| SPECIFICATION |
{"test":[{"content":[{"choiceDisplay":99241,"choiceTypeId":null,"designator":"1.","hint":null,"id":9012,"instrument":304,"introDisplay":81371,"introId":2488,"introText":"The MIDAS (Migraine Disability Assessment) questionnaire was put toget
nator":"3.","hint":null,"id":9014,"instrument":304,"introDisplay":81371,"introId":2488,"introText":"The MIDAS (Migraine Disability Assessment) questionnaire was put together to help you measure the impact your headaches\r\n have on your lif
e. The information on this questionnaire is also helpful for your primary care provider to determine\r\n the level of pain and disability caused by your headaches and to find the best treatment for you.\r\n||INSTRUCTIONS\r\n||Please answer
the following questions about ALL of the headaches you have had over the last 3 months. Enter your answer\r\n in the box beneath each question. Enter zero if you did not have the activity in the last 3 months.","max":92,"min":0,"questionDis
play":81372,"questionId":8949,"questionText":"On how many days in the last 3 months did you not do household work (such as housework, home\r\nrepairs and maintenance, shopping, caring for children and relatives) because of your headaches?",
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igraine Disability Assessment) questionnaire was put together to help you measure the impact your headaches\r\n have on your life. The information on this questionnaire is also helpful for your primary care provider to determine\r\n the lev
el of pain and disability caused by your headaches and to find the best treatment for you.\r\n||INSTRUCTIONS\r\n||Please answer the following questions about ALL of the headaches you have had over the last 3 months. Enter your answer\r\n in
the box beneath each question. Enter zero if you did not have the activity in the last 3 months.","max":92,"min":0,"questionDisplay":81372,"questionId":8950,
"questionText":"How many days in the last 3 months was your productivity in household work reduced by half of more because of your headaches? (Do not include days you counted in question 3 where you did not do household work.)","required":t
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her to help you measure the impact your headaches\r\n have on your life. The information on this questionnaire is also helpful for your primary care provider to determine\r\n the level of pain and disability caused by your headaches and to
bility Assessment) questionnaire was put together to help you measure the impact your headaches\r\n have on your life. The information on this questionnaire is also helpful for your primary care provider to determine\r\n the level of pain a
nd disability caused by your headaches and to find the best treatment for you.\r\n||INSTRUCTIONS\r\n||Please answer the following questions about ALL of the headaches you have had over the last 3 months. Enter your answer\r\n in the box ben
eath each question. Enter zero if you did not have the activity in the last 3 months.","max":92,"min":0,"questionDisplay":81372,"questionId":8951,"questionText":"On how many days in the last 3 months did you miss family, social or leisure a
ctivities because of your headaches?","required":true,"responseTypeId":2,"responseTypeText":"INTEGER","sequence":50},{"choiceDisplay":99241,"choiceTypeId":null,"designator":"A.","hint":null,"id":9017,"instrument":304,"introDisplay":81371,"i
ntroId":2489,"introText":"|What your Physician will need to know about your headache:","max":92,"min":0,"questionDisplay":81372,"questionId":8952,"questionText":"On how many days in the last 3 months did you have a headache? (If a headache
lasted more than 1 day, count each day.)","required":true,"responseTypeId":2,"responseTypeText":"INTEGER","sequence":60},{"choice":[{"choiceId":5509,"choiceText":"no pain at all","ien":109195,"legacyValue":0,"sequence":1},{"choiceId":5510,"
choiceText":"pain as bad as it can be","ien":109196,"legacyValue":10,"sequence":2}],"choiceDisplay":81373,"choiceIdentifier":"N","choiceIdentifierIen":42349,"choiceTypeId":15104,"designator":"B.","hint":null,"id":9018,"instrument":304,"intr
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find the best treatment for you.\r\n||INSTRUCTIONS\r\n||Please answer the following questions about ALL of the headaches you have had over the last 3 months. Enter your answer\r\n in the box beneath each question. Enter zero if you did not
e,"fontName":"MS Sans Serif","fontSize":8,"fontUnderlined":false,"id":81372,"left":2,"mask":null},{"alignment":"L","columns":0,"component":"TR","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontS
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":99241,"left":20,"mask":"70||N|"}],"info":{"author":"Innovative Medical Research","auxDate":null,"auxVersion":null,"copyrightText":"Innovative Medical Research 1997 and 2007, AstraZeneca Pharmaceuticals, LP. All Rights reserved.","copyrigh
ted":true,"dllDate":null,"dllVersion":null,"enteredBy":"Kevin Meldrum","entryDate":"2022-11-02","fullText":true,"id":304,"interpretiveText":"Guide for interpreting MIDAS score:\r\n 0-5: Grade I, Little or No Disability\r\n 6-10: Grade II, M
ild Disability\r\n 11-20: Grade III, Moderate Disability\r\n 21+: Grade IV, Severe Disability","lastEditDate":3230110.1918,"lastEditedBy":"Kevin Meldrum","legacy":
false,"licenseCurrent":false,"name":"MIDAS","national":true,"normSample":null,"operational":"Y","printTitle":"Migraine Disability Assessment Test","publicationDate":null,"publisher":null,"purpose":null,"reference":"Lipton, R. B., Stewart, W
. F., Sawyer, J., & Edmeads, J. G. (2001). Clinical Utility of an Instrument Assessing Migraine Disability: The Migraine Disability Assessment (MIDAS) Questionnaire. Headache: The Journal of Head and Face Pain, 41(9), 854-861. https:\/\/doi
.org\/https:\/\/doi.org\/10.1111\/j.1526-4610.2001.01156.x ","requireSignature":false,"requiresLicense":"N","scoringRevision":2,"scoringRoutine":"YTSMIDAS","scoringTag":"DLLSTR","staffOnly":null,"submitNational":true,"suicideriskRoutine":nu
ll,"suicideriskTag":null,"targetPopulation":null,"version":null,"wasOperational":true},"report":{"id":225,"instrument":304,"template":"|Migraine Disability Assessment Test (MIDAS)\r\n| \r\n| Date Given: <.Date_Given.>\r\n| Clinician: <
.Staff_Ordered_By.>\r\n| Location: <.Location.>\r\n| \r\n| Veteran: <.Patient_Name_Last_First.>\r\n| SSN: <.Patient_SSN.>\r\n| DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)\r\n| Gender: <.Patient_Gender.>\r\n| \r\n|<*Answer
have the activity in the last 3 months.","max":92,"min":0,"questionDisplay":81372,"questionId":8947,"questionText":"On how many days in the last 3 months did you miss work or school because of your headaches?","required":true,"responseTypeI
_7771*>\r\n| \r\n| \r\n|Questions and Answers:\r\n| \r\n| 1. On how many days in the last 3 months did you miss work or school \r\n| because of your headaches?\r\n| <*Answer_8947*>\r\n| 2. How many days in the last 3 mo
nths was your productivity at work or \r\n| school reduced by half or more because of your headaches? (Do not \r\n| include days you counted in question 1 where you missed work or \r\n| school.)\r\n| <*Answer_8948*>\
r\n| 3. On how many days in the last 3 months did you not do household work \r\n| (such as housework, home repairs and maintenance, shopping, caring \r\n| for children and relatives) because of your headaches?\r\n| <*An
swer_8949*>\r\n| 4. How many days in the last 3 months was your productivity in household\r\n| work reduced by half of more because of your headaches? (Do not \r\n| include days you counted in question 3 where you did not do
household \r\n| work.)\r\n| <*Answer_8950*>\r\n| 5. On how many days in the last 3 months did you miss family, social or \r\n| leisure activities because of your headaches?\r\n| <*Answer_8951*>\r\n|\r\n| A. On
how many days in the last 3 months did you have a headache? (If a \r\n| headache lasted more than 1 day, count each day.)\r\n| <*Answer_8952*>\r\n| B. On a scale of 0 - 10, on average how painful were these headaches? \r\n|
(where 0=no pain at all, and 10=pain as bad as it can be.)\r\n| <*Answer_8953*> \r\n| \r\n|Information contained in this note is based on a self-report assessment \r\n|and is not sufficient to use alone for diagnostic purposes.
Assessment \r\n|results should be verified for accuracy and used in conjunction with \r\n|other diagnostic activities.\r\n||(c) Innovative Medical Research 1997\r\n|(c) 2007, AstraZeneca Pharmaceuticals, LP. All Rights reserved."},"scaleGro
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ntryChecksum":3238235687,"entrySpec":" \r\n{\"name\": \"MIDAS\",\r\n \"copyright\": \"Innovative Medical Research 1997 and 2007, AstraZeneca Pharmaceuticals, LP. All Rights reserved.\",\r\n \"restartDays\": 2,\r\n \"printTitle\": \"Migraine
d":2,"responseTypeText":"INTEGER","sequence":10},{"choiceDisplay":99241,"choiceTypeId":null,"designator":"2.","hint":null,"id":9013,"instrument":304,"introDisplay":81371,"introId":2488,"introText":"The MIDAS (Migraine Disability Assessment)
Disability Assessment Test\",\r\n \"content\":[\r\n {\"id\": \"i2488\", \"type\": \"IntroText\",\r\n \"text\": \"The <strong>MIDAS<\/strong> (Migraine Disability Assessment) questionnaire was put together to help\r\n you measure the i
mpact your headaches have on your life. The information on this\r\n questionnaire is also helpful for your primary care provider to determine the
\r\n level of pain and disability caused by your headaches and to find the best\r\n treatment for you. <br \/><br \/><strong>INSTRUCTIONS<\/strong> <br \/><br \/>Please answer the\r\n following questions about ALL of the headaches you have
had over the last 3\r\n months. Enter your answer in the box beneath each question. Enter zero if you\r\n did not have the activity in the last 3 months.\"\r\n },\r\n {\"id\": \"q8947\", \"type\": \"IntegerQuestion\", \"required\": tru
e,\r\n \"text\": \"1. On how many days in the last 3 months did you miss work or school because of\r\n your headaches?\",\r\n \"intro\": \"The <strong>MIDAS<\/strong> (Migraine Disability Assessment) questionnaire was put together to
help\r\n you measure the impact your headaches have on your life. The information on this\r\n questionnaire is also helpful for your primary care provider to determine the\r\n level of pain and disability caused by your headaches and to fin
d the best\r\n treatment for you. <br \/><br \/><strong>INSTRUCTIONS<\/strong> <br \/><br \/>Please answer the\r\n following questions about ALL of the headaches you have had over the last 3\r\n months. Enter your answer in the box beneath
each question. Enter zero if you\r\n did not have the activity in the last 3 months.\",\r\n \"controlWidth\": 70, \"min\": 0, \"max\": 92},\r\n {\"id\": \"q8948\", \"type\": \"IntegerQuestion\", \"required\": true,\r\n \"text\": \"2
. How many days in the last 3 months was your productivity at work or school\r\n reduced by half or more because of your headaches? (Do not include days you\r\n counted in question 1 where you missed work or school.)\",\r\n \"intro\": \"
The <strong>MIDAS<\/strong> (Migraine Disability Assessment) questionnaire was put together to help\r\n you measure the impact your headaches have on your life. The information on this\r\n questionnaire is also helpful for your primary care
questionnaire was put together to help you measure the impact your headaches\r\n have on your life. The information on this questionnaire is also helpful for your primary care provider to determine\r\n the level of pain and disability caus
provider to determine the\r\n level of pain and disability caused by your headaches and to find the best\r\n treatment for you. <br \/><br \/><strong>INSTRUCTIONS<\/strong> <br \/><br \/>Please answer the\r\n following questions about ALL
of the headaches you have had over the last 3\r\n months. Enter your answer in the box beneath each question. Enter zero if you\r\n did not have the activity in the last 3 months.\",\r\n \"controlWidth\": 70, \"min\": 0, \"max\": 92},\r\
n {\"id\": \"q8949\", \"type\": \"IntegerQuestion\", \"required\": true,\r\n \"text\": \"3. On how many days in the last 3 months did you not do household work (such as\r\n housework, home repairs and maintenance, shopping, caring for
children and\r\n relatives) because of your headaches?\",\r\n \"intro\": \"The <strong>MIDAS<\/strong> (Migraine Disability Assessment) questionnaire was put together to help\r\n you measure the impact your headaches have on your life. T
he information on this\r\n questionnaire is also helpful for your primary care provider to determine the\r\n level of pain and disability caused by your headaches and to find the best\r\n treatment for you. <br \/><br \/><strong>INSTRUCTION
S<\/strong> <br \/><br \/>Please answer the\r\n following questions about ALL of the headaches you have had over the last 3\r\n months. Enter your answer in the box beneath each question. Enter zero if you\r\n did not have the activity in t
he last 3 months.\",\r\n \"controlWidth\": 70, \"min\": 0, \"max\": 92},\r\n {\"id\": \"q8950\", \"type\": \"IntegerQuestion\", \"required\": true,\r\n \"text\": \"4. How many days in the last 3 months was your productivity in house
hold work\r\n reduced by half of more because of your headaches? (Do not include days you\r\n counted in question 3 where you did not do household work.)\",\r\n \"intro\": \"The <strong>MIDAS<\/strong> (Migraine Disability Assessment) qu
estionnaire was put together to help\r\n you measure the impact your headaches have on your life. The information on this
\r\n questionnaire is also helpful for your primary care provider to determine the\r\n level of pain and disability caused by your headaches and to find the best\r\n treatment for you. <br \/><br \/><strong>INSTRUCTIONS<\/strong> <br \/><br
ed by your headaches and to find the best treatment for you.\r\n||INSTRUCTIONS\r\n||Please answer the following questions about ALL of the headaches you have had over the last 3 months. Enter your answer\r\n in the box beneath each question
\/>Please answer the\r\n following questions about ALL of the headaches you have had over the last 3\r\n months. Enter your answer in the box beneath each question. Enter zero if you\r\n did not have the activity in the last 3 months.\",\r
\n \"controlWidth\": 70, \"min\": 0, \"max\": 92},\r\n {\"id\": \"q8951\", \"type\": \"IntegerQuestion\", \"required\": true,\r\n \"text\": \"5. On how many days in the last 3 months did you miss family, social or leisure\r\n activi
ties because of your headaches?\",\r\n \"intro\": \"The <strong>MIDAS<\/strong> (Migraine Disability Assessment) questionnaire was put together to help\r\n you measure the impact your headaches have on your life. The information on this\
r\n questionnaire is also helpful for your primary care provider to determine the\r\n level of pain and disability caused by your headaches and to find the best\r\n treatment for you. <br \/><br \/><strong>INSTRUCTIONS<\/strong> <br \/><br
\/>Please answer the\r\n following questions about ALL of the headaches you have had over the last 3\r\n months. Enter your answer in the box beneath each question. Enter zero if you\r\n did not have the activity in the last 3 months.\",\r\
n \"controlWidth\": 70, \"min\": 0, \"max\": 92},\r\n {\"id\": \"i2489\", \"type\": \"IntroText\",\r\n \"text\": \"<strong>What your Physician will need to know about your headache:<\/strong>\"\r\n },\r\n {\"id\": \"q8952\", \"
type\": \"IntegerQuestion\", \"required\": true,\r\n \"text\": \"A. On how many days in the last 3 months did you have a headache? (If a headache\r\n lasted more than 1 day, count each day.)\",\r\n \"intro\": \"<strong>What your Physi
cian will need to know about your headache:<\/strong>\",\r\n \"controlWidth\": 70, \"min\": 0, \"max\": 92},\r\n {\"id\": \"q8953\", \"type\": \"SliderQuestion\", \"required\": true,\r\n \"text\": \"B. On a scale of 0 - 10, on avera
ge how painful were these headaches? (where 0 =\r\n no pain at all, and 10 = pain as bad as it can be.)\",\r\n \"intro\": \"<strong>What your Physician will need to know about your headache:<\/strong>\",\r\n \"min\": 0, \"max\": 10,\r
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re because of your headaches? (Do not include days you counted in question 1 where you missed work or school.)","required":true,"responseTypeId":2,"responseTypeText":"INTEGER","sequence":20},{"choiceDisplay":99241,"choiceTypeId":null,"desig
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