CDE Detailed Report

Disease: Epilepsy
Sub-Domain: Adverse Events
CRF: Hague Side Effects Scale

Displaying 1 - 23 of 23
CDE ID CDE Name Variable Name Definition Short Description Question Text Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
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). 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 3.00 2013-08-28 16:08:00.453 Hague Side Effects Scale Adverse Events Safety Data

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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). 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. 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 3.00 2013-08-28 16:08:00.453 Hague Side Effects Scale Adverse Events Safety Data

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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). 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 3.00 2013-08-28 16:08:00.453 Hague Side Effects Scale Adverse Events Safety Data

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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). 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. 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 3.00 2013-08-28 16:08:00.453 Hague Side Effects Scale Adverse Events Safety Data

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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). 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 3.00 2013-08-28 16:08:00.453 Hague Side Effects Scale Adverse Events Safety Data

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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). 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. 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 3.00 2013-08-28 16:08:00.453 Hague Side Effects Scale Adverse Events Safety Data

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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). 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 3.00 2013-08-28 16:08:00.453 Hague Side Effects Scale Adverse Events Safety Data

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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). 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 3.00 2013-08-28 16:08:00.453 Hague Side Effects Scale Adverse Events Safety Data

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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). 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 3.00 2013-08-28 16:08:00.453 Hague Side Effects Scale Adverse Events Safety Data

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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). 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 3.00 2013-08-28 16:08:00.453 Hague Side Effects Scale Adverse Events Safety Data

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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). 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 3.00 2013-08-28 16:08:00.453 Hague Side Effects Scale Adverse Events Safety Data

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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). The reported level of severity of Behavioral disturbance 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 3.00 2013-08-28 16:08:00.453 Hague Side Effects Scale Adverse Events Safety Data

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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). 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 3.00 2013-08-28 16:08:00.453 Hague Side Effects Scale Adverse Events Safety Data

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C13137 Hague Side Effects Scale (HASES) - toxic side effects sub scale HASESToxSESubscale Hague Side Effects Scale (HASES)- Toxic Side Effects Subscale (14-56) 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 3.00 2013-08-28 16:08:00.453 Hague Side Effects Scale Adverse Events Safety Data

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0 56
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). 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 3.00 2013-08-28 16:08:00.453 Hague Side Effects Scale Adverse Events Safety Data

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C13138 Hague Side Effects Scale (HASES) - chronic side Effects Sub scale HASESChronSESubscale Hague Side Effects Scale (HASES)- Chronic Side Effects Subscale (6-24) 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 3.00 2013-08-28 16:08:00.453 Hague Side Effects Scale Adverse Events Safety Data

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0 24
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). 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 3.00 2013-08-28 16:08:00.453 Hague Side Effects Scale Adverse Events Safety Data

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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). 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 3.00 2013-08-28 16:08:00.453 Hague Side Effects Scale Adverse Events Safety Data

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C13139 Hague Side Effects Scale (HASES) - total score HASESTotScore HASES Total Score (20-80) 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 1.00 2012-10-05 00:00:00.0 Hague Side Effects Scale Adverse Events Safety Data

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0 80
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). 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 3.00 2013-08-28 16:08:00.453 Hague Side Effects Scale Adverse Events Safety Data

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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). 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 3.00 2013-08-28 16:08:00.453 Hague Side Effects Scale Adverse Events Safety Data

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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). 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 3.00 2013-08-28 16:08:00.453 Hague Side Effects Scale Adverse Events Safety Data

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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). 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 3.00 2013-08-28 16:08:00.453 Hague Side Effects Scale Adverse Events Safety Data

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CSV