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
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

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

Choose all that apply

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

Multiple Pre-Defined Values Selected

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

Choose all that apply

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

Multiple Pre-Defined Values Selected

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

Choose only one. If other, specify.

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

Single Pre-Defined Value Selected

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

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

Choose only one. If other, specify.

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

Single Pre-Defined Value Selected

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

Free-Form Entry

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

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

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

Free-Form Entry

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

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

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

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

Choose all that apply and be as specific as possible

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

Multiple Pre-Defined Values Selected

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

Choose all that apply

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

Multiple Pre-Defined Values Selected

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

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

Choose all that apply and be as specific as possible

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

Multiple Pre-Defined Values Selected

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

Indicate video seizure number

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

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 slowing. No localized onset Alphanumeric No references available Adult;Pediatric Supplemental 3.00 2013-07-30 14:29:49.047 Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations 255

Free-Form Entry

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

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

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

Single Pre-Defined Value Selected

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

Indicate value for vocalization sequence

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

Free-Form Entry

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

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

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

Choose all that apply and be as specific as possible

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

Multiple Pre-Defined Values Selected

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

Choose all that apply

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

Multiple Pre-Defined Values Selected

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

Choose all that apply

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

Multiple Pre-Defined Values Selected

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

Choose all that apply and be as specific as possible

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

Multiple Pre-Defined Values Selected

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

Indicate total video seizure number

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

Free-Form Entry

0 99
C18962 EEG data original purpose other text EEGDataOriginalPurposeOTH The free-text field related to 'EEG data original purpose type' specifying other text. The reason(s) for gathering data via electroencephalogram (EEG) method The free-text field related to 'EEG data original purpose type' specifying other text. The reason(s) for gathering data via electroencephalogram (EEG) method Other, specify Alphanumeric

Choose all that apply. If other, specify.

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

Free-Form Entry

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

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

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

Choose all that apply. If other, specify.

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

Multiple Pre-Defined Values Selected

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

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

C19073 EEG ictal onset periodic discharge pattern other text EEGIctalOnsetPerdDschrgPattOTH The free-text field related to 'Electroencephalography ictal onset periodic discharge pattern type' specifying other text. The periodic discharge wave pattern of the brain on electroencephalogram (EEG) during onset of ictal discharge The free-text field related to 'Electroencephalography ictal onset periodic discharge pattern type' specifying other text. The periodic discharge wave pattern of the brain on electroencephalogram (EEG) during onset of ictal discharge 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 4000

Free-Form Entry

C14585 EEG ictal onset localized focal electrical field type EEGIctalOnsetLocalizFocalEFTyp Electrode points at which onset of ictal discharge occurred on electroencephalogram (EEG). Electrode points at which onset of ictal discharge occurred from 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

C14617 EEG ictal trunk or limb sign sequence identifier EEGIctalTrunkLimbSignSeqID Numerical value representing subject's responsiveness through specific types of movement of the trunk or limbs or behavior involving the trunk or limbs Numerical value representing subject's responsiveness through specific types of movement of the trunk or limbs or behavior involving the trunk or limbs Sequence Numeric Values

Indicate trunk/limb 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

C14553 EEG posterior dominant rhythm present indicator EEGPosteriorDominantRhythmInd Recorded by electroencephalogram (EEG) over the occipital head region when the individual is relaxed, awake with eyes closed. The frequency is dependent on the age of the participant. Present in the majority of normal infants and increasing in frequency until age 15. In adults, it is normally between 8 to 13 Hz. Recorded over the occipital head region when the individual is relaxed, awake with eyes closed. The frequency is dependent on the patients age. Posterior dominant rhythm present? No;Yes No;Yes Alphanumeric

Choose only one

Ebersole, Pedly, eds Current Practice of Clinical Electroencephalography 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

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

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

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

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

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

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

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

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 from 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

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

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
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 observed during interictal using electroencephalogram (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

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

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

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

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

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

CSV