ID
11672
Description
ODM form derived from [DAST Aufnahme PSYCH UKM]. Used as a routine documentation by the University Hospital Muenster, Germany.
Keywords
Versions (6)
- 7/20/15 7/20/15 -
- 7/20/15 7/20/15 -
- 7/21/15 7/21/15 -
- 7/21/15 7/21/15 -
- 7/26/15 7/26/15 -
- 7/26/15 7/26/15 -
Uploaded on
July 26, 2015
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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DAST - Basic documentation - Patient Admission Form
DAST - Basic documentation - Patient Admission Form
- StudyEvent: ODM
Description
Gender
Alias
- UMLS CUI-1
- C0079399
Description
Patient age
Description
Marital status
Description
Offspring
Description
Sharde household
Description
How many children live with you in your household?
Data type
integer
Alias
- UMLS CUI-1
- C1518468
Description
How many adults live with you in your household?
Data type
integer
Alias
- UMLS CUI-1
- C0557510
- UMLS CUI-2
- C0557510
Description
Total amount of people living with patient in household
Data type
integer
Alias
- UMLS CUI-1
- C0682277
Description
Descent
Description
Years in Germany
Description
Patient's parents country of birth
Description
School leaving certificate
Description
Number of school years
Description
Training qualification / Professional education
Description
Current employment situation
Description
Family history of psychiatric disease
Description
Has any of your first-degree relatives suffered from a psychiatric disease?
Data type
text
Alias
- UMLS CUI-1
- C0004936
- UMLS CUI-2
- C1518469
Description
In case mental disorders have occured in your family: Who has been affected and by which mental disorder specifically?
Data type
text
Alias
- UMLS CUI-1
- C0455379
Description
Treatment prior to admission
Description
Treatment received in the last 8 weeks prior to current admission
Data type
integer
Alias
- UMLS CUI-1
- C1514463
Description
Admission diagnosis
Description
Vital status
Description
Electrocardiography
Description
Major depressive disorder
Description
Occurrence first major depressive episode
Data type
date
Alias
- UMLS CUI-1
- C0024517
Description
Number of major depressive episodes
Data type
integer
Alias
- UMLS CUI-1
- C0024517
- UMLS CUI-2
- C0449788
Description
Number of times patient was hospitalized a psychiatric clinic
Data type
integer
Alias
- UMLS CUI-1
- C0019993
- UMLS CUI-2
- C0871167
Description
Clinical Global Impression (Degrees of severity)
Description
Severity Score
Data type
integer
Description
Global Assessment of Functioning (GAF) Scale
Description
intermediary values i.e 45,68,72 shall be entered
Data type
integer
Alias
- UMLS CUI-1
- C0017644
Description
Rating sheet / Evaluation sheet at admission
Description
Beck Depression Inventory
Data type
integer
Alias
- UMLS CUI-1
- C0451022
Description
Hamilton Depression Scale (HAMD)
Data type
text
Alias
- UMLS CUI-1
- C0451203
Description
Young's Mania Rating Scale (YMRS-C)
Data type
text
Alias
- UMLS CUI-1
- C3640523
Description
Other
Data type
text
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- StudyEvent: ODM
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