CDE Detailed Report

Disease: Epilepsy
Sub-Domain: Non-Imaging Diagnostics
CRF: Short Scalp Electroencephalography (EEG)

Displaying 1 - 27 of 27
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
C00008 Age value AgeVal Value for participant/subject's age, calculated as elapsed time since the birth of the participant/subject. Value for participant/subject's age, calculated as elapsed time since the birth of the participant/subject. Participant Age when EEG obtained Numeric Values Steyerberg EW, Mushkudiani N, Perel P, et al. Predicting outcome after traumatic brain injury: development and international validation of prognostic scores based on admission characteristics. PLoS Med. Aug 2008;5(8):e165. MRC CRASH Trial Collaborators. Predicting outcome after traumatic brain injury: practical prognostic models based on large cohort of international patients. BMJ. Feb 2008;336(7641):425-429. Pediatric-specific reference(s): Anderson V, Catroppa C, Morse S, Haritou F, Rosenfeld J (2005) Functional plasticity or vulnerability after early brain injury. Pediatrics 116:1374-1382 Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Short Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

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0 1800 month
C17428 EEG posterior dominant rhythm normal for age status EEGPDRNormalAgeStatus The status for whether assessment of electroencephalography (EEG) posterior dominant rhythm (PDR) is normal. The status for normal assessment of EEG posterior dominant rhythm. EEG background and posteriod dominant rhythm (PDR) normal for age? Yes;No - PDR slow, disorganized or absent, or background slow;EEG data not adequate to assess background and PDR Yes;No - PDR slow, disorganized or absent, or background slow;EEG data not adequate to assess background and PDR Alphanumeric

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

Single Pre-Defined Value Selected

C17439 EEG other abnormalities text EEGOthrAbnrmlText The free text field to specify other electroencephalography (EEG) abnormalities The free text field to specify other Electroencephalography (EEG) abnormalities Other abnormalities, specify Alphanumeric No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Short Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations 255

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

Choose only one. If other, specify.

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

Single Pre-Defined Value Selected

C17429 EEG abnormal indicator EEGAbnrmlInd The yes/no indicator for abnormal assessment of electroencephalography (EEG). The yes/no indicator for abnormal assessment of Electroencephalography (EEG). EEG abnormal Yes;No Yes;No Alphanumeric

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

Single Pre-Defined Value Selected

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

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

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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;Indeterminate;Other, specify Awake;Asleep;Indeterminate;Other, specify Alphanumeric

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

Multiple Pre-Defined Values Selected

C17430 EEG seizures indicator EEGSeizInd The yes/no indicator for electroencephalography (EEG) seizures. The yes/no indicator for Electroencephalography (EEG) seizures. Seizures recorded Yes;No Yes;No Alphanumeric

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

Single Pre-Defined Value Selected

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

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

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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 Electroencephalography (EEG) diagnostic yield by inducing or enhancing epileptogenic paroxysms. Activating procedures used Sleep deprivation;Hyperventilation;Photic stimulation;Unknown;Other, specify: Sleep deprivation;Hyperventilation;Photic stimulation;Unknown;Other, specify: Alphanumeric

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

Multiple Pre-Defined Values Selected

C17431 EEG focal sharp waves indicator EEGFocalSharpWavesInd The yes/no indicator for electroencephalography (EEG) focal sharp waves. The yes/no indicator for Electroencephalography (EEG) focal sharp waves. Focal sharp waves Yes;No Yes;No Alphanumeric

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

Single Pre-Defined Value Selected

C19055 EEG duration other text EEGDurationOTH The free-text field related to 'EEG duration' specifying other text. The length of time for the Electroencephalography (EEG) The free-text field related to 'EEG duration' specifying other text. The length of time for the Electroencephalography (EEG) Other, specify Alphanumeric

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

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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 Numeric Values

Indicate frequency 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 Short Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

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Hertz
C17432 EEG focal slowing indicator EEGFocalSlowingInd The yes/no indicator for electroencephalography (EEG) focal slowing. The yes/no indicator for Electroencephalography (EEG) focal slowing. Focal slowing Yes;No Yes;No Alphanumeric

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

Single Pre-Defined Value Selected

C19056 EEG data other text EEGDataOTH The free-text field related to 'EEG data type' specifying other text. The data type of the Electroencephalography (EEG) The free-text field related to 'EEG data type' specifying other text. The data type of the Electroencephalography (EEG) Other, specify Alphanumeric

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

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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

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 Short Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

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C17433 EEG generalized epileptiform abnormalities status EEGGenEpileptiformAbnrmlStatus The status for electroencephalography (EEG) generalized epileptiform abnormalities. The status for Electroencephalography (EEG) generalized epileptiform abnormalities. General epileptiform abnormalities Yes: >= 3 Hz;Yes: < 3 Hz;No Yes: >= 3 Hz;Yes: < 3 Hz;No Alphanumeric

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

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C17434 EEG other abnormalities indicator EEGOthrAbnrmInd The yes/no indicator for other electroencephalography (EEG) abnormalities. The yes/no indicator for other Electroencephalography (EEG) abnormalities. Other abnormalities Yes;No Yes;No Alphanumeric

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

Single Pre-Defined Value Selected

C17424 EEG short form category EEGShortFormCat The category of Electroencephalography (EEG) The category of Electroencephalography (EEG) EEG Category Initial inclusion study protocol EEG;Clinical EEG used for study inclusion;Supplemental EEG Initial inclusion study protocol Electroencephalography (EEG);Clinical Electroencephalography (EEG) used for study inclusion;Supplemental Electroencephalography (EEG) Alphanumeric

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

Multiple Pre-Defined Values Selected

C17435 EEG medications name EEGMedctnName Name of medication administered related to the electroencephalography (EEG) Name of medication administered related to the Electroencephalography (EEG) Medications Alphanumeric No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Short Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations 255

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C17425 EEG duration EEGDuration The length of time for the Electroencephalography (EEG) The length of time for the Electroencephalography (EEG) Duration 1 hour or less;1-2 hours;2 hours;Greater than 2 hours;N/A;Other, specify: 1 hour or less;1-2 hours;2 hours;Greater than 2 hours;N/A;Other, specify: Alphanumeric

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

Single Pre-Defined Value Selected

C17436 EEG short form note text EEGShortFormNoteTxt Notes to Electroencephalography (EEG) reviewers. Notes to Electroencephalography (EEG) reviewers Note to EEG reviewers Alphanumeric No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Short Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations 255

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C17426 EEG sampling rate indicator EEGSamplingRateInd Indicator for Electroencephalography (EEG) sampling rate, commonly recorded in Hz (250-2000 Hz) Indicator for Electroencephalography (EEG) sampling rate, commonly recorded in Hz (250-2000 Hz) Sampling rate? Specify;Unknown Specify EEG sample rate;Unknown EEG sample rate Alphanumeric

Check a single answer

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

Single Pre-Defined Value Selected

C17437 EEG supplemental reason EEGSupplementalRsn The free text field to specify the electroencephalography (EEG) supplemental form The free text field to specify the Electroencephalography (EEG) supplemental reason Specify reason Alphanumeric No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Short Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations 255

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C17427 EEG data type EEGDataTyp The data type of the Electroencephalography (EEG) The data type of the Electroencephalography (EEG) EEG data type Digital EEG;Screenshots or paper EEG;EEG report only;EEG report including screenshots or paper EEG;Other, specify: Digital EEG as source of data;Screenshots or paper EEG as source of data;EEG report only as source of data;EEG report including screenshots or paper EEG as source of data;Other, specify: Alphanumeric

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

Single Pre-Defined Value Selected

C17438 EEG sampling rate EEGSamplingRate Electroencephalography (EEG) sampling rate, commonly recorded in Hz (250-2000 Hz) Electroencephalography (EEG) sampling rate, commonly recorded in Hz (250-2000 Hz) specify Sampling rate, specify Numeric Values No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Short Scalp Electroencephalography (EEG) Non-Imaging Diagnostics Assessments and Examinations

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CSV