CDE Detailed Report
Disease: Epilepsy
Subdomain Name: Non-Imaging Diagnostics
CRF: Scalp Electroencephalography (EEG)
Displaying 1 - 50 of 105
Subdomain Name: 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 / Guidance) | Subdomain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | External Id Loinc | External Id Snomed | External Id caDSR | External Id CDISC |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
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| 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 propagatio | 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 |
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| 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 |
Free-Form Entry |
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| 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 |
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| 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 |
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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 |
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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 |
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| 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 |
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| 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 |
Free-Form Entry |
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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) | Date (and time, if applicable and known) the seizure ended for the ictal evaluation by electroencephalogram (EEG | 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 |
Free-Form Entry |
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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 |
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| 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 onse | 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 |
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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 |
Free-Form Entry |
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| 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 |
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| 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 |
Free-Form Entry |
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| C14570 | EEG interictal circumstance type | EEGInterictalCircumstanceTyp | State subject is in during interictal electroencephalography (EEG) | State subject is in during interictal electroencephalography (EEG | 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 |
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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 |
Free-Form Entry |
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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 |
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| 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 |
Free-Form Entry |
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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 (and time, if applicable and known) of the ictal onset by electroencephalogram (EEG | 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 |
Free-Form Entry |
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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 at the onset of Ictal by electroencephalogram (EEG | 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 |
Free-Form Entry |
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 |
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| 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 |
Free-Form Entry |
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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 |
Free-Form Entry |
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| 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 electroencephalography (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 |
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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 |
Free-Form Entry |
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| 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 |
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| C14550 | EEG video indicator | EEGVideoInd | A test involving simultaneous electroencephalogram (EEG) and video recording | A test involving simultaneous electroencephalogram (EEG) and video recordin | 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 |
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| 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 |
Free-Form Entry |
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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 |
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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 of the subject during Ictal onset by electroencephalogram (EEG | 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 |
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| 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 epileptifo | 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 |
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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 |
Free-Form Entry |
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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 |
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| 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 |
Free-Form Entry |
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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) | Date (and time, if applicable and known) 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 |
Free-Form Entry |
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| 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 |
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| 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 |
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| 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 |
Free-Form Entry |
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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 |
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| 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 on electroencephalogram (EEG | 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 |
Free-Form Entry |
0 | 99 | ||||||||
| 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 slowi | 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 |
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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 |
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| 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 |
Free-Form Entry |
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| 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 |
Free-Form Entry |
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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 activit | 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 |
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| 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 |
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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 electroencephalogram (EEG) diagnostic yield by inducing or enhancing epileptogenic paroxysm | 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 |
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| 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 |
Free-Form Entry |
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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 |
