ID
41997
Beschrijving
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 (version 3)
Link
http://www.psykiatriregister.se/dokumentarkiv/bipolar
Trefwoorden
Versies (2)
- 24-11-17 24-11-17 -
- 15-03-21 15-03-21 - Dr. rer. medic Philipp Neuhaus
Houder van rechten
psykiatriregister.se (BipoläR)
Geüploaded op
15 maart 2021
DOI
Voor een aanvraag inloggen.
Licentie
Creative Commons BY-NC-ND 3.0
Model Commentaren :
Hier kunt u commentaar leveren op het model. U kunt de tekstballonnen bij de itemgroepen en items gebruiken om er specifiek commentaar op te geven.
Itemgroep Commentaren voor :
Item Commentaren voor :
U moet ingelogd zijn om formulieren te downloaden. AUB inloggen of schrijf u gratis in.
Bipolar Affective Disorder (BipoläR) Swedish National Quality Registry
Anamnesis
- StudyEvent: ODM
Beschrijving
Medical History
Alias
- UMLS CUI-1
- C0262926
Beschrijving
Investigator
Datatype
text
Alias
- UMLS CUI [1]
- C2826892
Beschrijving
Date of Medical History Taking
Datatype
date
Maateenheden
- yyyy-mm-dd
Alias
- UMLS CUI [1,1]
- C0025084
- UMLS CUI [1,2]
- C0011008
Beschrijving
Actual Medical History
Datatype
text
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C0237400
Beschrijving
Referral
Datatype
text
Alias
- UMLS CUI [1]
- C0034927
Beschrijving
Comment
Datatype
text
Alias
- UMLS CUI [1]
- C0947611
Beschrijving
Social Anamnesis
Alias
- UMLS CUI-1
- C0424945
Beschrijving
The question relates to the main situation in the last year. If one of the patient's occupations exceeds 75 percent, only one option is indicated. If none of the patient's occupations exceeds 75 percent, two (2) alternatives may be specified. Several responses are possible.
Datatype
text
Alias
- UMLS CUI [1]
- C0242271
Beschrijving
Determine the number of affective episodes.
Alias
- UMLS CUI-1
- C1386525
Beschrijving
Manic, hypomanic, depressive and mixed episodes separated by 4 weeks eutymi or episode of opposite polarity. Estimate the number when in doubt.
Datatype
boolean
Alias
- UMLS CUI [1]
- C0349217
Beschrijving
Manic, hypomanic, depressive and mixed episodes separated by 4 weeks eutymi or episode of opposite polarity. Estimate the number when in doubt.
Datatype
float
Alias
- UMLS CUI [1,1]
- C0349217
- UMLS CUI [1,2]
- C4086638
Beschrijving
Manic, hypomanic, depressive and mixed episodes separated by 4 weeks eutymi or episode of opposite polarity. Estimate the number when in doubt.
Datatype
boolean
Alias
- UMLS CUI [1]
- C1396834
Beschrijving
Manic, hypomanic, depressive and mixed episodes separated by 4 weeks eutymi or episode of opposite polarity. Estimate the number when in doubt.
Datatype
float
Alias
- UMLS CUI [1,1]
- C1396834
- UMLS CUI [1,2]
- C4086638
Beschrijving
Manic, hypomanic, depressive and mixed episodes separated by 4 weeks eutymi or episode of opposite polarity. Estimate the number when in doubt.
Datatype
boolean
Alias
- UMLS CUI [1]
- C0349208
Beschrijving
Manic, hypomanic, depressive and mixed episodes separated by 4 weeks eutymi or episode of opposite polarity. Estimate the number when in doubt.
Datatype
float
Alias
- UMLS CUI [1,1]
- C0349208
- UMLS CUI [1,2]
- C4086638
Beschrijving
Manic, hypomanic, depressive and mixed episodes separated by 4 weeks eutymi or episode of opposite polarity. Estimate the number when in doubt.
Datatype
boolean
Alias
- UMLS CUI [1]
- C4290107
Beschrijving
Manic, hypomanic, depressive and mixed episodes separated by 4 weeks eutymi or episode of opposite polarity. Estimate the number when in doubt.
Datatype
float
Alias
- UMLS CUI [1,1]
- C4290107
- UMLS CUI [1,2]
- C4086638
Beschrijving
Summarize the weeks for all verified affective episodes during the year. Give an approximate value in case of doubt.
Datatype
integer
Alias
- UMLS CUI [1,1]
- C1386525
- UMLS CUI [1,2]
- C0449238
Beschrijving
Complete remission = no significant signs or symptoms of bipolar affective episodes. Without complete remission between relapses = not completely symptom free but with symptoms of bipolar affective episodes that do not fully meet the criteria. One answer can be given.
Datatype
text
Alias
- UMLS CUI [1,1]
- C0040223
- UMLS CUI [1,2]
- C0332288
- UMLS CUI [1,3]
- C1386525
Beschrijving
Self-Injurious Behavior
Alias
- UMLS CUI-1
- C0085271
Beschrijving
Self-harmful action refers to the intentionally inflicting bodily injury without suicidal insight (eg by biting, headache, scratching, tearing, cutting, drowning of the body, ingestion of inedible substances and fluids, taking out of medication beyond ordination, dose poisoning with apparently non-lethal dosage or by burning).
Datatype
text
Alias
- UMLS CUI [1]
- C3641595
Beschrijving
One Answer only.
Datatype
text
Alias
- UMLS CUI [1,1]
- C3641595
- UMLS CUI [1,2]
- C0439228
Beschrijving
Suicide attempts are meant to be life-threatening or apparently life-threatening behavior, in order to put their lives at stake or to express such an intention but do not lead to death (eg severe tablet poisoning, drowning, shooting, hanging / tightening).
Datatype
text
Alias
- UMLS CUI [1]
- C0038663
Beschrijving
One Answer only.
Datatype
text
Alias
- UMLS CUI [1,1]
- C0038663
- UMLS CUI [1,2]
- C0750480
Beschrijving
Treatment History
Alias
- UMLS CUI-1
- C0814462
Beschrijving
Treatment for bipolar disorder
Datatype
text
Alias
- UMLS CUI [1,1]
- C0005586
- UMLS CUI [1,2]
- C0087111
Beschrijving
- Patient education for bipolar disorder (educational initiative that follows a predefined education program comprising a number of training courses where the content aims to provide increased knowledge about disease and treatment, strategies to handle everyday symptoms and opportunity for exchange of experience) - Systematic psychological treatment (eg psychodynamic, dialectic-behavioral, interpersonal, cognitive or cognitive behavioral therapeutic treatment) - Neuropsychological investigation (investigation with standardized tests that measure cognitive functions as attention, memory function, concentration ability, learning ability)
Datatype
text
Alias
- UMLS CUI [1,1]
- C0005586
- UMLS CUI [1,2]
- C0087111
- UMLS CUI [1,3]
- C2348235
Beschrijving
Treatment for bipolar disorder: Time of Treatment
Datatype
text
Alias
- UMLS CUI [1,1]
- C0005586
- UMLS CUI [1,2]
- C0087111
- UMLS CUI [1,3]
- C2348792
Beschrijving
- Patient education for bipolar disorder (educational initiative that follows a predefined education program comprising a number of training courses where the content aims to provide increased knowledge about disease and treatment, strategies to handle everyday symptoms and opportunity for exchange of experience) - Systematic psychological treatment (eg psychodynamic, dialectic-behavioral, interpersonal, cognitive or cognitive behavioral therapeutic treatment) - Neuropsychological investigation (investigation with standardized tests that measure cognitive functions as attention, memory function, concentration ability, learning ability)
Datatype
text
Alias
- UMLS CUI [1,1]
- C0005586
- UMLS CUI [1,2]
- C0087111
- UMLS CUI [1,3]
- C2348792
- UMLS CUI [1,4]
- C2348235
Beschrijving
Regardless of the number of times in a treatment series. ECT = Electroconvulsive Treatment (KVÅ codes DA006, DA024 and DA025)
Datatype
text
Alias
- UMLS CUI [1]
- C0013806
Beschrijving
Electroconvulsive Therapy: Number
Datatype
float
Alias
- UMLS CUI [1,1]
- C0013806
- UMLS CUI [1,2]
- C0449788
Beschrijving
Estimate the treatment effect according to CGI-I. Compared with the patient's condition before treatment, how much has he / she changed? Circle the appropriate option.
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0013806
- UMLS CUI [1,2]
- C1547647
Beschrijving
Electroconvulsive Therapy: Last Treatment
Datatype
text
Alias
- UMLS CUI [1,1]
- C0013806
- UMLS CUI [1,2]
- C1517741
- UMLS CUI [1,3]
- C2745955
Beschrijving
Ongoing Pharmacotherapy
Alias
- UMLS CUI-1
- C0013216
- UMLS CUI-2
- C0549178
Beschrijving
Refers to ongoing drug treatment and includes Karbamazepine, Clonazepam, Lamotrigine, Lithium, Oxcarbazepine, Quetiapine, Topiramate, Valproate, and other mood stabilizing drugs. One answer can be given.
Datatype
text
Alias
- UMLS CUI [1]
- C1533054
Beschrijving
Several answers are possible.
Datatype
text
Alias
- UMLS CUI [1,1]
- C1533054
- UMLS CUI [1,2]
- C2348235
Beschrijving
Lithium Therapy: Start Date
Datatype
date
Maateenheden
- yyyy
Alias
- UMLS CUI [1,1]
- C3540800
- UMLS CUI [1,2]
- C3173309
Beschrijving
(decimal with one decimal place)
Datatype
float
Maateenheden
- mmol/L
Alias
- UMLS CUI [1]
- C0337452
Beschrijving
Renal Function
Datatype
text
Alias
- UMLS CUI [1]
- C0232804
Beschrijving
Creatinine
Datatype
integer
Maateenheden
- μmol/L
Beschrijving
Cystatin C
Datatype
float
Maateenheden
- mg/L
Alias
- UMLS CUI [1]
- C1619716
Beschrijving
Iohexol Clearance
Datatype
integer
Maateenheden
- mL/min/1,73 m2
Alias
- UMLS CUI [1,1]
- C0017654
- UMLS CUI [1,2]
- C0022005
Beschrijving
Renal Function Test
Datatype
text
Alias
- UMLS CUI [1,1]
- C0232804
- UMLS CUI [1,2]
- C0022885
Beschrijving
Refers to ongoing drug treatment including Alimemazine, Aripiprazole, Dixyrazine, Flufenazine, Flupentixol, Haloperidol, Chlorpromazine, Kloprotixen, Klozapine, Levomepromazine, Melperon, Olanzapine, Paliperidone, Perfenazine, Pimozide, Quetiapine, Risperidone, Sertindole, Sulpiride, Tioridazine, Ziprasidone, Zuclopentixol, Ev other antipsychotic drug.
Datatype
text
Alias
- UMLS CUI [1]
- C0040615
Beschrijving
Examples of typical antipsychotic drugs: Dixyrazine, Flufenazine, Haloperidol, Chlorpromazine, Chlorprotixen, Levomepromazine, Perfenazine, Tioridazine. Examples of atypical antipsychotic drugs: Aripiprazole, Klozapine, Risperidone, Olanzapine, Quetiapine, Paliperidone, Sertindole, Ziprasidone. Several response options can be specified
Datatype
text
Alias
- UMLS CUI [1,1]
- C0040615
- UMLS CUI [1,2]
- C2348235
Beschrijving
Antidepressive Agents
Datatype
text
Alias
- UMLS CUI [1]
- C0003289
Beschrijving
Antidepressive Agents: Specification
Datatype
text
Alias
- UMLS CUI [1,1]
- C0003289
- UMLS CUI [1,2]
- C2348235
Beschrijving
Refers to ongoing drug treatment and includes Atomoxetine, central stimulant, and any other drug against ADHD. By central stimulant medicine is meant e.g. methylphenidate, dexamethetamine, modafinil, but not atomoxetine. One answer can be given.
Datatype
text
Alias
- UMLS CUI [1,1]
- C1263846
- UMLS CUI [1,2]
- C0013216
Beschrijving
Several answers are possible.
Datatype
text
Alias
- UMLS CUI [1,1]
- C1263846
- UMLS CUI [1,2]
- C0013216
- UMLS CUI [1,3]
- C2348235
Beschrijving
Refers to ongoing drug treatment and includes Alprazolam, Buspiron, Diazepam, Flunitrazepam, Hydroxizin, Lorazepam, Klometiazole, Nitrazepam, Oxazepam, Pregabalin, Prometazin, Propiomazine, Propranolol, Triazolam, Valeriana, Zaleplon, Zolpidem, Zopiclone, and other benzodiazepine-like drugs.
Datatype
text
Alias
- UMLS CUI [1]
- C0005064
Beschrijving
Levothyroxine
Datatype
text
Alias
- UMLS CUI [1]
- C1881373
Beschrijving
Adverse reaction to drug
Datatype
text
Alias
- UMLS CUI [1]
- C0041755
Beschrijving
Adverse reaction to drug: Preparation
Datatype
text
Alias
- UMLS CUI [1,1]
- C0041755
- UMLS CUI [1,2]
- C1521827
Beschrijving
Adverse reaction to drug: Specification
Datatype
text
Alias
- UMLS CUI [1,1]
- C0041755
- UMLS CUI [1,2]
- C2348235
Beschrijving
Somatic Factors
Alias
- UMLS CUI-1
- C2986476
Beschrijving
Includes diagnosed states, suspected conditions investigated (even if diagnosis is not yet established) as well as complicating circumstances.
Datatype
text
Alias
- UMLS CUI [1]
- C2986476
Beschrijving
Several answers are possible.
Datatype
text
Beschrijving
Somatic Factors: Others
Datatype
text
Alias
- UMLS CUI [1,1]
- C2986476
- UMLS CUI [1,2]
- C0205394
Beschrijving
HbA1c
Datatype
boolean
Alias
- UMLS CUI [1]
- C0019018
Beschrijving
HbA1c = "long-term measure" of glucose levels (blood sugar). The HbA1c level reflects the average P-Glucose level below the last 6-8 weeks before sampling. The answer is given in integers.
Datatype
integer
Maateenheden
- mmol/mol
Alias
- UMLS CUI [1,1]
- C0019018
- UMLS CUI [1,2]
- C0587081
Beschrijving
Systolic Blood Pressure
Datatype
boolean
Alias
- UMLS CUI [1]
- C0871470
Beschrijving
Systolic blood pressure, upper pressure (mm Hg) registered in sitting after at least two minutes rest (recommendation).
Datatype
integer
Maateenheden
- mmHg
Alias
- UMLS CUI [1,1]
- C0871470
- UMLS CUI [1,2]
- C0587081
Beschrijving
Diastolic Blood Pressure
Datatype
boolean
Alias
- UMLS CUI [1]
- C0428883
Beschrijving
Diastolic blood pressure, lower pressure (mm Hg) recorded in sitting after at least two minutes rest (recommendation).
Datatype
integer
Maateenheden
- mmHg
Alias
- UMLS CUI [1,1]
- C0428883
- UMLS CUI [1,2]
- C0587081
Beschrijving
Body Weight
Datatype
boolean
Alias
- UMLS CUI [1]
- C0005910
Beschrijving
Weight = kg, without outerwear, jacket and shoes. (Decimal by one decimal place)
Datatype
float
Maateenheden
- kg
Beschrijving
Body Height
Datatype
boolean
Alias
- UMLS CUI [1]
- C0005890
Beschrijving
Length = cm, without shoes.
Datatype
integer
Maateenheden
- cm
Alias
- UMLS CUI [1,1]
- C0005890
- UMLS CUI [1,2]
- C0587081
Beschrijving
Substance Use Disorders
Alias
- UMLS CUI-1
- C0038586
Beschrijving
Nicotine
Datatype
text
Alias
- UMLS CUI [1]
- C0376384
Beschrijving
By nicotine replacement, nicotine patches and nicotine gum. Several responses can be specified.
Datatype
text
Alias
- UMLS CUI [1,1]
- C0376384
- UMLS CUI [1,2]
- C2348235
Beschrijving
AUDIT C are the first three questions of the AUDIT. Score: 0-12 Risk Use ≥ 4 points (man), ≥ 3 points (female). A glass is defined as one of the following: 45 cl beer, 33 cl beer, 15 cl of wine, fortified wine Cl 8, 4 cl liquor.
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0001948
- UMLS CUI [1,2]
- C0439603
Beschrijving
AUDIT C are the first three questions of the AUDIT. Score: 0-12 Risk Use ≥ 4 points (man), ≥ 3 points (female). A glass is defined as one of the following: 45 cl beer, 33 cl beer, 15 cl of wine, fortified wine Cl 8, 4 cl liquor.
Datatype
integer
Alias
- UMLS CUI [1]
- C0560578
Beschrijving
AUDIT C are the first three questions of the AUDIT. Score: 0-12 Risk Use ≥ 4 points (man), ≥ 3 points (female). A glass is defined as one of the following: 45 cl beer, 33 cl beer, 15 cl of wine, fortified wine Cl 8, 4 cl liquor.
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0001948
- UMLS CUI [1,2]
- C0442802
Beschrijving
(0 - 12 points)
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0001948
- UMLS CUI [1,2]
- C0449820
Beschrijving
Psychiatric comorbidity - Based on clinical interview, MINI interview or other instruments:
Alias
- UMLS CUI-1
- C0004936
Beschrijving
Psychiatric comorbidity
Datatype
text
Alias
- UMLS CUI [1]
- C0004936
Beschrijving
Several answers are possible.
Datatype
text
Alias
- UMLS CUI [1,1]
- C0004936
- UMLS CUI [1,2]
- C2348235
Beschrijving
One answer only.
Datatype
text
Alias
- UMLS CUI [1]
- C0041671
Beschrijving
Substance abuse refers to malicious use and / or addiction. Combination (F19.1 / F19.2) is applied when it is known that two or more psychoactive substances have been used but when it is impossible to determine which one contributed most to the disturbance. The category should be used as well when one or more of the substances are unknown or can not be accurately identified. Several answers are possible.
Datatype
text
Alias
- UMLS CUI [1]
- C0038586
Beschrijving
Global Assessment of Functioning
Beschrijving
The question is answered if the patient is 21 years of age or older. The GAF scale is a global functional assessment scale for estimating psychological, social and professional functionalities. Instruction: Note that the value 0 (insufficient information) should always be stated when it is estimated that there is no basis for a clinically relevant assessment on the part scale. This may be the case when the symptom source makes the assessment of the level of functioning too uncertain or when the assessment is made in circumstances that are not representative or adequate as a basis for a functional assessment, e.g. when the patient is in closed care. (0 - 100)
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0017644
- UMLS CUI [1,2]
- C0814554
Beschrijving
The question is answered if the patient is 21 years of age or older. The GAF scale is a global function estimation scale for estimating psychological, social and professional functioning. Instruction: Note that the value 0 (insufficient information) should always be is stated when it is estimated that no clinical data can be obtained relevant estimation on the part scale. This can for example be the case when it is difficult to communicate with the patient that the symptom source can not clarified. (0 - 100)
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0017644
- UMLS CUI [1,2]
- C0004936
Beschrijving
(The question is answered if the patient is 20 years and younger) One answer only.
Datatype
text
Alias
- UMLS CUI [1]
- C0450973
Beschrijving
Estimate the person's most impaired overall functional level during the specified time period by selecting the lowest level describing his / her functioning on a hypothetical continuum of health / illness. Also use intermediate levels (eg 35, 58, 62). The value "0" = insufficient information to be able to tax. C-GAS = Children's Global Assessment Scale. (0 - 100)
Datatype
integer
Alias
- UMLS CUI [1]
- C3472495
Beschrijving
(0 - 100)
Datatype
integer
Alias
- UMLS CUI [1]
- C0017644
Beschrijving
(0 - 100)
Datatype
integer
Alias
- UMLS CUI [1,1]
- C0017644
- UMLS CUI [1,2]
- C1457887
Beschrijving
CGI-S (Clinical Global Impression - Severity, Overall Clinical Impression of Disease Severity) * * Mandatory
Alias
- UMLS CUI-1
- C3639708
Beschrijving
One answer only.
Datatype
text
Alias
- UMLS CUI [1,1]
- C3639708
- UMLS CUI [1,2]
- C0024713
Beschrijving
One answer only.
Datatype
text
Alias
- UMLS CUI [1,1]
- C3639708
- UMLS CUI [1,2]
- C0011581
Beschrijving
Clinical Global Impression
Datatype
text
Alias
- UMLS CUI [1]
- C3639708
Similar models
Anamnesis
- StudyEvent: ODM
C0600091 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,2])
C0237400 (UMLS CUI [1,2])
C4086638 (UMLS CUI [1,2])
C4086638 (UMLS CUI [1,2])
C4086638 (UMLS CUI [1,2])
C4086638 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,2])
C0332288 (UMLS CUI [1,2])
C1386525 (UMLS CUI [1,3])
C0439228 (UMLS CUI [1,2])
C0750480 (UMLS CUI [1,2])
C0087111 (UMLS CUI [1,2])
C0087111 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
C0087111 (UMLS CUI [1,2])
C2348792 (UMLS CUI [1,3])
C0087111 (UMLS CUI [1,2])
C2348792 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
C0449788 (UMLS CUI [1,2])
C1547647 (UMLS CUI [1,2])
C1517741 (UMLS CUI [1,2])
C2745955 (UMLS CUI [1,3])
C0549178 (UMLS CUI-2)
C2348235 (UMLS CUI [1,2])
C3173309 (UMLS CUI [1,2])
C0022005 (UMLS CUI [1,2])
C0022885 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,2])
C0013216 (UMLS CUI [1,2])
C0013216 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
C1521827 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,2])
C0587081 (UMLS CUI [1,2])
C0587081 (UMLS CUI [1,2])
C0587081 (UMLS CUI [1,2])
C0587081 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,2])
C0439603 (UMLS CUI [1,2])
C0442802 (UMLS CUI [1,2])
C0449820 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,2])
C0814554 (UMLS CUI [1,2])
C0004936 (UMLS CUI [1,2])
C1457887 (UMLS CUI [1,2])
C0024713 (UMLS CUI [1,2])
C0011581 (UMLS CUI [1,2])