Version 2.78

Status Information

Status
TRIAL

Term Description

The Self-Administered Questionnaire for Migraine is a 20-item questionnaire that assesses the frequency of severe headaches, the level of pain, whether the person is taking medications, and associated complications such as nausea.
Source: Regenstrief LOINC

Reference Information

Type Source Reference
Citation Consensus measures for Phenotypes and Exposures Lipton, RB, Stewart, WF, Diamond, S, Diamond, ML, & Reed, M. (2001). Prevalence and Burden of Migraine in the United States: Data From the American Migraine Study II. Headache 41, 646-657.
Article Consensus measures for Phenotypes and Exposures Headache Classification Committee of the International Headache Society. (1998). Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Cephalalgia, 8(supplement 7), 1-96
Article Consensus measures for Phenotypes and Exposures Headache Classification Subcommittee of the International Headache Society. (2004). The international classification of headache disorders. Part one: the primary headaches. Cephalalgia, 24(supplement 1), 23-136.

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINC Name R/O/C Cardinality Example UCUM Units
62765-3 PhenX - migraine protocol 130501
Indent65374-1 Over the past year, have you suffered from severe headaches?
Indent30525-0 Age R a
Indent46098-0 Sex
Indent65375-8 When you have a severe headache, do you experience any of the following?
Indent65376-6 About how often do your severe headaches occur? {#}/wk;{#}/mo;{#}/a
Indent65377-4 Which statement best describes the pain of your severe headaches?
Indent65378-2 Which best describes how you are usually affected by severe headaches?
Indent65379-0 Each time you have a severe headache, how long are you unable to work or undertake normal activities? d;wk;mo;a
Indent65380-8 On how many days in the last 3 months did you have a headache (if headache lasted more than 1 day, count each day)? d/(3.mo)
Indent65381-6 Because of your headaches on how many days in the last 3 months . . .did you miss work or school d/(3.mo)
Indent65382-4 Because of your headaches on how many days in the last 3 months . . .was your productivity at work/school reduced by half or more d/(3.mo)
Indent65383-2 Because of your headaches on how many days in the last 3 months . . . did you not do household work d/(3.mo)
Indent65384-0 Because of your headaches on how many days in the last 3 months . . . was your productivity in house-hold work reduced by half or more d/(3.mo)
Indent65385-7 Because of your headaches on how many days in the last 3 months . . . did you miss family, social, or leisure activities d/(3.mo)
Indent65386-5 At what age did you BEGIN having severe headaches? a
Indent65387-3 Have you ever gone to the hospital emergency room or to an urgent care clinic because of your severe headaches?
Indent65388-1 Which best describes the way you usually treat severe headaches?
Indent65389-9 Have you ever taken prescription medication for headache on a DAILY basis, whether or not you have a headache, to help prevent a severe headache from happening in the first place?
Indent65390-7 Are you currently taking any other medication on a DAILY basis?
Indent65391-5 When did you last take prescription medication for headache on a DAILY basis to help prevent a severe headache from happening in the first place?
Indent65392-3 Do you consider your severe headaches to be migraines?
Indent65393-1 Have you ever been diagnosed by a physician or other health professional as suffering from . . . ?
Indent65394-9 If diagnosed with migraines, at what age were you FIRST DIAGNOSED with migraines? a
Indent8308-9 Body height --standing [in_us];cm;m
Indent29463-7 Body weight O [lb_av];kg

Fully-Specified Name

Component
PhenX - migraine protocol 130501
Property
-
Time
Pt
System
^Patient
Scale
-
Method
PhenX

Additional Names

Short Name
Migraine proto

Survey Question

Source
PX130501

Basic Attributes

Class
PANEL.PHENX
Type
Clinical
First Released
Version 2.36
Last Updated
Version 2.66
Change Reason
Updated the PhenX ID from "PhenX.<ID>" to "PX<ID>" in Survey Question Source field to align with the variable identifier used in the PhenX Toolkit.; Added the PhenX protocol ID to the Component to clearly define the protocol version for which this panel is based upon.
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
62755-4 PhenX domain - Neurology

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) PhenX - protocolo de migraña 130501:-:Punto temporal:^ Paciente:-:PhenX
it-IT Italian (Italy) PhenX - emicrania, protocollo:-:Pt:^Paziente:-:PhenX
Synonyms: Panel PhenX paziente PhenX Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) PhenX - мигрень протокол:-:ТчкВрм:^Пациент:-:PhenX
Synonyms: Точка во времени;Момент
zh-CN Chinese (China) PhenX - 偏头痛方案 130501:-:时间点:^患者:-:PhenX
Synonyms: Consensus measures for Phenotypes and eXposures;PhenX;暴露;接触;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标 Consensus measures for Phenotypes and eXposures;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.PhenX;组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）.PhenX;Consensus measures for Phenotypes and eXposures;PhenX;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标;PhenX 医嘱组 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 多重;多重型;多重标尺类型;多重精度类型 套餐 套餐医嘱 套餐医嘱组 套餐医嘱组类 实验室医嘱套餐 实验室医嘱套餐类 实验室医嘱组 实验室医嘱组合类 实验室医嘱组套 实验室医嘱组套类 实验室套餐医嘱组 实验室套餐医嘱组类 实验室检验项目医嘱组合类 实验室检验项目组合类 时刻;随机;随意;瞬间 检验医嘱组合类 检验项目医嘱组合类 检验项目组合类 组 组合 组合医嘱 组合类 组套

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=62765-3
Questionnaire definition
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/62765-3