CDE Detailed Report

Disease: Epilepsy
Sub-Domain: Non-Imaging Diagnostics
CRF: Scalp Electroencephalography (EEG)

Displaying 1 - 50 of 105
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
C14548 EEG prolonged duration type EEGProlongedDurTyp The length of time for the prolonged electroencephalogram (EEG) The length of time for the prolonged electroencephalogram (EEG) If prolonged EEG, specify duration Less than 24 hours;Greater than or equal to 24 hours;N/A;Other, specify Less than 24 hours;Greater than or equal to 24 hours;N/A;Other, specify Alphanumeric

Choose only one. If other, specify. EEG Type: Choose a single answer

http://www.epilepsy.com/EPILEPSY/EEG_AMBULATORY Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C18979 EEG ictal responsiveness testing other text EEGIctalResponsiveTestingOTH The free-text field related to 'EEG ictal responsiveness testing type' specifying other text. Method applied to test subject's responsiveness or reaction to stimuli from electroencephalogram (EEG). The free-text field related to 'EEG ictal responsiveness testing type' specifying other text. Method applied to test subject's responsiveness or reaction to stimuli from electroencephalogram (EEG). Other, specify Alphanumeric

Choose all that apply. If other, specify.

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations 4000

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C14580 EEG ictal evaluation seizure end date and time EEGIctalEvalSeizEndDateTime Date (and time, if applicable and known) the seizure ended for the ictal evaluation by electroencephalogram (EEG). Time the seizure ended for the ictal evaluation. End Time Date or Date & Time

Indicate seizure end date and time. Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

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C14612 EEG ictal face sign laterality type EEGIctalFaceSignLatTyp The location of face sign from electroencephalogram (EEG) The location of face sign from electroencephalogram (EEG) R L Other R;L;O Right;Left;Other Alphanumeric

Choose one. If other, specify.

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C18532 Electroencephalography ictal no localized onset description text EEGIctalNoLocalOnsetDescTxt The free-text field to describe the nonlocalized ictal onset. The free-text field to describe the nonlocalized ictal onset. No localized onset Alphanumeric No references available Adult;Pediatric Supplemental 3.00 2013-07-30 14:29:49.047 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations 255

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C14559 EEG recording start date and time EEGRecordingStrtDateTime Date (and time, if applicable and known) the electroencephalogram (EEG) recording began Date the electroencephalogram (EEG) recording began Date EEG Recorded Date or Date & Time

Indicate the start date of the EEG recording. Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

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C14591 EEG ictal onset pattern type EEGIctalOnsetPatternTyp Brain wave pattern on electroencephalogram (EEG) during onset of Ictal discharge Brain wave pattern on electroencephalogram (EEG) during onset of ictal discharge Ictal Onset: Pattern on EEG Diffuse Fast Rhythms;Diffuse Attenuation;Rhythmic;Periodic discharges;Generalized tonic-clonic pattern;Periodic discharges-Sharp waves;Periodic discharges-Spikes;Periodic discharges-Single Spike-Wave;Periodic discharges-Polyspike-Wave;Periodic discharges-Other, specify;Other, specify Diffuse Fast Rhythms;Diffuse Attenuation;Rhythmic;Periodic discharges;Generalized tonic-clonic pattern;Periodic discharges-Sharp waves;Periodic discharges-Spikes;Periodic discharges-Single Spike-Wave;Periodic discharges-Polyspike-Wave;Periodic discharges-Other, specify;Other, specify Alphanumeric

Choose all that apply. If other, specify.

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C18969 EEG interictal periodic discharge other text EEGInterictalPerDischrgOTH The free-text field related to 'EEG interictal periodic discharge type' specifying other text. Distinctive electroencephalogram (EEG) waves or complexes, distinguished from background EEG activity, that suggests a seizure tendency The free-text field related to 'EEG interictal periodic discharge type' specifying other text. Distinctive electroencephalogram (EEG) waves or complexes, distinguished from background EEG activity, that suggests a seizure tendency Other, specify Alphanumeric

Choose all that apply

Ebersole JS, Pedley TA (eds): Current Practice of Clinical Electroencephalography, 3rd edition. New York: Lippincott Williams and Williams, 2003. Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations 4000

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C14570 EEG interictal circumstance type EEGInterictalCircumstanceTyp State subject is in during interictal electroencephalography (EEG). State subject is in during interictal. Interictal Circumstances Awake;Indeterminate;Drowsy;Sleep;Hyperventilation;Photic stimulation;Other, specify Awake;Indeterminate;Drowsy;Sleep;Hyperventilation;Photic stimulation;Other, specify Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C14602 EEG ictal responsiveness level type EEGIctalResponsivenessLvlTyp The level of responsiveness of the subject as assessed by electroencephalogram (EEG). The level of responsiveness of the subject as assessed by electroencephalogram (EEG). Responsiveness Arousal from sleep;Behavior Arrest;Hypermotor;Other, specify Arousal from sleep;Behavior Arrest;Hypermotor;Other, specify Alphanumeric

Choose only one. If other, specify.

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C14549 EEG location type EEGLocTyp The location of where the electroencephalogram (EEG) took place The location of where the electroencephalogram (EEG) took place Location Outpatient EEG lab;Inpatient Epilepsy Monitoring Unit;Intensive Care Unit;Ambulatory;Other, specify Outpatient EEG lab;Inpatient Epilepsy Monitoring Unit (EMU);Intensive Care Unit (ICU);Ambulatory;Other, specify Alphanumeric

Choose only one. If other, specify. EEG Type: Choose a single answer

http://www.epilepsy.com/EPILEPSY/EEG_AMBULATORY Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C18980 EEG ictal subjective symptoms reported other text EEGIctalSubjSymptomsReporOTH The free-text field related to 'EEG ictal subjective symptoms reported type' specifying other text. Symptoms reported by the participant from electroencephalogram (EEG) The free-text field related to 'EEG ictal subjective symptoms reported type' specifying other text. Symptoms reported by the participant from electroencephalogram (EEG) Other, specify Alphanumeric

Choose all that apply. If other, specify.

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations 4000

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C14581 EEG ictal evaluation onset date EEGIctalEvalOnsetDate Date (and time, if applicable and known) of the ictal onset by electroencephalogram (EEG). Date of the ictal onset. Date of Seizure Date or Date & Time

Indicate ictal onset time. Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

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C14613 EEG ictal face sign sequence identifier EEGIctalFaceSignSeqID Numerical value representing subject's responsiveness through facial movement from electroencephalogram (EEG) Numerical value representing subject's responsiveness through facial movement from electroencephalogram (EEG) Sequence Numeric Values

Indicate face sign sequence number

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

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C18533 Electroencephalography ictal onset periodic discharge pattern type EEGIctalOnsetPerdDschrgPattTyp The periodic discharge wave pattern of the brain on electroencephalogram (EEG) during onset of ictal discharge The periodic discharge wave pattern of the brain on electroencephalogram (EEG) during onset of ictal discharge Periodic discharges Sharp waves;Spikes;Single Spike-Wave;Polyspike-Wave;Other, specify Sharp waves;Spikes;Single Spike-Wave;Polyspike-Wave;Other, specify Alphanumeric No references available Adult;Pediatric Supplemental 3.00 2013-07-30 14:29:49.047 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C14560 EEG recording end date and time EEGRecordingEndDateTime Date (and time, if applicable and known) the electroencephalogram (EEG) recording ended Date the electroencephalogram (EEG) recording ended Date EEG Recorded Date or Date & Time

Indicate the end date of the EEG recording. Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

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C14592 EEG ictal onset rhythmic frequency EEGIctalOnsetRhythmicFreq Frequency of brain wave patterns at the onset of Ictal by electroencephalogram (EEG). Frequency of brain wave patterns on electroencephalogram (EEG) at the onset of ictal. Rhythmic Numeric Values

Indicate rhythm frequency for ictal onset, in Hz. Round to the closest 0.5 Hz.

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

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Hertz
C18970 EEG interictal circumstance other text EEGInterictalCircumstanceOTH The free-text field related to 'EEG interictal circumstance type' specifying other text. State subject is in during interictal electroencephalography (EEG). The free-text field related to 'EEG interictal circumstance type' specifying other text. State subject is in during interictal. Other, specify Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations 4000

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C14571 EEG focal and generalized slowing focus text EEGFocalGenSlowingFocusTxt The cerebral focus for focal and generalized slowing based on electroencephalography (EEG). The cerebral focus for focal and generalized slowing based on electroencephalography (EEG). Focus Alphanumeric

Indicate focus

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations 255

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C14603 EEG ictal responsiveness sequence identifier EEGIctalResponsivenessSeqID Numerical value representing subject's responsiveness or reaction to stimuli during arousal state as assessed by electroencephalogram (EEG). Numerical value representing subject's responsiveness or reaction to stimuli during arousal state as assessed by electroencephalogram (EEG). Sequence Numeric Values

Indicate value for responsiveness sequence

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

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C14550 EEG video indicator EEGVideoInd A test involving simultaneous electroencephalogram (EEG) and video recording. A test involving simultaneous Electroencephalography (EEG) and video recording. Video? No;Yes;Unknown;Other specify No;Yes;Unknown;Other specify Alphanumeric

Choose only one. If other, specify.

http://www.epilepsy.com/EPILEPSY/EEG_AMBULATORY Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C18981 EEG ictal face sign other text EEGIctalFaceSignOTH The free-text field related to 'EEG ictal face sign type' specifying other text. The face sign type from electroencephalogram (EEG) The free-text field related to 'EEG ictal face sign type' specifying other text. The face sign type from electroencephalogram (EEG) Other, specify Alphanumeric

Choose all that apply. If other, specify.

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations 4000

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C14582 EEG ictal evaluation type EEGIctalEvalTyp The type of Ictal electroencephalography (EEG) evaluation performed The type of Ictal EEG Evaluation performed Type of seizure Ictal Onset;Full Inctal Propagation Ictal Onset;Full Inctal Propagation Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C14614 EEG ictal trunk or limb sign type EEGIctalTrunkLimbSignTyp Specific types of movement of the trunk or limbs or behavior involving the trunk or limbs from electroencephalogram (EEG) Specific types of movement of the trunk or limbs or behavior involving the trunk or limbs from electroencephalogram (EEG) Trunk/Limb Signs Automatisms-Clothes/sheet picking;Automatisms-Rocking;Automatisms-Spinning/Turning (direction);Automatisms-Other, Specify;Other, specify;Arrest of Movement;Version;Tonic - Ext;Tonic - Flex;Clonic - Early;Clonic - Later;Dystonic Posture;Sign-of-4 arm Ext;Myoclonic Jerk;Lower Extremity Complex Movements;Automatisms-Face/nose wiping or rubbing Automatisms-Clothes/sheet picking;Automatisms-Rocking;Automatisms-Spinning/Turning (direction);Automatisms-Other, Specify;Other, specify;Arrest of Movement;Version;Tonic - Ext;Tonic - Flex;Clonic - Early;Clonic - Later;Dystonic Posture;Sign-of-4 arm Ext;Myoclonic Jerk;Lower Extremity Complex Movements;Automatisms-Face/nose wiping or rubbing Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C18534 Electroencephalography interictal epileptiform no localized onset description text EEGInterictEpilpNLocOnsDescTxt The free-text field to describe the nonlocalized onset of interictal epileptiform. The free-text field to describe the nonlocalized onset of interictal epileptiform. No localized onset Alphanumeric No references available Adult;Pediatric Supplemental 3.00 2013-07-30 14:29:49.047 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations 255

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C14561 EEG interictal abnormality date and time EEGInterictalAbnrmlyDateTime Date (and time, if applicable and known) of the inter-Ictal abnormality recorded by electroencephalogram (EEG). Date (and time, if applicable and known) of the interictal abnormality recorded. Electroencephalogram (EEG) Date of Record Date or Date & Time

Indicate time(s) value for all times of Inter-Ictal Abnormality recorded. Multiple times can be entered below if the data entered on this page are the same for each of the times. Otherwise, a new form can be entered if the data varies.) Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

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C14593 EEG ictal onset circumstance type EEGIctalOnsetCircumTyp The conditions or circumstances of the subject during Ictal onset by electroencephalogram (EEG). The conditions or circumstances related to an electroencephalogram (EEG) of the subject during ictal onset. Ictal Onset: Circumstances Awake;Indeterminate;Other, specify;Drowsy;Sleep;Hyperventilation;Photic stimulation Awake;Indeterminate;Other, specify;Drowsy;Sleep;Hyperventilation;Photic stimulation Alphanumeric

Choose only one. If other, specify.

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C18971 EEG focal and generalized slowing location other text EEGFocalGenSlowingLocOTH The free-text field related to 'EEG focal and generalized slowing location type' specifying other text. Location of focal and generalized slowing based on electroencephalography (EEG). The free-text field related to 'EEG focal and generalized slowing location type' specifying other text. Location of focal and generalized slowing based on electroencephalography (EEG). Other, specify Alphanumeric

Choose all that apply and be as specific as possible

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations 4000

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C14572 EEG focal and generalized slowing start date and time EEGFocalGenSlowStrtDateTime Date (and time, if applicable and known) of the focal and generalized slowing based on electroencephalography (EEG) The time of the focal and generalized slowing based on electroencephalography (EEG). Start Time Date or Date & Time

Indicate start time for focal and generalized slowing. Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

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C14604 EEG vocalization type EEGVocalizationTyp Method of articulation during electroencephalography (EEG) Method of articulation as assessed by electroencephalogram (EEG) Vocalization Laugh;Song;Incoherent Speech;Groan/Cry;Coherent Speech;Spontaneous;Response to Question;Other, specify Laugh;Song;Incoherent Speech;Groan/Cry;Coherent Speech;Coherent Speech-Spontaneous;Coherent Speech-Response to Question;Other, specify Alphanumeric

Choose all that apply. If other, specify.

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C14551 EEG behavioral state recorded type EEGBehavioralStateRecordedTyp The recorded state(s) of the subject during the electroencephalogram (EEG) The recorded state(s) of the subject during the Electroencephalography (EEG) Behavioral states recorded Awake;Asleep;Unresponsive state;Indeterminate;Other, specify Awake;Asleep;Unresponsive state;Indeterminate;Other, specify Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C18982 EEG ictal trunk or limb sign other text EEGIctalTrunkLimbSignOTH The free-text field related to 'EEG ictal trunk or limb sign type' specitying other text. Specific types of movement of the trunk or limbs or behavior involving the trunk or limbs from electroencephalogram (EEG) The free-text field related to 'EEG ictal trunk or limb sign type' specitying other text. Specific types of movement of the trunk or limbs or behavior involving the trunk or limbs from electroencephalogram (EEG) Other, specify Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations 4000

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C14583 EEG ictal onset location type EEGIctalOnsetLocTyp The location on electroencephalogram (EEG) for ictal onset The location on electroencephalogram (EEG) for ictal onset Ictal Onset: Location on EEG Localized focal;Localized regional lobar or multilobar;Hemispheric;Generalized;No localized onset, specify;Other, specify Localized focal;Localized regional lobar or multilobar;Hemispheric (side);Generalized;No localized onset, specify;Other, specify Alphanumeric

Choose all that apply and be as specific as possible

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C14615 EEG ictal trunk or limb sign anatomic site EEGIctalTrunkLimbSignAntmicSit The specific area of the trunk or specific limbs that are dominant in the responsive behavior The specific area of the trunk or specific limbs that are dominant in the responsive behavior Trunk Arm Legs Trunk;Arm;Leg Trunk;Arm;Leg Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C18535 Focal and generalized slowing no local onset description text FocalGenSlowNoLocOnstDescrTxt The free-text field to describe the nonlocalized onset of focal and generalized slowing. The free-text field to describe the nonlocalized onset of focal and generalized slowing. No localized onset Alphanumeric No references available Adult;Pediatric Supplemental 3.00 2013-07-30 14:29:49.047 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations 255

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C14562 EEG interictal epileptiform anatomic site EEGInterictalEpilepAntmicSite The anatomic site/location of interictal epileptiform by electroencephalogram (EEG). The anatomic site/location of interictal epileptiform by electroencephalogram (EEG). Interictal Epileptiform Location Localized focal;Localized regional lobar or multilobar;Hemispheric;Generalized;No localized onset, specify;Other, specify Localized focal;Localized regional lobar or multilobar;Hemispheric (side);Generalized;No localized onset, specify;Other, specify Alphanumeric

Choose all that apply and be as specific as possible

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C14594 EEG video seizure number EEGVideoSeizNum The video seizure number in the order they occurred on electroencephalogram (EEG). The video seizure number in the order they occurred. Video Seizure Number Numeric Values

Indicate video seizure number

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

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0 99
C18972 EEG ictal onset location other text EEGIctalOnsetLocOTH The free-text field related to 'EEG ictal onset location type' specifying other text. The location on electroencephalogram (EEG) for ictal onset The free-text field related to 'EEG ictal onset location type' specifying other text. The location on electroencephalogram (EEG) for ictal onset Other, specify Alphanumeric

Choose all that apply and be as specific as possible

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations 4000

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C14573 EEG focal and generalized slowing type EEGFocalGenSlowingTyp The relative duration of focal and generalized slowing observed in the brain waves of the electroencephalogram (EEG) and if slowing is present following seizure activity. The relative duration of focal and generalized slowing observed in the brain waves of the electroencephalogram (EEG) and if slowing is present following seizure activity. Slowing Type Persistent (i.e. continuous);Transient;Post-Ictal Persistent (i.e. continuous);Transient;Post-Ictal Alphanumeric

Choose only one. Check one, if more than one slowing type, then fill out more than one Focal and Generalized Slowing form.

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C14605 EEG ictal vocalization sequence identifier EEGIctalVocalizationSeqID Numerical value observed during any of the vocalization types listed from electroencephalogram (EEG). Numerical value observed during any of the vocalization types listed from electroencephalogram (EEG). Sequence Numeric Values

Indicate value for vocalization sequence

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

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C14552 EEG activating procedures used type EEGActivatingProcedUsedTyp Type(s) of procedures used to improve the electroencephalogram (EEG) diagnostic yield by inducing or enhancing epileptogenic paroxysms. Type(s) of procedures used to improve the Electroencephalography (EEG) diagnostic yield by inducing or enhancing epileptogenic paroxysms. Activating procedures used Hyperventilation;Other, specify:;Photic stimulation;Sleep;Unknown Hyperventilation;Other, specify:;Photic stimulation;Sleep;Unknown Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C18983 EEG ictal other sign other text EEGIctalOtherSignOTH The free-text field related to 'EEG ictal other sign type' specifying other text. Other forms of response behavior that have not been covered previously The free-text field related to 'EEG ictal other sign type' specifying other text. Other forms of response behavior that have not been covered previously Other, specify Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations 4000

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C14584 EEG full ictal propagation location type EEGFullIctalPropagationLocTyp The location on electroencephalogram (EEG) for full ictal propagation The location on electroencephalogram (EEG) for full ictal propagation Full Ictal Propagation: Location on EEG Localized focal;Localized regional lobar or multilobar;Hemispheric;Generalized;No localized onset, specify Localized focal;Localized regional lobar or multilobar;Hemispheric (side);Generalized;No localized onset, specify Alphanumeric

Choose all that apply and be as specific as possible

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C14616 EEG ictal trunk or limb sign laterality type EEGIctalTrunkLimbSignLatTyp The side of the trunk or specific limbs that are dominant in the responsive behavior The side of the trunk or specific limbs that are dominant in the responsive behavior R L R>L L>R Unsure R;L;R>L;L>R;Unsure Right;Left;Right>Left;Left>Right;Unsure Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C18962 EEG data original purpose other text EEGDataOriginalPurposeOTH The free-text field related to 'EEG data original purpose type' specifying other text. The reason(s) for gathering data via electroencephalogram (EEG) method The free-text field related to 'EEG data original purpose type' specifying other text. The reason(s) for gathering data via electroencephalogram (EEG) method Other, specify Alphanumeric

Choose all that apply. If other, specify.

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations 4000

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C14563 EEG interictal abnormality localized focal area of origin type EEGInterictAbnrLocFocArOrigTyp Electrode points for abnormal electrical field observed using electroencephalogram (EEG). Electrode points for abnormal electrical field observed. Area of origin of the interictal abnormality FP1;FP2;T1;F7;F3;FZ;F4;F8;T2;FT9;T3;C3;CZ;C4;T4;FT10;T5;P3;PZ;P4;T6;O1;O2 FP1;FP2;T1;F7;F3;FZ;F4;F8;T2;FT9;T3;C3;CZ;C4;T4;FT10;T5;P3;PZ;P4;T6;O1;O2 Alphanumeric

Choose all that apply and be as specific as possible

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C14595 EEG video total seizure count EEGVideoTotalSeizCt The total number of video seizures recorded by electroencephalogram (EEG). The total number of video seizures recorded. Video Seizure Number Numeric Values

Indicate total video seizure number

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

Free-Form Entry

0 99
C18973 EEG full ictal propagation location other text EEGFullIctalPropagationLocOTH The free-text field related to 'EEG full ictal propagation location type' specifying other text. The location on electroencephalogram (EEG) for full ictal propagation The free-text field related to 'EEG full ictal propagation location type' specifying other text. The location on electroencephalogram (EEG) for full ictal propagation Other, specify Alphanumeric

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No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C14574 EEG focal and generalized slowing location type EEGFocalGenSlowingLocTyp Location of focal and generalized slowing based on electroencephalography (EEG). Location of focal and generalized slowing based on electroencephalography (EEG). Slowing Location Localized regional lobar or multilobar;Hemispheric (side);Generalized;No localized onset, specify;Other, specify Localized regional lobar or multilobar;Hemispheric (side);Generalized;No localized onset, specify;Other, specify Alphanumeric

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No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C14606 EEG ictal responsiveness testing type EEGIctalResponsiveTestingTyp Method applied to test subject's responsiveness or reaction to stimuli from electroencephalogram (EEG). Method applied to test subject's responsiveness or reaction to stimuli electroencephalogram (EEG). Testing of Responsiveness Follow Command(s);Repeat Memory Item(s);Other, specify Follow Command(s);Repeat Memory Item(s);Other, specify Alphanumeric

Choose all that apply. If other, specify.

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

CSV