ID
41997
Beskrivning
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)
Länk
http://www.psykiatriregister.se/dokumentarkiv/bipolar
Nyckelord
Versioner (2)
- 2017-11-24 2017-11-24 -
- 2021-03-15 2021-03-15 - Dr. rer. medic Philipp Neuhaus
Rättsinnehavare
psykiatriregister.se (BipoläR)
Uppladdad den
15 mars 2021
DOI
För en begäran logga in.
Licens
Creative Commons BY-NC-ND 3.0
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Bipolar Affective Disorder (BipoläR) Swedish National Quality Registry
Anamnesis
- StudyEvent: ODM
Beskrivning
Medical History
Alias
- UMLS CUI-1
- C0262926
Beskrivning
Investigator
Datatyp
text
Alias
- UMLS CUI [1]
- C2826892
Beskrivning
Date of Medical History Taking
Datatyp
date
Måttenheter
- yyyy-mm-dd
Alias
- UMLS CUI [1,1]
- C0025084
- UMLS CUI [1,2]
- C0011008
Beskrivning
Actual Medical History
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0262926
- UMLS CUI [1,2]
- C0237400
Beskrivning
Referral
Datatyp
text
Alias
- UMLS CUI [1]
- C0034927
Beskrivning
Comment
Datatyp
text
Alias
- UMLS CUI [1]
- C0947611
Beskrivning
Social Anamnesis
Alias
- UMLS CUI-1
- C0424945
Beskrivning
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.
Datatyp
text
Alias
- UMLS CUI [1]
- C0242271
Beskrivning
Determine the number of affective episodes.
Alias
- UMLS CUI-1
- C1386525
Beskrivning
Manic, hypomanic, depressive and mixed episodes separated by 4 weeks eutymi or episode of opposite polarity. Estimate the number when in doubt.
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0349217
Beskrivning
Manic, hypomanic, depressive and mixed episodes separated by 4 weeks eutymi or episode of opposite polarity. Estimate the number when in doubt.
Datatyp
float
Alias
- UMLS CUI [1,1]
- C0349217
- UMLS CUI [1,2]
- C4086638
Beskrivning
Manic, hypomanic, depressive and mixed episodes separated by 4 weeks eutymi or episode of opposite polarity. Estimate the number when in doubt.
Datatyp
boolean
Alias
- UMLS CUI [1]
- C1396834
Beskrivning
Manic, hypomanic, depressive and mixed episodes separated by 4 weeks eutymi or episode of opposite polarity. Estimate the number when in doubt.
Datatyp
float
Alias
- UMLS CUI [1,1]
- C1396834
- UMLS CUI [1,2]
- C4086638
Beskrivning
Manic, hypomanic, depressive and mixed episodes separated by 4 weeks eutymi or episode of opposite polarity. Estimate the number when in doubt.
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0349208
Beskrivning
Manic, hypomanic, depressive and mixed episodes separated by 4 weeks eutymi or episode of opposite polarity. Estimate the number when in doubt.
Datatyp
float
Alias
- UMLS CUI [1,1]
- C0349208
- UMLS CUI [1,2]
- C4086638
Beskrivning
Manic, hypomanic, depressive and mixed episodes separated by 4 weeks eutymi or episode of opposite polarity. Estimate the number when in doubt.
Datatyp
boolean
Alias
- UMLS CUI [1]
- C4290107
Beskrivning
Manic, hypomanic, depressive and mixed episodes separated by 4 weeks eutymi or episode of opposite polarity. Estimate the number when in doubt.
Datatyp
float
Alias
- UMLS CUI [1,1]
- C4290107
- UMLS CUI [1,2]
- C4086638
Beskrivning
Summarize the weeks for all verified affective episodes during the year. Give an approximate value in case of doubt.
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C1386525
- UMLS CUI [1,2]
- C0449238
Beskrivning
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.
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0040223
- UMLS CUI [1,2]
- C0332288
- UMLS CUI [1,3]
- C1386525
Beskrivning
Self-Injurious Behavior
Alias
- UMLS CUI-1
- C0085271
Beskrivning
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).
Datatyp
text
Alias
- UMLS CUI [1]
- C3641595
Beskrivning
One Answer only.
Datatyp
text
Alias
- UMLS CUI [1,1]
- C3641595
- UMLS CUI [1,2]
- C0439228
Beskrivning
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).
Datatyp
text
Alias
- UMLS CUI [1]
- C0038663
Beskrivning
One Answer only.
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0038663
- UMLS CUI [1,2]
- C0750480
Beskrivning
Treatment History
Alias
- UMLS CUI-1
- C0814462
Beskrivning
Treatment for bipolar disorder
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0005586
- UMLS CUI [1,2]
- C0087111
Beskrivning
- 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)
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0005586
- UMLS CUI [1,2]
- C0087111
- UMLS CUI [1,3]
- C2348235
Beskrivning
Treatment for bipolar disorder: Time of Treatment
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0005586
- UMLS CUI [1,2]
- C0087111
- UMLS CUI [1,3]
- C2348792
Beskrivning
- 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)
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0005586
- UMLS CUI [1,2]
- C0087111
- UMLS CUI [1,3]
- C2348792
- UMLS CUI [1,4]
- C2348235
Beskrivning
Regardless of the number of times in a treatment series. ECT = Electroconvulsive Treatment (KVÅ codes DA006, DA024 and DA025)
Datatyp
text
Alias
- UMLS CUI [1]
- C0013806
Beskrivning
Electroconvulsive Therapy: Number
Datatyp
float
Alias
- UMLS CUI [1,1]
- C0013806
- UMLS CUI [1,2]
- C0449788
Beskrivning
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.
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0013806
- UMLS CUI [1,2]
- C1547647
Beskrivning
Electroconvulsive Therapy: Last Treatment
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0013806
- UMLS CUI [1,2]
- C1517741
- UMLS CUI [1,3]
- C2745955
Beskrivning
Ongoing Pharmacotherapy
Alias
- UMLS CUI-1
- C0013216
- UMLS CUI-2
- C0549178
Beskrivning
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.
Datatyp
text
Alias
- UMLS CUI [1]
- C1533054
Beskrivning
Several answers are possible.
Datatyp
text
Alias
- UMLS CUI [1,1]
- C1533054
- UMLS CUI [1,2]
- C2348235
Beskrivning
Lithium Therapy: Start Date
Datatyp
date
Måttenheter
- yyyy
Alias
- UMLS CUI [1,1]
- C3540800
- UMLS CUI [1,2]
- C3173309
Beskrivning
(decimal with one decimal place)
Datatyp
float
Måttenheter
- mmol/L
Alias
- UMLS CUI [1]
- C0337452
Beskrivning
Renal Function
Datatyp
text
Alias
- UMLS CUI [1]
- C0232804
Beskrivning
Creatinine
Datatyp
integer
Måttenheter
- μmol/L
Beskrivning
Cystatin C
Datatyp
float
Måttenheter
- mg/L
Alias
- UMLS CUI [1]
- C1619716
Beskrivning
Iohexol Clearance
Datatyp
integer
Måttenheter
- mL/min/1,73 m2
Alias
- UMLS CUI [1,1]
- C0017654
- UMLS CUI [1,2]
- C0022005
Beskrivning
Renal Function Test
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0232804
- UMLS CUI [1,2]
- C0022885
Beskrivning
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.
Datatyp
text
Alias
- UMLS CUI [1]
- C0040615
Beskrivning
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
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0040615
- UMLS CUI [1,2]
- C2348235
Beskrivning
Antidepressive Agents
Datatyp
text
Alias
- UMLS CUI [1]
- C0003289
Beskrivning
Antidepressive Agents: Specification
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0003289
- UMLS CUI [1,2]
- C2348235
Beskrivning
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.
Datatyp
text
Alias
- UMLS CUI [1,1]
- C1263846
- UMLS CUI [1,2]
- C0013216
Beskrivning
Several answers are possible.
Datatyp
text
Alias
- UMLS CUI [1,1]
- C1263846
- UMLS CUI [1,2]
- C0013216
- UMLS CUI [1,3]
- C2348235
Beskrivning
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.
Datatyp
text
Alias
- UMLS CUI [1]
- C0005064
Beskrivning
Levothyroxine
Datatyp
text
Alias
- UMLS CUI [1]
- C1881373
Beskrivning
Adverse reaction to drug
Datatyp
text
Alias
- UMLS CUI [1]
- C0041755
Beskrivning
Adverse reaction to drug: Preparation
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0041755
- UMLS CUI [1,2]
- C1521827
Beskrivning
Adverse reaction to drug: Specification
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0041755
- UMLS CUI [1,2]
- C2348235
Beskrivning
Somatic Factors
Alias
- UMLS CUI-1
- C2986476
Beskrivning
Includes diagnosed states, suspected conditions investigated (even if diagnosis is not yet established) as well as complicating circumstances.
Datatyp
text
Alias
- UMLS CUI [1]
- C2986476
Beskrivning
Several answers are possible.
Datatyp
text
Beskrivning
Somatic Factors: Others
Datatyp
text
Alias
- UMLS CUI [1,1]
- C2986476
- UMLS CUI [1,2]
- C0205394
Beskrivning
HbA1c
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0019018
Beskrivning
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.
Datatyp
integer
Måttenheter
- mmol/mol
Alias
- UMLS CUI [1,1]
- C0019018
- UMLS CUI [1,2]
- C0587081
Beskrivning
Systolic Blood Pressure
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0871470
Beskrivning
Systolic blood pressure, upper pressure (mm Hg) registered in sitting after at least two minutes rest (recommendation).
Datatyp
integer
Måttenheter
- mmHg
Alias
- UMLS CUI [1,1]
- C0871470
- UMLS CUI [1,2]
- C0587081
Beskrivning
Diastolic Blood Pressure
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0428883
Beskrivning
Diastolic blood pressure, lower pressure (mm Hg) recorded in sitting after at least two minutes rest (recommendation).
Datatyp
integer
Måttenheter
- mmHg
Alias
- UMLS CUI [1,1]
- C0428883
- UMLS CUI [1,2]
- C0587081
Beskrivning
Body Weight
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0005910
Beskrivning
Weight = kg, without outerwear, jacket and shoes. (Decimal by one decimal place)
Datatyp
float
Måttenheter
- kg
Beskrivning
Body Height
Datatyp
boolean
Alias
- UMLS CUI [1]
- C0005890
Beskrivning
Length = cm, without shoes.
Datatyp
integer
Måttenheter
- cm
Alias
- UMLS CUI [1,1]
- C0005890
- UMLS CUI [1,2]
- C0587081
Beskrivning
Substance Use Disorders
Alias
- UMLS CUI-1
- C0038586
Beskrivning
Nicotine
Datatyp
text
Alias
- UMLS CUI [1]
- C0376384
Beskrivning
By nicotine replacement, nicotine patches and nicotine gum. Several responses can be specified.
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0376384
- UMLS CUI [1,2]
- C2348235
Beskrivning
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.
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0001948
- UMLS CUI [1,2]
- C0439603
Beskrivning
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.
Datatyp
integer
Alias
- UMLS CUI [1]
- C0560578
Beskrivning
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.
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0001948
- UMLS CUI [1,2]
- C0442802
Beskrivning
(0 - 12 points)
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0001948
- UMLS CUI [1,2]
- C0449820
Beskrivning
Psychiatric comorbidity - Based on clinical interview, MINI interview or other instruments:
Alias
- UMLS CUI-1
- C0004936
Beskrivning
Psychiatric comorbidity
Datatyp
text
Alias
- UMLS CUI [1]
- C0004936
Beskrivning
Several answers are possible.
Datatyp
text
Alias
- UMLS CUI [1,1]
- C0004936
- UMLS CUI [1,2]
- C2348235
Beskrivning
One answer only.
Datatyp
text
Alias
- UMLS CUI [1]
- C0041671
Beskrivning
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.
Datatyp
text
Alias
- UMLS CUI [1]
- C0038586
Beskrivning
Global Assessment of Functioning
Beskrivning
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)
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0017644
- UMLS CUI [1,2]
- C0814554
Beskrivning
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)
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0017644
- UMLS CUI [1,2]
- C0004936
Beskrivning
(The question is answered if the patient is 20 years and younger) One answer only.
Datatyp
text
Alias
- UMLS CUI [1]
- C0450973
Beskrivning
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)
Datatyp
integer
Alias
- UMLS CUI [1]
- C3472495
Beskrivning
(0 - 100)
Datatyp
integer
Alias
- UMLS CUI [1]
- C0017644
Beskrivning
(0 - 100)
Datatyp
integer
Alias
- UMLS CUI [1,1]
- C0017644
- UMLS CUI [1,2]
- C1457887
Beskrivning
CGI-S (Clinical Global Impression - Severity, Overall Clinical Impression of Disease Severity) * * Mandatory
Alias
- UMLS CUI-1
- C3639708
Beskrivning
One answer only.
Datatyp
text
Alias
- UMLS CUI [1,1]
- C3639708
- UMLS CUI [1,2]
- C0024713
Beskrivning
One answer only.
Datatyp
text
Alias
- UMLS CUI [1,1]
- C3639708
- UMLS CUI [1,2]
- C0011581
Beskrivning
Clinical Global Impression
Datatyp
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])