CDE Detailed Report

Disease: content
Sub-Domain: Imaging Diagnostics
CRF: welcome

Displaying 1 - 30 of 30
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (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
C15524 Imaging transcranial magnetic stimulation technique type ImgTMSTecnqTyp The type of TMS Imaging technique used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. The type of TMS Imaging technique used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. Technique Single-pulse TMS;Paired-pulse TMS;Repetitive TMS;Other, specify Single-pulse TMS;Paired-pulse TMS;Repetitive TMS;Other, specify Alphanumeric

Choose all that apply.

Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C15583 Multiple application indicator MultipleApplctnInd The indicator of whether the participant/subject received multiple TMS Imaging applications, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. The indicator of whether the participant/subject received multiple TMS Imaging applications, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. Did participant/subject have multiple (i.e. daily or weekly applications) TMS applications? Yes;No Yes;No Alphanumeric

If Yes, please specify total amount of TMS participant/subject received.

Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C55776 Imaging ictal headache since onset duration ImagIctHeadSinceOnsetDur The duration of time since the onset of the subject's headache if it was ictal. The duration of time since the onset of the subject's headache if it was ictal. If ictal, duration of time since onset of headache (include units) Numeric Values Adult;Pediatric Supplemental 1.00 2017-05-31 12:21:21.0 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

C15526 Imaging transcranial magnetic stimulation equipment name ImgTMSEquipName The name of TMS Imaging equipment used during the test on the participant/subject, specifically, manufacturer and model name, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. The name of TMS Imaging equipment used during the test on the participant/subject, specifically, manufacturer and model name, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. TMS equipment (manufacturer and model) Alphanumeric

Indicate manufacturer and model name.

Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations 255

Free-Form Entry

C15586 Total amount received value TtlAmountRecvdVal The value of the total amount of TMS applications the participant/subject received, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. The value of the total amount of TMS applications the participant/subject received, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. If Yes, please specify total amount of TMS participant/subject received Numeric Values

Only answer if Yes if answered for "Did participant/subject have multiple TMS applications?"

Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

C55777 Imaging inter peri ictal headache since end duration ImagInterPeriIctHeadSincEndDur The duration of time since the end of the subject's last inter-ictal or peri-ictal headahe. The duration of time since the end of the subject's last inter-ictal or peri-ictal headahe. If inter-ictal or peri-ictal, duration of time since end of last headache (include units) Numeric Values Adult;Pediatric Supplemental 1.00 2017-05-31 12:23:34.0 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

C15531 Imaging evoked potential stimulation frequency value ImgEVStimulationFreqVal The stimulation frequency used on the participant/subject as part of the Blink Reflex and Evoked Potential Imaging test The stimulation frequency used on the participant/subject as part of the Blink Reflex and Evoked Potential Imaging test Stimulation frequency Numeric Values

Record in Hz

Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

Hertz
C15589 Stimulus waveform type StmlsWaveformTyp The type of stimulus waveform used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. The type of stimulus waveform used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. Stimulus waveform Biphasic;Monophasic;Other, specify Biphasic;Monophasic;Other, specify Alphanumeric

Choose one.

Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C55778 Imaging inter peri ictal next headache start duration ImagInterPeriIctNextHeStartDur The duration of time until the start of the subject's next inter-ictal or peri-ictal headache. The duration of time until the start of the subject's next inter-ictal or peri-ictal headache. If inter-ictal or peri-ictal, duration of time until start of next headache (include units) Numeric Values Adult;Pediatric Supplemental 1.00 2017-05-31 12:23:34.0 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

C15538 Imaging motor phosphene threshold percent value ImgMtrPhsphnThrshldPrcntVal The value (percentage) of the motor/phosphene threshold used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. The value (percentage) of the motor/phosphene threshold used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. Motor/Phosphene Threshold Numeric Values

Record as percentage (%)

Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

percent
C18025 Intertrain interval duration value IntertrainIntrvlDurVal The duration of the intertrain interval used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. The duration of the intertrain interval used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. Intertrain interval duration Alphanumeric

Defined as the intervals between trains of pulses during a TMS sessions. Include units.

Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations 255

Free-Form Entry

C55790 Imaging transcranial magnetic stimulation pulse frequency ImagTMSPulseFreq The frequency of the subject's transcranial magnetic stimulation pulse. The frequency of the subject's transcranial magnetic stimulation pulse. Pulse frequency Numeric Values

Record in Hz

Adult;Pediatric Supplemental 1.00 2017-05-31 14:11:25.0 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

Hertz
C15548 Imaging stimulation intensity threshold type ImgStmltnIntnstyThrshldTyp The type of stimulation intensity threshold used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. The type of stimulation intensity threshold used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. Stimulation intensity % of motor threshold;% of phosphene threshold;Other, specify Percent of motor threshold;Percent of phosphene threshold;Other, specify Alphanumeric

Record % of motor threshold, % of phosphene threshold, or specify other unit. Other, specify

Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C18715 Imaging radio frequency coil other text ImgRFCoilOTH The free-text field related to 'Imaging radio frequency coil type' specifying other text. Type of radio frequency (RF) coil(s) used for the body part scanned The free-text field related to 'Imaging radio frequency coil type' specifying other text. Type of radio frequency (RF) coil(s) used for the body part scanned Other, specify Alphanumeric

Choose all that apply.

Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. Adult;Pediatric Supplemental 1.00 2014-05-27 13:34:46.0 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C55791 Imaging transcranial magnetic stimulation effect measure type ImagTMSEffMeasrTyp The type of effect measure performed, as part of the Transcraniam Magnetic Stimulation (TMS) Imaging test. The type of effect measure performed, as part of the Transcraniam Magnetic Stimulation (TMS) Imaging test. TMS effect measure Electrophysiological;Functional Imaging;Behavioral;Therapeutic;Other, specify Electrophysiological;Functional Imaging;Behavioral;Therapeutic;Other, specify Alphanumeric Adult;Pediatric Supplemental 1.00 2017-05-31 14:12:16.0 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C15552 Imaging stimuli duration ImgStimuliDur Duration of stimuli used on imaging test. Duration of stimuli used on imaging test. Duration of stimuli Numeric Values

Include the units.

Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

millisecond
C19010 Imaging transcranial magnetic stimulation technique other text ImgTMSTecnqOTH The free-text field related to 'Imaging transcranial magnetic stimulation technique type' specifying other text. The type of TMS Imaging technique used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. The free-text field related to 'Imaging transcranial magnetic stimulation technique type' specifying other text. The type of TMS Imaging technique used during the test on the participant/subject. Other, specify Alphanumeric

Choose all that apply.

Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C55792 Imaging transcranial magnetic stimulation effect measure other text ImagTMSEffMeasrOthrTxt Text describing another type of effect measure, as part of the Transcranial Magnetic Stimulation (TMS) Imaging test. Text describing another type of effect measure, as part of the Transcranial Magnetic Stimulation (TMS) Imaging test. Other, specify Alphanumeric Adult;Pediatric Supplemental 1.00 2017-05-31 14:13:50.0 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C15556 Imaging transcranial magnetic stimulation Intertrial interval duration value ImgTMSIntertrialIntrvlDurVal The duration of the intertrial interval used during transcranial magnetic stimulation (TMS). The duration of the intertrial interval used during transcranial magnetic stimulation (TMS). Intertrial interval duration Numeric Values

Defined as the intervals between TMS sessions. Include units.

Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

C19012 Imaging stimulation intensity threshold other text ImgStmltnIntnstyThrshldOTH The free-text field related to 'Imaging stimulation intensity threshold type' specifying other text. The type of stimulation intensity threshold used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. The free-text field related to 'Imaging stimulation intensity threshold type' specifying other text. The type of stimulation intensity threshold used on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. Other, specify Alphanumeric

Record % of motor threshold, % of phosphene threshold, or specify other unit. Other, specify

Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C15562 Imaging total pulse count ImgTotalPulseCt Total number of pulses used on imaging. Total number of pulses used on imaging. Total number of pulses Numeric Values

Record in pulses

Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

pulse
C19018 Imaging transcranial magnetic stimulation current direction other text ImgTMSCurntDirOTH The free-text field related to 'Imaging transcranial magnetic stimulation current direction type' specifying other text. The direction of current used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. The free-text field related to 'Imaging transcranial magnetic stimulation current direction type' specifying other text. The direction of current used, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. Other, specify Alphanumeric

Choose all that apply.

Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C15570 Imaging transcranial magnetic stimulation current direction type ImgTMSCurntDirTyp The direction of current used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. The direction of current used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. Current direction Posterior to anterior;Anterior to posterior;Other, specify Posterior to anterior;Anterior to posterior;Other, specify Alphanumeric

Choose all that apply.

Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C19021 Stimulus waveform other text StmlsWaveformOTH The free-text field related to 'Stimulus waveform type' specifying other text. The type of stimulus waveform used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. The free-text field related to 'Stimulus waveform type' specifying other text. The type of stimulus waveform used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. Other, specify Alphanumeric

Choose one.

Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C02494 Imaging study date and time ImgStdyDateTime Date (and time, if applicable and known) the radiologic study was obtained. Date (and time, if applicable and known) the radiologic study was obtained. Date of test Date or Date & Time

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

Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

C15573 Imaging stimulation target type ImgStimlTargetTyp The type of stimulation target of the imaging test. The type of stimulation target of the imaging test. Stimulation target V1;V2;V3;V4;V5 V1;V2;V3;V4;V5 Alphanumeric

If coordinates, report Talairach or MNI

Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C55774 Imaging headache relation time type ImagHeadacheRelTimeTyp The type of timing of the imaging in relation to headache. The type of timing of the imaging in relation to headache. Timing of TMS in relation to headache Inter-Ictal;Ictal;Peri-Ictal Inter-Ictal;Ictal;Peri-Ictal Alphanumeric

Report the timing of the imaging in relation to the headache. The precise time windows for peri-ictal and inter-ictal vary with headache type. For episodic migraine, an interval of at least 72h from the last and before the next attack is generally acceoted for "inter-ictal".

Adult;Pediatric Supplemental 1.00 2017-05-31 12:14:56.0 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C10567 Imaging radio frequency coil type ImgRFCoilTyp Type of radio frequency (RF) coil(s) used for the body part scanned Type of RF coil(s) used for the body part scanned Coil type Figure 8;Double-cone;Circular;Other, specify Figure 8;Double-cone;Circular;Other, specify Alphanumeric

Choose all that apply.

Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations 4000

Multiple Pre-Defined Values Selected

C15581 Coil placement method name CoilPlacementMethdName The name of method used to determine coil placement during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. The name of method used to determine coil placement during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. Method of determining coil placement Alphanumeric

Example are 10-20 international EEG system, stereotactic neuronavigation

Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations 255

Free-Form Entry

C55775 Imaging ictal pain intensity value ImagIctPainIntensVal The value related to the intensity of the subject's pain if the timing is ictal The value related to the intensity of the subject's pain if the timing is ictal If ictal, pain intensity at time of recordings Numeric Values Adult;Pediatric Supplemental 1.00 2017-05-31 12:19:15.0 Transcranial Magnetic Stimulation (TMS) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

0 10
CSV