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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C18963 | EEG prolonged duration other text | EEGProlongedDurOTH | The free-text field related to 'EEG prolonged duration type' specifying other text. The length of time for the prolonged electroencephalogram (EEG) | The free-text field related to 'EEG prolonged duration type' specifying other text. The length of time for the prolonged electroencephalogram (EEG) | 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 | 4000 |
Free-Form Entry |
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| C14564 | EEG abnormal electrical field type | EEGAbnrmlElectricalFieldTyp | Electrode points for origin of abnormal interictal electrical field observed using electroencephalogram (EEG) | Electrode points for origin of abnormal interictal electrical field observed using electroencephalogram (EEG | Full extent of abnormal electrical field | 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 |
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| C14596 | EEG ictal available indicator | EEGIctalAvailableInd | Whether an ictal electroencephalogram (EEG) is available | Whether an ictal EEG is available. Electroencephalogram (EEG) | Ictal EEG available? | 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 |
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| C18974 | EEG ictal onset pattern other text | EEGIctalOnsetPatternOTH | The free-text field related to 'EEG ictal onset pattern type' specifying other text. Brain wave pattern on electroencephalogram (EEG) during onset of Ictal discharge | The free-text field related to 'EEG ictal onset pattern type' specifying other text. Brain wave pattern on electroencephalogram (EEG) during onset of Ictal discharge | 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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| C14575 | EEG focal and generalized slowing localized regional lobar or multi-lobar type | EEGFocalGenSlowLocRegLobarTyp | Localized region of focal and generalized slowing based on electroencephalography (EEG) | Localized region of focal and generalized slowing based on electroencephalography (EEG | Localized regional lobar or multilobar | Left Frontal;Right Frontal;Left Parietal;Right Parietal;Left Occipital;Right Occipital;Left Temporal;Right Temporal | Left Frontal;Right Frontal;Left Parietal;Right Parietal;Left Occipital;Right Occipital;Left Temporal;Right Temporal | 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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| C14607 | EEG ictal subjective symptoms reported type | EEGIctalSubjSymptomsReporTyp | Symptoms reported by the participant from electroencephalogram (EEG) | Symptoms reported by the patient from electroencephalogram (EEG) | Subjective Symptoms Reported by the Patient | Somatosensory;Visual;Auditory;Olfactory;Gustatory;Epigastric;Cephalic;Autonomic;Psychic;Other, specify | Somatosensory;Visual;Auditory;Olfactory;Gustatory;Epigastric;Cephalic;Autonomic;Psychic;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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| C14618 | EEG ictal other sign type | EEGIctalOtherSignTyp | Other forms of response behavior that have not been covered previously | Other forms of response behavior that have not been covered previously | Other Signs | Vomiting;Spitting;Coughing;Tongue biting;Other, specify | Vomiting;Spitting;Coughing;Tongue biting;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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| C14554 | EEG posterior dominant rhythm frequency | EEGPDRFreq | The frequency of posterior dominant rhythm during relaxed wakefulness (Hz) during electroencephalography (EEG) | The frequency of posterior dominant rhythm in Electroencephalography (EEG) during relaxed wakefulness (Hz) | Frequency of the posterior dominant rhythm during relaxed wakefulness (Hz) | Numeric Values |
Indicate frequency in Hz of posterior dominant rhythm during relaxed wakefulness 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 | |||||||||
| C21619 | EEG ictal face sign laterality other text | EEGIctalFaceSignLatOTH | The free-text field to specify other location of face sign from electroencephalogram (EEG) | The free-text field to specify other location of face sign from electroencephalogram (EEG | R L 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 | 255 |
Free-Form Entry |
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| C14586 | EEG full ictal propagation localized focal electrical field type | EEGFullIctalPropLocaFocalEFTyp | Electrode points at which there was ictal propagation of discharge on electroencephalogram (EEG). | Electrode points at which there was ictal propagation of discharge on electroencephalogram (EEG). | Localized focal | 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 |
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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| C18964 | EEG location other text | EEGLocOTH | The free-text field related to 'EEG location type' specifying other text. The location of where the electroencephalogram (EEG) took place | The free-text field related to 'EEG location type' specifying other text. The location of where the electroencephalogram (EEG) took place | 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 | 4000 |
Free-Form Entry |
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| C14565 | EEG interictal epileptiform localized regional lobar or multi-lobar type | EEGInterictEpilLcRgLobMltlbTyp | Lobar areas for which abnormal brain activity is observed during interictal electroencephalography (EEG) | Lobar areas for which abnormal brain activity is observed during interictal electroencephalography (EEG | Localized regional lobar or multilobar | Left Frontal;Right Frontal;Left Parietal;Right Parietal;Left Occipital;Right Occipital;Left Temporal;Right Temporal | Left Frontal;Right Frontal;Left Parietal;Right Parietal;Left Occipital;Right Occipital;Left Temporal;Right Temporal | 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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| C14597 | EEG video recording start date and time | EEGVideoRecStrtDateTime | Date (and time, if applicable and known) the video electroencephalogram (EEG) recording began | Date and time the video electroencephalogram (EEG) recording began | Date EEG Recorded; Start Time | Date or Date & Time |
Indicate date and time the video EEG recording began. 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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| C18975 | EEG ictal onset circumstance other text | EEGIctalOnsetCircumOTH | The free-text field related to 'EEG ictal onset circumstance type' specifying other text. The conditions or circumstances of the subject during Ictal onset by electroencephalogram (EEG) | The free-text field related to 'EEG ictal onset circumstance type' specifying other text. The conditions or circumstances of the subject during Ictal onset 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 |
Free-Form Entry |
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| C14576 | EEG focal and generalized slowing hemispheric type | EEGFocalandGenSlowingHemTyp | The hemispheric side for location of focal and generalized slowing based on electroencephalography (EEG). | The hemispheric side for location of focal and generalized slowing based on electroencephalography (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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| C14608 | EEG ictal eye sign type | EEGIctalEyeSignTyp | The indicated eye sign type from electroencephalogram (EEG) | The indicated eye sign type from electroencephalogram (EEG) | Eye Signs | Eyes opening/widening;Version;Blinking;Nystagmus;Other | Eyes opening/widening;Version;Blinking;Nystagmus;Other | 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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| C14619 | EEG ictal other sign sequence identifier | EEGIctalOtherSignSeqID | Numerical value representing the other forms of response behavior that have not been covered previously | Numerical value representing the other forms of response behavior that have not been covered previously | Sequence | Numeric Values |
Indicate 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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| C14555 | Seizures EEG recorded total count | SeizEEGRecordedTotalCt | The total number of seizures recorded by electroencephalogram (EEG) | The total number of seizures recorded by electroencephalogram (EEG) | Numeric Values |
Indicate the total number of seizures recorded |
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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| C14587 | EEG ictal onset localized regional lobar or multi-lobar type | EEGIctalOnsLocRegLobMultlobTyp | Lobar areas that were activated during onset of ictal discharge from electroencephalogram (EEG) | Lobar areas that were activated during onset of ictal 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 |
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| 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 |
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| C14566 | EEG interictal epileptiform hemispheric type | EEGInterictalEpilpHemisphTyp | The hemispheric side for the interictal epileptiform using electroencephalogram (EEG) | The hemispheric side for the interictal epileptiform using electroencephalogram (EEG | 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 |
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| 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 |
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| 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 |
Free-Form Entry |
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| 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 during electroencephalogram (EEG | 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 |
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| 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 |
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| 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 |
Free-Form Entry |
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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 |
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| 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 paroxysm | 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 |
Free-Form Entry |
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| C14567 | EEG interictal discharge type | EEGInterictalDischrgTyp | Interictal type of discharge using electroencephalogram (EEG) | Interictal type of discharge using electroencephalogram (EEG | 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 |
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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 |
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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 |
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| 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 |
Free-Form Entry |
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| C14578 | EEG ictal evaluation total seizure count | EEGIctalEvalTotalSeizCt | The total number of seizures recorded during electroencephalography (EEG) | The total number of seizures recorded during electroencephalography (EEG | 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 |
Free-Form Entry |
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| 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 |
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| 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 |
Free-Form Entry |
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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 |
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| 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 |
Free-Form Entry |
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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) using electroencephalogram (EEG | 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 |
Free-Form Entry |
Hertz | |||||||||
| 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 |
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| 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 |
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| 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 |
Free-Form Entry |
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| 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) | Date (and time, if applicable and known) the seizure started for the ictal evaluation by electroencephalogram (EEG | 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 |
Free-Form Entry |
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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 |
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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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| 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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| 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 |
