CDE Detailed Report

Disease: Epilepsy
Subdomain Name: Non-Imaging Diagnostics
CRF: Scalp Electroencephalography (EEG)

Displaying 51 - 100 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
C14605 EEG ictal vocalization sequence identifier EEGIctalVocalizationSeqID Numerical value observed during any of the vocalization types listed from electroencephalogram (EEG). Numerical value observed during any of the vocalization types listed from electroencephalogram (EEG). Sequence Numeric Values

Indicate value for vocalization sequence

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

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

Choose all that apply and be as specific as possible

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

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C14573 EEG focal and generalized slowing type EEGFocalGenSlowingTyp The relative duration of focal and generalized slowing observed in the brain waves of the electroencephalogram (EEG) and if slowing is present following seizure activity The relative duration of focal and generalized slowing observed in the brain waves of the electroencephalogram (EEG) and if slowing is present following seizure 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

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 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

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

Choose all that apply

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

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

Choose all that apply and be as specific as possible

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

Multiple Pre-Defined Values Selected

C14595 EEG video total seizure count EEGVideoTotalSeizCt The total number of video seizures recorded by electroencephalogram (EEG) The total number of video seizures recorded by electroencephalogram (EEG 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

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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

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C14563 EEG interictal abnormality localized focal area of origin type EEGInterictAbnrLocFocArOrigTyp Electrode points for abnormal electrical field observed using electroencephalogram (EEG) Electrode points for abnormal electrical field observed using electroencephalogram (EEG 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

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 from 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

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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

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

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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 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 H 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

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

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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 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

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

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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

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

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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

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

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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

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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

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

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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

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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

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

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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

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

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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

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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

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

Choose only one

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

Single Pre-Defined Value Selected

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

Choose all that apply

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

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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

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

Choose one

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

Single Pre-Defined Value Selected

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

Choose only one. If other, specify.

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

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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

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0 99
C14620 EEG benign variants indicator EEGBenignVariantsInd Variants in electroencephalogram (EEG) that are benign Variants in EEG that are benign Are there any benign EEG variants? Yes;No Yes;No Alphanumeric

If yes, continue to items below

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

Single Pre-Defined Value Selected

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

Indicate number of seizures with video and EEG

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

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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

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

Choose only one. If other, specify.

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

Single Pre-Defined Value Selected

C18966 EEG activating procedures used other text EEGActivatingProcedUsedOTH The free-text field related to 'EEG activating procedures used type' specifying other text. Type(s) of procedures used to improve the electroencephalogram (EEG) diagnostic yield by inducing or enhancing epileptogenic paroxysms The free-text field related to 'EEG activating procedures used type' specifying other text. Type(s) of procedures used to improve the electroencephalogram (EEG) diagnostic yield by inducing or enhancing epileptogenic paroxysm Activating procedures used Alphanumeric

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

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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

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

Multiple Pre-Defined Values Selected

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

Indicate eye sign sequence number

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

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

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

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

Single Pre-Defined Value Selected

CSV