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PHI stands for "Protected Health Information" (Y = Yes, N = No)
Display Field Phi Field type Condition choices Field note Header
<h6 style="color:#8B0000">HAMD 17 Score</h6> hamd_17_score N calc sum([hamd_1] , [hamd_2] , [hamd_3] , [hamd_4] , [hamd_5] , [hamd_6] , [hamd_7] , [hamd_8] , [hamd_9] , [hamd_10] , [hamd_11] , [hamd_12] , [hamd_13] , [hamd_14] , [hamd_15] , [hamd_16] , [hamd_17] ) - -
<h6 style="color:#8B0000">HAMD 21 Score</h6> hamd_21_score N calc if ( ( [hamd_1] = "NaN" ) OR ( [hamd_2] = "NaN") OR ( [hamd_3] = "NaN") OR ( [hamd_4] = "NaN") OR ( [hamd_5] = "NaN") OR ( [hamd_6] = "NaN") OR ( [hamd_7] = "NaN") OR ( [hamd_8] = "NaN") OR ( [hamd_9] = "NaN") OR ( [hamd_10] = "NaN") OR ( [hamd_11] = "NaN") OR ( [hamd_12] = "NaN") OR ( [hamd_13] = "NaN") OR ( [hamd_14] = "NaN") OR ( [hamd_15] = "NaN") OR ( [hamd_16] = "NaN") OR ( [hamd_17] = "NaN") OR ( [hamd_18a] = "NaN" AND [hamd_18b] = "NaN") OR ( [hamd_19] = "NaN") OR ( [hamd_20] = "NaN") OR ( [hamd_21] = "NaN") , "NaN", [hamd_1] + [hamd_2] + [hamd_3] + [hamd_4] + [hamd_5] + [hamd_6] + [hamd_7] + [hamd_8] + [hamd_9] + [hamd_10] + [hamd_11] + [hamd_12] + [hamd_13] + [hamd_14] + [hamd_15] + [hamd_16] + [hamd_17] + if([hamd_18a] > 0, [hamd_18b], 0) + [hamd_19] + [hamd_20] + [hamd_21] ) - -
<h6 style="color:#8B0000">HAMD Atypical Score</h6> hamd_atypical N calc sum([hamd_1a] , [hamd_2a] , [hamd_3a] , [hamd_4a] , [hamd_5a] , [hamd_6a] , [hamd_7a] , [hamd_8a] ) Based on the questions that were answered -
<h6 style="color:#8B0000">HAMD 17 + Atypical Score</h6> hamd_17_atypical N calc if ( ( [hamd_1] = "NaN" ) OR ( [hamd_2] = "NaN") OR ( [hamd_3] = "NaN") OR ( [hamd_4] = "NaN") OR ( [hamd_5] = "NaN") OR ( [hamd_6] = "NaN") OR ( [hamd_7] = "NaN") OR ( [hamd_8] = "NaN") OR ( [hamd_9] = "NaN") OR ( [hamd_10] = "NaN") OR ( [hamd_11] = "NaN") OR ( [hamd_12] = "NaN") OR ( [hamd_13] = "NaN") OR ( [hamd_14] = "NaN") OR ( [hamd_15] = "NaN") OR ( [hamd_16] = "NaN") OR ( [hamd_17] = "NaN") OR ( [hamd_1a] = "NaN") OR ( [hamd_2a] = "NaN") OR ( [hamd_3a] = "NaN") OR ( [hamd_4a] = "NaN") OR ( [hamd_5a] = "NaN") OR ( [hamd_6a] = "NaN") OR ( [hamd_7a] = "NaN") OR ( [hamd_8a] = "NaN"),"NaN", [hamd_1a] + [hamd_2a] + [hamd_3a] + [hamd_4a] + [hamd_5a] + [hamd_6a] + [hamd_7a] + [hamd_8a] + [hamd_17_score]) - -
<h6 style="color:#8B0000">HAMD 21 + Atypical Score</h6> hamd21_atypical N calc if ( ( [hamd_1] = "NaN" ) OR ( [hamd_2] = "NaN") OR ( [hamd_3] = "NaN") OR ( [hamd_4] = "NaN") OR ( [hamd_5] = "NaN") OR ( [hamd_6] = "NaN") OR ( [hamd_7] = "NaN") OR ( [hamd_8] = "NaN") OR ( [hamd_9] = "NaN") OR ( [hamd_10] = "NaN") OR ( [hamd_11] = "NaN") OR ( [hamd_12] = "NaN") OR ( [hamd_13] = "NaN") OR ( [hamd_14] = "NaN") OR ( [hamd_15] = "NaN") OR ( [hamd_16] = "NaN") OR ( [hamd_17] = "NaN") OR ( [hamd_18a] = "NaN" AND [hamd_18b] = "NaN") OR ( [hamd_19] = "NaN") OR ( [hamd_20] = "NaN") OR ( [hamd_21] = "NaN") OR ( [hamd_1a] = "NaN") OR ( [hamd_2a] = "NaN") OR ( [hamd_3a] = "NaN") OR ( [hamd_4a] = "NaN") OR ( [hamd_5a] = "NaN") OR ( [hamd_6a] = "NaN") OR ( [hamd_7a] = "NaN") OR ( [hamd_8a] = "NaN"), "NaN", [hamd_1] + [hamd_2] + [hamd_3] + [hamd_4] + [hamd_5] + [hamd_6] + [hamd_7] + [hamd_8] + [hamd_9] + [hamd_10] + [hamd_11] + [hamd_12] + [hamd_13] + [hamd_14] + [hamd_15] + [hamd_16] + [hamd_17] + if([hamd_18a] > 0, [hamd_18b],0) + [hamd_19] + [hamd_20] + [hamd_21] + [hamd_1a] + [hamd_2a] + [hamd_3a] + [hamd_4a] + [hamd_5a] + [hamd_6a] + [hamd_7a] + [hamd_8a] ) - -
<h6 style="color:#8B0000">HAMD 21: Count of questions that were unanswered</h6> hamd_17_score_missing N calc if([hamd_1]="",1,0)+ if([hamd_2]="",1,0)+ if([hamd_3]="",1,0)+ if([hamd_4]="",1,0)+ if([hamd_5]="",1,0)+ if([hamd_6]="",1,0)+ if([hamd_7]="",1,0)+ if([hamd_8]="",1,0)+ if([hamd_9]="",1,0)+ if([hamd_10]="",1,0)+ if([hamd_11]="",1,0)+ if([hamd_12]="",1,0)+ if([hamd_13]="",1,0)+ if([hamd_14]="",1,0)+ if([hamd_15]="",1,0)+ if([hamd_16]="",1,0)+ if([hamd_17]="",1,0)+ if(([hamd_18a] or [hamd_18b])=0,1,0)+ if([hamd_19]="",1,0)+ if([hamd_20]="",1,0)+ if([hamd_21]="",1,0) - -
<h6 style="color:#8B0000">HAMD Atypical: Count of questions that were unanswered</h6> hamd_atypical_missing N calc if([hamd_1a]="",1,0) + if([hamd_2a]="",1,0) + if([hamd_3a] ="",1,0) + if([hamd_4a] ="",1,0) + if([hamd_5a] ="",1,0) + if([hamd_6a] ="",1,0) + if([hamd_7a] ="",1,0) + if([hamd_8a] ="",1,0) - -
<u>GLOBAL DEPRESSION RATING</u> gdr N radio 0, 0 - Not Depressed | 1, 1 - Mildly Depressed | 2, 2 - Moderately Depressed | 3, 3 - Severely Depressed - -
<u>GLOBAL MANIA RATING</u> gmr N radio 0, 0 - Not Manic | 1, 1 - Mildly Hypomanic, Good Control | 2, 2 - Hypomanic, Moderate Control | 3, 3 - Manic, Little Or No Control - -
<u>1. DEPRESSED MOOD</u> <h6> Sadness, weeping, hopeless, gloomy, pessimistic, worthless. Severely depressed patients may "go beyond" weeping. In presence of severe retardation, judge by non-verbal behavior: faces, posture,weeping,voice</h6> hamd_1 N radio 0, 0 - Not Depressed | 1, 1 - Doubtful, Trivial. Behavioral evidence and feeling states elicited only on direct questioning | 2, 2 - Mild. Occasional weeping, feeling states spontaneously reported | 3, 3 - Moderate.Obvious behavioral evidence, frequent weeping. Feeling states comprise large part of spontaneous communication | 4, 4 - Severe. Exhibits virtually only these feeling states in spontaneous verbal and non-verbal communications. - -
<u>2. GUILT FEELINGS</u> <h6>Pathological guilt, not rationalizing self-blame</h6> hamd_2 N radio 0, 0 - Not Guilty | 1, 1 - Doubtful, Trivial. Self-Reproach, feels he/she has let people down | 2, 2 - Mild. Ideas of guilt spontaneously expressed, e.g., states that he/she is a bad person, does not deserve attention | 3, 3 - Moderate. Belief that illness might be a punishment. Ruminations of past errors and sins. States that illness and sufferings are deserved | 4, 4 - Severe. Guilt delusions. Accuses self of impossible or unlikely blame. Asks to be killed by staff because of delusional thoughts.May have accusing and denouncing auditory or visual hallucinations or convictions of imminent execution. May be convinced that his/her presence is making other patients ill - -
<u>3. SUICIDE</u> <h6>(Rate for feelings or behavior of the past week)</h6> hamd_3 N radio 0, 0 - Absent | 1, 1 - Doubtful, Trivial. In response to direct questioning says life is empty, not worth living. | 2, 2 - Mild. Recurrent thoughts of death. Wishes he/she were dead. Spontaneously given or elicited only by questioning. | 3, 3 - Moderate. Includes (2) together with active suicidal thoughts, or behavior indicative of same, e.g., isolation, attempting to leave ward. Suicide gesture or threats or discussions with other patients. | 4, 4 - Severe. Serious suicide attempts - -
<u>4. INITIAL INSOMNIA</u> <h6>Difficulty getting to sleep. As part of present illness, distinguish from habitual insomnia. Note whether hypnotics are used.</h6> hamd_4 N radio 0, 0 - Absent | 1, 1 - Mild, Trivial, Infrequent. Distinguish from habitual insomnia | 2, 2 - Obvious and Severe. More than 30 mins on most nights - -
<u>5. MIDDLE INSOMNIA</u> <h6>Restless and disturbed during the night, waking during the night.</h6> hamd_5 N radio 0, 0 - Absent. Rate 1 if hypnotics are being used | 1, 1 - Mild, Trivial, Infrequent. Complains of being restless and disturbed during night. If wakes to void, unable to return to sleep quickly. | 2, 2 - Obvious and Severe. Wakes once or more after being sleep and has difficulty sleeping again. Any getting out of bed (other than to void) rates 2 - -
<u>6. DELAYED INSOMNIA</u> <h6> Waking in early hours of the morning and unable to fall asleep again. Not often present without initial and/or middle insomnia.</h6> hamd_6 N radio 0, 0 - Absent | 1, 1 - Mild Infrequent. Wakes earlier than usual, but less than 60 min or infrequently over 60 mins. | 2, 2 - Wakes over 60 mins before the usual time and is unable to return to sleep. This must occur more than twice per week, or the patient scores one on this item. - -
<u>7. WORK AND INTEREST</u> <h6> Apathy; loss of pleasure and interest in work, hobbies, social activities, recreations, Inability to obtain satisfaction.</h6> hamd_7 N radio 0, 0 - No Disturbance | 1, 1 - Doubtful, Trivial. Feels incapable, listless, is less efficient. Distinguish from fatigue or loss of energy. | 2, 2 - Mild. Has to push him/herself to undertake normal activities. Loss of interest, sees no point, gets less satisfaction. | 3, 3 - Moderate. Clearly decreased efficiency. Gets less done, e.g., at work home and spends less time working, usual chores or recreations. In hospital rate 3 if patient does not engage in activities spontaneously. Marked loss of personal tidiness. | 4, 4 - Severe, Stopped working because of present illness. Does not shave, bathe, etc. Does not take part in ward activities even when urged. - -
<u>8. RETARDATION</u> <h6> Psychomotor. Slowing of thoughts, speech and movement. Often shows diurnal variation.</h6> hamd_8 N radio 0, 0 - Absent | 1, 1 - Mild. Slight flattening of affect, fixity of expression | 2, 2 - Moderate. Monotonous voice, delayed in answering questions | 3, 3 - Severe. Retardation prolongs interview to marked degree. Slowness of movement and gait, with diminished associated movement.Abnormal time to complete self ratings. | 4, 4 - Extreme. Depressed stupor. Interview impossible - -
<u>9. AGITATION</u> <h6> Psychomotor. In mild form can be present together with mild retardation. May also have motor agitation with verbal retardation. Often shows diurnal variation.</h6> hamd_9 N radio 0, 0 - Absent | 1, 1 - Mild. Fidgety at interview, clenching fists or side of chair, kicking feet | 2, 2 - Moderate. Wringing hands, biting lips, pulling hair, gesturing with arms, picking at hands and clothes. Restlessness on ward, with some pacing. | 3, 3 - Severe. Includes features of (2). In addition, cannot stay in chair during interview. Much pacing on ward. | 4, 4 - Extreme. Interview has to be conducted "on the run". Pulling off clothes, tearing at hair, picking at face, almost continuous pacing. Patient looks bewildered and distraught. - -
<u>10. ANXIETY (Psychological)</u> <h6> Rate features which developed with illness, not those of previous anxious disposition. Many symptoms included here: tense, unable to relax or concentrate, irritable, easily startled, worrying over trivia (distinguish from depressive ruminations, phobic symptoms, apprehensions of impending doom; fer of loss of control, panic episodes.</h6> hamd_10 N radio 0, 0 - Absent | 1, 1 - Doubtful, Trivial. Expresses feeling states only on direct questioning, or has few symptoms and low frequency. | 2, 2 - Mild. Spontaneously expresses feeling states. Good control and not incapacitating. | 3, 3 - Moderate. Behavioral evidence of anxiety (distinguish from agitation), spontaneous expression of feeling states, in significant number and frequency. | 4, 4 - Severe. Feeling states comprise large part of spontaneous verbal and non-verbal communication. Panic episodes observed. - -
<u>11. ANXIETY</u> (Somatic) <h6> Psychological concomitants of anxiety. "Butterflies", indigestion, stomach cramps, belching, diarrhea, palpitations, fainting, hyperventilation, paresthesias, sweating, flushing, tremor, headache, blurred vision, urinary frequency.</h6> hamd_11 N radio 0, 0 - Absent | 1, 1 - Doubtful. Trivial. Minor symptoms elicited only by direct questioning. | 2, 2 - Mild. Spontaneously describes symptoms, which are not marked or incapacitated. | 3, 3 - Moderate. Greater number and frequency of symptoms than (2). Accompanied by more subjective distress and severe to impair normal functioning. | 4, 4 - Severe. Symptoms are numerous, persistent and incapacitating much of the time. - -
<u>12. GASTRO-INTESTINAL</u> <h6> Loss of appetite and dry mouth (diminished salivary flow) are more common and characteristic than constipation. Heavy feeling in abdomen also occur. Distinguish from GI somatic anxiety symptoms.</h6> hamd_12 N radio 0, 0 - Absent | 1, 1 - Mild, Infrequent. Eats without encouragement by staff. Food intake about normal but without relish.Other symptoms minor. | 2, 2 - Obvious, Severe. Marked reduction of appetite and food intake. Difficulty eating without staff urging. Other symptoms variable - -
<u>13. GENERAL SOMATIC</u> <h6> Fatigability. Feels tired or exhausted or loss of energy, diffuse muscular aching in back or limbs, heavy, dragging feelings in arms or legs.</h6> hamd_13 N radio 0, 0 - Absent. | 1, 1 - Mild, Infrequent. Feeling noted but not marked | 2, 2 - Obvious and Severe.Tires very quickly, exhausted much of the time. Spontaneously mentions these symptoms - -
<u>14. GENITAL</u> <h6> Difficulty to assess, especially in elderly. Rate only definite change associated with illness.</h6> hamd_14 N radio 0, 0 - Absent | 1, 1 - Mild, Infrequent. Loss of libido, impaired sexual performance. Inconstant and not severe. | 2, 2 - Obvious, Severe. Complete loss of sexual appetite, functional impotence since onset of present illness - -
<u>15. HYPOCHONDRIASIS</u> <h6>Morbid preoccupation with real or imagined bodily symptoms or functions.</h6> hamd_15 N radio 0, 0 - Absent | 1, 1 - Mild. Some preoccupation with bodily functions and symptoms. Trivial or doubtfully pathological score 1 | 2, 2 - Moderate. Much attention given to physical symptoms. Patient expresses thoughts of organic disease with tendency to "somatize" clinical presentation. | 3, 3 - Severe. Convictions of organic disease to explain present condition, e.g., brain, tumor, cancer. | 4, 4 - Extreme. (Uncommon in men). Hypochondriacal delusions, often with guilty associations, e.g. of syphilis, worm eating head, rotting inside, bowels blocked and will never function again, infecting other patients with bad odor, etc. - -
<u>16. LOSS OF INSIGHT</u> <h6> Denial of "nervous" illness. Attributes illness to virus, overwork, climate, physical symptoms. Does not recognize, breaks with reality.</h6> hamd_16 N radio 0, 0 - Absent | 1, 1 - Doubtful, Mild, Some denial. | 2, 2 - Obvious, Severe. Denies being ill at all, strong convictions that illness is not nervous in origin. - -
<u>17. WEIGHT LOSS</u> <h6> Since onset of illness. Estimated in absence of definite information.</h6> hamd_17 N radio 0, 0 - Absent | 1, 1 - Doubtful, Trivial. Less than 5lbs. | 2, 2 - Obvious, Severe. More than 5 pounds. - -
<u>18A DIURNAL VARIATION</u> <h6> Note whether symptoms are worse in morning or evening. If no diurnal variation rate is zero</h6> hamd_18a N radio 0, 0 - No variation | 1, 1 - Worse in A.M. | 2, 2 - Worse in P.M. - -
<u>18B. DIURNAL VARIATION SEVERITY</u> <h6> If present, mark the severity variation. Mark none, if no variation present.</h6> hamd_18b N radio 0, 0 - None | 1, 1 - Mild | 2, 2 - Severe - -
<u>19. DEPERSONALIZATION AND DEREALIZATION</u> <h6>Feeling of unreality</h6> hamd_19 N radio 0, 0 - Absent | 1, 1 - Mild | 2, 2 - Moderate | 3, 3 - Severe | 4, 4 - Incapacitating - -
<u>20. PARANOID SYMPTOMS</u> hamd_20 N radio 0, 0 - None | 1, 1 - Suspicious | 2, 2 - Ideas of reference | 3, 3 - Delusions of reference and persecution - -
<u>21. OBSESSIONAL AND COMPULSIVE SYMPTOMS</u> hamd_21 N radio 0, 0 - Absent | 1, 1 - Mild | 2, 2 - Severe - -
<u>1A. Hypersomnia</u> hamd_1a N radio 0, 0 - No increase in sleep length | 1, 1 - At least 1 hour increase in sleep length | 2, 2 - 2+ hour increase | 3, 3 - 3+ hour increase | 4, 4 - 4+ hour increase - -
<u>2A. Weight Gain</u> hamd_2a N radio 0, 0 - No Weight Gain | 1, 1 - Probable weight gain due to current depression | 2, 2 - Definite (according to patient) weight gain due to depression. - -
<u>3A. Appetite Increase</u> hamd_3a N radio 0, 0 - No increase in appetite | 1, 1 - Wants to eat a little more than usual | 2, 2 - Wants to eat somewhat more than normal | 3, 3 - Irresistible craving for sweets or starches - -
<u>4A. Increased Eating</u> hamd_4a N radio 0, 0 - Is not eating more than usual | 1, 1 - Is eating a little more than usual | 2, 2 - Is eating somewhat more than usual | 3, 3 - Is eating much more than usual - -
<u>5A. Carbohydrate Craving</u> <h6> In relation to the total amount of food desired or eaten</h6> hamd_5a N radio 0, 0 - No change in food preference | 1, 1 - Craving more carbohydrates (starches or sugars) than before | 2, 2 - Craving much more carbohydrates than before | 3, 3 - Irresistible craving for sweets or starches - -
<u>6A. Diurnal variation type B</u> hamd_6a N radio 0, 0 - No | 1, 1 - Yes, of mild intensity | 2, 2- Yes, of moderate intensity | 3, 3 -Yes, of severe intensity - -
<u>7A. Social Withdrawal</u> hamd_7a N radio 0, 0 - Interacts with other peopla as usual | 1, 1 - Less interested in socializing with others but continues to do so | 2, 2 - Interacting less with other people in social (optional) situations | 3, 3 - Interacting less with other people in work or family situations (i.e. where this is necessary) | 4, 4 - Marked withdrawal from others in family or work situations - -
<u>8A. Fatigability </u> <h6> (or low energy, or feelings of being heavy, leaden, weighed down)</h6> hamd_8a N radio 0, 0 - Does not feel more fatigued than usual | 1, 1 - Feels more fatigued than usual but this has not impaired function significantly; less frequent than in (2) | 2, 2 - More fatigued than usual; at least one hour a day; at least three times a week | 3, 3 - Fatigued much of the time most days | 4, 4 - Fatigued almost all the time - -
ATYPICAL (SEASONAL) ITEM (8 ITEMS) TOTAL hamd_a_total N text - - -
17-HAMILTON WITH ATYPICAL ITEM (25 ITEMS) TOTAL hamd_17a_total N text - - -
21- HAMILTON WITH ATYPICAL ITEMS (29 ITEMS) TOTAL hamd_21a_total N text - - -
<u>GLOBAL ASSESSMENT OF FUNCTIONING SCALE</u> <h6>Rate the subject's level of functioning at the time of evaluation: Consider psychological, social, and occupational functioning on a hypothetical continuum of mental health-illness. Do not include impairment in functioning due to physical (or environmental) limitations. Note: Use intermediate levels when appropriate.</h6> hamd_gafs N text - - -
<h6 style="background-color:powderblue;border-style: dotted;">81-90 Absent or minimal symptoms (e.g., mild anxiety before an exam), good functioning in all areas, interested and involved in a wide range of activities, socially effective, generally satisfied with life, no more than everyday problems or concerns (e.g., an occasional argument with family members). 71-80 If symptoms are present, they are transient and expectable reactions to psychological stressors (e.g., difficulty concentrating after family argument); no more than slight impairment in social, occupational, or school functioning (e.g., temporarily falling behind in school work). 61-70 Some mild symptoms (e.g., depressive mood and mild insomnia) OR some difficulty in social, occupational or school functioning (e.g., occasional truancy, or theft within household), but generally functioning pretty well, has some meaningful interpersonal relationships. 51-60 Moderate symptoms (e.g., flat affect and circumstantial speech, occasional panic attacks) OR moderate difficulty in social, occupational, or, school functioning (e.g., few friends, conflicts with coworkers) 41-50 Serious symptoms (e.g. suicidal ideation, severe obsessional rituals, frequent shoplifting) OR any serious impairment in social, occupational or school functioning (e.g., no friends, unable to keep a job). 31-40 Some impairment in reality testing or communication (e.g., speech is at times illogical, obscure, or irrelevant). OR major impairment in several areas, such as work or school, family relations, judgement, thinking, or mood (e.g., depressed man avoids friends, neglects family, and is unable to work, child frequently beats up younger children, is defiant at home, and is failing at school). 21-30 Behavior is considerable influenced by delusions or hallucinations OR serious impairment in communication or judgement (e.g., sometimes incoherent, acts grossly inappropriately, suicidal preoccupation) OR inability to function in almost all areas (e.g., stays in bed all day; no job, home or friends.) 11-20 Some danger of hurting self or others (e.g., suicide attempts without clear expectation of death, frequent violent, manic excitement) OR occasionally fails to maintain minimal personal hygiene, (e.g., smears feces) OR gross impairment in communication (e.g., largely incoherent or mute). 1-10 Persistent danger of severely hurting self or others (e.g., recurrent violence) OR persistent inability to maintain minimal personal hygiene OR serious suicidal act with clear expectation of death.</h6> hamd_gafs_sesc N descriptive - - -
A. LOSS OF REACTIVITY "Reactivity" is the degree to which the patient's mood changes in response to environment. hamd_a N radio 0, 0 - None | 1, 1 - Mild | 2, 2 - Complete loss of reactivity | 3, 3 - Continuous, observed loss - -
B. QUALITY OF MOOD "Quality of mood" refers to whether the mood quality is different from a reaction to loss hamd_b N radio 0, 0 - No | 1, 1 - Possible | 2, 2 - Definite | 3, 3 - Spontaneous, Recurrent Only patients with a recurrent episodic depression can score 3. They must spontaneously identify their mood as similar to previous episodes and different from normal. -
Is the patient currently pyschotic by RDC (i.e. delusional or hallucinating)? If Yes, complete a BPRS form* hamd_rdc N yesno - * - Upon receipt of completed Current Status Report, research staff will provide additional forms as indicated. -
Is this patient currently suffering from panic attacks? If Yes, complete the PANIC INFORMATION SHEET. * hamd_pa N yesno - * - Upon receipt of completed Current Status Report, research staff will provide additional forms as indicated. -
Include this case in study? hamd_case N yesno - - -
Include lab data in the study hamd_labdata N yesno - - -
Reason for exclusion hamd_exclude N text - - -
Code hamd_code N text - - -
Note hamd_note Y notes - - -

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