CDE Detailed Report
Disease: system
Subdomain Name: Non-Imaging Diagnostics
CRF: files
Displaying 51 - 100 of 105
Subdomain Name: Non-Imaging Diagnostics
CRF: files
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C14567 | EEG interictal discharge type | EEGInterictalDischrgTyp | Interictal type of discharge using electroencephalogram (EEG) | Interictal type of discharge using electroencephalogram (EEG | Interictal Type of Discharge | Generalized Epileptiform Discharge;Diffuse Fast Rhythms;Diffuse Attenuation;Rhythmic;Periodic discharges;Other, specify | Generalized Epileptiform Discharge;Diffuse Fast Rhythms;Diffuse Attenuation;Rhythmic;Periodic discharges;Other, specify | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
||||||||
| C14610 | EEG ictal eye sign sequence identifier | EEGIctalEyeSignSeqID | Numerical value representing subject's responsiveness through eye movement from electroencephalogram (EEG) | Numerical value representing subject's responsiveness through eye movement from electroencephalogram (EEG) | Sequence | Numeric Values |
Indicate eye sign sequence number |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
||||||||||
| 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 |
||||||||
| C18977 | EEG ictal responsiveness level other text | EEGIctalResponsivenessLvlOTH | The free-text field related to 'EEG ictal responsiveness level type' specifying other text. The level of responsiveness of the subject as assessed by electroencephalogram (EEG) | The free-text field related to 'EEG ictal responsiveness level type' specifying other text. The level of responsiveness of the subject as assessed by electroencephalogram (EEG | Other, specify | Alphanumeric |
Choose only one. If other, specify. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations | 4000 |
Free-Form Entry |
|||||||||
| C14578 | EEG ictal evaluation total seizure count | EEGIctalEvalTotalSeizCt | The total number of seizures recorded during electroencephalography (EEG) | The total number of seizures recorded during electroencephalography (EEG | Seizure Number | Numeric Values |
Indicate total seizure number |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
0 | 99 | ||||||||
| C14589 | EEG ictal onset hemispheric type | EEGIctalOnsetHemisphericTyp | The hemispheric side for ictal onset from electroencephalogram (EEG). | The hemispheric side for ictal onset from electroencephalogram (EEG). | Hemispheric (side) | Right;Left | Right;Left | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
||||||||
| C14621 | EEG variants type | EEGVariantsTyp | Variants, or out of place signs in electroencephalogram (EEG) | Variants, or out of place signs in EEG | If yes, please select all EEG variants that are present | Small sharp spikes;Wicket spikes;14- and 6-Hz positive bursts;6-Hz spike and wave;Rhythmic temporal theta bursts of drowsiness;Subclinical rhythmic EEG discharges in adults;Midline theta rhythm | Small sharp spikes;Wicket spikes;14- and 6-Hz positive bursts;6-Hz spike and wave;Rhythmic temporal theta bursts of drowsiness;Subclinical rhythmic electroencephalography (EEG) discharges in adults;Midline theta rhythm | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
||||||||
| C14557 | Seizures recorded only EEG count | SeizRecordedOnlyEEGCt | The number of seizures with electroencephalogram (EEG) only (without video) | The number of seizures with electroencephalogram (EEG) only (without video) | Numeric Values |
Indicate number of seizures with EEG only |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
|||||||||||
| C14600 | EEG image quality result | EEGImgQualityReslt | The image quality from the electroencephalogram (EEG) | The image quality from the electroencephalogram (EEG) | Image Quality | Good;Fair;Poor | Good;Fair;Poor | Alphanumeric |
Choose only one |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Single Pre-Defined Value Selected |
||||||||
| C18967 | EEG interictal epileptiform anatomic other text | EEGInterictalEpilepAntmicOTH | The free-text field related to 'EEG interictal epileptiform anatomic site' specifying other text. The anatomic site/location of interictal epileptiform by electroencephalogram (EEG) | The free-text field related to 'EEG interictal epileptiform anatomic site' specifying other text. The anatomic site/location of interictal epileptiform by electroencephalogram (EEG | Other, specify | Alphanumeric |
Choose all that apply and be as specific as possible |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations | 4000 |
Free-Form Entry |
|||||||||
| C14568 | EEG interictal discharge rhythmic frequency | EEGInterictalDischrgRhythmFreq | Complex of waves that can be measured in hertz (Hz) using electroencephalogram (EEG) | Complex of waves that can be measured in hertz (Hz) using electroencephalogram (EEG | Rhythmic | Numeric Values |
Record (frequency) in Hertz (Hz). Round to the closest 0.5 Hz |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
Hertz | |||||||||
| C14611 | EEG ictal face sign type | EEGIctalFaceSignTyp | The face sign type from electroencephalogram (EEG) | The face sign type from electroencephalogram (EEG) | Face Signs | Head Version;Head + Eye Version;Mouth Deviation/Twisting;Automatism-Lip Smacking;Automatism-Other, Specify;Other, specify | Head Version;Head + Eye Version;Mouth Deviation/Twisting;Automatism-Lip Smacking;Automatism-Other, Specify;Other, specify | Alphanumeric |
Choose all that apply. If other, specify. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
||||||||
| C14546 | EEG data original purpose type | EEGDataOriginalPurposeTyp | The reason(s) for gathering data via electroencephalogram (EEG) method | The reason(s) for gathering data via electroencephalogram (EEG) method | For what purpose(s) were the EEG data originally obtained? | Research purposes - prospective;Research purposes - retrospective;Clinical purposes;Other, specify | Research purposes - prospective;Research purposes - retrospective;Clinical purposes;Other, specify | Alphanumeric |
Choose all that apply. If other, specify. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
||||||||
| C18978 | EEG vocalization other text | EEGVocalizationOTH | The free-text field related to 'EEG vocalization type' specifying other text. Method of articulation during electroencephalography (EEG) | The free-text field related to 'EEG vocalization type' specifying other text. Method of articulation during electroencephalography (EEG) | Other, specify | Alphanumeric |
Choose all that apply. If other, specify. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations | 4000 |
Free-Form Entry |
|||||||||
| C14579 | EEG ictal evaluation seizure start date and time | EEGIctalEvalSeizStrtDateTime | Date (and time, if applicable and known) the seizure started for the ictal evaluation by electroencephalogram (EEG) | Date (and time, if applicable and known) the seizure started for the ictal evaluation by electroencephalogram (EEG | Start Time | Date or Date & Time |
Indicate seizure start date and time. Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.). |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
||||||||||
| C14590 | EEG full ictal propagation hemispheric type | EEGFulIctalPropHemisphericTyp | The hemispheric side for full ictal propagation from electroencephalogram (EEG) | The hemispheric side for full ictal propagation from electroencephalogram (EEG | Hemispheric (side) | Right;Left | Right;Left | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
||||||||
| C18531 | Electroencephalography full ictal no localized onset description text | EEGFulIctalNoLocalOnsetDescTxt | The free-text field to describe the nonlocalized onset of full ictal propagation | The free-text field to describe the nonlocalized onset of full ictal propagatio | No localized onset | Alphanumeric | No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-30 14:29:49.047 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations | 255 |
Free-Form Entry |
||||||||||
| C14558 | Seizures recorded only video count | SeizRecordedOnlyVideoCt | The number of seizures with video ONLY, without electroencephalogram (EEG) | The number of seizures with video ONLY (without electroencephalogram (EEG)) | Numeric Values |
Indicate number of seizures with video only |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
|||||||||||
| C14601 | EEG view type | EEGViewTyp | The view or side of the participant/subject in the electroencephalogram (EEG) | The view or side of the participant/subject in the electroencephalogram (EEG) | View of Patient | Full;Face;Trunk;Side;Back;None | Full;Face;Trunk;Side;Back;None | 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 |
||||||||
| C18968 | EEG interictal discharge other text | EEGInterictalDischrgOTH | The free-text field related to 'EEG interictal discharge type' specifying other text. Interictal type of discharge using electroencephalogram (EEG) | The free-text field related to 'EEG interictal discharge type' specifying other text. Interictal type of discharge using electroencephalogram (EEG | Other, specify | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations | 4000 |
Free-Form Entry |
|||||||||
| C14569 | EEG interictal periodic discharge type | EEGInterictalPerDischrgTyp | Distinctive electroencephalogram (EEG) waves or complexes, distinguished from background EEG activity, that suggests a seizure tendency | Distinctive electroencephalogram (EEG) waves or complexes, distinguished from background EEG activity, that suggests a seizure tendency | Periodic discharges | Sharp waves;Spikes;Single Spike-Wave;Polyspike-Wave;Other, specify | Sharp waves;Spikes;Single Spike-Wave;Polyspike-Wave;Other, specify | Alphanumeric |
Choose all that apply |
Ebersole JS, Pedley TA (eds): Current Practice of Clinical Electroencephalography, 3rd edition. New York: Lippincott Williams and Williams, 2003. | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
||||||||
| C14612 | EEG ictal face sign laterality type | EEGIctalFaceSignLatTyp | The location of face sign from electroencephalogram (EEG) | The location of face sign from electroencephalogram (EEG) | R L Other | R;L;O | Right;Left;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 |
Single Pre-Defined Value Selected |
||||||||
| C14548 | EEG prolonged duration type | EEGProlongedDurTyp | The length of time for the prolonged electroencephalogram (EEG) | The length of time for the prolonged electroencephalogram (EEG) | If prolonged EEG, specify duration | Less than 24 hours;Greater than or equal to 24 hours;N/A;Other, specify | Less than 24 hours;Greater than or equal to 24 hours;N/A;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 |
Single Pre-Defined Value Selected |
||||||||
| C18979 | EEG ictal responsiveness testing other text | EEGIctalResponsiveTestingOTH | The free-text field related to 'EEG ictal responsiveness testing type' specifying other text. Method applied to test subject's responsiveness or reaction to stimuli from electroencephalogram (EEG) | The free-text field related to 'EEG ictal responsiveness testing type' specifying other text. Method applied to test subject's responsiveness or reaction to stimuli 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 |
|||||||||
| C14580 | EEG ictal evaluation seizure end date and time | EEGIctalEvalSeizEndDateTime | Date (and time, if applicable and known) the seizure ended for the ictal evaluation by electroencephalogram (EEG) | Date (and time, if applicable and known) the seizure ended for the ictal evaluation by electroencephalogram (EEG | End Time | Date or Date & Time |
Indicate seizure end date and time. Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.). |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
||||||||||
| C14591 | EEG ictal onset pattern type | EEGIctalOnsetPatternTyp | Brain wave pattern on electroencephalogram (EEG) during onset of Ictal discharge | Brain wave pattern on electroencephalogram (EEG) during onset of ictal discharge | Ictal Onset: Pattern on EEG | Diffuse Fast Rhythms;Diffuse Attenuation;Rhythmic;Periodic discharges;Generalized tonic-clonic pattern;Periodic discharges-Sharp waves;Periodic discharges-Spikes;Periodic discharges-Single Spike-Wave;Periodic discharges-Polyspike-Wave;Periodic discharges-Other, specify;Other, specify | Diffuse Fast Rhythms;Diffuse Attenuation;Rhythmic;Periodic discharges;Generalized tonic-clonic pattern;Periodic discharges-Sharp waves;Periodic discharges-Spikes;Periodic discharges-Single Spike-Wave;Periodic discharges-Polyspike-Wave;Periodic discharges-Other, specify;Other, specify | Alphanumeric |
Choose all that apply. If other, specify. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
||||||||
| C18532 | Electroencephalography ictal no localized onset description text | EEGIctalNoLocalOnsetDescTxt | The free-text field to describe the nonlocalized ictal onset | The free-text field to describe the nonlocalized ictal onse | 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 |
||||||||||
| C14559 | EEG recording start date and time | EEGRecordingStrtDateTime | Date (and time, if applicable and known) the electroencephalogram (EEG) recording began | Date the electroencephalogram (EEG) recording began | Date EEG Recorded | Date or Date & Time |
Indicate the start date of the EEG recording. 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 |
||||||||||
| C14602 | EEG ictal responsiveness level type | EEGIctalResponsivenessLvlTyp | The level of responsiveness of the subject as assessed by electroencephalogram (EEG). | The level of responsiveness of the subject as assessed by electroencephalogram (EEG). | Responsiveness | Arousal from sleep;Behavior Arrest;Hypermotor;Other, specify | Arousal from sleep;Behavior Arrest;Hypermotor;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 |
Single Pre-Defined Value Selected |
||||||||
| C18969 | EEG interictal periodic discharge other text | EEGInterictalPerDischrgOTH | The free-text field related to 'EEG interictal periodic discharge type' specifying other text. Distinctive electroencephalogram (EEG) waves or complexes, distinguished from background EEG activity, that suggests a seizure tendency | The free-text field related to 'EEG interictal periodic discharge type' specifying other text. Distinctive electroencephalogram (EEG) waves or complexes, distinguished from background EEG activity, that suggests a seizure tendency | Other, specify | Alphanumeric |
Choose all that apply |
Ebersole JS, Pedley TA (eds): Current Practice of Clinical Electroencephalography, 3rd edition. New York: Lippincott Williams and Williams, 2003. | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations | 4000 |
Free-Form Entry |
|||||||||
| C14570 | EEG interictal circumstance type | EEGInterictalCircumstanceTyp | State subject is in during interictal electroencephalography (EEG) | State subject is in during interictal electroencephalography (EEG | Interictal Circumstances | Awake;Indeterminate;Drowsy;Sleep;Hyperventilation;Photic stimulation;Other, specify | Awake;Indeterminate;Drowsy;Sleep;Hyperventilation;Photic stimulation;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 |
||||||||
| C14613 | EEG ictal face sign sequence identifier | EEGIctalFaceSignSeqID | Numerical value representing subject's responsiveness through facial movement from electroencephalogram (EEG) | Numerical value representing subject's responsiveness through facial movement from electroencephalogram (EEG) | Sequence | Numeric Values |
Indicate face 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 |
||||||||||
| C14549 | EEG location type | EEGLocTyp | The location of where the electroencephalogram (EEG) took place | The location of where the electroencephalogram (EEG) took place | Location | Outpatient EEG lab;Inpatient Epilepsy Monitoring Unit;Intensive Care Unit;Ambulatory;Other, specify | Outpatient EEG lab;Inpatient Epilepsy Monitoring Unit (EMU);Intensive Care Unit (ICU);Ambulatory;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 |
Single Pre-Defined Value Selected |
||||||||
| C18980 | EEG ictal subjective symptoms reported other text | EEGIctalSubjSymptomsReporOTH | The free-text field related to 'EEG ictal subjective symptoms reported type' specifying other text. Symptoms reported by the participant from electroencephalogram (EEG) | The free-text field related to 'EEG ictal subjective symptoms reported type' specifying other text. Symptoms reported by the participant 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 |
|||||||||
| C14581 | EEG ictal evaluation onset date | EEGIctalEvalOnsetDate | Date (and time, if applicable and known) of the ictal onset by electroencephalogram (EEG) | Date (and time, if applicable and known) of the ictal onset by electroencephalogram (EEG | Date of Seizure | Date or Date & Time |
Indicate ictal onset time. Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.). |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
||||||||||
| C14592 | EEG ictal onset rhythmic frequency | EEGIctalOnsetRhythmicFreq | Frequency of brain wave patterns at the onset of Ictal by electroencephalogram (EEG) | Frequency of brain wave patterns at the onset of Ictal by electroencephalogram (EEG | Rhythmic | Numeric Values |
Indicate rhythm frequency for ictal onset, 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 | |||||||||
| C18533 | Electroencephalography ictal onset periodic discharge pattern type | EEGIctalOnsetPerdDschrgPattTyp | The periodic discharge wave pattern of the brain on electroencephalogram (EEG) during onset of ictal discharge | The periodic discharge wave pattern of the brain on electroencephalogram (EEG) during onset of ictal discharge | Periodic discharges | Sharp waves;Spikes;Single Spike-Wave;Polyspike-Wave;Other, specify | Sharp waves;Spikes;Single Spike-Wave;Polyspike-Wave;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 |
Single Pre-Defined Value Selected |
|||||||||
| C14560 | EEG recording end date and time | EEGRecordingEndDateTime | Date (and time, if applicable and known) the electroencephalogram (EEG) recording ended | Date the electroencephalogram (EEG) recording ended | Date EEG Recorded | Date or Date & Time |
Indicate the end date of the EEG recording. 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 |
||||||||||
| 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 |
||||||||||
| 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 |
|||||||||
| C14571 | EEG focal and generalized slowing focus text | EEGFocalGenSlowingFocusTxt | The cerebral focus for focal and generalized slowing based on electroencephalography (EEG). | The cerebral focus for focal and generalized slowing based on electroencephalography (EEG). | Focus | Alphanumeric |
Indicate focus |
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 |
|||||||||
| C14582 | EEG ictal evaluation type | EEGIctalEvalTyp | The type of Ictal electroencephalography (EEG) evaluation performed | The type of Ictal EEG Evaluation performed | Type of seizure | Ictal Onset;Full Inctal Propagation | Ictal Onset;Full Inctal Propagation | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
||||||||
| C14614 | EEG ictal trunk or limb sign type | EEGIctalTrunkLimbSignTyp | Specific types of movement of the trunk or limbs or behavior involving the trunk or limbs from electroencephalogram (EEG) | Specific types of movement of the trunk or limbs or behavior involving the trunk or limbs from electroencephalogram (EEG) | Trunk/Limb Signs | Automatisms-Clothes/sheet picking;Automatisms-Rocking;Automatisms-Spinning/Turning (direction);Automatisms-Other, Specify;Other, specify;Arrest of Movement;Version;Tonic - Ext;Tonic - Flex;Clonic - Early;Clonic - Later;Dystonic Posture;Sign-of-4 arm Ext;Myoclonic Jerk;Lower Extremity Complex Movements;Automatisms-Face/nose wiping or rubbing | Automatisms-Clothes/sheet picking;Automatisms-Rocking;Automatisms-Spinning/Turning (direction);Automatisms-Other, Specify;Other, specify;Arrest of Movement;Version;Tonic - Ext;Tonic - Flex;Clonic - Early;Clonic - Later;Dystonic Posture;Sign-of-4 arm Ext;Myoclonic Jerk;Lower Extremity Complex Movements;Automatisms-Face/nose wiping or rubbing | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
||||||||
| C14550 | EEG video indicator | EEGVideoInd | A test involving simultaneous electroencephalogram (EEG) and video recording | A test involving simultaneous 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 |
||||||||
| 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 |
|||||||||
| 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 |
||||||||
| 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 |
||||||||||
| 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 |
||||||||||
| C14604 | EEG vocalization type | EEGVocalizationTyp | Method of articulation during electroencephalography (EEG) | Method of articulation as assessed by electroencephalogram (EEG) | Vocalization | Laugh;Song;Incoherent Speech;Groan/Cry;Coherent Speech;Spontaneous;Response to Question;Other, specify | Laugh;Song;Incoherent Speech;Groan/Cry;Coherent Speech;Coherent Speech-Spontaneous;Coherent Speech-Response to Question;Other, specify | Alphanumeric |
Choose all that apply. If other, specify. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
||||||||
| C18971 | EEG focal and generalized slowing location other text | EEGFocalGenSlowingLocOTH | The free-text field related to 'EEG focal and generalized slowing location type' specifying other text. Location of focal and generalized slowing based on electroencephalography (EEG) | The free-text field related to 'EEG focal and generalized slowing location type' specifying other text. Location of focal and generalized slowing based on electroencephalography (EEG | Other, specify | Alphanumeric |
Choose all that apply and be as specific as possible |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Scalp Electroencephalography (EEG) | Non-Imaging Diagnostics | Assessments and Examinations | 4000 |
Free-Form Entry |
