CDE Detailed Report
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 |
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C14603 | EEG ictal responsiveness sequence identifier | EEGIctalResponsivenessSeqID | Numerical value representing subject's responsiveness or reaction to stimuli during arousal state as assessed by electroencephalogram (EEG). | Numerical value representing subject's responsiveness or reaction to stimuli during arousal state as assessed by electroencephalogram (EEG). | Sequence | Numeric Values |
Indicate value for responsiveness sequence |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
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C18970 | EEG interictal circumstance other text | EEGInterictalCircumstanceOTH | The free-text field related to 'EEG interictal circumstance type' specifying other text. State subject is in during interictal electroencephalography (EEG) | The free-text field related to 'EEG interictal circumstance type' specifying other text. State subject is in during interictal electroencephalography (EEG | Other, specify | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations | 4000 |
Free-Form Entry |
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C14582 | EEG ictal evaluation type | EEGIctalEvalTyp | The type of Ictal electroencephalography (EEG) evaluation performed | The type of Ictal EEG Evaluation performed | Type of seizure | Ictal Onset;Full Inctal Propagation | Ictal Onset;Full Inctal Propagation | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
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C14614 | EEG ictal trunk or limb sign type | EEGIctalTrunkLimbSignTyp | Specific types of movement of the trunk or limbs or behavior involving the trunk or limbs from electroencephalogram (EEG) | Specific types of movement of the trunk or limbs or behavior involving the trunk or limbs from electroencephalogram (EEG) | Trunk/Limb Signs | Automatisms-Clothes/sheet picking;Automatisms-Rocking;Automatisms-Spinning/Turning (direction);Automatisms-Other, Specify;Other, specify;Arrest of Movement;Version;Tonic - Ext;Tonic - Flex;Clonic - Early;Clonic - Later;Dystonic Posture;Sign-of-4 arm Ext;Myoclonic Jerk;Lower Extremity Complex Movements;Automatisms-Face/nose wiping or rubbing | Automatisms-Clothes/sheet picking;Automatisms-Rocking;Automatisms-Spinning/Turning (direction);Automatisms-Other, Specify;Other, specify;Arrest of Movement;Version;Tonic - Ext;Tonic - Flex;Clonic - Early;Clonic - Later;Dystonic Posture;Sign-of-4 arm Ext;Myoclonic Jerk;Lower Extremity Complex Movements;Automatisms-Face/nose wiping or rubbing | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
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C14550 | EEG video indicator | EEGVideoInd | A test involving simultaneous electroencephalogram (EEG) and video recording | A test involving simultaneous electroencephalogram (EEG) and video recordin | Video? | No;Yes;Unknown;Other specify | No;Yes;Unknown;Other specify | Alphanumeric |
Choose only one. If other, specify. |
http://www.epilepsy.com/EPILEPSY/EEG_AMBULATORY | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Single Pre-Defined Value Selected |
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C18981 | EEG ictal face sign other text | EEGIctalFaceSignOTH | The free-text field related to 'EEG ictal face sign type' specifying other text. The face sign type from electroencephalogram (EEG) | The free-text field related to 'EEG ictal face sign type' specifying other text. The face sign type from electroencephalogram (EEG) | Other, specify | Alphanumeric |
Choose all that apply. If other, specify. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations | 4000 |
Free-Form Entry |
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C14593 | EEG ictal onset circumstance type | EEGIctalOnsetCircumTyp | The conditions or circumstances of the subject during Ictal onset by electroencephalogram (EEG) | The conditions or circumstances of the subject during Ictal onset by electroencephalogram (EEG | Ictal Onset: Circumstances | Awake;Indeterminate;Other, specify;Drowsy;Sleep;Hyperventilation;Photic stimulation | Awake;Indeterminate;Other, specify;Drowsy;Sleep;Hyperventilation;Photic stimulation | Alphanumeric |
Choose only one. If other, specify. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Single Pre-Defined Value Selected |
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C18534 | Electroencephalography interictal epileptiform no localized onset description text | EEGInterictEpilpNLocOnsDescTxt | The free-text field to describe the nonlocalized onset of interictal epileptiform | The free-text field to describe the nonlocalized onset of interictal epileptifo | No localized onset | Alphanumeric | No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-30 14:29:49.047 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations | 255 |
Free-Form Entry |
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C14561 | EEG interictal abnormality date and time | EEGInterictalAbnrmlyDateTime | Date (and time, if applicable and known) of the inter-Ictal abnormality recorded by electroencephalogram (EEG) | Date (and time, if applicable and known) of the interictal abnormality recorded. Electroencephalogram (EEG) | Date of Record | Date or Date & Time |
Indicate time(s) value for all times of Inter-Ictal Abnormality recorded. Multiple times can be entered below if the data entered on this page are the same for each of the times. Otherwise, a new form can be entered if the data varies.) Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.). |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
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C14572 | EEG focal and generalized slowing start date and time | EEGFocalGenSlowStrtDateTime | Date (and time, if applicable and known) of the focal and generalized slowing based on electroencephalography (EEG) | Date (and time, if applicable and known) of the focal and generalized slowing based on electroencephalography (EEG | Start Time | Date or Date & Time |
Indicate start time for focal and generalized slowing. Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.). |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
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C14604 | EEG vocalization type | EEGVocalizationTyp | Method of articulation during electroencephalography (EEG) | Method of articulation as assessed by electroencephalogram (EEG) | Vocalization | Laugh;Song;Incoherent Speech;Groan/Cry;Coherent Speech;Spontaneous;Response to Question;Other, specify | Laugh;Song;Incoherent Speech;Groan/Cry;Coherent Speech;Coherent Speech-Spontaneous;Coherent Speech-Response to Question;Other, specify | Alphanumeric |
Choose all that apply. If other, specify. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
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C18971 | EEG focal and generalized slowing location other text | EEGFocalGenSlowingLocOTH | The free-text field related to 'EEG focal and generalized slowing location type' specifying other text. Location of focal and generalized slowing based on electroencephalography (EEG) | The free-text field related to 'EEG focal and generalized slowing location type' specifying other text. Location of focal and generalized slowing based on electroencephalography (EEG | Other, specify | Alphanumeric |
Choose all that apply and be as specific as possible |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations | 4000 |
Free-Form Entry |
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C14583 | EEG ictal onset location type | EEGIctalOnsetLocTyp | The location on electroencephalogram (EEG) for ictal onset | The location on electroencephalogram (EEG) for ictal onset | Ictal Onset: Location on EEG | Localized focal;Localized regional lobar or multilobar;Hemispheric;Generalized;No localized onset, specify;Other, specify | Localized focal;Localized regional lobar or multilobar;Hemispheric (side);Generalized;No localized onset, specify;Other, specify | Alphanumeric |
Choose all that apply and be as specific as possible |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
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C14615 | EEG ictal trunk or limb sign anatomic site | EEGIctalTrunkLimbSignAntmicSit | The specific area of the trunk or specific limbs that are dominant in the responsive behavior | The specific area of the trunk or specific limbs that are dominant in the responsive behavior | Trunk Arm Legs | Trunk;Arm;Leg | Trunk;Arm;Leg | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
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C14551 | EEG behavioral state recorded type | EEGBehavioralStateRecordedTyp | The recorded state(s) of the subject during the electroencephalogram (EEG) | The recorded state(s) of the subject during the Electroencephalography (EEG) | Behavioral states recorded | Awake;Asleep;Unresponsive state;Indeterminate;Other, specify | Awake;Asleep;Unresponsive state;Indeterminate;Other, specify | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
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C18982 | EEG ictal trunk or limb sign other text | EEGIctalTrunkLimbSignOTH | The free-text field related to 'EEG ictal trunk or limb sign type' specitying other text. Specific types of movement of the trunk or limbs or behavior involving the trunk or limbs from electroencephalogram (EEG) | The free-text field related to 'EEG ictal trunk or limb sign type' specitying other text. Specific types of movement of the trunk or limbs or behavior involving the trunk or limbs from electroencephalogram (EEG) | Other, specify | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations | 4000 |
Free-Form Entry |
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C14594 | EEG video seizure number | EEGVideoSeizNum | The video seizure number in the order they occurred on electroencephalogram (EEG) | The video seizure number in the order they occurred on electroencephalogram (EEG | Video Seizure Number | Numeric Values |
Indicate video seizure number |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
0 | 99 | ||||||||
C18535 | Focal and generalized slowing no local onset description text | FocalGenSlowNoLocOnstDescrTxt | The free-text field to describe the nonlocalized onset of focal and generalized slowing | The free-text field to describe the nonlocalized onset of focal and generalized slowi | No localized onset | Alphanumeric | No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-30 14:29:49.047 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations | 255 |
Free-Form Entry |
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C14562 | EEG interictal epileptiform anatomic site | EEGInterictalEpilepAntmicSite | The anatomic site/location of interictal epileptiform by electroencephalogram (EEG) | The anatomic site/location of interictal epileptiform by electroencephalogram (EEG | Interictal Epileptiform Location | Localized focal;Localized regional lobar or multilobar;Hemispheric;Generalized;No localized onset, specify;Other, specify | Localized focal;Localized regional lobar or multilobar;Hemispheric (side);Generalized;No localized onset, specify;Other, specify | Alphanumeric |
Choose all that apply and be as specific as possible |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
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C14573 | EEG focal and generalized slowing type | EEGFocalGenSlowingTyp | The relative duration of focal and generalized slowing observed in the brain waves of the electroencephalogram (EEG) and if slowing is present following seizure activity | The relative duration of focal and generalized slowing observed in the brain waves of the electroencephalogram (EEG) and if slowing is present following seizure activit | Slowing Type | Persistent (i.e. continuous);Transient;Post-Ictal | Persistent (i.e. continuous);Transient;Post-Ictal | Alphanumeric |
Choose only one. Check one, if more than one slowing type, then fill out more than one Focal and Generalized Slowing form. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Single Pre-Defined Value Selected |
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C14605 | EEG ictal vocalization sequence identifier | EEGIctalVocalizationSeqID | Numerical value observed during any of the vocalization types listed from electroencephalogram (EEG). | Numerical value observed during any of the vocalization types listed from electroencephalogram (EEG). | Sequence | Numeric Values |
Indicate value for vocalization sequence |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
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C18972 | EEG ictal onset location other text | EEGIctalOnsetLocOTH | The free-text field related to 'EEG ictal onset location type' specifying other text. The location on electroencephalogram (EEG) for ictal onset | The free-text field related to 'EEG ictal onset location type' specifying other text. The location on electroencephalogram (EEG) for ictal onset | Other, specify | Alphanumeric |
Choose all that apply and be as specific as possible |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations | 4000 |
Free-Form Entry |
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C18983 | EEG ictal other sign other text | EEGIctalOtherSignOTH | The free-text field related to 'EEG ictal other sign type' specifying other text. Other forms of response behavior that have not been covered previously | The free-text field related to 'EEG ictal other sign type' specifying other text. Other forms of response behavior that have not been covered previously | Other, specify | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations | 4000 |
Free-Form Entry |
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C14584 | EEG full ictal propagation location type | EEGFullIctalPropagationLocTyp | The location on electroencephalogram (EEG) for full ictal propagation | The location on electroencephalogram (EEG) for full ictal propagation | Full Ictal Propagation: Location on EEG | Localized focal;Localized regional lobar or multilobar;Hemispheric;Generalized;No localized onset, specify | Localized focal;Localized regional lobar or multilobar;Hemispheric (side);Generalized;No localized onset, specify | Alphanumeric |
Choose all that apply and be as specific as possible |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
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C14616 | EEG ictal trunk or limb sign laterality type | EEGIctalTrunkLimbSignLatTyp | The side of the trunk or specific limbs that are dominant in the responsive behavior | The side of the trunk or specific limbs that are dominant in the responsive behavior | R L R>L L>R Unsure | R;L;R>L;L>R;Unsure | Right;Left;Right>Left;Left>Right;Unsure | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
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C14552 | EEG activating procedures used type | EEGActivatingProcedUsedTyp | Type(s) of procedures used to improve the electroencephalogram (EEG) diagnostic yield by inducing or enhancing epileptogenic paroxysms | Type(s) of procedures used to improve the electroencephalogram (EEG) diagnostic yield by inducing or enhancing epileptogenic paroxysm | Activating procedures used | Hyperventilation;Other, specify:;Photic stimulation;Sleep;Unknown | Hyperventilation;Other, specify:;Photic stimulation;Sleep;Unknown | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
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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 |
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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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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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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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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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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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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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 | |||||||||
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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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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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 |