CDE Detailed Report

Disease: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Sub-Domain: Imaging Diagnostics
CRF: Quantitative Electroencephalography (qEEG)

Displaying 1 - 45 of 45
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
C00023 Hand preference type HandPrefTyp Hand which the participant/subject uses predominantly, not necessarily the hand he/she writes with exclusively. Hand which the participant/subject uses predominantly, not necessarily the hand he/she writes with exclusively. Handedness: Left hand;Right hand;Both hands Left hand;Right hand;Both hands Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 3.00 2013-07-25 08:54:08.2 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

2180147
C58140 Quantitative EEG montage method source qEEGMontagMethodSource Source of the method used to produce the quantitative EEG (qEEG) montage Source of the method used to produce the quantitative EEG (qEEG) montage Montage: Laplacian;Average reference;Common reference;Linked ears;Nicolet;NovaTech;Deymed;Deymed 19;Deymed 22;Bipolar;Cadwell;Discovery;Discovery 19;Fistar;Mitsar;Nihon Kohden;NeuroField;NeXus21;NeuronSpectrum;Mindset;Other Laplacian;Average reference;Common reference;Linked ears;Nicolet;NovaTech;Deymed;Deymed 19;Deymed 22;Bipolar;Cadwell;Discovery;Discovery 19;Fistar;Mitsar;Nihon Kohden;NeuroField;NeXus21;NeuronSpectrum;Mindset;Other Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 1.00 2018-02-05 09:08:14.0 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C17425 EEG duration EEGDuration The length of time for the Electroencephalography (EEG) The length of time for the Electroencephalography (EEG) qEEG recording time: Other, specify:;5 Minutes;8 Minutes Other, specify:;5 Minutes;8 Minutes Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 3.00 2013-08-28 16:08:00.453 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C58126 Imaging amplifier name ImgAmplifierName Name (model/make/other) of the imaging amplifier used Name (model/make/other) of the imaging amplifier used State amplifier name: Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 1.00 2018-02-02 15:31:24.0 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations 255

Free-Form Entry

C00035 Gender type GenderTyp Self-reported gender of the participant/subject. Self-reported gender of the participant/subject.. Sex: Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 3.00 2013-08-28 16:08:00.453 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

2200604
C58141 Quantitative EEG montage method other text qEEGMontagMethodOthTxt The free-text field related to 'Quantitative EEG montage method source' describing the method used to produce the quantitative EEG (qEEG) montage The free-text field related to 'Quantitative EEG montage method source' describing the method used to produce the quantitative EEG (qEEG) montage Other: Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 1.00 2018-02-05 09:08:14.0 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations 255

Free-Form Entry

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 Other: Numeric Values Adult;Pediatric Supplemental?Highly Recommended 3.00 2013-08-28 16:08:00.453 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

C58127 Electrode wet dry type ElectrodeWetDryTyp Type (wet or dry) of electrode used. Type (wet or dry) of electrode used. Electrode choices: Dry;Wet Dry (not for research due to high impedances);Wet Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 1.00 2018-02-02 15:39:55.0 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C01522 Height measurement HgtMeasr Measurement of participant's/subject's height. Measurement of participant's/subject's height. Height: Numeric Values Adult;Pediatric Supplemental?Highly Recommended 3.00 2013-08-28 16:08:00.453 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

0 400 centimeter 649
C58142 Imaging comparison data source type ImgComparisonDataSourceTyp Type of data source for comparison with study imagery Type of data source for comparison with study imagery Comparison parameters: Controls;Normative database Controls;Normative database Alphanumeric

Normative Databases are vital to patient evaluation and science. For example, normative databases are typically used in blood tests, nerve conduction studies, ocular and retinal studies, and are integral to MRI, Fmri and PET. All of these dabases meet a set of statistical and scientific standards, including peer-reviewed publications, discoosure of inclusion/exclusion criteria, age range, number of samples per age group, SES status, statistical tests of validity, reliability and cross-validation, adequate sample sizes, etc. It is therefore recommended that the electroencephalographer use a validated normative database. Following is a list of gold standards by which to judge a QEEG normative database: Amplifier matching, peer-reviewed publications, artifact rejection, test-retest reliability, inclusion/exclusion criteria, sample size by age group (check for adequacy), approximation to a normal curve, cross validation, clinical correlation, FDA-registered.

Adult;Pediatric Supplemental?Highly Recommended 1.00 2018-02-05 09:13:12.0 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C18045 Post reconstruction filter other text PstReconstrctFltrOthrTxt Specify in text the type of post reconstruction filter other than listed above used to smooth image data Specify in text the type of post reconstruction filter other than listed above used to smooth image data Other Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 3.00 2013-07-20 10:46:24.96 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations 255

Free-Form Entry

C58128 Imaging referral reason ImgReferralRsn Reason for the imaging referral Reason for the imaging referral Reason(s) for referral? Clinical;Other;Research Clinical;Other;Research Alphanumeric

Select all that apply

Adult;Pediatric Supplemental?Highly Recommended 1.00 2018-02-02 15:58:44.0 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C01541 Weight measurement WgtMeasr Measurement of participant's/subject's weight Measurement of participant's/subject's weight Weight: Numeric Values Adult;Pediatric Supplemental?Highly Recommended 3.00 2013-07-25 08:54:08.2 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

0 500 kilogram 2179689
C58143 Imaging comparison data source name ImgComparisonDataSourceName Name of data source used for comparison with study imagery Name of data source used for comparison with study imagery If database used, name database: Alphanumeric

Normative Databases are vital to patient evaluation and science. For example, normative databases are typically used in blood tests, nerve conduction studies, ocular and retinal studies, and are integral to MRI, Fmri and PET. All of these dabases meet a set of statistical and scientific standards, including peer-reviewed publications, discoosure of inclusion/exclusion criteria, age range, number of samples per age group, SES status, statistical tests of validity, reliability and cross-validation, adequate sample sizes, etc. It is therefore recommended that the electroencephalographer use a validated normative database. Following is a list of gold standards by which to judge a QEEG normative database: Amplifier matching, peer-reviewed publications, artifact rejection, test-retest reliability, inclusion/exclusion criteria, sample size by age group (check for adequacy), approximation to a normal curve, cross validation, clinical correlation, FDA-registered.

Adult;Pediatric Supplemental?Highly Recommended 1.00 2018-02-05 09:13:12.0 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations 255

Free-Form Entry

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 Adult;Pediatric Supplemental?Highly Recommended 3.00 2013-08-28 16:08:00.453 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C58132 Electrode impedance below 5 kiloOhms indicator ElctrdImpdncBlw5kOhmInd Indicator of whether the impedance of the electrodes used was below 5kiloOhms Indicator of whether the impedance of the electrodes used was below 5kiloOhms All electrode impedances below 5 kOhms? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 1.00 2018-02-02 16:15:52.0 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C01581 Weight unit of measure WgtUoM Unit of measure for the weight numerical value Unit of measure for the weight numerical value Weight: Pounds;Kilograms Pounds;Kilograms Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 3.00 2013-07-25 08:54:08.2 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

2630200
C58144 Study blinding category StudyBlindingCat Category of blinding condition used in the study Category of blinding condition used in the study Experimental condition: No blinding;Single blind;Double blind No blinding;Single blind;Double blind Alphanumeric Adult Supplemental?Highly Recommended 1.00 2018-02-05 09:21:10.0 Quantitative Electroencephalography (qEEG) 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 (please specify): Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 3.00 2013-08-28 16:08:00.453 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C58134 Patient assessment activity state category PtntAssmntActvtyStatCat Category of the subject/participant's activity state during the assessment Category of the subject/participant's activity state during the assessment Is this measurement: Active task;Resting state Active task;Resting state Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 1.00 2018-02-05 08:40:29.0 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C01582 Height unit of measure HgtUOM Unit of measure for the height numerical value for subject/participant Unit of measure for the height numerical value for subject/participant Height: Inches;Centimeters Inches;Centimeters Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 3.00 2013-07-24 11:38:01.2 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

2538920
C58145 Imaging session problem record method text ImgSesnProbRecMthdTxt Text describing the method used for recording problems that occur during an imaging session Text describing the method used for recording problems that occur during an imaging session Briefly describe procedure to be used for recording issues which may arise during session: Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 1.00 2018-02-05 09:30:38.0 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations 255

Free-Form Entry

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 Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 3.00 2013-08-28 16:08:00.453 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C58135 Task active parameter text TaskActivParameterTxt Text describing the parameters of the active task Text describing the parameters of the active task If active, record task parameters: Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 1.00 2018-02-05 08:44:10.0 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C08266 Imaging post reconstruction filter type ImgPstReconstrctFltrTyp Type of post reconstruction filter used to smooth image data Type of post reconstruction filter used to smooth image data Offline filter parameters: Lowpass;Other, specify;Band pass;High pass;None used Lowpass;Other, specify;Band pass;High pass;None used Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 3.00 2013-07-22 09:34:41.527 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C58146 Eye movement electrooculography electrode use indicator EyeMvmtEoGUseInd Indicator of whether eye movement or electrooculography (EoG) electrodes were used Indicator of whether eye movement or electrooculography (EoG) electrodes were used Use of eye movement (EoG) electrodes? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 1.00 2018-02-05 09:34:18.0 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C21117 Subject name SubjectName Name of subject/participant. Name of subject/participant. Name: Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 1.00 2015-06-12 15:16:39.0 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations 255

Free-Form Entry

C58136 Imaging artifact removal method type ImgArtfctRmvlMthdTyp Type of removal method used on imaging artifacts Type of removal method used on imaging artifacts Artifact removal: AC - uses ICA or PCA for reconstruction;AO - artifact cut from record AC - uses ICA or PCA for reconstruction (not recommended);AO - artifact cut from record (recommended) Alphanumeric

AC invalidates (distorts) data therefore not recommended

http://www.youtube.com/watch?v=BfqCh2UeJik Adult;Pediatric Supplemental?Highly Recommended 1.00 2018-02-05 08:45:36.0 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C14549 EEG location type EEGLocTyp The location of where the electroencephalogram (EEG) took place The location of where the electroencephalogram (EEG) took place Location: Ambulatory;Other, specify;Outpatient qEEG lab;Bedside Ambulatory;Other, specify;Outpatient qEEG lab;Bedside Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 3.00 2013-08-28 16:08:00.453 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C58147 Imaging EKG artifact electrode use indicator ImgEKGArtfctElctrodeUseInd Indicator of whether EKG artifact electrodes were used during the imaging session Indicator of whether EKG artifact electrodes were used during the imaging session Use of EKG artifact electrodes? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 1.00 2018-02-05 09:36:39.0 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C54779 EEG video other text EEGVideoOTH The free-text field related to 'EEG video indicator' specifying other text The free-text field related to 'EEG video indicator' specifying other text Other, specify Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 1.00 2017-04-12 10:43:53.0 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations 255

Free-Form Entry

C58137 Quantitative EEG artifact free estimate reliable greater 90 percent indicator qEEGArtFreEstRliablGrt90PctInd Indicator of whether the reliability estimate of the edited, artifact-free quantitative EEG (qEEG) is greater than 90 percent Indicator of whether the reliability estimate of the edited, artifact-free quantitative EEG (qEEG) is greater than 90 percent Reliability estimates on edited, artifact-free qEEG > .90? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 1.00 2018-02-05 08:49:57.0 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

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;Other specify No;Yes;Other specify Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 3.00 2013-08-28 16:08:00.453 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C58148 Imaging surface electromyography electrode use indicator ImgsEMGElctrodeUseInd Indicator of whether surface electromyography (sEMG) electrodes were used during the imaging session Indicator of whether surface electromyography (sEMG) electrodes were used during the imaging session Use of sEMG electrodes? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 1.00 2018-02-05 09:36:39.0 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C54780 EEG samping rate category EEGSamplingRateCategory Category of sampling rate for the EEG Category of sampling rate for the EEG Sampling rate: 256 Hz;512 Hz;Other, specify;1024 Hertz;128 Hertz 256 Hertz;512 Hertz;Other, specify;1024 Hertz;128 Hertz Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 1.00 2017-04-12 10:53:05.0 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C00007 Birth date BirthDate Date (and time, if applicable and known) the participant/subject was born Date (and time, if applicable and known) the participant/subject was born Birthdate: Date or Date & Time Adult;Pediatric Supplemental?Highly Recommended 3.00 2013-07-25 08:54:08.2 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

793
C58138 Quantitative EEG electrode count category qEEGElectrodeCntCat Category of the count of electrodes placed for quantitative EEG (qEEG) Category of the count of electrodes placed for quantitative EEG (qEEG) Electrode placement: 19 channels;Other 19 channels (minimal for research);Other Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 1.00 2018-02-05 08:56:06.0 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

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 state of participant: Awake;Asleep;Other, specify;Drowsy;Unresponsive state Awake;Asleep;Other, specify;Drowsy;Unresponsive state Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 3.00 2013-08-28 16:08:00.453 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C58149 EEG record observation qualitative type EEGRecObservtnQualtatvTyp Type of qualitative observations of the EEG record Type of qualitative observations of the EEG record Observations of EEG record? Drowsiness;Excessive spiking;Epileptiform activity;Other Drowsiness;Excessive spiking;Epileptiform activity;Other Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 1.00 2018-02-05 09:42:41.0 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C56160 Technician name TechName The name of the technician that is overseeing the test. The name of the technician that is overseeing the test. Technician: Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 1.00 2017-06-07 14:01:45.0 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations 255

Free-Form Entry

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. Age: Numeric Values Adult;Pediatric Supplemental?Highly Recommended 3.00 2013-08-28 16:08:00.453 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

0 1800 month
C58139 Quantitative EEG electrode other count qEEGElectrodeOtherCt The free-value field related to "Quantitative EEG electrode count category" specifying other count The free-value field related to 'Quantitative EEG electrode count category' specifying other count Specify number of electrodes over 19: Numeric Values Adult;Pediatric Supplemental?Highly Recommended 1.00 2018-02-05 09:00:49.0 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

C15626 Imaging nonstimulation eye assessment indicator ImgNonstimEyeAssmtInd Participant's/subject's eyes status Participant's/subject's eyes indicator Recording condition Eyes Open;Eyes Closed Eyes Open;Eyes Closed Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 3.00 2013-07-16 14:01:43.01 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C58150 EEG record observation qualitative other text EEGRecObsrvatnQualttvOthTxt The free-text field related to 'EEG record observation qualitative type' for specifying other observations The free-text field related to 'EEG record observation qualitative type' for specifying other observations Other observations: Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 1.00 2018-02-05 09:46:23.0 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations 255

Free-Form Entry

C58125 Imaging amplifier calibration last 6 month indicator ImgAmplfrCalLst6MoInd Indicator of whether the amplifier used in the imaging assessment was calibrated in the last 6 months Indicator of whether the amplifier used in the imaging assessment was calibrated in the last 6 months Amplfier calibrated for this study or in past 6 months? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental?Highly Recommended 1.00 2018-02-02 15:26:37.0 Quantitative Electroencephalography (qEEG) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

CSV