Seizure type

Concept IDDescription
1287622000Neonatal focal clonic epileptic seizure
1287619002Neonatal focal automatism epileptic seizure
1287621007Neonatal focal tonic epileptic seizure
1287620008Neonatal focal epileptic spasms
1287623005Neonatal focal epileptic spasms
1287624004Neonatal focal autonomic epileptic seizure
1287625003Neonatal focal behavioural arrest epileptic seizure
1287618005Neonatal focal sequential electro-clinical epileptic seizure
398665005Vasovagal syncope
440443001Reflex anoxic seizure
713013008Breath holding spell
68978004Hyperventilation
438113009Convulsive syncope
870368003Orthostatic intolerance
9651007Long QT syndrome
788877005Cardiac syncope
1222625002Hypercyanotic spell due to congenital heart disease
301795004Cyanotic attack
22058002Inattention
11882005Juvenile masturbation
112090005Eidetic images
83943005Temper tantrum
307050007Out of body experience
225624000Panic attack
276300008Dissociative stupor
864171000000103Non-epileptic attack disorder
7011001Hallucinations
50705009Factitious disorder
430893009Sleep related rhythmic movement disorder
724752004Hypnagogic hallucinations
58690002Parasomnia
415238003REM sleep behaviour disorder
413638006Benign neonatal sleep myoclonus
445140006Periodic leg movements of sleep
193042000Cataplexy and narcolepsy
386783003Tic
191992009Repetitive routines
609221008Paroxysmal kinesigenic dyskinesia
609218006Paroxysmal nonkinesigenic dyskinesia
763127004Benign paroxysmal tonic upgaze of childhood with ataxia
404689008Alternating hemiplegia
19557000Hyperexplexia
230350000Opsoclonus-myoclonus syndrome
699314009Migraine with persistent visual aura
95656000Familial hemiplegic migraine
719521002Benign paroxysmal torticollis of infancy
111541001Benign paroxysmal positional vertigo
18773000Cyclical vomiting syndrome
446995005Shuddering attacks
413638006Benign neonatal sleep myoclonus
51402000Jittery newborn
230314007Sandifer syndrome
400948003Spasmus nutans
271719001Raised intracranial pressure
699190008Paroxysmal extreme pain disorder
698836007Spinal cord myoclonus
421455009Episodic ataxia
421182009Episodic ataxia type 1
420932006Episodic ataxia type 2
718755009Episodic ataxia type 3
718754008Episodic ataxia type 4
718756005Episodic ataxia type 5
718753002Episodic ataxia type 6
718752007Episodic ataxia type 7
773495009Episodic ataxia with slurred speech
46808003Marie’s cerebellar ataxia

CHAT theory also explicitly addresses five areas which if addressed systematically will help overcome stakeholder differences in pursuit of the common goal:

1. Understanding the artefacts that characterise the group and its activity.
• The artefacts might be clinical settings or the forms and templates used to capture and share information. During the pilot we heard about hard copy Dialog response forms; locally generated templates for collating information from different systems; letters and emails to GPs; images, poems or other non-text artefacts that service users might want to include in their ‘about me’ or care plan.

2. Understanding the multi-views of the group. Such groups are always a community of multiple points of view, traditions and interests. 
• Different participants in the group will have different roles and will bring to the group and their roles their own histories, language, and ‘rules’. During our Stocktake preparations and workshops we worked with psychiatrists, mental health nurses, occupational therapists, social workers, transformation leads and voluntary sector representatives, all professions and interests with their own language, approaches professional ‘rules’ but united in their interest in care plans, care planning.

3. Activity systems (like the ICSs) take shape and get transformed over periods of time. ‘Historicity’ is a term coined to express how the group’s problems and potentials can only be understood against their own history. 

 

• ‘We’ve always done it this way’, ‘that didn’t work before’, ‘it’s always like this’, ‘it wasn’t always like this’, ‘they are changing things again’, are all typical statements that often frustrate those charged with overseeing change initiatives. Without addressing the experiences that lie behind such comments you risk repeating mistakes of the past, alienating your stakeholders or just not understanding the real starting point for your transformation project. This is particularly the case for the implementation of the PCSP standard, the success of which will be largely reliant on point-of-care practices and information protocols as well as having systems which are user friendly and appropriately configured.

4. The central role of contradictions as sources of change and development. Contradictions are not the same as problems or conflicts. Contradictions are historically accumulating structural tensions within and between activity systems. Collectively addressing contradictions in how policy, practice, culture and technology interact will empower teams to find genuinely novel solutions for apparently intractable challenges, like interoperability and shared care plan/planning. 

This links to the fifth principle that:

5. the possibility of expansive transformations in activity systems. As the contradictions of an activity system are aggravated, some individual participants begin to question and deviate from its established norms. In some cases, this escalates into collaborative envisioning and a deliberate collective change effort. “An expansive transformation is accomplished when the object and motive of the activity are re-conceptualised to embrace a radically wider horizon of possibilities than in the previous mode of the activity.”