C13262
Veterans Affairs Toxicity Scale - impotence score
Pre-specified scores based on the severity of impotence: transient, occassional or tolerable; continuous or intolerable
Supplemental
VA Toxicity Scale
True
Epilepsy
Epilepsy
C13261
Veterans Affairs Toxicity Scale - impotence indicator
Indicate whether or not patient has impotence (libido or potency) problems related to drug use
Supplemental
VA Toxicity Scale
True
Epilepsy
Epilepsy
C13264
Veterans Affairs Toxicity Scale - hyponatremia score
The score to indicate whether the participant/subject had a blood laboratory value where serum sodium concentration was less than 120 mmol/L
Supplemental
VA Toxicity Scale
True
Epilepsy
Epilepsy
C13263
Veterans Affairs Toxicity Scale - hyponatremia indicator
Indicator for whether the participant/subject had a blood laboratory value where serum sodium concentration was less than 120 mmol/L
Supplemental
VA Toxicity Scale
True
Epilepsy
Epilepsy
C13260
Veterans Affairs Toxicity Scale - hypersensitivity score
Pre-specified scores for two degrees of hypersensitivity reaction: transient (stopped with treatment) or severe (did not stop with treatment)
Supplemental
VA Toxicity Scale
True
Epilepsy
Epilepsy
C13259
Veterans Affairs Toxicity Scale - hypersensitivity indicator
Indicate whether or not patient has a hypersensitivity reaction to the drug (general maculopapular rash)
Supplemental
VA Toxicity Scale
True
Epilepsy
Epilepsy
C13274
Veterans Affairs Toxicity Scale - hirsutism score
Pre-specified scores for hirsutism (excess hair growth): Moderate (noticeable on face, trunk or limbs); severe (excessive and bothersome to patients)
Supplemental
VA Toxicity Scale
True
Epilepsy
Epilepsy
C13254
Veterans Affairs Toxicity Scale - hematopoietic system problems indicator
Indicate whether or not the patient has any drug-related hematopoietic system problems
Supplemental
VA Toxicity Scale
True
Epilepsy
Epilepsy
C13258
Veterans Affairs Toxicity Scale - hematopoietic problems total score
Summation of the circled scores for hematopoietic system problems on the Veterans Affairs Toxicity Scale
Supplemental
VA Toxicity Scale
True
Epilepsy
Epilepsy
C13257
Veterans Affairs Toxicity Scale - hematopoietic problems other text
Text to describe hematopoietic problem other than reduced plateletes and WBC problems, if applicable
Supplemental
VA Toxicity Scale
True
Epilepsy
Epilepsy
C17645
Veterans Affairs Toxicity Scale - hematopoietic problems other score
Score hematopoietic problem other than reduced platelets and WBC problems, if applicable
Supplemental
VA Toxicity Scale
True
Epilepsy
Epilepsy
C13273
Veterans Affairs Toxicity Scale - hair texture score
Score for hair texture or changes other than loss (e.g. becoming coarse, fine, curly)
Supplemental
VA Toxicity Scale
True
Epilepsy
Epilepsy
C13271
Veterans Affairs Toxicity Scale - hair quantity/texture indicator
Indicate whether or not patient has any changes in hair quantity or texture since starting drug
Supplemental
VA Toxicity Scale
True
Epilepsy
Epilepsy
C13272
Veterans Affairs Toxicity Scale - hair loss score
Pre-specified scores for hair loss: Mild (notice excess hair in comb);Moderate (visible thinning of hair or hair loss in clumps);Severe (visible alopecia or exceedingly bothersome to patient)
Supplemental
VA Toxicity Scale
True
Epilepsy
Epilepsy
C13275
Veterans Affairs Toxicity Scale - hair change total socre
Total score for hair quantity or texture change
Supplemental
VA Toxicity Scale
True
Epilepsy
Epilepsy
C13250
Veterans Affairs Toxicity Scale - gastrointestinal problem transient or occasionally score
Circle the pre-specified scores for gastrointestinal symptoms (distress, nausea, vomiting) if these symptoms occur transiently or occasionally after medication, as part of the Veterans Affairs (VA) Toxicity Scale
Supplemental
VA Toxicity Scale
True
Epilepsy
Epilepsy
C13251
Veterans Affairs Toxicity Scale - gastrointestinal problem often score
Circle the pre-specified scores for gastrointestinal symptoms (distress, nausea, vomiting) if these symptoms occur often after medication as part of the Veterans Affairs (VA) Toxicity Scale
Supplemental
VA Toxicity Scale
True
Epilepsy
Epilepsy
C13253
Veterans Affairs Toxicity Scale - gastrointenstinal problem other text
The free-text field to specify drug-related gastrointestinal problems other than distress, nausea or vomiting as part of the Veterans Affairs (VA) Toxicity Scale
Supplemental
VA Toxicity Scale
True
Epilepsy
Epilepsy
C13252
Veterans Affairs Toxicity Scale - gastrointenstinal problem often during the day score
Circle the pre-specified scores for gastrointestional symptoms (distress, nausea, vomitting) if these symptoms occur often and during the day after medication
Supplemental
VA Toxicity Scale
True
Epilepsy
Epilepsy
C13281
Veterans Affairs Toxicity Scale - gait score
The score as related to gait, normal walking as part of the Veterans Affairs (VA) Toxicity Scale
Supplemental
VA Toxicity Scale
True
Epilepsy
Epilepsy
C13280
Veterans Affairs Toxicity Scale - dysarthria score
The score as related to dysarthria as part of the Veterans Affairs (VA) Toxicity Scale
Supplemental
VA Toxicity Scale
True
Epilepsy
Epilepsy
C13249
Veterans Affairs Toxicity Scale - drug-related gastrointenstinal problem indicator
Indicate whether the patient has any drug-related gastrointestinal problems
Supplemental
VA Toxicity Scale
True
Epilepsy
Epilepsy
C13294
Veterans Affairs Toxicity Scale - drug related headaches often during day score
Score used to report occurrence of drug related headaches often during the day
Supplemental
VA Toxicity Scale
True
Epilepsy
Epilepsy
C13293
Veterans Affairs Toxicity Scale - drug related headaches often after meds score
Score used to report occurrence of drug related headaches often after medication(s)
Supplemental
VA Toxicity Scale
True
Epilepsy
Epilepsy
C13292
Veterans Affairs Toxicity Scale - drug related headache transient or occasionally score
Score used to report occurrence of drug related headaches transiently or occasionally
Supplemental
VA Toxicity Scale
True
Epilepsy
Epilepsy