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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: Epilepsy
Sub-Domain: Adverse Events
CRF: Hague Side Effects Scale
Item count: 23 (23 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
C13117
Hague Side Effects Scale (HASES) - drowsiness sleepiness scale
HASESDrowsSleepScale
The reported level of severity of drowsiness and sleepiness noticed by a guardian following administration of antiepileptic medication in a participant/subject during the past 3 months according to Hague Side Effects Scale (HASES).
   
Numeric Values
Have you noticed any of the following side-effects of antiepileptic medication in your child during the past 3 months?
Carpay JA, et al. Parent-reported subjective complaints in children using antiepileptic drugs: what do they mean? Epilepsy & Behavior. 2002; 3: 322-29.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Hague Side Effects Scale
Adverse Events
Safety Data
HASES Scale Q1
 
Free-Form Entry
       
C13118
Hague Side Effects Scale (HASES) - dizziness scale
HASESDizzScale
The reported level of severity of dizziness noticed by a guardian following administration of antiepileptic medication in a participant/subject during the past 3 months according to Hague Side Effects Scale (HASES).
   
Numeric Values
Have you noticed any of the following side-effects of antiepileptic medication in your child during the past 3 months?
Carpay JA, et al. Parent-reported subjective complaints in children using antiepileptic drugs: what do they mean? Epilepsy & Behavior. 2002; 3: 322-29.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Hague Side Effects Scale
Adverse Events
Safety Data
HASES Scale Q2
 
Free-Form Entry
       
C13119
Hague Side Effects Scale (HASES) - uncertainty walking scale
HASESUncerWalkScale
The reported level of severity of uncertainty when walking noticed by a guardian following administration of antiepileptic medication in a participant/subject during the past 3 months according to Hague Side Effects Scale (HASES).
   
Numeric Values
Have you noticed any of the following side-effects of antiepileptic medication in your child during the past 3 months?
Carpay JA, et al. Parent-reported subjective complaints in children using antiepileptic drugs: what do they mean? Epilepsy & Behavior. 2002; 3: 322-29.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Hague Side Effects Scale
Adverse Events
Safety Data
HASES Scale Q3
 
Free-Form Entry
       
C13120
Hague Side Effects Scale (HASES) - falling scale
HASESFallScale
The reported level of severity of falling noticed by a guardian following administration of antiepileptic medication in a participant/subject during the past 3 months according to Hague Side Effects Scale (HASES).
   
Numeric Values
Have you noticed any of the following side-effects of antiepileptic medication in your child during the past 3 months?
Carpay JA, et al. Parent-reported subjective complaints in children using antiepileptic drugs: what do they mean? Epilepsy & Behavior. 2002; 3: 322-29.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Hague Side Effects Scale
Adverse Events
Safety Data
HASES Scale Q4
 
Free-Form Entry
       
C13121
Hague Side Effects Scale (HASES) - sickness scale
HASESSickScale
The reported level of severity of sickness noticed by a guardian following administration of antiepileptic medication in a participant/subject during the past 3 months according to Hague Side Effects Scale (HASES).
   
Numeric Values
Have you noticed any of the following side-effects of antiepileptic medication in your child during the past 3 months?
Carpay JA, et al. Parent-reported subjective complaints in children using antiepileptic drugs: what do they mean? Epilepsy & Behavior. 2002; 3: 322-29.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Hague Side Effects Scale
Adverse Events
Safety Data
HASES Scale Q5
 
Free-Form Entry
       
C13122
Hague Side Effects Scale (HASES) - difficulty defecation scale
HASESDiffDefecScale
The reported level of severity of difficulty with defecation noticed by a guardian following administration of antiepileptic medication in a participant/subject during the past 3 months according to Hague Side Effects Scale (HASES).
   
Numeric Values
Have you noticed any of the following side-effects of antiepileptic medication in your child during the past 3 months?
Carpay JA, et al. Parent-reported subjective complaints in children using antiepileptic drugs: what do they mean? Epilepsy & Behavior. 2002; 3: 322-29.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Hague Side Effects Scale
Adverse Events
Safety Data
HASES Scale Q6
 
Free-Form Entry
       
C13123
Hague Side Effects Scale (HASES) - Diarrhea Scale
HASESDiarrhScale
The reported level of severity of Diarrhea noticed by a guardian following administration of antiepileptic medication in a participant/subject during the past 3 months according to Hague Side Effects Scale (HASES).
   
Numeric Values
Have you noticed any of the following side-effects of antiepileptic medication in your child during the past 3 months?
Carpay JA, et al. Parent-reported subjective complaints in children using antiepileptic drugs: what do they mean? Epilepsy & Behavior. 2002; 3: 322-29.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Hague Side Effects Scale
Adverse Events
Safety Data
HASES Scale Q7
 
Free-Form Entry
       
C13124
Hague Side Effects Scale (HASES) - shake tremble scale
HASESShakTrembScale
The reported level of severity of shaking, trembling noticed by a guardian following administration of antiepileptic medication in a participant/subject during the past 3 months according to Hague Side Effects Scale (HASES).
   
Numeric Values
Have you noticed any of the following side-effects of antiepileptic medication in your child during the past 3 months?
Carpay JA, et al. Parent-reported subjective complaints in children using antiepileptic drugs: what do they mean? Epilepsy & Behavior. 2002; 3: 322-29.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Hague Side Effects Scale
Adverse Events
Safety Data
HASES Scale Q8
 
Free-Form Entry
       
C13125
Hague Side Effects Scale (HASES) - speech difficulty scale
HASESSpeechDiffScale
The reported level of severity of speech difficulties noticed by a guardian following administration of antiepileptic medication in a participant/subject during the past 3 months according to Hague Side Effects Scale (HASES).
   
Numeric Values
Have you noticed any of the following side-effects of antiepileptic medication in your child during the past 3 months?
Carpay JA, et al. Parent-reported subjective complaints in children using antiepileptic drugs: what do they mean? Epilepsy & Behavior. 2002; 3: 322-29.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Hague Side Effects Scale
Adverse Events
Safety Data
HASES Scale Q9
 
Free-Form Entry
       
C13126
Hague Side Effects Scale (HASES) - doubled blurred vision scale
HASESDoubBlurrScale
The reported level of severity of double or blurred vision noticed by a guardian following administration of antiepileptic medication in a participant/subject during the past 3 months according to Hague Side Effects Scale (HASES).
   
Numeric Values
Have you noticed any of the following side-effects of antiepileptic medication in your child during the past 3 months?
Carpay JA, et al. Parent-reported subjective complaints in children using antiepileptic drugs: what do they mean? Epilepsy & Behavior. 2002; 3: 322-29.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Hague Side Effects Scale
Adverse Events
Safety Data
HASES Scale Q10
 
Free-Form Entry
       
C13127
Hague Side Effects Scale (HASES) - headache scale
HASESHeadachScale
The reported level of severity of headache noticed by a guardian following administration of antiepileptic medication in a participant/subject during the past 3 months according to Hague Side Effects Scale (HASES).
   
Numeric Values
Have you noticed any of the following side-effects of antiepileptic medication in your child during the past 3 months?
Carpay JA, et al. Parent-reported subjective complaints in children using antiepileptic drugs: what do they mean? Epilepsy & Behavior. 2002; 3: 322-29.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Hague Side Effects Scale
Adverse Events
Safety Data
HASES Scale Q11
 
Free-Form Entry
       
C13128
Hague Side Effects Scale (HASES) - fatigue scale
HASESFatigScale
The reported level of severity of fatigue noticed by a guardian following administration of antiepileptic medication in a participant/subject during the past 3 months according to Hague Side Effects Scale (HASES).
   
Numeric Values
Have you noticed any of the following side-effects of antiepileptic medication in your child during the past 3 months?
Carpay JA, et al. Parent-reported subjective complaints in children using antiepileptic drugs: what do they mean? Epilepsy & Behavior. 2002; 3: 322-29.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Hague Side Effects Scale
Adverse Events
Safety Data
HASES Scale Q12
 
Free-Form Entry
       
C13129
Hague Side Effects Scale (HASES) - loss appetite scale
HASESLosAppetScale
The reported level of severity of loss of appetite noticed by a guardian following administration of antiepileptic medication in a participant/subject during the past 3 months according to Hague Side Effects Scale (HASES).
   
Numeric Values
Have you noticed any of the following side-effects of antiepileptic medication in your child during the past 3 months?
Carpay JA, et al. Parent-reported subjective complaints in children using antiepileptic drugs: what do they mean? Epilepsy & Behavior. 2002; 3: 322-29.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Hague Side Effects Scale
Adverse Events
Safety Data
HASES Scale Q13
 
Free-Form Entry
       
C13130
Hague Side Effects Scale (HASES) - depression scale
HASESDepresScale
The reported level of severity of depression noticed by a guardian following administration of antiepileptic medication in a participant/subject during the past 3 months according to Hague Side Effects Scale (HASES).
   
Numeric Values
Have you noticed any of the following side-effects of antiepileptic medication in your child during the past 3 months?
Carpay JA, et al. Parent-reported subjective complaints in children using antiepileptic drugs: what do they mean? Epilepsy & Behavior. 2002; 3: 322-29.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Hague Side Effects Scale
Adverse Events
Safety Data
HASES Scale Q14
 
Free-Form Entry
       
C13131
Hague Side Effects Scale (HASES) - hyperactivity scale
HASESHyperactScale
The reported level of severity of hyperactivity noticed by a guardian following administration of antiepileptic medication in a participant/subject during the past 3 months according to Hague Side Effects Scale (HASES).
   
Numeric Values
Have you noticed any of the following side-effects of antiepileptic medication in your child during the past 3 months?
Carpay JA, et al. Parent-reported subjective complaints in children using antiepileptic drugs: what do they mean? Epilepsy & Behavior. 2002; 3: 322-29.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Hague Side Effects Scale
Adverse Events
Safety Data
HASES Scale Q15
 
Free-Form Entry
       
C13132
Hague Side Effects Scale (HASES) - tantrum aggression scale
HASESTantrmAggresScale
The reported level of severity of temper tantrums, aggression noticed by a guardian following administration of antiepileptic medication in a participant/subject during the past 3 months according to Hague Side Effects Scale (HASES).
   
Numeric Values
Have you noticed any of the following side-effects of antiepileptic medication in your child during the past 3 months?
Carpay JA, et al. Parent-reported subjective complaints in children using antiepileptic drugs: what do they mean? Epilepsy & Behavior. 2002; 3: 322-29.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Hague Side Effects Scale
Adverse Events
Safety Data
HASES Scale Q16
 
Free-Form Entry
       
C13133
Hague Side Effects Scale (HASES) - slowness scale
HASESSlowScale
The reported level of severity of slowness noticed by a guardian following administration of antiepileptic medication in a participant/subject during the past 3 months according to Hague Side Effects Scale (HASES).
   
Numeric Values
Have you noticed any of the following side-effects of antiepileptic medication in your child during the past 3 months?
Carpay JA, et al. Parent-reported subjective complaints in children using antiepileptic drugs: what do they mean? Epilepsy & Behavior. 2002; 3: 322-29.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Hague Side Effects Scale
Adverse Events
Safety Data
HASES Scale Q17
 
Free-Form Entry
       
C13134
Hague Side Effects Scale (HASES) - poor school scale
HASESPoorSchScale
The reported level of severity of poorer school results noticed by a guardian following administration of antiepileptic medication in a participant/subject during the past 3 months according to Hague Side Effects Scale (HASES).
   
Numeric Values
Have you noticed any of the following side-effects of antiepileptic medication in your child during the past 3 months?
Carpay JA, et al. Parent-reported subjective complaints in children using antiepileptic drugs: what do they mean? Epilepsy & Behavior. 2002; 3: 322-29.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Hague Side Effects Scale
Adverse Events
Safety Data
HASES Scale Q18
 
Free-Form Entry
       
C13135
Hague Side Effects Scale (HASES) - decreased concentration scale
HASESDecrConcntScale
The reported level of severity of decreased concentration noticed by a guardian following administration of antiepileptic medication in a participant/subject during the past 3 months according to Hague Side Effects Scale (HASES).
   
Numeric Values
Have you noticed any of the following side-effects of antiepileptic medication in your child during the past 3 months?
Carpay JA, et al. Parent-reported subjective complaints in children using antiepileptic drugs: what do they mean? Epilepsy & Behavior. 2002; 3: 322-29.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Hague Side Effects Scale
Adverse Events
Safety Data
HASES Scale Q19
 
Free-Form Entry
       
C13136
Hague Side Effects Scale (HASES) - behavioral disturbance scale
HASESBehvDistbScale
The reported level of severity of behavioral disturbance noticed by a guardian following administration of antiepileptic medication in a participant/subject uring the past 3 months according to Hague Side Effects Scale (HASES).
   
Numeric Values
Have you noticed any of the following side-effects of antiepileptic medication in your child during the past 3 months?
Carpay JA, et al. Parent-reported subjective complaints in children using antiepileptic drugs: what do they mean? Epilepsy & Behavior. 2002; 3: 322-29.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Hague Side Effects Scale
Adverse Events
Safety Data
HASES Scale Q20
 
Free-Form Entry
       
C13137
Hague Side Effects Scale (HASES) - toxic side effects sub scale
HASESToxSESubscale
Hague Side Effects Scale (HASES)- Toxic Side Effects Subscale (14-56)
   
Numeric Values
Sum of answers to questions 1-14
Carpay JA, et al. Parent-reported subjective complaints in children using antiepileptic drugs: what do they mean? Epilepsy & Behavior. 2002; 3: 322-29.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Hague Side Effects Scale
Adverse Events
Safety Data
HASES Toxic Side Effects Subscale
 
Free-Form Entry
0
56
     
C13138
Hague Side Effects Scale (HASES) - chronic side Effects Sub scale
HASESChronSESubscale
Hague Side Effects Scale (HASES)- Chronic Side Effects Subscale (6-24)
   
Numeric Values
Sum of answers to questions 15-20
Carpay JA, et al. Parent-reported subjective complaints in children using antiepileptic drugs: what do they mean? Epilepsy & Behavior. 2002; 3: 322-29.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Hague Side Effects Scale
Adverse Events
Safety Data
HASES Chronic Side Effects Subscale
 
Free-Form Entry
0
24
     
C13139
Hague Side Effects Scale (HASES) - total score
HASESTotScore
HASES Total Score (20-80)
   
Numeric Values
Sum of all answers
Carpay JA, et al. Parent-reported subjective complaints in children using antiepileptic drugs: what do they mean? Epilepsy & Behavior. 2002; 3: 322-29.
Adult
Supplemental
1.0
10/5/2012
Aliases for variable name not defined
Hague Side Effects Scale
Adverse Events
Safety Data
HASES Total Score
 
Free-Form Entry
0
80
     
03-22-2017
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