| 65374-1 | Severe headaches past Y PhenX | |
| 30525-0 | Age | required |
| 46098-0 | Sex | |
| 65375-8 | Headache complications PhenX | |
| 65376-6 | Severe headaches avg freq nRate PhenX | |
| 65377-4 | Severe headache pain type PhenX | |
| 65378-2 | How affected by headaches PhenX | |
| 65379-0 | How long unable to work PhenX | |
| 65380-8 | Headache freq last 3Mo nRate PhenX | |
| 65381-6 | # Ds miss school nRate PhenX | |
| 65382-4 | # Ds reduced productiv nRate PhenX | |
| 65383-2 | # Ds no housework nRate PhenX | |
| 65384-0 | Num Ds housework reduced 1/2 nRate PhenX | |
| 65385-7 | Number Ds missed activities nRate PhenX | |
| 65386-5 | Age headaches began PhenX | |
| 65387-3 | Hospital for headaches PhenX | |
| 65388-1 | Usual headache treatment PhenX | |
| 65389-9 | Headache prescription med daily PhenX | |
| 65390-7 | Any other med daily PhenX | |
| 65391-5 | Last took daily med PhenX | |
| 65392-3 | Consider headaches migraines PhenX | |
| 65393-1 | Diagnosed with headache type PhenX | |
| 65394-9 | Age diagnosed migraines PhenX | |
| 8308-9 | Body height stand | |
| 29463-7 | Weight | optional |