Table 1

Clinical interpretation of the 15 topics by four raters

Topic	Rater 1	Rater 2	Rater 3	Rater 4	Rater 1	Rater 2	Rater 3	Rater 4	Rater 1	Rater 2	Rater 3	Rater 4
Topic	Interpreted theme 1	Interpreted theme 1	Interpreted theme 1	Interpreted theme 1	Interpreted theme 2	Interpreted theme 2	Interpreted theme 2	Interpreted theme 2	Interpreted theme 3	Interpreted theme 3	Interpreted theme 3	Interpreted theme 3
1	Phenomenology of seizure	Semiology	Seizure phenomenology	Semiology	Phenomenology of seizure	Semiology	Seizure phenomenology	Semiology	Phenomenology of seizure	Semiology	Seizure phenomenology	Conscious state
2	Post-ictal phenomenology	Findings on examination	Examination	Semiology	History of event	Findings on examination	Left-sided weakness	Semiology	PNES event	Findings on examination	Anxiety	Severity
3	Phenomenology	Type of movement	Tonic–clonic seizure	Generalised	Phenomenology	Type of movement	Tonic–clonic seizure	Semiology	Consciousness	Awareness	Tonic–clonic seizure	Semiology
4	Phenomenology	Treatment	Seizure-phenytoin	Medication	Phenomenology	Awareness	Seizure-phenytoin	Semiology	Phenomenology	Awareness	Seizure-phenytoin	Severity
5	Background history	Type of movement	Seizure-valproate	Conscious state	Background history	Awareness	Seizure-valproate	Medication	Phenomenology	Treatment	Seizure-valproate	Recurrence
6	Treatment	Treatment	Anti-epileptic medications	Medication	Post-ictal signs	Treatment	Anti-epileptic medications	Generalised	Phenomenology	Clinical features	Anti-epileptic medications	Severity
7	Phenomenology	Post-ictal phase	Post-ictal	Recurrence	Treatment	Treatment	Post-ictal midazolam	Semiology	Treatment	Examination findings	Post-ictal behaviour	Conscious state
8	Consciousness	Comorbidity	Vasovagal	Semiology	Consciousness	Treatment	Confusion	Semiology	Consciousness	Treatment	Fever	Severity
9	Preceding seizure history	Treatment	Headache	Semiology	Preceding seizure history	Differential diagnosis	Syncope	Medication	Preceding seizure history	Awareness	Keppra	Recovery
10	History prior to seizure	Responsiveness	Blackout	Conscious state	History prior to Seizure	Responsiveness	Tremor	Semiology	History prior to seizure	Responsiveness	Headache	Recovery
11	History prior to seizure	Ambulance assessment	Ambulance assessment	Semiology	History prior to seizure	Awareness	Fall	Conscious state	History prior to seizure	Awareness	Conversion	Post-ictal
12	Phenomenology of seizure	Clinical features	Observations in resuscitation bed	Semiology	Phenomenology of seizure	Type of movements	Observations in resuscitation bed	Generalised	Phenomenology of seizure	Awareness	Observations in resuscitation bed	Severity
13	Consciousness	Diagnosis	Airway assessment	Semiology	Consciousness	Duration	Agitation	Recovery	Post-ictal psychosis	Investigations	Assault	Provoked
14	Treatment	Post-ictal phase	Post-ictal	Semiology	Phenomenology	Treatment	Post-ictal	Medication	Phenomenology	Responsiveness	Post-ictal	Post-ictal
15	Consciousness	Airway management	History	Conscious state	Pre-ictal history	Investigations	History	Conscious state	Medication	Awareness	History	Recovery

The raters provided three possible interpretations for each topic. Shading represents congruent themes.
PNES, psychogenic non-epileptic seizures.