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ID
28613
Description
Bipolar Affective Disorder (BipoläR) Swedish National Quality Registry Head of Registry: Mikael Landén Professor at the Sahlgrenska Academy, consultant at Sahlgrenska University Hospital, 411 18 Gothenburg Source: http://www.psykiatriregister.se/dokumentarkiv/bipolar S:t Göranprojekts (Making Projects) Anamnesis protocol for bipolar syndrom
Link
http://www.psykiatriregister.se/dokumentarkiv/bipolar
Keywords
Versions (2)
- 1/5/18 1/5/18 -
- 1/24/18 1/24/18 -
Copyright Holder
psykiatriregister.se (BipoläR)
Uploaded on
January 24, 2018
DOI
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License
Creative Commons BY-NC 3.0
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Bipolar Affective Disorder (BipoläR) Swedish National Quality Registry
Medical History for Bipolar Syndrome (Part 3)
- StudyEvent: ODM
Similar models
Medical History for Bipolar Syndrome (Part 3)
- StudyEvent: ODM
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
DETERMINING AWARENESS LOSS (BASED ON ASRS): A1: Inattention
(a) are often inattentive to details or have sleep problems in school work, work life or other activities.
Item
(a) are often inattentive to details or have sleep problems in school work, work life or other activities.
boolean
b) often have difficulty keeping attention for tasks or games
Item
b) often have difficulty keeping attention for tasks or games
boolean
c) often do not seem to listen to direct appeal
Item
c) often do not seem to listen to direct appeal
boolean
d) often do not follow given instructions and fail to do school work, homework or work tasks (does not depend on the fact that the person does not understand the instructions)
Item
d) often do not follow given instructions and fail to do school work, homework or work tasks (does not depend on the fact that the person does not understand the instructions)
boolean
e) often have difficulty organizing their tasks and activities
Item
e) often have difficulty organizing their tasks and activities
boolean
f) often avoids, dislikes or is reluctant to perform tasks that require mental perseverance (eg school work or homework)
Item
f) often avoids, dislikes or is reluctant to perform tasks that require mental perseverance (eg school work or homework)
boolean
g) often lose things that are necessary for different activities (eg toys, homework, pens, books or tools)
Item
g) often lose things that are necessary for different activities (eg toys, homework, pens, books or tools)
boolean
h) are often easily distracted by external stimuli
Item
h) are often easily distracted by external stimuli
boolean
i) are often forgetful in daily life
Item
i) are often forgetful in daily life
boolean
A1: Have at least six of the above symptoms of inattention been present for at least six months to a degree that is maladaptive and incompatible with the level of development?
Item
A1: Have at least six of the above symptoms of inattention been present for at least six months to a degree that is maladaptive and incompatible with the level of development?
boolean
a) often has difficulty in being still with hands or feet or can not sit still
Item
a) often has difficulty in being still with hands or feet or can not sit still
boolean
b) often leaves their place in the classroom or in other situations where the person is expected to remain in his place for a long time
Item
b) often leaves their place in the classroom or in other situations where the person is expected to remain in his place for a long time
boolean
c) often rides, clings or climbs more than is considered appropriate for the situation (in adolescents and adults it may be limited to a subjective sense of restlessness)
Item
c) often rides, clings or climbs more than is considered appropriate for the situation (in adolescents and adults it may be limited to a subjective sense of restlessness)
boolean
d) often having difficulty playing or exercising leisure activities quietly and still
Item
d) often having difficulty playing or exercising leisure activities quietly and still
boolean
e) often appears to be "on the go" or "go uphill"
Item
e) often appears to be "on the go" or "go uphill"
boolean
f) often speaks excessively
Item
f) often speaks excessively
boolean
a) often answers questions before the author has finished talking.
Item
a) often answers questions before the author has finished talking.
boolean
b) often has a hard time waiting for their trip.
Item
b) often has a hard time waiting for their trip.
boolean
c) interrupts or often interferes with others (eg interferes with other people's conversations or games)
Item
c) interrupts or often interferes with others (eg interferes with other people's conversations or games)
boolean
d) often having difficulty being still with hands or feet or unable to sit still
Item
d) often having difficulty being still with hands or feet or unable to sit still
boolean
A2: Has at least six of the above symptoms of hyperactivity / impulsivity has occurred for at least six months to a degree that is maladaptive and incompatible with the level of development?
Item
A2: Has at least six of the above symptoms of hyperactivity / impulsivity has occurred for at least six months to a degree that is maladaptive and incompatible with the level of development?
boolean
B. Some disabling symptoms of hyperactivity / impulsivity or inattention should have been before the age of seven years.
Item
B. Some disabling symptoms of hyperactivity / impulsivity or inattention should have been before the age of seven years.
boolean
C. Any type of disability caused by the symptoms is within at least two areas (eg in school / at work and at home).
Item
C. Any type of disability caused by the symptoms is within at least two areas (eg in school / at work and at home).
boolean
D. There must be clear evidence of clinically significant disability socially, or at work or studies.
Item
D. There must be clear evidence of clinically significant disability socially, or at work or studies.
boolean
E. The symptoms are not only associated with any major disorder in development, schizophrenia or any other psychotic syndrome and is not explained better by anyone other mental disorder.
Item
E. The symptoms are not only associated with any major disorder in development, schizophrenia or any other psychotic syndrome and is not explained better by anyone other mental disorder.
boolean
Item
Has the patient at any time from the age of 16 performed a violent act or directed one serious threat to another person? (specify an option)
integer
Code List
Has the patient at any time from the age of 16 performed a violent act or directed one serious threat to another person? (specify an option)
CL Item
Yes (1)
CL Item
No (2)
CL Item
Data not available (3)
Amount of times
Item
Amount of times
integer
Specify if it is in close relationship
Item
Specify if it is in close relationship
text
Item
Has the patient performed a violent act, or directed a serious threat to someone else, they last 12 months? (specify an option)
integer
Code List
Has the patient performed a violent act, or directed a serious threat to someone else, they last 12 months? (specify an option)
CL Item
No (1)
CL Item
Yes 1-2 times (2)
CL Item
Yes, 3 times or more (3)
CL Item
No data available (4)
Specify if it is in close relationship
Item
Specify if it is in close relationship
text
Item
Has the patient at any of these times been violent using any weapon? (specify one alternative)
integer
Code List
Has the patient at any of these times been violent using any weapon? (specify one alternative)
CL Item
Yes (1)
CL Item
No (2)
CL Item
No data available (3)
Specify if it is in close relationship
Item
Specify if it is in close relationship
text
Item
Has the patient been exposed to a violent act, or a serious threat, during the past 12 months? (specify an option)
integer
Code List
Has the patient been exposed to a violent act, or a serious threat, during the past 12 months? (specify an option)
CL Item
No (1)
CL Item
Yes, 1-2 times (2)
CL Item
Yes, 3 times or more (3)
CL Item
No data available (4)
Specify if it is in close relationship
Item
Specify if it is in close relationship
text
Item
Has the patient been sentenced to prosecution, legal psychiatric care, closed youth care or another legal sanction over the past 12 months? (specify an option)
text
Code List
Has the patient been sentenced to prosecution, legal psychiatric care, closed youth care or another legal sanction over the past 12 months? (specify an option)
CL Item
Yes (1)
CL Item
No (2)
CL Item
No data available (3)
Item
If yes, state what the patient was convicted of:
integer
Code List
If yes, state what the patient was convicted of:
CL Item
Violent crime (1)
CL Item
Other crime (2)
CL Item
No data available (3)
Do you have a weapon license or otherwise access to weapons?
Item
Do you have a weapon license or otherwise access to weapons?
boolean
Assessed patient is currently inappropriate to hold arms and therefore reported to the police under Chapter 6. Section 6 of the Arms Act (1996: 67)
Item
Assessed patient is currently inappropriate to hold arms and therefore reported to the police under Chapter 6. Section 6 of the Arms Act (1996: 67)
boolean
If YES, report above to the police where the patient is registered in the public if it is not obvious that it is not necessary. See also National Board of Health and Welfare (SOSFS 2003: 18) (http://www.sos.se/sosfs/2003_18/2003_18.htm).
Item
If YES, report above to the police where the patient is registered in the public if it is not obvious that it is not necessary. See also National Board of Health and Welfare (SOSFS 2003: 18) (http://www.sos.se/sosfs/2003_18/2003_18.htm).
text
Item
Has the patient ever done self-harmful action without suicide?
integer
Code List
Has the patient ever done self-harmful action without suicide?
CL Item
No, has not occurred (1)
CL Item
Yes, on occasional occasions (2)
CL Item
Yes, repeat for one or more periods (3)
CL Item
Data missing, insufficient information (4)
Item
If yes, on occasional occasions OR Yes, recurring for one or more periods, the patient has in the past 12months done any self-harmful action without suicide?
integer
Code List
If yes, on occasional occasions OR Yes, recurring for one or more periods, the patient has in the past 12months done any self-harmful action without suicide?
CL Item
No (0 days) (1)
CL Item
Yes, for 1-5 days (2)
CL Item
Yes, for 6-25 days (3)
CL Item
Yes, for 26-50 days (4)
CL Item
Yes, for 51-100 days (5)
CL Item
Yes, for 101-365 days (6)
CL Item
Data missing, insufficient information (7)
Item
Has the patient ever done any suicide attempt? *
integer
Code List
Has the patient ever done any suicide attempt? *
CL Item
No (1)
CL Item
1-2 times (2)
CL Item
3 or more times (3)
CL Item
Missing data, insufficient information (4)
Item
In 1-2 times OR 3 times or more, has the patient been suicidal in the last 12 months? *
integer
Code List
In 1-2 times OR 3 times or more, has the patient been suicidal in the last 12 months? *
CL Item
No (1)
CL Item
1-2 times (2)
CL Item
3 times or more (3)
CL Item
Missing data, insufficient information (4)
CL Item
No (1)
CL Item
Yes (2)
CL Item
No data available (3)
CL Item
No (1)
CL Item
yes (2)
CL Item
No data available (3)
CL Item
No (1)
CL Item
Yes (2)
CL Item
No data available (3)
CL Item
No (1)
CL Item
Yes (2)
CL Item
No data available (3)
CL Item
No (1)
CL Item
Yes (2)
CL Item
No data available (3)
CL Item
No (1)
CL Item
Yes (2)
CL Item
No data available (3)
CL Item
No (1)
CL Item
Yes (2)
CL Item
No data available (3)
CL Item
No (1)
CL Item
Yes (2)
CL Item
No data available (3)
CL Item
No (1)
CL Item
Yes (2)
CL Item
No data available (3)
CL Item
No (1)
CL Item
Yes (2)
CL Item
No data available (3)
CL Item
No (1)
CL Item
Yes (2)
CL Item
No data available (3)
CL Item
No (1)
CL Item
Yes (2)
CL Item
No data available (3)
Other
Item
Other
text
comment (if needed)
Item
comment (if needed)
text
CL Item
No (1)
CL Item
Yes (2)
Comment
Item
Comment
text
CL Item
No (1)
CL Item
Yes (2)
Comment
Item
Comment
text
Sexual
Item
Sexual
boolean
Age
Item
Age
integer
Comment
Item
Comment
text
Physical (abuse, not accidents)
Item
Physical (abuse, not accidents)
boolean
Age
Item
Age
integer
Comment
Item
Comment
text
Emotional
Item
Emotional
boolean
Age
Item
Age
integer
Comment
Item
Comment
text
Mobbing
Item
Mobbing
boolean
Age
Item
Age
integer
Comment
Item
Comment
text
Otherwise seriously psychic trauma
Item
Otherwise seriously psychic trauma
boolean
Age
Item
Age
integer
Comment
Item
Comment
text
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