PHI stands for "Protected Health Information" (Y = Yes, N = No)
| Display | Field | Phi | Field type | Condition choices | Field note | Header | |
|---|---|---|---|---|---|---|---|
| Summary document upload | summary_document_upload | N | file | - | - | - | |
| Notes from Access Database Migration | note_overall | Y | notes | - | For reference purpose only | ||
| Date of Interview: | ls_date_of_interview | N | text | - | - | ||
| Date of DIGS | ls_date_of_digs | N | text | - | - | ||
| Age | ls_age | N | text | - | - | ||
| Summary from previous interview | notes_main | Y | notes | - | - | ||
| Significant life events over the interval and additional important comments about the subject/interview | significant_life_events_ov | Y | notes | - | - | ||
| Mental Status: | mental_status | Y | notes | - | - | ||
| Appearance/Attitude: | appearance_attitude | Y | notes | - | - | ||
| Psychomotor Behavior: | psychomotor_behavior | Y | notes | - | - | ||
| Speech/Language: | speech_language | Y | notes | - | - | ||
| Affect: | affect | Y | notes | - | - | ||
| Mood: | mood | Y | notes | - | - | ||
| Thought Process: | thought_process | Y | notes | - | - | ||
| Thought Content: | thought_content | Y | notes | - | - | ||
| Memory: | memory | Y | notes | - | - | ||
| Insight/Judgement: | insight_judgement | Y | notes | - | - | ||
| Medication 1: | medication_1 | N | text | BIOPORTAL:RXNORM | - | It is preferred that medication history is entered into the Tracker directly; you should consider to skip through the medications and proceed to Interval Medical History and following questions. | |
| Dosage for Medication 1 per day: | dosage_for_medication_1_pe | N | text | - | - | - | |
| Duration of Dosage for Medication 1: | duration_of_dosage_for_med1 | N | text | - | Please mention the unit in week/years | - | |
| Medication 2: | medication_2 | N | text | BIOPORTAL:RXNORM | - | ||
| Dosage of Medication 2: | dosage_of_medication_2 | N | text | - | - | - | |
| Duration of Dosage for Medication 2: | duration_of_dosage_for_med2 | N | text | - | Please mention the unit in week/years | - | |
| Medication 3: | medication_3 | N | text | BIOPORTAL:RXNORM | - | ||
| Dosage of Medication 3: | dosage_of_medication_3 | N | text | - | - | - | |
| Duration of Dosage for Medication 3: | duration_of_dosage_for_med3 | N | text | - | Please mention the unit in week/years | - | |
| Medication 4: | medication_4 | N | text | BIOPORTAL:RXNORM | - | ||
| Dosage of Medication 4: | dosage_of_medication_4 | N | text | - | - | - | |
| Duration of Dosage for Medication 4: | duration_of_dosage_for_med | N | text | - | Please mention the unit in week/years | - | |
| Additional Medications | additional_medications | Y | notes | - | Please include the dosage and duration of these additional medications in the box itself | ||
| Interval Medical History | interval_medical_history | N | checkbox | 1, Allergies | 2, Alzheimer's Disease | 3, Anemia/Low Blood | 4, Asthma | 5, Cancer/malignancy (Type, location) | 6, Congestive Heart failure | 7, Diabetes | 8, Emphysema | 9, Epilepsy/Seizure Convulsions | 10, Goitre/Thyroid Disease (specify) | 11, Head Injury (Indicate loss of consciousness and for how long) | 12, Heart Attack/Angina | 13, High Blood Pressure | 14, Liver condition (Specify) | 15, Migrane headache | 16, Osteoporosis/brittle bones | 17, Overweight | 18, Skin Condition (specify) | 19, Stroke | 20, Ulcer | 21, Other Neurological problems | 22, Fibromyalgia | 23, Other conditions/Surgeries/hospitalizations | - | ||
| Allergy Type: | allergy_type | N | text | - | Allergies | ||
| Are you currently receiving treatment | are_you_currently_receivin | N | text | - | Allergy | ||
| Have you experienced the death of anyone close to you since the last interview? | have_you_experienced_the_d | N | yesno | - | - | ||
| Treatment Status (the highest level of treatment in past four weeks) | treatment_status_the_highe | N | checkbox | 1, Not in treatment | 2, Outpatient | 3, Day treatment | 4, Inpatient | 5, Residential Treatment | 6, Psychiatric Emergency room visit | 7, Unknown | - | TREATMENT HISTORY | |
| Type of treatment modality (the highest level of treatment in past four weeks) | type_of_treatment_modality | N | checkbox | 1, Not in treatment | 2, IPT (Interpersonal Therapy) | 3, IPSRT (Interpersonal and Social Rhythm Therapy) | 4, CBT (Cognitive Behavior Therapy) | 5, DBT (Dielectic Behavior Therapy) | 6, Supportive | 7, Medication management | 8, Psychiatric Emergency room visit | 9, Medication management and psychotherapy | - | ||
| Treatment History (during the participant's worst period of psychiatric symptoms since last diagnostic interview; check all that apply): | treatment_history_during_t | N | checkbox | 1, Not in treatment | 2, Outpatient | 3, Day treatment | 4, Inpatient | 5, Residential Treatment | 6, Psychiatric Emergency room visit | 7, Unknown | - | ||
| Types of treatment modality (during the participant's worst period of psychiatric symptoms since last diagnostic interview): | types_of_treatment_modalit | N | checkbox | 0, Not in treatment | 1, IPT | 2, IPSRT | 3, CBT | 4, DBT | 5, Supportive | 6, Medication management | 7, Psychiatric Emergency room visit | 8, Medication management and psychotherapy | - | ||
| Percent of time spent with depressed mood since the last interview: | percent_of_time_spent_depr | N | checkbox | 1, 0 - 20% | 2, 20 - 40% | 3, 40 - 60% | 4, 60 - 80% | 5, 80 - 100% | 9, None | - | ||
| Percent of time spent with manic mood since the last interview: | percent_of_time_spent_manic | N | checkbox | 1, 0 - 20% | 2, 20 - 40% | 3, 40 - 60% | 4, 60 - 80% | 5, 80 - 100% | 9, None | - | ||
| Percent of time spent with hypomanic mood since the last interview: | percent_of_time_spent_hypom | N | checkbox | 1, 0 - 20% | 2, 20 - 40% | 3, 40 - 60% | 4, 60 - 80% | 5, 80 - 100% | 9, None | - |