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 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
C14598 EEG participant alarm push ability indicator EEGPartcpntAlarmPushAbilityInd Whether the participant/subject is able to push the alarm at the onset of the seizure, during the seizure, or after the seizure Whether the participant/subject is able to push the alarm at the onset of the seizure, during the seizure, or after the seizure Patient able to push alarm (onset, during, after seizure) Yes;No Yes;No Alphanumeric

Choose only one

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

C18965 EEG behavioral state recorded other text EEGBehavioralStateRecordedOTH The free-text field related to 'EEG behavioral state recorded type' specifying other text. The recorded state(s) of the subject during the electroencephalogram (EEG) The free-text field related to 'EEG behavioral state recorded type' specifying other text. The recorded state(s) of the subject during the 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

Free-Form Entry

C14566 EEG interictal epileptiform hemispheric type EEGInterictalEpilpHemisphTyp The hemispheric side for the interictal epileptiform using electroencephalogram (EEG). The hemispheric side for the interictal epileptiform. Hemispheric Right;Left Right;Left Alphanumeric

Indicate side

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

C14577 EEG ictal evaluation seizure identifier EEGIctalEvalSeizID The seizure number used to identify the seizure in the order they occurred during electroencephalogram (EEG). The seizure number used to identify the seizure in the order they occurred. Seizure Number Numeric Values

Indicate 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
C14609 EEG ictal eye sign laterality type EEGIctalEyeSignLatTyp The location of eye sign from electroencephalogram (EEG) The location of eye sign from electroencephalogram (EEG) R L Other R;L;O Right;Left;Other Alphanumeric

Choose one

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

C18976 EEG seizure onset behavioral state other text EEGSeizOnsetBehavioralStateOTH The free-text field related to 'EEG seizure onset behavioral state type' specifying other text. The behavioral state or condition of the subject at onset of seizure by electroencephalogram (EEG). The free-text field related to 'EEG seizure onset behavioral state type' specifying other text. The behavioral state or condition of the subject at onset of seizure by electroencephalogram (EEG). 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 4000

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C14588 EEG full ictal propagation localized regional lobar or multi-lobar type EEGFulllctalPropLobarTyp Lobar areas that were activated during ictal propagation of discharge from electroencephalogram (EEG). Lobar areas that were activated during ictal propagation of discharge from electroencephalogram (EEG). . Localized regional lobar or multilobar Left Frontal;Right Frontal;Left Parietal;Right Parietal;Left Occipital;Right Occipital;Left Temporal;Right Temporal;Left Temporal-Mesial;Left Temporal-Neocortical;Right Temporal-Mesial;Right Temporal-Neocortical Left Frontal;Right Frontal;Left Parietal;Right Parietal;Left Occipital;Right Occipital;Left Temporal;Right Temporal;Left Temporal-Mesial;Left Temporal-Neocortical;Right Temporal-Mesial;Right Temporal-Neocortical 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

C14620 EEG benign variants indicator EEGBenignVariantsInd Variants in electroencephalogram (EEG) that are benign Variants in EEG that are benign Are there any benign EEG variants? Yes;No Yes;No Alphanumeric

If yes, continue to items below

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

C14556 Seizures video EEG recorded count SeizVideoEEGRecCt The number of seizures that have video and electroencephalogram (EEG) The number of seizures that have video and electroencephalogram (EEG) Numeric Values

Indicate number of seizures with video and EEG

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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C14599 EEG seizure onset behavioral state type EEGSeizOnsetBehavioralStateTyp The behavioral state or condition of the subject at onset of seizure by electroencephalogram (EEG). The behavioral state or condition of the subject at onset of seizure Behavioral state at onset of seizure Awake;Asleep;Other, specify;Unknown Awake;Asleep;Other, specify;Unknown 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

C18966 EEG activating procedures used other text EEGActivatingProcedUsedOTH The free-text field related to 'EEG activating procedures used type' specifying other text. Type(s) of procedures used to improve the electroencephalogram (EEG) diagnostic yield by inducing or enhancing epileptogenic paroxysms. The free-text field related to 'EEG activating procedures used type' specifying other text. Type(s) of procedures used to improve the electroencephalogram (EEG) diagnostic yield by inducing or enhancing epileptogenic paroxysms. Activating procedures used 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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C14567 EEG interictal discharge type EEGInterictalDischrgTyp Interictal type of discharge using electroencephalogram (EEG). Interictal type of discharge. Interictal Type of Discharge Generalized Epileptiform Discharge;Diffuse Fast Rhythms;Diffuse Attenuation;Rhythmic;Periodic discharges;Other, specify Generalized Epileptiform Discharge;Diffuse Fast Rhythms;Diffuse Attenuation;Rhythmic;Periodic discharges;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

C14578 EEG ictal evaluation total seizure count EEGIctalEvalTotalSeizCt The total number of seizures recorded during electroencephalography (EEG) The total number of seizures recorded. Seizure Number Numeric Values

Indicate total 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
C14610 EEG ictal eye sign sequence identifier EEGIctalEyeSignSeqID Numerical value representing subject's responsiveness through eye movement from electroencephalogram (EEG) Numerical value representing subject's responsiveness through eye movement from electroencephalogram (EEG) Sequence Numeric Values

Indicate eye 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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C05463 EEG monitoring type EEGMonitorType Type of electroencephalogram (EEG) monitoring Type of electroencephalogram (EEG) monitoring Routine or Prolonged? Routine;Continuous/prolonged Routine;Continuous/prolonged Alphanumeric

Choose only one. If prolonged, specify duration. EEG Type: Check 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

C18977 EEG ictal responsiveness level other text EEGIctalResponsivenessLvlOTH The free-text field related to 'EEG ictal responsiveness level type' specifying other text. The level of responsiveness of the subject as assessed by electroencephalogram (EEG). The free-text field related to 'EEG ictal responsiveness level type' specifying other text. The level of responsiveness of the subject as assessed by electroencephalogram (EEG). 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 4000

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C14589 EEG ictal onset hemispheric type EEGIctalOnsetHemisphericTyp The hemispheric side for ictal onset from electroencephalogram (EEG). The hemispheric side for ictal onset from electroencephalogram (EEG). Hemispheric (side) Right;Left Right;Left 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

C14621 EEG variants type EEGVariantsTyp Variants, or out of place signs in electroencephalogram (EEG). Variants, or out of place signs in EEG If yes, please select all EEG variants that are present Small sharp spikes;Wicket spikes;14- and 6-Hz positive bursts;6-Hz spike and wave;Rhythmic temporal theta bursts of drowsiness;Subclinical rhythmic EEG discharges in adults;Midline theta rhythm Small sharp spikes;Wicket spikes;14- and 6-Hz positive bursts;6-Hz spike and wave;Rhythmic temporal theta bursts of drowsiness;Subclinical rhythmic electroencephalography (EEG) discharges in adults;Midline theta rhythm 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

C14557 Seizures recorded only EEG count SeizRecordedOnlyEEGCt The number of seizures with electroencephalogram (EEG) only (without video) The number of seizures with electroencephalogram (EEG) only (without video) Numeric Values

Indicate number of seizures with EEG only

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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C14600 EEG image quality result EEGImgQualityReslt The image quality from the electroencephalogram (EEG). The image quality from the electroencephalogram (EEG) Image Quality Good;Fair;Poor Good;Fair;Poor Alphanumeric

Choose only one

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

C18967 EEG interictal epileptiform anatomic other text EEGInterictalEpilepAntmicOTH The free-text field related to 'EEG interictal epileptiform anatomic site' specifying other text. The anatomic site/location of interictal epileptiform by electroencephalogram (EEG). The free-text field related to 'EEG interictal epileptiform anatomic site' specifying other text. The anatomic site/location of interictal epileptiform by electroencephalogram (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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C14568 EEG interictal discharge rhythmic frequency EEGInterictalDischrgRhythmFreq Complex of waves that can be measured in hertz (Hz) using electroencephalogram (EEG). Complex of waves that can be measured in hertz (Hz). Rhythmic Numeric Values

Record (frequency) in Hertz (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
C14579 EEG ictal evaluation seizure start date and time EEGIctalEvalSeizStrtDateTime Date (and time, if applicable and known) the seizure started for the ictal evaluation by electroencephalogram (EEG). Time the seizure started for the ictal evaluation. Start Time Date or Date & Time

Indicate seizure start 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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C14611 EEG ictal face sign type EEGIctalFaceSignTyp The face sign type from electroencephalogram (EEG) The face sign type from electroencephalogram (EEG) Face Signs Head Version;Head + Eye Version;Mouth Deviation/Twisting;Automatism-Lip Smacking;Automatism-Other, Specify;Other, specify Head Version;Head + Eye Version;Mouth Deviation/Twisting;Automatism-Lip Smacking;Automatism-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

C14546 EEG data original purpose type EEGDataOriginalPurposeTyp The reason(s) for gathering data via electroencephalogram (EEG) method The reason(s) for gathering data via electroencephalogram (EEG) method For what purpose(s) were the EEG data originally obtained? Research purposes - prospective;Research purposes - retrospective;Clinical purposes;Other, specify Research purposes - prospective;Research purposes - retrospective;Clinical purposes;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

C18978 EEG vocalization other text EEGVocalizationOTH The free-text field related to 'EEG vocalization type' specifying other text. Method of articulation during electroencephalography (EEG) The free-text field related to 'EEG vocalization type' specifying other text. Method of articulation during electroencephalography (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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C14590 EEG full ictal propagation hemispheric type EEGFulIctalPropHemisphericTyp The hemispheric side for full ictal propagation from electroencephalogram (EEG). The hemispheric side for full ictal propagation from electroencephalogram (EEG). . Hemispheric (side) Right;Left Right;Left 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

C18531 Electroencephalography full ictal no localized onset description text EEGFulIctalNoLocalOnsetDescTxt The free-text field to describe the nonlocalized onset of full ictal propagation. The free-text field to describe the nonlocalized onset of full ictal propagation. 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

Free-Form Entry

C14558 Seizures recorded only video count SeizRecordedOnlyVideoCt The number of seizures with video ONLY, without electroencephalogram (EEG). The number of seizures with video ONLY (without electroencephalogram (EEG)) Numeric Values

Indicate number of seizures with video only

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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C14569 EEG interictal periodic discharge type EEGInterictalPerDischrgTyp Distinctive electroencephalogram (EEG) waves or complexes, distinguished from background EEG activity, that suggests a seizure tendency Distinctive electroencephalogram (EEG) waves or complexes, distinguished from background EEG activity, that suggests a seizure tendency Periodic discharges Sharp waves;Spikes;Single Spike-Wave;Polyspike-Wave;Other, specify Sharp waves;Spikes;Single Spike-Wave;Polyspike-Wave;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

Multiple Pre-Defined Values Selected

C14601 EEG view type EEGViewTyp The view or side of the participant/subject in the electroencephalogram (EEG). The view or side of the participant/subject in the electroencephalogram (EEG) View of Patient Full;Face;Trunk;Side;Back;None Full;Face;Trunk;Side;Back;None Alphanumeric

Choose only one

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

C18968 EEG interictal discharge other text EEGInterictalDischrgOTH The free-text field related to 'EEG interictal discharge type' specifying other text. Interictal type of discharge using electroencephalogram (EEG). The free-text field related to 'EEG interictal discharge type' specifying other text. Interictal type of discharge using 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

Free-Form Entry

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

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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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

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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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

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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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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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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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
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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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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