-07-16 14:01:43.01 | Pediatric Migraine Disability Assessment Questionnaire (PedMIDAS) | Additional Proposed Instruments | Other |
Free-Form Entry |
9 results.