DAST Basic Documentation_Admission

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StudyEvent: ODM
1. DAST Basic Documentation_Admission

Name

Type

Description | Question | Decode (Coded Value)

Datatype

Alias

Patient informations

Item Group

Patient informations

C1955348 (UMLS CUI-1)

Patient's name

Item

Name of the patient:

text

C1299487 (UMLS CUI-1)

Date of birth

Item

Date of birth:

date

C0421451 (UMLS CUI-1)

Date of admission

Item

Date of admission:

date

C0011008 (UMLS CUI-1)
C0019994 (UMLS CUI-2)
C0809949 (UMLS CUI-3)

Document date

Item

Document date:

date

C1978797 (UMLS CUI-1)

Gender

Item

Gender:

text

C0079399 (UMLS CUI-1)

Gender

Code List

Gender:

CL Item

Male (1)

CL Item

Female (2)

Age

Item

Age in years:

integer

C0001779 (UMLS CUI-1)

Marital status

Item

Marital status:

text

C0024819 (UMLS CUI-1)

Marital status

Code List

Marital status:

CL Item

Married (1)

CL Item

Single (2)

CL Item

Widowed (3)

CL Item

Separated/ Divorced (4)

CL Item

Fixed partnership (5)

Number of children

Item

How many children do you have?

integer

C2229974 (UMLS CUI-1)

Number of people in household

Item

How many people live in your house? Please enter as follow: Number of children, number of adults and total number of people living in your house.

text

Birth country

Item

Name of the country you were born in:

text

C1300001 (UMLS CUI-1)

Number of years in Germany

Item

If you were not born in Germany, for how long are you living in Germany?

text

C0439234 (UMLS CUI-1)
C0017480 (UMLS CUI-2)

Birth country of parents

Item

Birth country of your parents, please mention the birth country for both of your parents:

text

C1300001 (UMLS CUI-1)
C0030551 (UMLS CUI-2)

Highest school-leaving qualification

Item

What is your highest school-leaving qualification?

text

C1522410 (UMLS CUI-1)
C0036375 (UMLS CUI-2)
C1711333 (UMLS CUI-3)

Highest school-leaving qualification

Code List

What is your highest school-leaving qualification?

CL Item

Without graduation (1)

CL Item

Primary school (2)

CL Item

Secondary school (3)

CL Item

University (4)

CL Item

University of applied science (5)

CL Item

Others (6)

Number of years in school

Item

How many years did you go to school?

integer

C0237753 (UMLS CUI-1)
C0439234 (UMLS CUI-2)
C0036375 (UMLS CUI-3)

Highest vocational qualification

Item

What is your highest vocational qualification?

text

C0042933 (UMLS CUI-1)

Profession

Item

What is your present profession?

text

C0028811 (UMLS CUI-1)

Profession

Code List

What is your present profession?

CL Item

Unemployed (1)

CL Item

Employed (2)

CL Item

Self-employed (3)

CL Item

Free-lancer (4)

CL Item

Craftsman (5)

CL Item

Skilled worker (6)

CL Item

Employee (7)

Psychiatric disorders in first-degree relatives

Item

Do you have any first-degree relative who suffers from psychiatric disorder? If yes, please mention the person's relation to you and the type of psychiatric disorder he has.

text

C0004936 (UMLS CUI-1)
C1517194 (UMLS CUI-2)

Pretreatment

Item Group

Pretreatments in the last 8 weeks before the present admission

None

Item

None

boolean

C0549184 (UMLS CUI-1)

Antidepressive therapy

Item

Did you undergo antidepressive therapy? If yes please mention the drug generic, dose and therapy duration:

text

C0003289 (UMLS CUI-1)
C0087111 (UMLS CUI-2)

Electroconvulsive therapy

Item

Did you undergo electroconvulsive therapy, ECT? If yes, please state the number of single stimulations you recieved.

text

C0013806 (UMLS CUI-1)

Sleep deprivation

Item

Did you undergo a therapy for sleep deprivation?

boolean

C0037316 (UMLS CUI-1)

Light therapy

Item

Did you undergo light therapy?

boolean

C0031765 (UMLS CUI-1)

Psychotherapy

Item

Did you receive any individual psychotherapy session?

boolean

C0033968 (UMLS CUI-1)

Psychotherapy

Item

Did you receive any group psychotherapy session?

boolean

Others

Item

Others:

text

C0205394 (UMLS CUI-1)

Diagnoses

Item Group

Diagnoses

C0011900 (UMLS CUI-1)

Main diagnosis

Item

Main diagnosis according to DSM-IV

text

C0332137 (UMLS CUI-1)

Secondary diagnosis

Item

Secondary diagnoses according to DSM-IV:

text

C0332138 (UMLS CUI-1)

Body height

Item

Body height (in centimetres):

float

C0005890 (UMLS CUI-1)

Weight

Item

Weight (in kilograms):

float

C0005910 (UMLS CUI-1)

Electrocardiogram

Item

Electrocardiogram, QTC- Interval (in seconds):

float

C1623258 (UMLS CUI-1)

Depressive episode

Item

When did you have your first depressive episode?

text

C0349217 (UMLS CUI-1)

Depressive episode

Item

Number of previous depressive episodes:

integer

C0349217 (UMLS CUI-1)

stationary psychiatric hospitalization

Item

Number of previous stationary psychiatric hospitalizations:

integer

Clinical global impression

Item

Clinical global impression (Severity of illness), please evaluate only for the period of last week.

text

Clinical global impression

Code List

Clinical global impression (Severity of illness), please evaluate only for the period of last week.

CL Item

0 Can not be assessed. (1)

CL Item

1 Patient is not ill. (2)

CL Item

2 Patient is a borderline case of psychiatric illness. (3)

CL Item

3 Patient is only slightly ill. (4)

CL Item

4 Patient is moderately ill. (5)

CL Item

5 Patient is clearly ill. (6)

CL Item

6 Patient is seriously ill. (7)

Global Assessment of Functioning (GAF) Scale

Item

Please select the score range based on the Global Assessment of Functioning (GAF) Scale. The evaluation of the GAF scale should relate to the period of last week before admission:

text

C0561904 (UMLS CUI-1)

Global Assessment of Functioning (GAF) Scale

Code List

Please select the score range based on the Global Assessment of Functioning (GAF) Scale. The evaluation of the GAF scale should relate to the period of last week before admission:

CL Item

100-91 Superior functioning in all areas. (1)

CL Item

90-81 Good functioning in all areas. (2)

CL Item

80-71 No more than slight impairment. (3)

CL Item

70-61 Some difficulty. (4)

CL Item

60-51 Moderate difficulty. (5)

CL Item

50-41 Serious impairment. (6)

CL Item

40-31 Major impairment in several areas. (7)

CL Item

30-21 Inability to function in almost all areas. (8)

CL Item

20-11 Some danger of hurting self or others. (9)

CL Item

10-1 Permanent risk or persistent inability. (10)

CL Item

Inadequate information. (0)

Score

Item

Patient's actual score:

float

C0030705 (UMLS CUI-1)
C0018684 (UMLS CUI-2)
C0449820 (UMLS CUI-3)

Assessment Form

Item Group

Assessment Form for admission

Beck Depression Inventory

Item

Beck Depression Inventory, BDI:

text

C0451022 (UMLS CUI-1)

Beck Depression Inventory

Code List

Beck Depression Inventory, BDI:

CL Item

Not specified (1)

CL Item

Is available (2)

CL Item

Patient is severely ill. (3)

CL Item

Denied (4)

CL Item

Others (5)

Hamilton Anxiety Rating Scale

Item

Hamilton Anxiety Rating Scale, HAM-A:

text

Hamilton Anxiety Rating Scale

Code List

Hamilton Anxiety Rating Scale, HAM-A:

CL Item

Not specified (1)

CL Item

Is available (2)

CL Item

Patient is severely ill. (3)

CL Item

Denied (4)

CL Item

Others (5)

Young Mania Rating Scale

Item

Young Mania Rating Scale, YMRS:

text

Young Mania Rating Scale

Code List

Young Mania Rating Scale, YMRS:

CL Item

Not specified (1)

CL Item

Is available (2)

CL Item

Patient is severely ill. (3)

CL Item

Denied (4)

CL Item

Others (5)

Others

Item

Others:

text

C0205394 (UMLS CUI-1)

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DAST Basic Documentation_Admission