CDE Detailed Report
Disease: Epilepsy
Sub-Domain: Adverse Events
CRF: Hague Side Effects Scale
Displaying 1 - 23 of 23
Sub-Domain: Adverse Events
CRF: Hague Side Effects Scale
Displaying 1 - 23 of 23
| CDE ID | CDE Name | Variable Name | Definition | Short Description | Additional Notes (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 |
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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 |
Free-Form Entry |
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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 |
Free-Form Entry |
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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 |
Free-Form Entry |
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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 |
Free-Form Entry |
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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 |
Free-Form Entry |
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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 |
Free-Form Entry |
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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 |
Free-Form Entry |
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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 |
Free-Form Entry |
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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 |
Free-Form Entry |
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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 |
Free-Form Entry |
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 |
Free-Form Entry |
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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 |
Free-Form Entry |
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 |
Free-Form Entry |
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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 |
Free-Form Entry |
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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 |
Free-Form Entry |
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 |
Free-Form Entry |
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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 |
Free-Form Entry |
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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 |
Free-Form Entry |
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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 |
Free-Form Entry |
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| 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 |
Free-Form Entry |
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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 |
Free-Form Entry |
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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 |
Free-Form Entry |
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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 |
Free-Form Entry |
