of0
Export
 
CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Headache
Sub-Domain: Imaging Diagnostics
CRF: Quantitative Sensory Testing (QST)
Item count: 36 (36 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C15910
Assessment date and time
AssessDateTime
The date of participant's injury
Date of test
  
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.).
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Quantitative Sensory Testing (QST)
Imaging Diagnostics
Assessments and Examinations
Assessment date and time
 
Free-Form Entry
       
C15911
Quantitative sensory testing outcome type
QntSnsryTstOutcmeTyp
Type of QST outcome being measured.
Outcome
Pain threshold;Detection threshold;Pain tolerance threshold;Other, specify;
Pain threshold;Detection threshold;Pain tolerance threshold;Other, specify;
Alphanumeric
Choose all that apply and define the type of outcome(s) chosen. Investigators should provide a definition of pain threshold for their particular study.
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Quantitative Sensory Testing (QST)
Imaging Diagnostics
Assessments and Examinations
QST outcome type
 
Multiple Pre-Defined Values Selected
       
C19028
Quantitative sensory testing outcome other text
QSTOutcmeOTH
The free-text field related to 'Quantitative sensory testing outcome type' specifying other text. Type of QST outcome being measured.
Other, specify
  
Alphanumeric
Choose all that apply and define the type of outcome(s) chosen. Investigators should provide a definition of pain threshold for their particular study.
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Quantitative Sensory Testing (QST)
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
       
C15912
Quantitative sensory testing outcome text
QntSnsryTstOutcmeTxt
Definition of the QST outcome(s) chosen
Please define the type of outcome(s) chosen above
  
Alphanumeric
Provide a definition for each outcome selected in "Outcome"
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Quantitative Sensory Testing (QST)
Imaging Diagnostics
Assessments and Examinations
QST outcome text
255
Free-Form Entry
       
C15913
Quantitative sensory testing stimulation type
QntSnsryTstStmTyp
Type of QST stimulation
Type of stimulation
Heat;Cold;Pressure;Vibration;Electrical;Other, specify;
Heat;Cold;Pressure;Vibration;Electrical;Other, specify;
Alphanumeric
Choose all that apply
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Quantitative Sensory Testing (QST)
Imaging Diagnostics
Assessments and Examinations
QST stimulation type
 
Multiple Pre-Defined Values Selected
       
C19029
Quantitative sensory testing stimulation other text
QSTStmOTH
The free-text field related to 'Quantitative sensory testing stimulation type' specifying other text. Type of QST stimulation
Other, specify
  
Alphanumeric
Choose all that apply
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Quantitative Sensory Testing (QST)
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
       
C15914
Quantitative sensory testing stimulation anatomic site
QntSnsryTstStmAntmicSteTxt
Body site stimulated for QST
Body site stimulated
  
Alphanumeric
Indicate body location for stimulation
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Quantitative Sensory Testing (QST)
Imaging Diagnostics
Assessments and Examinations
QST stimulation anatomic site
255
Free-Form Entry
       
C15915
Trial performed count
TrialPerfCt
Number of times test was performed.
Number of times test was performed
  
Numeric Values
If more than one, specify method used to combine data from individual tests
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Quantitative Sensory Testing (QST)
Imaging Diagnostics
Assessments and Examinations
Number of trials count
 
Free-Form Entry
       
C15916
Statistical method used text
StatMethdUsedTxt
Details specifying the statistical method used to combine data if test was performed more than once.
If more than one, specify method used to combine data from individual tests
  
Alphanumeric
No additional instructions
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Quantitative Sensory Testing (QST)
Imaging Diagnostics
Assessments and Examinations
Statistical method used text
255
Free-Form Entry
       
C55774
Imaging headache relation time type
ImagHeadacheRelTimeTyp
The type of timing of the imaging in relation to headache.
Timing of recordings
Inter-Ictal;Ictal;Peri-Ictal;
Inter-Ictal;Ictal;Peri-Ictal;
Alphanumeric
Report the timing of recordings in relation to the headache. The precise time windows for peri-ictal and inter-ictal vary with headache type. For episodic migraine, an interval of at least 72h from the lat and before the next attack is generallaccepted for "inter-ictal".
No references available
Adult;Pediatric
Supplemental
1.0
5/31/2017
Aliases for variable name not defined
Quantitative Sensory Testing (QST)
Imaging Diagnostics
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C55775
Imaging ictal pain intensity value
ImagIctPainIntensVal
The value related to the intensity of the subject's pain if the timing is ictal
If ictal, pain intensity at the time of recordings
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/31/2017
Aliases for variable name not defined
Quantitative Sensory Testing (QST)
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
0
10
     
C55776
Imaging ictal headache since onset duration
ImagIctHeadSinceOnsetDur
The duration of time since the onset of the subject's headache if it was ictal.
If ictal, duration of time since onset of headache (include units)
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/31/2017
Aliases for variable name not defined
Quantitative Sensory Testing (QST)
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
       
C55777
Imaging inter peri ictal headache since end duration
ImagInterPeriIctHeadSincEndDur
The duration of time since the end of the subject's last inter-ictal or peri-ictal headahe.
If inter-ictal or peri-ictal, duraton of time since end of last headache (include units)
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/31/2017
Aliases for variable name not defined
Quantitative Sensory Testing (QST)
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
       
C55778
Imaging inter peri ictal next headache start duration
ImagInterPeriIctNextHeStartDur
The duration of time until the start of the subject's next inter-ictal or peri-ictal headache.
If inter-ictal or peri-ictal, duration of time until start of next headache (include units)
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/31/2017
Aliases for variable name not defined
Quantitative Sensory Testing (QST)
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
       
C15918
Quantitative sensory testing test methodology type
QntSnsryTstTstMethdTyp
Type of methodology used for QST imaging
Testing methodology
Method of limits;Method of levels;Other, specify;
Method of limits;Method of levels;Other, specify;
Alphanumeric
Choose all the apply
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Quantitative Sensory Testing (QST)
Imaging Diagnostics
Assessments and Examinations
QST testing methodology type
 
Multiple Pre-Defined Values Selected
       
C19030
Quantitative sensory testing test methodology other text
QSTTstMethdOTH
The free-text field related to 'Quantitative sensory testing test methodology type' specifying other text. Type of methodology used for QST imaging
Other methodology used, specify
  
Alphanumeric
Choose all the apply
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Quantitative Sensory Testing (QST)
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
       
C15920
Quantitative sensory testing test equipment text
QntSnsryTstTstEquipTxt
Description of equipment used for testing
Equipment used for testing
  
Alphanumeric
No additional instructions
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Quantitative Sensory Testing (QST)
Imaging Diagnostics
Assessments and Examinations
QST testing equipment text
255
Free-Form Entry
       
C15921
Quantitative sensory testing maximum stimulation intensity value
QntSnsryTstMaxStmIntstyVal
Measure of the maximum level of stimulation used during the testing
Maximum intensity of stimulation (e.g. maximum temperature, maximum pressure; include units of measurement)
  
Alphanumeric
Examples include maximum temperature and, maximum pressure. Include units of measurement.
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Quantitative Sensory Testing (QST)
Imaging Diagnostics
Assessments and Examinations
QST maximum intensity of stimulation value
255
Free-Form Entry
       
C15922
Quantitative sensory testing maximum stimulus duration
QntSnsryTstMaxStmDur
Maximum duration of stimuli used during the testing
Maximum duration of stimuli
  
Numeric Values
Indicate numeric value of maximum stimuli in seconds or minutes
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Quantitative Sensory Testing (QST)
Imaging Diagnostics
Assessments and Examinations
QST maximum stimuli duration
 
Free-Form Entry
       
C15923
Quantitative sensory testing maximum stimuli duration unit of measure
QntSnsryTstMaxStmDurMeasrUnt
The units used to measure maximum stimuli
Maximum duration of stimuli
seconds;minutes;
seconds;minutes;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Quantitative Sensory Testing (QST)
Imaging Diagnostics
Assessments and Examinations
QST maximum stimuli duration unit of measure
 
Single Pre-Defined Value Selected
       
C15924
Data point exceed safety parameter indicator
DataPtExceedSftyParamInd
Indicates whether there were any data points that exceeded the safety parameters
Were there any data points that exceeded the safety parameters noted above?
Yes;No;
Yes;No;
Alphanumeric
If yes, specify how these data points were handled statistically
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Quantitative Sensory Testing (QST)
Imaging Diagnostics
Assessments and Examinations
Data points exceeded safety parameters indicator
 
Single Pre-Defined Value Selected
       
C18022
Data point exceed safety parameter description text
DataPtExceedSftyParamDesTxt
Description specifying how the data points that exceeded the safety parameters were handled statistically
If Yes, specify how these data points were handled statistically
  
Alphanumeric
If yes, specify how these data points were handled statistically
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Quantitative Sensory Testing (QST)
Imaging Diagnostics
Assessments and Examinations
 
255
Free-Form Entry
       
C15925
Quantitative sensory testing examiner count
QntSnsryTstExmnrCt
Number of examiners performing QST throughout the study
Number of examiners performing QST throughout the study
  
Numeric Values
The purpose of this element is to determine whther or not QST was performed by one investigator
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Quantitative Sensory Testing (QST)
Imaging Diagnostics
Assessments and Examinations
QST examiners count
 
Free-Form Entry
       
C15926
Quantitative sensory testing thermode electrode size value
QntSnsryTstThermdElectrdSizVal
Size of the thermode/electrode used during testing
Thermode/electrode size
  
Numeric Values
Include units
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Quantitative Sensory Testing (QST)
Imaging Diagnostics
Assessments and Examinations
QST thermode or electrode size value
 
Free-Form Entry
       
C15927
Quantitative sensory testing increase stimulation rate value
QntSnsryTstIncrStimRateVal
Rate of increase of stimulation used during testing
Rate of increase of stimulation
  
Numeric Values
Include units (e.g. degree Celsius/second)
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Quantitative Sensory Testing (QST)
Imaging Diagnostics
Assessments and Examinations
QST increase stimulation rate value
 
Free-Form Entry
  
Celsius per second
    
C15928
Quantitative sensory testing decrease stimulation rate value
QntSnsryTstDecrStimRateVal
Rate of decrease of stimulation used during testing
Rate of decrease of stimulation
  
Numeric Values
Example result is recorded in Celsius per second
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Quantitative Sensory Testing (QST)
Imaging Diagnostics
Assessments and Examinations
QST decrease stimulation rate value
 
Free-Form Entry
  
Celsius/second
    
06-20-2019
Page 1 of 2