Information:
Error:
ID
11652
Description
ODM form derived from [DAST Entlassung PSYCH UKM]. Used as a routine documentation by the University Hospital Muenster, Germany.
Keywords
Versions (1)
- 7/24/15 7/24/15 -
Uploaded on
July 24, 2015
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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DAST basic documentation - discharge
DAST basic documentation - discharge
- StudyEvent: ODM
Similar models
DAST basic documentation - discharge
- StudyEvent: ODM
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Patient Name
Item
Patient name
text
C1299487 (UMLS CUI-1)
Date of admission
Item
Date of admission
date
C1302393 (UMLS CUI-1)
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI-1)
Registration date
Item
Registration date
date
C2985881 (UMLS CUI-1)
Attending physician
Item
Attending physician
text
C1320929 (UMLS CUI-1)
CL Item
None (1)
C0549184 (UMLS CUI-1)
CL Item
Pharmacotherapy (2)
C0013216 (UMLS CUI-1)
CL Item
Electroconvulsive therapy (3)
C0013806 (UMLS CUI-1)
CL Item
Sleep deprivation (4)
C0037316 (UMLS CUI-1)
CL Item
Light therapy (5)
C0031765 (UMLS CUI-1)
CL Item
Other (6)
Psychotherapy session
Item
Psychotherapy session
text
C0033968 (UMLS CUI-1)
Item
Number of psychotherapy sessions
integer
C0033968 (UMLS CUI-1)
CL Item
None (1)
C0549184 (UMLS CUI-1)
CL Item
Individual psychotherapy <30 mins (2)
C0204525 (UMLS CUI-1)
C3842955 (UMLS CUI-2)
C3842955 (UMLS CUI-2)
CL Item
Individual psychotherapy >30 mins (3)
C0204525 (UMLS CUI-1)
CL Item
Group psychotherapy (4)
C0033971 (UMLS CUI-1)
Item
Psychotherapy Therapeutic Technique
integer
C0237915 (UMLS CUI-1)
CL Item
No Psychotherapy (1)
C0549184 (UMLS CUI-1)
C0033968 (UMLS CUI-2)
C0033968 (UMLS CUI-2)
CL Item
Supportive Psychotherapy (2)
C0221295 (UMLS CUI-1)
CL Item
Depth psychology oriented Psychotherapy (3)
C0870405 (UMLS CUI-1)
CL Item
Cognitive behavioral therapy (4)
C0009244 (UMLS CUI-1)
CL Item
Person-centered therapy (Rogers) (5)
C0237843 (UMLS CUI-1)
CL Item
Interpersonal Psychotherapy (6)
C0871787 (UMLS CUI-1)
CL Item
Psychodynamic interactional Psychotherapy (7)
C0599237 (UMLS CUI-1)
CL Item
Group Therapy (8)
C0033971 (UMLS CUI-1)
CL Item
Other (9)
CL Item
Unknown (10)
Item
Only if manually-oriented applied, multiple answer are possible
integer
Code List
Only if manually-oriented applied, multiple answer are possible
CL Item
None (1)
CL Item
Psychoeducation (Group/Individual) (2)
C0871175 (UMLS CUI-1)
CL Item
Cognitive training (Group/Individual) (3)
C1868940 (UMLS CUI-1)
CL Item
Relaxation Therapy (Group/Individual) (4)
C0282333 (UMLS CUI-1)
CL Item
Social competence education (Group) (5)
C0815250 (UMLS CUI-1)
CL Item
Symptom management training (Group/Individual) (6)
C1536570 (UMLS CUI-1)
CL Item
Behaviour therapy relative groups (7)
C0004933 (UMLS CUI-1)
CL Item
Other/ Remarks (8)
C0205394 (UMLS CUI-1)
Please indicate medication and daily doses in mg or ml
Item
Please indicate medication and daily doses in mg or ml
integer
C1553894 (UMLS CUI-1)
Item Group
Discharge Medications - psychiatric indication
Please indicate medication and daily doses in mg or ml
Item
Please indicate medication and daily doses in mg or ml
integer
C1553894 (UMLS CUI-1)
QTc interval in sec
Item
QTc interval in sec
integer
Weight in kg
Item
Weight in kg
integer
C0005910 (UMLS CUI-1)
CL Item
None (1)
CL Item
Lack of motivation to change (2)
CL Item
deterioration of symptoms (3)
CL Item
Termination (via Therapist) based on other reasons (4)
CL Item
Other (please indicate) (5)
CL Item
Daytime clinic (1)
CL Item
Non-stationary treatment (2)
CL Item
Other psychiatric clinic (3)
CL Item
Stationary facility for addicts (4)
CL Item
Psychotherapeutical/ somatic clinic (5)
CL Item
Other (6)
CL Item
Unknown (7)
CL Item
None (1)
CL Item
occupational rehabilitation (2)
CL Item
assisted living (3)
CL Item
Forensic psychiatry (4)
CL Item
day care (5)
CL Item
Other (6)
CL Item
Unknown (7)
Item Group
Out-patient follow-up care / follow-up treatment
None
Item
None
text
CL Item
No (1)
CL Item
Yes, GP contacted (2)
CL Item
Yes, GP not contacted (3)
CL Item
No (1)
CL Item
Yes, Psychiatrist contacted (2)
CL Item
Yes, Psychiatrist not contacted (3)
CL Item
(1)
CL Item
(2)
CL Item
(3)
CL Item
No (1)
CL Item
Yes, Polyclinic contacted (2)
CL Item
Yes, Polyclinic not contacted (3)
CL Item
No (1)
CL Item
Yes, Psychologist contacted (2)
CL Item
Yes, Psychologist not contacted (3)
CL Item
No (1)
CL Item
Yes, contacted (2)
CL Item
Yes, not contacted (3)
CL Item
No (1)
CL Item
Yes, contacted (2)
CL Item
Yes, not contacted (3)
CL Item
No (1)
CL Item
Yes, contacted (2)
CL Item
Yes, not contacted (3)
CL Item
No (1)
CL Item
Yes, contacted (2)
CL Item
Yes, not contacted (3)
CL Item
No (1)
CL Item
Yes, contacted (2)
CL Item
Yes, not contacted (3)
CL Item
No (1)
CL Item
Yes, contacted (2)
CL Item
Yes, not contacted (3)
ICD-10
Item
ICD-10
text
C0870733 (UMLS CUI-1)
C1555319 (UMLS CUI-2)
C1555319 (UMLS CUI-2)
DSM-IV
Item
DSM-IV
text
C0220952 (UMLS CUI-1)
C1555319 (UMLS CUI-2)
C1555319 (UMLS CUI-2)
Item Group
Clinical Global Impression (Degrees of severity)
CL Item
cannot be assessed (0)
CL Item
normal, not at all ill (1)
CL Item
borderline mentally ill (2)
CL Item
mildly ill (3)
CL Item
moderately ill (4)
CL Item
markedly ill (5)
CL Item
severely ill (6)
CL Item
extremely ill (7)
Item Group
Clinical Global Impression Scale of Change (CGI-C)
CL Item
normal, not at all ill (1)
CL Item
borderline mentally ill (2)
CL Item
mildly ill (3)
CL Item
moderately ill (4)
CL Item
markedly ill (5)
CL Item
severely ill (6)
CL Item
extremely ill (7)
CL Item
can not be evaluated (0)
Item
Efficacy index (desired pharmacological drug effects)
integer
C3639889 (UMLS CUI-1)
Code List
Efficacy index (desired pharmacological drug effects)
CL Item
Not assessed (0)
CL Item
Vast improvement. Complete or nearly complete remission of all symptoms (1)
CL Item
Decided improvement. Partial remission of symptoms (2)
CL Item
Slight improvement which doesn’t alter status of care of patients (3)
CL Item
Unchanged or worse (4)
CL Item
(6)
CL Item
can not be evaluated (0)
CL Item
None (1)
CL Item
Do not significantly interfere with patient’s functioning (2)
CL Item
ignificantly interfere with patient’s functioning (3)
CL Item
Outweighs therapeutic effect (4)