English

Non Imaging Diagnostics

1 forms  
Scalp Electroencephalogram (EEG)
Description

Scalp Electroencephalogram (EEG)

Study ID
Description

Study ID

Data type

text

Alias
UMLS CUI [1]
C2826693
Study site name
Description

Study site

Data type

text

Alias
UMLS CUI [1]
C2825164
Subject ID
Description

Subject ID

Data type

text

Alias
UMLS CUI [1]
C2348585
For what purpose(s) were the EEG data originally obtained: Research purposes-prospective
Description

EEG Purpose

Data type

boolean

Alias
UMLS CUI [1,1]
C0013819
UMLS CUI [1,2]
C0517852
For what purpose(s) were the EEG data originally obtained: Research purposes-retrospective
Description

EEG Purpose

Data type

boolean

Alias
UMLS CUI [1,1]
C0013819
UMLS CUI [1,2]
C0517852
For what purpose(s) were the EEG data originally obtained: Clinical purposes
Description

EEG Purpose

Data type

boolean

Alias
UMLS CUI [1,1]
C0013819
UMLS CUI [1,2]
C0517852
For what purpose(s) were the EEG data originally obtained: Other,please specify
Description

EEG Purpose

Data type

text

Alias
UMLS CUI [1,1]
C0013819
UMLS CUI [1,2]
C0517852
EEG Type: Routine or prolonged?
Description

EEG Type

Data type

integer

Alias
UMLS CUI [1,1]
C0013819
UMLS CUI [1,2]
C0455713
EEG Type: If prolonged, please specify duration
Description

EEG Type

Data type

integer

Alias
UMLS CUI [1,1]
C0013819
UMLS CUI [1,2]
C0455713
Prolonged EEG:if other time interval, please specify
Description

Prolonged EEG

Data type

text

Alias
UMLS CUI [1,1]
C0013819
UMLS CUI [1,2]
C0439590
EEG location
Description

EEG location

Data type

integer

Alias
UMLS CUI [1,1]
C0013819
UMLS CUI [1,2]
C0450429
EEG location:if other,please specify
Description

EEG location

Data type

text

Alias
UMLS CUI [1,1]
C0013819
UMLS CUI [1,2]
C0450429
Video EEG
Description

Video EEG

Data type

integer

Alias
UMLS CUI [1]
C0430801
Video EEG:if other,please specify
Description

Video EEG

Data type

text

Alias
UMLS CUI [1]
C0430801
EEG; behavioral states recorded: Awake
Description

EEG; behavioral states

Data type

boolean

Alias
UMLS CUI [1,1]
C0013819
UMLS CUI [1,2]
C0679009
EEG; behavioral states recorded: asleep
Description

EEG; behavioral states

Data type

boolean

Alias
UMLS CUI [1,1]
C0013819
UMLS CUI [1,2]
C0679009
EEG; behavioral states recorded: Unresponsive state
Description

EEG; behavioral states

Data type

boolean

Alias
UMLS CUI [1,1]
C0013819
UMLS CUI [1,2]
C0679009
EEG; behavioral states recorded: Indeterminate
Description

EEG; behavioral states

Data type

boolean

Alias
UMLS CUI [1,1]
C0013819
UMLS CUI [1,2]
C0679009
EEG; behavioral states recorded: Other, specify
Description

EEG; behavioral states

Data type

text

Alias
UMLS CUI [1,1]
C0013819
UMLS CUI [1,2]
C0679009
EEG activation procedures: Sleep
Description

EEG activation procedures

Data type

boolean

Alias
UMLS CUI [1]
C0430789
EEG activation procedures: Hyperventilation
Description

EEG activation procedures

Data type

boolean

Alias
UMLS CUI [1]
C0430789
EEG activation procedures: Photic stimulation
Description

EEG activation procedures

Data type

boolean

Alias
UMLS CUI [1]
C0430789
EEG activation procedures: Unknown
Description

EEG activation procedures

Data type

boolean

Alias
UMLS CUI [1]
C0430789
EEG activation procedures:other,please specify
Description

EEG activation procedures

Data type

text

Alias
UMLS CUI [1]
C0430789
Posterior dominant rhythm present
Description

EEG Posterior dominant rhythm

Data type

boolean

Alias
UMLS CUI [1,1]
C0013819
UMLS CUI [1,2]
C0871269
Frequency of the posterior dominant rhythm during relaxed wakefulness Hz
Description

round to the closed 0.5 Hz

Data type

float

Measurement units
  • Hz
Alias
UMLS CUI [1,1]
C0013819
UMLS CUI [1,2]
C0678556
Hz
Total number of seizures recorded with EEG and Video
Description

Number of seizures

Data type

integer

Alias
UMLS CUI [1,1]
C0036572
UMLS CUI [1,2]
C0750480
Total number of seizures recorded with EEG only
Description

Number of seizures

Data type

integer

Alias
UMLS CUI [1,1]
C0036572
UMLS CUI [1,2]
C0750480
Total number of seizures recorded on video only
Description

Number of seizures

Data type

integer

Alias
UMLS CUI [1,1]
C0036572
UMLS CUI [1,2]
C0750480
Date of EEG recorded
Description

date EEG

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0013819
Inter Ictal Abnormalities
Description

Inter Ictal Abnormalities

Date of record
Description

Date of record

Data type

date

Alias
UMLS CUI [1]
C2584899
Time(s) of Interictal Abnormality
Description

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

Data type

time

Alias
UMLS CUI [1]
C3807331
Time
Description

Time

Data type

integer

Alias
UMLS CUI [1]
C0040223
Time
Description

Time

Data type

integer

Alias
UMLS CUI [1]
C0040223
Interictal Epileptiform Location: Localized focal
Description

Check all that apply and be as specific as possible.

Data type

boolean

Alias
UMLS CUI [1]
C3807331
Interictal Epileptiform Location: area of origin of the interictal abnormality
Description

Check all that apply and be as specific as possible.

Data type

integer

Alias
UMLS CUI [1]
C3807331
Interictal Epileptiform Location: full extent of abnormal electrical field
Description

Interictal Epileptiform Location

Data type

integer

Alias
UMLS CUI [1]
C3807331
Interictal Epileptiform Location:
Description

Interictal Epileptiform Location

Data type

integer

Interictal Epileptiform Location: if "No localized onset" or "other" ,please specify
Description

Interictal Epileptiform Location

Data type

text

Alias
UMLS CUI [1]
C3807331
Interictal Type of Discharge
Description

Interictal Type of Discharge

Data type

integer

Alias
UMLS CUI [1]
C0234550
Interictal Type of Discharge: Rhythmic (frequency) Hz(round to the closest 0.5 Hz)
Description

Interictal Type of Discharge

Data type

float

Measurement units
  • Hz
Alias
UMLS CUI [1]
C0234550
Hz
Interictal Type of Discharge: Periodic discharges
Description

Check all that apply

Data type

integer

Alias
UMLS CUI [1]
C0234550
Interictal Type of Discharge: if other,please specify
Description

Interictal Type of Discharge

Data type

text

Alias
UMLS CUI [1]
C0234550
Interictal Type of Discharge Periodic discharges: if other,please specify
Description

Interictal Type of Discharge

Data type

text

Alias
UMLS CUI [1]
C0234550
Interictal Circumstances
Description

Check all that apply

Data type

integer

Alias
UMLS CUI [1]
C0234550
Interictal circumstances:if other, please specify
Description

Interictal circumstances

Data type

text

Alias
UMLS CUI [1]
C0234550
Focal and generalized slowing
Description

Focal and generalized slowing

Focus
Description

Focus

Data type

text

Alias
UMLS CUI [1]
C0205234
Start time
Description

Start time

Data type

time

Measurement units
  • hh:mm:ss
Alias
UMLS CUI [1]
C1301880
hh:mm:ss
Slowing type
Description

Check one; if more than one slowing type, then fill out more than one Focal and Generalized Slowing form

Data type

integer

Alias
UMLS CUI [1]
C2206439
Slowing location
Description

Check all that apply and be as specific as possible

Data type

integer

Alias
UMLS CUI [1]
C2206439
Slowing Location: if "No localized onset" or "other" ,please specify
Description

Slowing Location

Data type

text

Alias
UMLS CUI [1]
C2206439
Ictal EEG Evaluation
Description

Ictal EEG Evaluation

Seizure number
Description

Seizure

Data type

integer

Alias
UMLS CUI [1]
C0036572
Total number of seizures
Description

Seizure

Data type

integer

Alias
UMLS CUI [1]
C0036572
Date of seizure
Description

Date of seizure

Data type

date

Alias
UMLS CUI [1]
C0011008
Start time
Description

Start time

Data type

time

Measurement units
  • hh:mm:ss
Alias
UMLS CUI [1]
C1301880
hh:mm:ss
End time
Description

End time

Data type

time

Measurement units
  • hh:mm:ss
Alias
UMLS CUI [1]
C1522314
hh:mm:ss
Ictal Onset: Location on EEG
Description

Ictal Onset

Data type

integer

Alias
UMLS CUI [1]
C0234550
Ictal onset time
Description

Ictal onset time

Data type

time

Alias
UMLS CUI [1]
C0449244
Full Ictal Propagation: Location on EEG
Description

Check all that apply and be as specific as possible

Data type

integer

Alias
UMLS CUI [1]
C0234550
Ictal Onset Location on EEG: Localized focal
Description

Ictal Onset Location on EEG

Data type

boolean

Alias
UMLS CUI [1]
C0234550
Full Ictal Propagation Location on EEG: Localized focal
Description

Full Ictal Propagation Location on EEG

Data type

boolean

Alias
UMLS CUI [1]
C0234550
Ictal Onset Location on EEG
Description

Ictal Onset Location on EEG

Data type

integer

Alias
UMLS CUI [1]
C0234550
Full Ictal Propagation Location on EEG
Description

Full Ictal Propagation Location on EEG

Data type

integer

Alias
UMLS CUI [1]
C0234550
Ictal onset Pattern on EEG
Description

Check all that apply

Data type

integer

Alias
UMLS CUI [1]
C0234550
Ictal Onset Pattern on EEG: Rhythmic (frequency) Hz(round to the closest 0.5 Hz)
Description

Ictal Onset Pattern on EEG

Data type

float

Measurement units
  • Hz
Alias
UMLS CUI [1]
C0234550
Hz
Ictal Onset Circumstances
Description

Ictal Onset Circumstances

Data type

integer

Alias
UMLS CUI [1]
C0234550
Ictal Onset Circumstances: if other,please specify
Description

Ictal Onset Circumstances

Data type

text

Alias
UMLS CUI [1]
C0234550
Video EEG Ictal Evaluation
Description

Video EEG Ictal Evaluation

Video Seizure Number
Description

Seizure

Data type

integer

Alias
UMLS CUI [1]
C0036572
Total number of seizures on video
Description

Seizure

Data type

integer

Alias
UMLS CUI [1]
C0036572
Ictal EEG available
Description

Ictal EEG available

Data type

boolean

Alias
UMLS CUI [1]
C0234552
Date EEG recorded
Description

Date EEG recorded

Data type

date

Alias
UMLS CUI [1]
C0011008
Start time
Description

Start time

Data type

time

Measurement units
  • hh:mm:ss
Alias
UMLS CUI [1]
C1301880
hh:mm:ss
Patient able to push alarm (onset, during, after seizure)
Description

Able to push alarm

Data type

boolean

Alias
UMLS CUI [1,1]
C3873728
UMLS CUI [1,2]
C0580839
Behavioral state at onset of seizure
Description

Behavioral state at onset of seizure

Data type

integer

Alias
UMLS CUI [1]
C0679009
Behavioral state at onset of seizure:if other,please specify
Description

Behavioral state at onset of seizure

Data type

text

Alias
UMLS CUI [1]
C0679009
Image Quality
Description

Image Quality

Data type

integer

Alias
UMLS CUI [1]
C0806487
View of patient
Description

View of patient

Data type

integer

Alias
UMLS CUI [1]
C0183860
Responsiveness
Description

Responsiveness

Data type

integer

Alias
UMLS CUI [1]
C0552602
Responsiveness:if other,please specify
Description

Responsiveness

Data type

text

Alias
UMLS CUI [1]
C0552602
Vocalization
Description

Check all that apply

Data type

integer

Alias
UMLS CUI [1]
C0564182
Testing of Responsiveness
Description

Check all that apply

Data type

integer

Alias
UMLS CUI [1]
C0552602
Testing of Responsiveness: if other,please specify
Description

Testing of Responsiveness

Data type

text

Alias
UMLS CUI [1]
C0552602
Subjective Symptoms Reported by the Patient
Description

Check all that apply

Data type

integer

Alias
UMLS CUI [1]
C2266644
Eye signs: Eyes opening/widening
Description

Eye signs

Data type

integer

Alias
UMLS CUI [1]
C0586406
Eyes opening/widening:Sequence
Description

Eyes opening/widening

Data type

text

Alias
UMLS CUI [1]
C0586406
Eye signs: Version
Description

Eye signs

Data type

integer

Alias
UMLS CUI [1]
C0586406
Eye version:Sequence
Description

Eye version

Data type

text

Alias
UMLS CUI [1]
C0586406
Eye signs: Blinking
Description

Eye signs

Data type

integer

Alias
UMLS CUI [1]
C0586406
Eye blinking: Sequence
Description

Eye blinking

Data type

text

Alias
UMLS CUI [1]
C0586406
Eye signs: Nystagmus
Description

Eye signs

Data type

integer

Alias
UMLS CUI [1]
C0586406
Nystagmus:Sequence
Description

Nystagmus

Data type

text

Alias
UMLS CUI [1]
C0028738
Eye signs:other
Description

Eye signs

Data type

integer

Alias
UMLS CUI [1]
C0586406
Eye signs other:Sequence
Description

Eye signs

Data type

text

Face signs:Head Version
Description

Face signs

Data type

integer

Alias
UMLS CUI [1,1]
C0015450
UMLS CUI [1,2]
C0004941
Head version:Sequence
Description

Face signs

Data type

text

Alias
UMLS CUI [1,1]
C0015450
UMLS CUI [1,2]
C0004941
Face signs:Head + Eye Version
Description

Face signs

Data type

integer

Alias
UMLS CUI [1,1]
C0015450
UMLS CUI [1,2]
C0004941
Face signs Head + Eye Version:Sequence
Description

Face signs

Data type

text

Alias
UMLS CUI [1,1]
C0015450
UMLS CUI [1,2]
C0004941
Face signs:Mouth Deviation/Twisting
Description

Face signs

Data type

integer

Alias
UMLS CUI [1,1]
C0015450
UMLS CUI [1,2]
C0004941
Face signs Mouth Deviation/Twisting: Sequence
Description

Face signs

Data type

text

Alias
UMLS CUI [1,1]
C0015450
UMLS CUI [1,2]
C0004941
Face signs:Automatism
Description

Face signs

Data type

integer

Alias
UMLS CUI [1,1]
C0015450
UMLS CUI [1,2]
C0004941
Face Automatism: Sequence
Description

Face Automatism

Data type

text

Alias
UMLS CUI [1]
C0270837
Lip Smacking
Description

Lip Smacking

Data type

integer

Alias
UMLS CUI [1]
C2219896
Lip Smacking:Sequence
Description

Lip Smacking

Data type

text

Alias
UMLS CUI [1]
C2219896
Other facial automatism
Description

Other facial automatism

Data type

integer

Alias
UMLS CUI [1]
C0004377
Other facial automatism,if other than left or right side, please specify
Description

Other facial automatism

Data type

text

Alias
UMLS CUI [1]
C0004377
Face signs: Other
Description

Face signs

Data type

integer

Alias
UMLS CUI [1,1]
C0015450
UMLS CUI [1,2]
C0004941
Other face signs: if other than right or left side, please specify
Description

Other face signs

Data type

text

Alias
UMLS CUI [1,1]
C0015450
UMLS CUI [1,2]
C0004941
Arrest of Movement
Description

Trunk or limb signs: Arrest of Movement

Data type

integer

Alias
UMLS CUI [1,1]
C0026649
UMLS CUI [1,2]
C2746065
Arrest of movement:Sequence
Description

Arrest of movement:Sequence

Data type

text

Alias
UMLS CUI [1,1]
C0026649
UMLS CUI [1,2]
C2746065
Version
Description

Trunk or limb signs: Version

Data type

integer

Alias
UMLS CUI [1]
C0541749
Version:Sequence
Description

Version:Sequence

Data type

text

Alias
UMLS CUI [1]
C0541749
Tonic extension
Description

Trunk or limb signs: Tonic extension

Data type

integer

Alias
UMLS CUI [1,1]
C1836825
UMLS CUI [1,2]
C0444509
Tonic extension:Sequence
Description

Tonic extension:Sequence

Data type

text

Alias
UMLS CUI [1,1]
C1836825
UMLS CUI [1,2]
C0444509
Trunk or limb signs: Tonic flexion
Description

Trunk or limb signs: Tonic flexion

Data type

integer

Alias
UMLS CUI [1,1]
C1836825
UMLS CUI [1,2]
C0444509
Tonic flexion:Sequence
Description

Tonic flexion:Sequence

Data type

text

Alias
UMLS CUI [1,1]
C1836825
UMLS CUI [1,2]
C0444509
Trunk or limb signs: Clonic-early
Description

Trunk or limb signs: Clonic-early

Data type

integer

Alias
UMLS CUI [1,1]
C0235088
UMLS CUI [1,2]
C1279919
Clonic-early:Sequence
Description

Clonic-early:Sequence

Data type

text

Alias
UMLS CUI [1,1]
C0235088
UMLS CUI [1,2]
C1279919
Trunk or limb signs: Clonic-later
Description

Trunk or limb signs: Clonic-later

Data type

integer

Alias
UMLS CUI [1,1]
C0235088
UMLS CUI [1,2]
C0205087
Clonic later:Sequence
Description

Clonic later:Sequence

Data type

text

Alias
UMLS CUI [1,1]
C0235088
UMLS CUI [1,2]
C0205087
Trunk or limb signs: dystonic posture
Description

Trunk or limb signs: dystonic posture

Data type

integer

Alias
UMLS CUI [1]
C0426961
Dystonic posture: Sequence
Description

Dystonic posture: Sequence

Data type

text

Alias
UMLS CUI [1]
C0426961
Trunk or limb signs: Sign-of-4 arm Ext
Description

Trunk or limb signs: Sign-of-4 arm Ext

Data type

integer

Sign-of-4 arm Ext: Sequence
Description

Sign-of-4 arm Ext: Sequence

Data type

text

Trunk or limb signs: Myoclonic Jerk
Description

Trunk or limb signs: Myoclonic Jerk

Data type

integer

Alias
UMLS CUI [1]
C0027066
Myoclonic jerk: Sequence
Description

Myoclonic jerk: Sequence

Data type

text

Alias
UMLS CUI [1]
C0027066
Lower Extremity Complex Movements
Description

Lower Extremity Complex Movements

Data type

integer

Alias
UMLS CUI [1,1]
C0562471
UMLS CUI [1,2]
C0023216
Lower Extremity Complex Movements:Sequence
Description

Lower Extremity Complex Movements:Sequence

Data type

text

Alias
UMLS CUI [1,1]
C0562471
UMLS CUI [1,2]
C0023216
Automatism: Face/nose wiping or rubbing
Description

Check all that apply

Data type

integer

Alias
UMLS CUI [1]
C0270837
UMLS CUI [2]
C2089445
UMLS CUI [3]
C3670900
Face/nose wiping or rubbing:Sequence
Description

Face/nose wiping or rubbing:Sequence

Data type

text

Alias
UMLS CUI [1]
C0270837
UMLS CUI [2]
C2089445
UMLS CUI [3]
C3670900
Automatism: Clothes/sheet picking
Description

Automatism

Data type

integer

Alias
UMLS CUI [1]
C0270837
Clothes/sheet picking: Sequence
Description

Clothes/sheet picking: Sequence

Data type

text

Alias
UMLS CUI [1]
C0270837
Automatism: Rocking
Description

Automatism: Rocking

Data type

integer

Alias
UMLS CUI [1,1]
C0270837
UMLS CUI [1,2]
C0005899
Rocking: Sequence
Description

Rocking: Sequence

Data type

text

Alias
UMLS CUI [1]
C0005899
Automatism: Spinning/Turning (direction)
Description

Automatism: Spinning/Turning

Data type

integer

Alias
UMLS CUI [1]
C0562461
Spinning/Turning: Sequence
Description

Spinning/Turning: Sequence

Data type

text

Alias
UMLS CUI [1]
C0562461
Automatism: Other,please specify
Description

Automatism:Other

Data type

text

Alias
UMLS CUI [1]
C0270837
Automatism:Other
Description

Automatism:Other

Data type

integer

Alias
UMLS CUI [1]
C0270837
Automatism:Other Sequence
Description

Automatism:Other Sequence

Data type

text

Alias
UMLS CUI [1]
C0270837
Other signs
Description

Check all that apply

Data type

integer

Alias
UMLS CUI [1]
C0495702
Other signs, please specify
Description

Other signs

Data type

text

Alias
UMLS CUI [1]
C0495702
Other signs: Sequence
Description

Other signs: Sequence

Data type

text

Alias
UMLS CUI [1]
C0495702
Benign EEG Variants
Description

Benign EEG Variants

Benign EEG variants
Description

Benign EEG variants

Data type

boolean

Alias
UMLS CUI [1]
C4023496
If yes, please select all EEG variants that are present
Description

If yes, please select all EEG variants that are present

Data type

integer

Alias
UMLS CUI [1]
C4023496
Scalp EEG Short Form
Description

Scalp EEG Short Form

EEG Category
Description

EEG Category

Data type

integer

Alias
UMLS CUI [1]
C0013819
EEG Category: if supplemental, please specify reason
Description

EEG Category

Data type

text

Alias
UMLS CUI [1]
C0013819
EEG Type:Duration
Description

EEG Type

Data type

integer

Alias
UMLS CUI [1,1]
C0013819
UMLS CUI [1,2]
C0332307
EEG duration, if other, please specify
Description

EEG duration

Data type

text

Alias
UMLS CUI [1,1]
C0449238
UMLS CUI [1,2]
C0013819
Video EEG
Description

Video EEG

Data type

integer

Alias
UMLS CUI [1]
C0430801
Video EEG, if other please specify
Description

Video EEG

Data type

text

Alias
UMLS CUI [1]
C0430801
EEG Sampling rate unknown
Description

EEG Sampling rate

Data type

boolean

Alias
UMLS CUI [1]
C0013819
EEG Sampling rate,please specify
Description

EEG Sampling rate

Data type

text

Alias
UMLS CUI [1]
C0013819
EEG data type
Description

EEG data type

Data type

integer

Alias
UMLS CUI [1,1]
C0013819
UMLS CUI [1,2]
C1609081
EEG data type: if other, please specify
Description

EEG data type

Data type

text

Alias
UMLS CUI [1,1]
C0013819
UMLS CUI [1,2]
C1609081
Behavioral states recorded
Description

Check all that apply

Data type

integer

Alias
UMLS CUI [1,1]
C0013819
UMLS CUI [1,2]
C0679009
Activating procedures used
Description

Check all that apply

Data type

integer

Alias
UMLS CUI [1]
C0430789
If other activating procedure, please specify
Description

Activating procedure

Data type

text

Alias
UMLS CUI [1]
C0430789
EEG background and posterior dominant rhythm (PDR) normal for age
Description

EEG background and posterior dominant rhythm

Data type

integer

Alias
UMLS CUI [1,1]
C0013819
UMLS CUI [1,2]
C1706907
UMLS CUI [1,3]
C0429283
Frequency of the posterior dominant rhythm during relaxed wakefulness Hz (round to the closed 0.5 Hz):
Description

Frequency of the posterior dominant rhythm during relaxed wakefulness

Data type

float

Measurement units
  • Hz
Alias
UMLS CUI [1]
C0429283
Hz
EEG abnormal
Description

EEG abnormal

Data type

boolean

Alias
UMLS CUI [1]
C0151611
Seizures recorded
Description

Seizures

Data type

boolean

Alias
UMLS CUI [1]
C0036572
Focal sharp waves
Description

Focal sharp waves

Data type

boolean

Alias
UMLS CUI [1]
C0429317
Focal slowing
Description

Focal slowing

Data type

boolean

Alias
UMLS CUI [1]
C0239254
Generalized epileptiform abnormalities
Description

Generalized epileptiform abnormalities

Data type

integer

Alias
UMLS CUI [1]
C0474721
Other abnormalities
Description

Other abnormalities

Data type

boolean

Alias
UMLS CUI [1]
C0151611
Other abnormalities: if yes, please specify
Description

Other abnormalities

Data type

text

Alias
UMLS CUI [1]
C0151611
Date of examination
Description

Date EEG

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0013819
Age of participant when EEG obtained
Description

Years and months

Data type

integer

Alias
UMLS CUI [1]
C0001779
Did the patient receive any medication? Please specify
Description

Medication

Data type

text

Alias
UMLS CUI [1]
C0013227
Further comments/notes to EEG reviewers
Description

Further comments

Data type

text

Alias
UMLS CUI [1]
C1830770
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Similar models

Non Imaging Diagnostics

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Scalp Electroencephalogram (EEG)
Study ID
Item
Study ID
text
C2826693 (UMLS CUI [1])
Study site
Item
Study site name
text
C2825164 (UMLS CUI [1])
Subject ID
Item
Subject ID
text
C2348585 (UMLS CUI [1])
EEG Purpose
Item
For what purpose(s) were the EEG data originally obtained: Research purposes-prospective
boolean
C0013819 (UMLS CUI [1,1])
C0517852 (UMLS CUI [1,2])
EEG Purpose
Item
For what purpose(s) were the EEG data originally obtained: Research purposes-retrospective
boolean
C0013819 (UMLS CUI [1,1])
C0517852 (UMLS CUI [1,2])
EEG Purpose
Item
For what purpose(s) were the EEG data originally obtained: Clinical purposes
boolean
C0013819 (UMLS CUI [1,1])
C0517852 (UMLS CUI [1,2])
EEG Purpose
Item
For what purpose(s) were the EEG data originally obtained: Other,please specify
text
C0013819 (UMLS CUI [1,1])
C0517852 (UMLS CUI [1,2])
Item
EEG Type: Routine or prolonged?
integer
C0013819 (UMLS CUI [1,1])
C0455713 (UMLS CUI [1,2])
EEG Type
Code List
EEG Type: Routine or prolonged?
CL Item
Routine (1)
CL Item
Prolonged (2)
Item
EEG Type: If prolonged, please specify duration
integer
C0013819 (UMLS CUI [1,1])
C0455713 (UMLS CUI [1,2])
EEG Type
Code List
EEG Type: If prolonged, please specify duration
CL Item
Less than 24 hours (1)
CL Item
Greater than or equal to 24 hours (2)
CL Item
N/A (3)
CL Item
Other, specify (4)
Prolonged EEG
Item
Prolonged EEG:if other time interval, please specify
text
C0013819 (UMLS CUI [1,1])
C0439590 (UMLS CUI [1,2])
Item
EEG location
integer
C0013819 (UMLS CUI [1,1])
C0450429 (UMLS CUI [1,2])
EEG location
Code List
EEG location
CL Item
Outpatient EEG lab (1)
CL Item
Inpatient Epilepsy Monitoring Unit (EMU) (2)
CL Item
Intensive Care Unit (ICU) (3)
CL Item
Ambulatory (4)
CL Item
Other, specify (5)
EEG location
Item
EEG location:if other,please specify
text
C0013819 (UMLS CUI [1,1])
C0450429 (UMLS CUI [1,2])
Item
Video EEG
integer
C0430801 (UMLS CUI [1])
Video EEG
Code List
Video EEG
CL Item
No  (1)
CL Item
Yes (2)
CL Item
Unknown  (3)
CL Item
Other, specify (4)
Video EEG
Item
Video EEG:if other,please specify
text
C0430801 (UMLS CUI [1])
EEG; behavioral states
Item
EEG; behavioral states recorded: Awake
boolean
C0013819 (UMLS CUI [1,1])
C0679009 (UMLS CUI [1,2])
EEG; behavioral states
Item
EEG; behavioral states recorded: asleep
boolean
C0013819 (UMLS CUI [1,1])
C0679009 (UMLS CUI [1,2])
EEG; behavioral states
Item
EEG; behavioral states recorded: Unresponsive state
boolean
C0013819 (UMLS CUI [1,1])
C0679009 (UMLS CUI [1,2])
EEG; behavioral states
Item
EEG; behavioral states recorded: Indeterminate
boolean
C0013819 (UMLS CUI [1,1])
C0679009 (UMLS CUI [1,2])
EEG; behavioral states
Item
EEG; behavioral states recorded: Other, specify
text
C0013819 (UMLS CUI [1,1])
C0679009 (UMLS CUI [1,2])
EEG activation procedures
Item
EEG activation procedures: Sleep
boolean
C0430789 (UMLS CUI [1])
EEG activation procedures
Item
EEG activation procedures: Hyperventilation
boolean
C0430789 (UMLS CUI [1])
EEG activation procedures
Item
EEG activation procedures: Photic stimulation
boolean
C0430789 (UMLS CUI [1])
EEG activation procedures
Item
EEG activation procedures: Unknown
boolean
C0430789 (UMLS CUI [1])
EEG activation procedures
Item
EEG activation procedures:other,please specify
text
C0430789 (UMLS CUI [1])
EEG Posterior dominant rhythm
Item
Posterior dominant rhythm present
boolean
C0013819 (UMLS CUI [1,1])
C0871269 (UMLS CUI [1,2])
EEG Posterior dominant rhythm frequency
Item
Frequency of the posterior dominant rhythm during relaxed wakefulness Hz
float
C0013819 (UMLS CUI [1,1])
C0678556 (UMLS CUI [1,2])
Number of seizures
Item
Total number of seizures recorded with EEG and Video
integer
C0036572 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
Number of seizures
Item
Total number of seizures recorded with EEG only
integer
C0036572 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
Number of seizures
Item
Total number of seizures recorded on video only
integer
C0036572 (UMLS CUI [1,1])
C0750480 (UMLS CUI [1,2])
date EEG
Item
Date of EEG recorded
date
C0011008 (UMLS CUI [1,1])
C0013819 (UMLS CUI [1,2])
Item Group
Inter Ictal Abnormalities
Date of record
Item
Date of record
date
C2584899 (UMLS CUI [1])
Interictal Abnormality
Item
Time(s) of Interictal Abnormality
time
C3807331 (UMLS CUI [1])
Item
Time
integer
C0040223 (UMLS CUI [1])
Time
Code List
Time
CL Item
am (1)
CL Item
pm (2)
CL Item
24-hour clock (3)
Item
Time
integer
C0040223 (UMLS CUI [1])
Time
Code List
Time
CL Item
am (1)
CL Item
pm (2)
CL Item
24-hour clock (3)
CL Item
N/A (4)
Interictal Epileptiform Location
Item
Interictal Epileptiform Location: Localized focal
boolean
C3807331 (UMLS CUI [1])
Item
Interictal Epileptiform Location: area of origin of the interictal abnormality
integer
C3807331 (UMLS CUI [1])
Interictal Epileptiform Location
Code List
Interictal Epileptiform Location: area of origin of the interictal abnormality
CL Item
FP1 (1)
CL Item
FP2 (2)
CL Item
T1 (3)
CL Item
F7 (4)
CL Item
F3 (5)
CL Item
FZ (6)
CL Item
F4 (7)
CL Item
F8 (8)
CL Item
T2 (9)
CL Item
FT9 (10)
CL Item
T3 (11)
CL Item
C3 (12)
CL Item
CZ (13)
CL Item
C4 (14)
CL Item
T4 (15)
CL Item
FT10 (16)
CL Item
T5 (17)
CL Item
P3 (18)
CL Item
PZ (19)
CL Item
P4 (20)
CL Item
T6 (21)
CL Item
O1 (22)
CL Item
O2 (23)
Item
Interictal Epileptiform Location: full extent of abnormal electrical field
integer
C3807331 (UMLS CUI [1])
Interictal Epileptiform Location
Code List
Interictal Epileptiform Location: full extent of abnormal electrical field
CL Item
FP1 (1)
CL Item
FP2 (2)
CL Item
T1 (3)
CL Item
F7 (4)
CL Item
F3 (5)
CL Item
FZ (6)
CL Item
F4 (7)
CL Item
F8 (8)
CL Item
T2 (9)
CL Item
FT9 (10)
CL Item
T3 (11)
CL Item
C3 (12)
CL Item
CZ (13)
CL Item
C4 (14)
CL Item
T4 (15)
CL Item
FT10 (16)
CL Item
T5 (17)
CL Item
P3 (18)
CL Item
PZ (19)
CL Item
P4 (20)
CL Item
T6 (21)
CL Item
O1 (22)
CL Item
O2 (23)
Item
Interictal Epileptiform Location:
integer
Interictal Epileptiform Location
Code List
Interictal Epileptiform Location:
CL Item
Localized regional lobar or multilobar (1)
CL Item
Left Frontal (2)
CL Item
Left Parietal (3)
CL Item
Left Occipital (4)
CL Item
Left Temporal (5)
CL Item
Right Frontal (6)
CL Item
Right Parietal (7)
CL Item
Right Occipital (8)
CL Item
Right Temporal (9)
CL Item
Hemispheric Left (10)
CL Item
Hemispheric Right (11)
CL Item
Generalized (12)
CL Item
No localized onset (13)
CL Item
Other, specify (14)
Interictal Epileptiform Location
Item
Interictal Epileptiform Location: if "No localized onset" or "other" ,please specify
text
C3807331 (UMLS CUI [1])
Item
Interictal Type of Discharge
integer
C0234550 (UMLS CUI [1])
Interictal Type of Discharge
Code List
Interictal Type of Discharge
CL Item
Generalized Epileptiform Discharge (1)
CL Item
Diffuse Fast Rhythms (2)
CL Item
Diffuse Attenuation (3)
CL Item
Rhythmic (frequency) Hz (4)
CL Item
Periodic discharges (5)
CL Item
Other, specify (6)
Interictal Type of Discharge
Item
Interictal Type of Discharge: Rhythmic (frequency) Hz(round to the closest 0.5 Hz)
float
C0234550 (UMLS CUI [1])
Item
Interictal Type of Discharge: Periodic discharges
integer
C0234550 (UMLS CUI [1])
Interictal Type of Discharge
Code List
Interictal Type of Discharge: Periodic discharges
CL Item
Sharp waves (1)
CL Item
Spikes (2)
CL Item
Single Spike-Wave (3)
CL Item
Polyspike-Wave (4)
CL Item
Other, specify (5)
Interictal Type of Discharge
Item
Interictal Type of Discharge: if other,please specify
text
C0234550 (UMLS CUI [1])
Interictal Type of Discharge
Item
Interictal Type of Discharge Periodic discharges: if other,please specify
text
C0234550 (UMLS CUI [1])
Item
Interictal Circumstances
integer
C0234550 (UMLS CUI [1])
Interictal Circumstances
Code List
Interictal Circumstances
CL Item
Awake (1)
CL Item
Drowsy (2)
CL Item
Sleep (3)
CL Item
Hyperventilation (4)
CL Item
Photic stimulation (5)
CL Item
Indeterminate (6)
CL Item
Other, specify (7)
Interictal circumstances
Item
Interictal circumstances:if other, please specify
text
C0234550 (UMLS CUI [1])
Item Group
Focal and generalized slowing
Focus
Item
Focus
text
C0205234 (UMLS CUI [1])
Start time
Item
Start time
time
C1301880 (UMLS CUI [1])
Item
Slowing type
integer
C2206439 (UMLS CUI [1])
Slowing type
Code List
Slowing type
CL Item
Persistent (i.e., continuous)  (1)
CL Item
Transient  (2)
CL Item
Post-Ictal (3)
Item
Slowing location
integer
C2206439 (UMLS CUI [1])
Interictal Epileptiform Location
Code List
Slowing location
CL Item
Localized regional lobar or multilobar (1)
CL Item
Left Frontal (2)
CL Item
Left Parietal (3)
CL Item
Left Occipital (4)
CL Item
Left Temporal (5)
CL Item
Right Frontal (6)
CL Item
Right Parietal (7)
CL Item
Right Occipital (8)
CL Item
Right Temporal (9)
CL Item
Hemispheric Left (10)
CL Item
Hemispheric Right (11)
CL Item
Generalized (12)
CL Item
No localized onset (13)
CL Item
Other, specify (14)
Slowing Location
Item
Slowing Location: if "No localized onset" or "other" ,please specify
text
C2206439 (UMLS CUI [1])
Item Group
Ictal EEG Evaluation
Seizure
Item
Seizure number
integer
C0036572 (UMLS CUI [1])
Seizure
Item
Total number of seizures
integer
C0036572 (UMLS CUI [1])
Date of seizure
Item
Date of seizure
date
C0011008 (UMLS CUI [1])
Start time
Item
Start time
time
C1301880 (UMLS CUI [1])
End time
Item
End time
time
C1522314 (UMLS CUI [1])
Item
Ictal Onset: Location on EEG
integer
C0234550 (UMLS CUI [1])
Ictal Onset
Code List
Ictal Onset: Location on EEG
CL Item
Localized focal (1)
CL Item
FP1 (2)
CL Item
FP2 (3)
CL Item
T1 (4)
CL Item
F7 (5)
CL Item
F3 (6)
CL Item
FZ (7)
CL Item
F4 (8)
CL Item
F8 (9)
CL Item
T2 (10)
CL Item
FT9 (11)
CL Item
T3 (12)
CL Item
C3 (13)
CL Item
CZ (14)
CL Item
C4 (15)
CL Item
T4 (16)
CL Item
FT10 (17)
CL Item
T5 (18)
CL Item
P3 (19)
CL Item
PZ (20)
CL Item
P4 (21)
CL Item
T6 (22)
CL Item
O1 (23)
CL Item
O (24)
Ictal onset time
Item
Ictal onset time
time
C0449244 (UMLS CUI [1])
Item
Full Ictal Propagation: Location on EEG
integer
C0234550 (UMLS CUI [1])
Ictal Onset
Code List
Full Ictal Propagation: Location on EEG
CL Item
Localized focal (1)
CL Item
FP1 (2)
CL Item
FP2 (3)
CL Item
T1 (4)
CL Item
F7 (5)
CL Item
F3 (6)
CL Item
FZ (7)
CL Item
F4 (8)
CL Item
F8 (9)
CL Item
T2 (10)
CL Item
FT9 (11)
CL Item
T3 (12)
CL Item
C3 (13)
CL Item
CZ (14)
CL Item
C4 (15)
CL Item
T4 (16)
CL Item
FT10 (17)
CL Item
T5 (18)
CL Item
P3 (19)
CL Item
PZ (20)
CL Item
P4 (21)
CL Item
T6 (22)
CL Item
O1 (23)
CL Item
O (24)
Ictal Onset Location on EEG
Item
Ictal Onset Location on EEG: Localized focal
boolean
C0234550 (UMLS CUI [1])
Full Ictal Propagation Location on EEG
Item
Full Ictal Propagation Location on EEG: Localized focal
boolean
C0234550 (UMLS CUI [1])
Item
Ictal Onset Location on EEG
integer
C0234550 (UMLS CUI [1])
Ictal Onset Location on EEG
Code List
Ictal Onset Location on EEG
CL Item
Localized regional lobar or multilobar (1)
CL Item
Left Frontal (2)
CL Item
Left Parietal (3)
CL Item
Left Occipital (4)
CL Item
Left Temporal Mesial (5)
CL Item
Left Temporal Neocortical (6)
CL Item
Right Frontal (7)
CL Item
Right Parietal (8)
CL Item
Right Occipital (9)
CL Item
Right Temporal Mesial (10)
CL Item
Right Temporal Neocortical (11)
CL Item
Hemispheric Left  (12)
CL Item
Hemispheric Right (13)
CL Item
Generalized  (14)
CL Item
No localized onset (15)
CL Item
Other, specify (16)
Item
Full Ictal Propagation Location on EEG
integer
C0234550 (UMLS CUI [1])
Ictal Onset Location on EEG
Code List
Full Ictal Propagation Location on EEG
CL Item
Localized regional lobar or multilobar (1)
CL Item
Left Frontal (2)
CL Item
Left Parietal (3)
CL Item
Left Occipital (4)
CL Item
Left Temporal Mesial (5)
CL Item
Left Temporal Neocortical (6)
CL Item
Right Frontal (7)
CL Item
Right Parietal (8)
CL Item
Right Occipital (9)
CL Item
Right Temporal Mesial (10)
CL Item
Right Temporal Neocortical (11)
CL Item
Hemispheric Left  (12)
CL Item
Hemispheric Right (13)
CL Item
Generalized  (14)
CL Item
No localized onset (15)
CL Item
Other, specify (16)
Item
Ictal onset Pattern on EEG
integer
C0234550 (UMLS CUI [1])
Ictal onset Pattern on EEG
Code List
Ictal onset Pattern on EEG
CL Item
Generalized tonic-clonic pattern (1)
CL Item
Diffuse Fast Rhythms (2)
CL Item
Diffuse Attenuation (3)
CL Item
Rhythmic (frequency) Hz (4)
CL Item
Periodic discharges Sharp waves (5)
CL Item
Periodic discharges Spikes (6)
CL Item
Periodic discharges Single Spike-Wave (7)
CL Item
Periodic discharges Polyspike-Wave (8)
CL Item
Periodic discharges Other, specify (9)
Ictal Onset Pattern on EEG
Item
Ictal Onset Pattern on EEG: Rhythmic (frequency) Hz(round to the closest 0.5 Hz)
float
C0234550 (UMLS CUI [1])
Item
Ictal Onset Circumstances
integer
C0234550 (UMLS CUI [1])
Interictal Circumstances
Code List
Ictal Onset Circumstances
CL Item
Awake (1)
CL Item
Drowsy (2)
CL Item
Sleep (3)
CL Item
Hyperventilation (4)
CL Item
Photic stimulation (5)
CL Item
Indeterminate (6)
CL Item
Other, specify (7)
Ictal Onset Circumstances
Item
Ictal Onset Circumstances: if other,please specify
text
C0234550 (UMLS CUI [1])
Item Group
Video EEG Ictal Evaluation
Seizure
Item
Video Seizure Number
integer
C0036572 (UMLS CUI [1])
Seizure
Item
Total number of seizures on video
integer
C0036572 (UMLS CUI [1])
Ictal EEG available
Item
Ictal EEG available
boolean
C0234552 (UMLS CUI [1])
Date EEG recorded
Item
Date EEG recorded
date
C0011008 (UMLS CUI [1])
Start time
Item
Start time
time
C1301880 (UMLS CUI [1])
Able to push alarm
Item
Patient able to push alarm (onset, during, after seizure)
boolean
C3873728 (UMLS CUI [1,1])
C0580839 (UMLS CUI [1,2])
Item
Behavioral state at onset of seizure
integer
C0679009 (UMLS CUI [1])
Behavioral state at onset of seizure
Code List
Behavioral state at onset of seizure
CL Item
Awake  (1)
CL Item
Asleep  (2)
CL Item
Unknown  (3)
CL Item
Other, specify (4)
Behavioral state at onset of seizure
Item
Behavioral state at onset of seizure:if other,please specify
text
C0679009 (UMLS CUI [1])
Item
Image Quality
integer
C0806487 (UMLS CUI [1])
Image Quality
Code List
Image Quality
CL Item
Good  (1)
CL Item
Fair  (2)
CL Item
Poor (3)
Item
View of patient
integer
C0183860 (UMLS CUI [1])
View of patient
Code List
View of patient
CL Item
Full  (1)
CL Item
Face  (2)
CL Item
Trunk  (3)
CL Item
Side  (4)
CL Item
Back  (5)
CL Item
None (6)
Item
Responsiveness
integer
C0552602 (UMLS CUI [1])
Responsiveness
Code List
Responsiveness
CL Item
Arousal from sleep (1)
CL Item
Behavior Arrest (2)
CL Item
Hypermotor (3)
CL Item
Other Specify (4)
Responsiveness
Item
Responsiveness:if other,please specify
text
C0552602 (UMLS CUI [1])
Item
Vocalization
integer
C0564182 (UMLS CUI [1])
Vocalization
Code List
Vocalization
CL Item
Laugh (1)
CL Item
Song (2)
CL Item
Incoherent Speech (3)
CL Item
Groan/Cry (4)
CL Item
Other Specify: (5)
CL Item
Coherent Speech Spontaneous (6)
CL Item
Coherent Speech Response to Question (7)
Item
Testing of Responsiveness
integer
C0552602 (UMLS CUI [1])
Testing of Responsiveness
Code List
Testing of Responsiveness
CL Item
Follow Command(s) (1)
CL Item
Repeat Memory Item(s) (2)
CL Item
Other, Specify (3)
Testing of Responsiveness
Item
Testing of Responsiveness: if other,please specify
text
C0552602 (UMLS CUI [1])
Item
Subjective Symptoms Reported by the Patient
integer
C2266644 (UMLS CUI [1])
Subjective Symptoms
Code List
Subjective Symptoms Reported by the Patient
CL Item
Somatosensory (1)
CL Item
Gustatory (2)
CL Item
Psychic (3)
CL Item
Visual (4)
CL Item
Epigastric (5)
CL Item
Other, Specify: (6)
CL Item
Auditory (7)
CL Item
Cephalic (8)
CL Item
Olfactory (9)
CL Item
Autonomic (10)
Item
Eye signs: Eyes opening/widening
integer
C0586406 (UMLS CUI [1])
Eye signs
Code List
Eye signs: Eyes opening/widening
CL Item
Right (1)
CL Item
Left (2)
CL Item
Other (3)
Eyes opening/widening
Item
Eyes opening/widening:Sequence
text
C0586406 (UMLS CUI [1])
Item
Eye signs: Version
integer
C0586406 (UMLS CUI [1])
Eye signs
Code List
Eye signs: Version
CL Item
Right (1)
CL Item
Left (2)
CL Item
Other (3)
Eye version
Item
Eye version:Sequence
text
C0586406 (UMLS CUI [1])
Item
Eye signs: Blinking
integer
C0586406 (UMLS CUI [1])
Eye signs
Code List
Eye signs: Blinking
CL Item
Right (1)
CL Item
Left (2)
CL Item
Other (3)
Eye blinking
Item
Eye blinking: Sequence
text
C0586406 (UMLS CUI [1])
Item
Eye signs: Nystagmus
integer
C0586406 (UMLS CUI [1])
Eye signs
Code List
Eye signs: Nystagmus
CL Item
Right (1)
CL Item
Left (2)
CL Item
Other (3)
Nystagmus
Item
Nystagmus:Sequence
text
C0028738 (UMLS CUI [1])
Item
Eye signs:other
integer
C0586406 (UMLS CUI [1])
Eye signs
Code List
Eye signs:other
CL Item
Right (1)
CL Item
Left (2)
CL Item
Other (3)
Eye signs
Item
Eye signs other:Sequence
text
Item
Face signs:Head Version
integer
C0015450 (UMLS CUI [1,1])
C0004941 (UMLS CUI [1,2])
Eye signs
Code List
Face signs:Head Version
CL Item
Right (1)
CL Item
Left (2)
CL Item
Other (3)
Face signs
Item
Head version:Sequence
text
C0015450 (UMLS CUI [1,1])
C0004941 (UMLS CUI [1,2])
Item
Face signs:Head + Eye Version
integer
C0015450 (UMLS CUI [1,1])
C0004941 (UMLS CUI [1,2])
Eye signs
Code List
Face signs:Head + Eye Version
CL Item
Right (1)
CL Item
Left (2)
CL Item
Other (3)
Face signs
Item
Face signs Head + Eye Version:Sequence
text
C0015450 (UMLS CUI [1,1])
C0004941 (UMLS CUI [1,2])
Item
Face signs:Mouth Deviation/Twisting
integer
C0015450 (UMLS CUI [1,1])
C0004941 (UMLS CUI [1,2])
Eye signs
Code List
Face signs:Mouth Deviation/Twisting
CL Item
Right (1)
CL Item
Left (2)
CL Item
Other (3)
Face signs
Item
Face signs Mouth Deviation/Twisting: Sequence
text
C0015450 (UMLS CUI [1,1])
C0004941 (UMLS CUI [1,2])
Item
Face signs:Automatism
integer
C0015450 (UMLS CUI [1,1])
C0004941 (UMLS CUI [1,2])
Eye signs
Code List
Face signs:Automatism
CL Item
Right (1)
CL Item
Left (2)
CL Item
Other (3)
Face Automatism
Item
Face Automatism: Sequence
text
C0270837 (UMLS CUI [1])
Item
Lip Smacking
integer
C2219896 (UMLS CUI [1])
Eye signs
Code List
Lip Smacking
CL Item
Right (1)
CL Item
Left (2)
CL Item
Other (3)
Lip Smacking
Item
Lip Smacking:Sequence
text
C2219896 (UMLS CUI [1])
Item
Other facial automatism
integer
C0004377 (UMLS CUI [1])
Eye signs
Code List
Other facial automatism
CL Item
Right (1)
CL Item
Left (2)
CL Item
Other (3)
Other facial automatism
Item
Other facial automatism,if other than left or right side, please specify
text
C0004377 (UMLS CUI [1])
Item
Face signs: Other
integer
C0015450 (UMLS CUI [1,1])
C0004941 (UMLS CUI [1,2])
Eye signs
Code List
Face signs: Other
CL Item
Right (1)
CL Item
Left (2)
CL Item
Other (3)
Other face signs
Item
Other face signs: if other than right or left side, please specify
text
C0015450 (UMLS CUI [1,1])
C0004941 (UMLS CUI [1,2])
Item
Arrest of Movement
integer
C0026649 (UMLS CUI [1,1])
C2746065 (UMLS CUI [1,2])
Trunk or limb signs: Arrest of Movement
Code List
Arrest of Movement
CL Item
Trunk right (1)
CL Item
Trunk left  (2)
CL Item
Arm right (3)
CL Item
Leg Right (4)
CL Item
Arm left (5)
CL Item
Leg left  (6)
CL Item
Arm R>L (7)
CL Item
Leg R>L (8)
CL Item
Trunk R>L  (9)
CL Item
Arm L>R  (10)
CL Item
Leg L>R  (11)
CL Item
Trunk L>R  (12)
CL Item
Unsure (13)
Arrest of movement:Sequence
Item
Arrest of movement:Sequence
text
C0026649 (UMLS CUI [1,1])
C2746065 (UMLS CUI [1,2])
Item
Version
integer
C0541749 (UMLS CUI [1])
Trunk or limb signs: Arrest of Movement
Code List
Version
CL Item
Trunk right (1)
CL Item
Trunk left  (2)
CL Item
Arm right (3)
CL Item
Leg Right (4)
CL Item
Arm left (5)
CL Item
Leg left  (6)
CL Item
Arm R>L (7)
CL Item
Leg R>L (8)
CL Item
Trunk R>L  (9)
CL Item
Arm L>R  (10)
CL Item
Leg L>R  (11)
CL Item
Trunk L>R  (12)
CL Item
Unsure (13)
Version:Sequence
Item
Version:Sequence
text
C0541749 (UMLS CUI [1])
Item
Tonic extension
integer
C1836825 (UMLS CUI [1,1])
C0444509 (UMLS CUI [1,2])
Trunk or limb signs: Arrest of Movement
Code List
Tonic extension
CL Item
Trunk right (1)
CL Item
Trunk left  (2)
CL Item
Arm right (3)
CL Item
Leg Right (4)
CL Item
Arm left (5)
CL Item
Leg left  (6)
CL Item
Arm R>L (7)
CL Item
Leg R>L (8)
CL Item
Trunk R>L  (9)
CL Item
Arm L>R  (10)
CL Item
Leg L>R  (11)
CL Item
Trunk L>R  (12)
CL Item
Unsure (13)
Tonic extension:Sequence
Item
Tonic extension:Sequence
text
C1836825 (UMLS CUI [1,1])
C0444509 (UMLS CUI [1,2])
Item
Trunk or limb signs: Tonic flexion
integer
C1836825 (UMLS CUI [1,1])
C0444509 (UMLS CUI [1,2])
Trunk or limb signs: Arrest of Movement
Code List
Trunk or limb signs: Tonic flexion
CL Item
Trunk right (1)
CL Item
Trunk left  (2)
CL Item
Arm right (3)
CL Item
Leg Right (4)
CL Item
Arm left (5)
CL Item
Leg left  (6)
CL Item
Arm R>L (7)
CL Item
Leg R>L (8)
CL Item
Trunk R>L  (9)
CL Item
Arm L>R  (10)
CL Item
Leg L>R  (11)
CL Item
Trunk L>R  (12)
CL Item
Unsure (13)
Tonic flexion:Sequence
Item
Tonic flexion:Sequence
text
C1836825 (UMLS CUI [1,1])
C0444509 (UMLS CUI [1,2])
Item
Trunk or limb signs: Clonic-early
integer
C0235088 (UMLS CUI [1,1])
C1279919 (UMLS CUI [1,2])
Trunk or limb signs: Arrest of Movement
Code List
Trunk or limb signs: Clonic-early
CL Item
Trunk right (1)
CL Item
Trunk left  (2)
CL Item
Arm right (3)
CL Item
Leg Right (4)
CL Item
Arm left (5)
CL Item
Leg left  (6)
CL Item
Arm R>L (7)
CL Item
Leg R>L (8)
CL Item
Trunk R>L  (9)
CL Item
Arm L>R  (10)
CL Item
Leg L>R  (11)
CL Item
Trunk L>R  (12)
CL Item
Unsure (13)
Clonic-early:Sequence
Item
Clonic-early:Sequence
text
C0235088 (UMLS CUI [1,1])
C1279919 (UMLS CUI [1,2])
Item
Trunk or limb signs: Clonic-later
integer
C0235088 (UMLS CUI [1,1])
C0205087 (UMLS CUI [1,2])
Trunk or limb signs: Arrest of Movement
Code List
Trunk or limb signs: Clonic-later
CL Item
Trunk right (1)
CL Item
Trunk left  (2)
CL Item
Arm right (3)
CL Item
Leg Right (4)
CL Item
Arm left (5)
CL Item
Leg left  (6)
CL Item
Arm R>L (7)
CL Item
Leg R>L (8)
CL Item
Trunk R>L  (9)
CL Item
Arm L>R  (10)
CL Item
Leg L>R  (11)
CL Item
Trunk L>R  (12)
CL Item
Unsure (13)
Clonic later:Sequence
Item
Clonic later:Sequence
text
C0235088 (UMLS CUI [1,1])
C0205087 (UMLS CUI [1,2])
Item
Trunk or limb signs: dystonic posture
integer
C0426961 (UMLS CUI [1])
Trunk or limb signs: Arrest of Movement
Code List
Trunk or limb signs: dystonic posture
CL Item
Trunk right (1)
CL Item
Trunk left  (2)
CL Item
Arm right (3)
CL Item
Leg Right (4)
CL Item
Arm left (5)
CL Item
Leg left  (6)
CL Item
Arm R>L (7)
CL Item
Leg R>L (8)
CL Item
Trunk R>L  (9)
CL Item
Arm L>R  (10)
CL Item
Leg L>R  (11)
CL Item
Trunk L>R  (12)
CL Item
Unsure (13)
Dystonic posture: Sequence
Item
Dystonic posture: Sequence
text
C0426961 (UMLS CUI [1])
Item
Trunk or limb signs: Sign-of-4 arm Ext
integer
Trunk or limb signs: Arrest of Movement
Code List
Trunk or limb signs: Sign-of-4 arm Ext
CL Item
Trunk right (1)
CL Item
Trunk left  (2)
CL Item
Arm right (3)
CL Item
Leg Right (4)
CL Item
Arm left (5)
CL Item
Leg left  (6)
CL Item
Arm R>L (7)
CL Item
Leg R>L (8)
CL Item
Trunk R>L  (9)
CL Item
Arm L>R  (10)
CL Item
Leg L>R  (11)
CL Item
Trunk L>R  (12)
CL Item
Unsure (13)
Sign-of-4 arm Ext: Sequence
Item
Sign-of-4 arm Ext: Sequence
text
Item
Trunk or limb signs: Myoclonic Jerk
integer
C0027066 (UMLS CUI [1])
Trunk or limb signs: Arrest of Movement
Code List
Trunk or limb signs: Myoclonic Jerk
CL Item
Trunk right (1)
CL Item
Trunk left  (2)
CL Item
Arm right (3)
CL Item
Leg Right (4)
CL Item
Arm left (5)
CL Item
Leg left  (6)
CL Item
Arm R>L (7)
CL Item
Leg R>L (8)
CL Item
Trunk R>L  (9)
CL Item
Arm L>R  (10)
CL Item
Leg L>R  (11)
CL Item
Trunk L>R  (12)
CL Item
Unsure (13)
Myoclonic jerk: Sequence
Item
Myoclonic jerk: Sequence
text
C0027066 (UMLS CUI [1])
Item
Lower Extremity Complex Movements
integer
C0562471 (UMLS CUI [1,1])
C0023216 (UMLS CUI [1,2])
Lower Extremity Complex Movements
Code List
Lower Extremity Complex Movements
CL Item
R  (1)
CL Item
L  (2)
CL Item
R>L  (3)
CL Item
L>R  (4)
CL Item
Unsure (5)
Lower Extremity Complex Movements:Sequence
Item
Lower Extremity Complex Movements:Sequence
text
C0562471 (UMLS CUI [1,1])
C0023216 (UMLS CUI [1,2])
Item
Automatism: Face/nose wiping or rubbing
integer
C0270837 (UMLS CUI [1])
C2089445 (UMLS CUI [2])
C3670900 (UMLS CUI [3])
Lower Extremity Complex Movements
Code List
Automatism: Face/nose wiping or rubbing
CL Item
R  (1)
CL Item
L  (2)
CL Item
R>L  (3)
CL Item
L>R  (4)
CL Item
Unsure (5)
Face/nose wiping or rubbing:Sequence
Item
Face/nose wiping or rubbing:Sequence
text
C0270837 (UMLS CUI [1])
C2089445 (UMLS CUI [2])
C3670900 (UMLS CUI [3])
Item
Automatism: Clothes/sheet picking
integer
C0270837 (UMLS CUI [1])
Lower Extremity Complex Movements
Code List
Automatism: Clothes/sheet picking
CL Item
R  (1)
CL Item
L  (2)
CL Item
R>L  (3)
CL Item
L>R  (4)
CL Item
Unsure (5)
Clothes/sheet picking: Sequence
Item
Clothes/sheet picking: Sequence
text
C0270837 (UMLS CUI [1])
Item
Automatism: Rocking
integer
C0270837 (UMLS CUI [1,1])
C0005899 (UMLS CUI [1,2])
Automatism: Rocking
Code List
Automatism: Rocking
CL Item
Trunk (1)
CL Item
R  (2)
CL Item
L  (3)
CL Item
R>L  (4)
CL Item
L>R  (5)
CL Item
Unsure (6)
Rocking: Sequence
Item
Rocking: Sequence
text
C0005899 (UMLS CUI [1])
Item
Automatism: Spinning/Turning (direction)
integer
C0562461 (UMLS CUI [1])
Automatism: Spinning/Turning
Code List
Automatism: Spinning/Turning (direction)
CL Item
R (1)
CL Item
L (2)
CL Item
Unsure (3)
Spinning/Turning: Sequence
Item
Spinning/Turning: Sequence
text
C0562461 (UMLS CUI [1])
Automatism:Other
Item
Automatism: Other,please specify
text
C0270837 (UMLS CUI [1])
Item
Automatism:Other
integer
C0270837 (UMLS CUI [1])
Trunk or limb signs: Arrest of Movement
Code List
Automatism:Other
CL Item
Trunk right (1)
CL Item
Trunk left  (2)
CL Item
Arm right (3)
CL Item
Leg Right (4)
CL Item
Arm left (5)
CL Item
Leg left  (6)
CL Item
Arm R>L (7)
CL Item
Leg R>L (8)
CL Item
Trunk R>L  (9)
CL Item
Arm L>R  (10)
CL Item
Leg L>R  (11)
CL Item
Trunk L>R  (12)
CL Item
Unsure (13)
Automatism:Other Sequence
Item
Automatism:Other Sequence
text
C0270837 (UMLS CUI [1])
Item
Other signs
integer
C0495702 (UMLS CUI [1])
Other signs
Code List
Other signs
CL Item
Vomiting (1)
CL Item
Spitting (2)
CL Item
Coughing (3)
CL Item
Tongue biting (4)
CL Item
Other,Specify (5)
Other signs
Item
Other signs, please specify
text
C0495702 (UMLS CUI [1])
Other signs: Sequence
Item
Other signs: Sequence
text
C0495702 (UMLS CUI [1])
Item Group
Benign EEG Variants
Benign EEG variants
Item
Benign EEG variants
boolean
C4023496 (UMLS CUI [1])
Item
If yes, please select all EEG variants that are present
integer
C4023496 (UMLS CUI [1])
If yes, please select all EEG variants that are present
Code List
If yes, please select all EEG variants that are present
CL Item
Small sharp spikes (1)
CL Item
Wicket spikes (2)
CL Item
14- and 6-Hz Positive Bursts (3)
CL Item
6-Hz Spike and Wave (4)
CL Item
Rhythmic Temporal Theta Bursts of Drowsiness (5)
CL Item
Subclinical Rhythmic EEG Discharges in Adults (6)
CL Item
Midline Theta Rhythm (7)
Item Group
Scalp EEG Short Form
Item
EEG Category
integer
C0013819 (UMLS CUI [1])
EEG Category
Code List
EEG Category
CL Item
Initial inclusion study protocol EEG (1)
CL Item
Clinical EEG used for study inclusion (2)
CL Item
Supplemental EEG (3)
EEG Category
Item
EEG Category: if supplemental, please specify reason
text
C0013819 (UMLS CUI [1])
Item
EEG Type:Duration
integer
C0013819 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
EEG Type
Code List
EEG Type:Duration
CL Item
1 hour or less  (1)
CL Item
1-2 hours (2)
CL Item
2 hours (3)
CL Item
Greater than 2 hours (4)
CL Item
N/A (5)
CL Item
Other, specify (6)
EEG duration
Item
EEG duration, if other, please specify
text
C0449238 (UMLS CUI [1,1])
C0013819 (UMLS CUI [1,2])
Item
Video EEG
integer
C0430801 (UMLS CUI [1])
Video EEG
Code List
Video EEG
CL Item
No (1)
CL Item
Yes (2)
CL Item
Unknown (3)
CL Item
Other, specify (4)
Video EEG
Item
Video EEG, if other please specify
text
C0430801 (UMLS CUI [1])
EEG Sampling rate
Item
EEG Sampling rate unknown
boolean
C0013819 (UMLS CUI [1])
EEG Sampling rate
Item
EEG Sampling rate,please specify
text
C0013819 (UMLS CUI [1])
Item
EEG data type
integer
C0013819 (UMLS CUI [1,1])
C1609081 (UMLS CUI [1,2])
EEG data type
Code List
EEG data type
CL Item
Digital EEG (1)
CL Item
Screen shots or paper EEG (2)
CL Item
EEG report only (3)
CL Item
EEG report including screen shots or paper EEG (4)
CL Item
Other specify (5)
EEG data type
Item
EEG data type: if other, please specify
text
C0013819 (UMLS CUI [1,1])
C1609081 (UMLS CUI [1,2])
Item
Behavioral states recorded
integer
C0013819 (UMLS CUI [1,1])
C0679009 (UMLS CUI [1,2])
Behavioral states
Code List
Behavioral states recorded
CL Item
Awake (1)
CL Item
Asleep (2)
CL Item
Indeterminate (3)
CL Item
Other, specify (4)
Item
Activating procedures used
integer
C0430789 (UMLS CUI [1])
Activating procedures
Code List
Activating procedures used
CL Item
Sleep deprivation (1)
CL Item
Hyperventilation (2)
CL Item
Photic stimulation (3)
CL Item
Unknown (4)
CL Item
Other, specify (5)
Activating procedure
Item
If other activating procedure, please specify
text
C0430789 (UMLS CUI [1])
Item
EEG background and posterior dominant rhythm (PDR) normal for age
integer
C0013819 (UMLS CUI [1,1])
C1706907 (UMLS CUI [1,2])
C0429283 (UMLS CUI [1,3])
EEG background and posterior dominant rhythm
Code List
EEG background and posterior dominant rhythm (PDR) normal for age
CL Item
Yes (1)
CL Item
No - PDR slow, disorganized or absent, or background slow (2)
CL Item
EEG data not adequate to assess background and PDR (3)
Frequency of the posterior dominant rhythm during relaxed wakefulness
Item
Frequency of the posterior dominant rhythm during relaxed wakefulness Hz (round to the closed 0.5 Hz):
float
C0429283 (UMLS CUI [1])
EEG abnormal
Item
EEG abnormal
boolean
C0151611 (UMLS CUI [1])
Seizures
Item
Seizures recorded
boolean
C0036572 (UMLS CUI [1])
Focal sharp waves
Item
Focal sharp waves
boolean
C0429317 (UMLS CUI [1])
Focal slowing
Item
Focal slowing
boolean
C0239254 (UMLS CUI [1])
Item
Generalized epileptiform abnormalities
integer
C0474721 (UMLS CUI [1])
Generalized epileptiform abnormalities
Code List
Generalized epileptiform abnormalities
CL Item
Yes: ≥ 3 Hz (1)
CL Item
Yes: < 3 Hz (2)
CL Item
No (3)
Other abnormalities
Item
Other abnormalities
boolean
C0151611 (UMLS CUI [1])
Other abnormalities
Item
Other abnormalities: if yes, please specify
text
C0151611 (UMLS CUI [1])
Date EEG
Item
Date of examination
date
C0011008 (UMLS CUI [1,1])
C0013819 (UMLS CUI [1,2])
Age
Item
Age of participant when EEG obtained
integer
C0001779 (UMLS CUI [1])
Medication
Item
Did the patient receive any medication? Please specify
text
C0013227 (UMLS CUI [1])
Further comments
Item
Further comments/notes to EEG reviewers
text
C1830770 (UMLS CUI [1])
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