id
stringclasses
7 values
type
stringclasses
1 value
root
stringclasses
6 values
branches
listlengths
12
20
major-depressive-disorder-dt
sequential
depressed-mood
[ { "id": "depressed-mood", "question": "Have you experienced depressed or irritable mood?", "branches": [ { "option": "yes", "next-node": "anhedonia" }, { "option": "no", "next-node": "anhedonia" } ] }, { "id": "anhedonia", "question": "Have you experienced loss of interest or pleasure in activities (anhedonia)?", "branches": [ { "option": "yes", "next-node": "depressed-mood-past-2-weeks" }, { "option": "no", "next-node": "depressed-mood-past-2-weeks" } ] }, { "id": "depressed-mood-past-2-weeks", "question": "Have you experienced depressed or irritable mood nearly every day for the past 2 weeks?", "branches": [ { "option": "yes", "next-node": "weight-appetite-change" }, { "option": "no", "next-node": "anhedonia-past-2-weeks" } ] }, { "id": "anhedonia-past-2-weeks", "question": "Have you experienced loss of interest or pleasure in activities nearly every day for the past 2 weeks?", "branches": [ { "option": "yes", "next-node": "weight-appetite-change" }, { "option": "no", "next-node": "conclude-no-core-symptoms" } ] }, { "id": "weight-appetite-change", "question": "Have you experienced significant weight or appetite changes nearly every day?", "branches": [ { "option": "yes", "next-node": "psychomotor-changes" }, { "option": "no", "next-node": "psychomotor-changes" } ] }, { "id": "psychomotor-changes", "question": "Have you experienced psychomotor agitation or retardation (observable changes in movement) nearly every day?", "branches": [ { "option": "yes", "next-node": "sleep-disturbance" }, { "option": "no", "next-node": "sleep-disturbance" } ] }, { "id": "sleep-disturbance", "question": "Have you experienced sleep disturbances (insomnia or hypersomnia) nearly every day?", "branches": [ { "option": "yes", "next-node": "fatigue" }, { "option": "no", "next-node": "fatigue" } ] }, { "id": "fatigue", "question": "Have you experienced fatigue or loss of energy nearly every day?", "branches": [ { "option": "yes", "next-node": "worthlessness-guilt" }, { "option": "no", "next-node": "worthlessness-guilt" } ] }, { "id": "worthlessness-guilt", "question": "Have you experienced feelings of worthlessness or excessive guilt nearly every day?", "branches": [ { "option": "yes", "next-node": "hopelessness" }, { "option": "no", "next-node": "hopelessness" } ] }, { "id": "hopelessness", "question": "Have you experienced feelings of hopelessness nearly every day?", "branches": [ { "option": "yes", "next-node": "concentration-problems" }, { "option": "no", "next-node": "concentration-problems" } ] }, { "id": "concentration-problems", "question": "Have you experienced problems with concentration or indecision nearly every day?", "branches": [ { "option": "yes", "next-node": "suicidal-ideation" }, { "option": "no", "next-node": "suicidal-ideation" } ] }, { "id": "suicidal-ideation", "question": "Have you experienced suicidal thoughts or thoughts of death?", "branches": [ { "option": "yes", "next-node": "symptoms-nearly-every-day" }, { "option": "no", "next-node": "symptoms-nearly-every-day" } ] }, { "id": "symptoms-nearly-every-day", "question": "Have the symptoms you endorsed been present nearly every day for at least 2 weeks?", "branches": [ { "option": "yes", "next-node": "impairment-check" }, { "option": "no", "next-node": "conclude-insufficient-duration" } ] }, { "id": "impairment-check", "question": "Do these symptoms cause significant distress or impairment in social, occupational, or other important areas of functioning?", "branches": [ { "option": "yes", "next-node": "conclude-major-depression" }, { "option": "no", "next-node": "conclude-subthreshold-depression" } ] }, { "id": "conclude-no-core-symptoms", "question": "Classification: No Major Depressive Disorder - Core symptoms (depressed mood or anhedonia) not present for at least 2 weeks", "branches": [] }, { "id": "conclude-insufficient-duration", "question": "Classification: No Major Depressive Disorder - Symptoms not present nearly every day for at least 2 weeks", "branches": [] }, { "id": "conclude-subthreshold-depression", "question": "Classification: Subthreshold Depression - Symptoms present but insufficient impairment", "branches": [] }, { "id": "conclude-major-depression", "question": "Classification: Major Depressive Disorder - Criteria met", "branches": [] } ]
dysthymia-dt
sequential
depressed-mood
[ { "id": "depressed-mood", "question": "Have you experienced depressed or irritable mood for most of the day, for more days than not, for at least 1 year?", "branches": [ { "option": "yes", "next-node": "appetite-change" }, { "option": "no", "next-node": "conclude-no-dysthymia" } ] }, { "id": "appetite-change", "question": "During these periods, have you experienced poor appetite or overeating?", "branches": [ { "option": "yes", "next-node": "sleep-disturbance" }, { "option": "no", "next-node": "sleep-disturbance" } ] }, { "id": "sleep-disturbance", "question": "Have you experienced insomnia or hypersomnia (sleeping too much)?", "branches": [ { "option": "yes", "next-node": "fatigue" }, { "option": "no", "next-node": "fatigue" } ] }, { "id": "fatigue", "question": "Have you experienced low energy or fatigue?", "branches": [ { "option": "yes", "next-node": "low-self-esteem" }, { "option": "no", "next-node": "low-self-esteem" } ] }, { "id": "low-self-esteem", "question": "Have you experienced low self-esteem?", "branches": [ { "option": "yes", "next-node": "poor-concentration" }, { "option": "no", "next-node": "poor-concentration" } ] }, { "id": "poor-concentration", "question": "Have you experienced poor concentration or difficulty making decisions?", "branches": [ { "option": "yes", "next-node": "hopelessness" }, { "option": "no", "next-node": "hopelessness" } ] }, { "id": "hopelessness", "question": "Have you experienced feelings of hopelessness?", "branches": [ { "option": "yes", "next-node": "symptom-count-check" }, { "option": "no", "next-node": "symptom-count-check" } ] }, { "id": "symptom-count-check", "question": "Do you have at least 2 additional symptoms (from appetite, sleep, fatigue, self-esteem, concentration, or hopelessness) along with your depressed mood?", "branches": [ { "option": "yes", "next-node": "duration-continuous-check" }, { "option": "no", "next-node": "conclude-insufficient-symptoms" } ] }, { "id": "duration-continuous-check", "question": "During the 1-year period, have you been without these symptoms for more than 2 months at a time?", "branches": [ { "option": "yes", "next-node": "conclude-insufficient-duration" }, { "option": "no", "next-node": "impairment-check" } ] }, { "id": "impairment-check", "question": "Do these symptoms cause significant distress or impairment in social, occupational, or other important areas of functioning?", "branches": [ { "option": "yes", "next-node": "conclude-dysthymia" }, { "option": "no", "next-node": "conclude-subthreshold-dysthymia" } ] }, { "id": "conclude-no-dysthymia", "question": "Classification: No Persistent Depressive Disorder - Core symptom not met (requires 1+ year of depressed mood)", "branches": [] }, { "id": "conclude-insufficient-symptoms", "question": "Classification: No Persistent Depressive Disorder - Insufficient additional symptoms (requires at least 2)", "branches": [] }, { "id": "conclude-insufficient-duration", "question": "Classification: No Persistent Depressive Disorder - Symptom-free periods too long (must not be without symptoms for more than 2 months)", "branches": [] }, { "id": "conclude-subthreshold-dysthymia", "question": "Classification: Subthreshold Persistent Depressive Symptoms - Symptoms present but insufficient impairment", "branches": [] }, { "id": "conclude-dysthymia", "question": "Classification: Persistent Depressive Disorder (Dysthymia) - Criteria met", "branches": [] } ]
mania-dt
sequential
elevated-mood
[ { "id": "elevated-mood", "question": "Have you experienced a distinct period of abnormally and persistently elevated, expansive, or irritable mood?", "branches": [ { "option": "yes", "next-node": "increased-energy" }, { "option": "no", "next-node": "conclude-no-mania" } ] }, { "id": "increased-energy", "question": "During this period, did you experience increased goal-directed activity or energy?", "branches": [ { "option": "yes", "next-node": "duration-check" }, { "option": "no", "next-node": "conclude-no-energy-increase" } ] }, { "id": "duration-check", "question": "Did this elevated mood and increased energy last for at least 1 week (or any duration if hospitalization was required), occurring most of the day, nearly every day?", "branches": [ { "option": "yes", "next-node": "inflated-self-esteem" }, { "option": "no", "next-node": "conclude-insufficient-duration" } ] }, { "id": "inflated-self-esteem", "question": "During this period, did you experience inflated self-esteem or grandiosity?", "branches": [ { "option": "yes", "next-node": "decreased-sleep" }, { "option": "no", "next-node": "decreased-sleep" } ] }, { "id": "decreased-sleep", "question": "Did you have a decreased need for sleep (e.g., feeling rested after only 3 hours)?", "branches": [ { "option": "yes", "next-node": "more-talkative" }, { "option": "no", "next-node": "more-talkative" } ] }, { "id": "more-talkative", "question": "Were you more talkative than usual or felt pressure to keep talking?", "branches": [ { "option": "yes", "next-node": "racing-thoughts" }, { "option": "no", "next-node": "racing-thoughts" } ] }, { "id": "racing-thoughts", "question": "Did you experience racing thoughts or flight of ideas?", "branches": [ { "option": "yes", "next-node": "distractibility" }, { "option": "no", "next-node": "distractibility" } ] }, { "id": "distractibility", "question": "Were you easily distracted by unimportant or irrelevant stimuli?", "branches": [ { "option": "yes", "next-node": "psychomotor-agitation" }, { "option": "no", "next-node": "psychomotor-agitation" } ] }, { "id": "psychomotor-agitation", "question": "Did you experience increased goal-directed activity (at work, school, or sexually) or psychomotor agitation?", "branches": [ { "option": "yes", "next-node": "risky-behaviors" }, { "option": "no", "next-node": "risky-behaviors" } ] }, { "id": "risky-behaviors", "question": "Did you engage in risky behaviors with potential for painful consequences (e.g., excessive spending, sexual indiscretions, foolish investments)?", "branches": [ { "option": "yes", "next-node": "mood-irritability-check" }, { "option": "no", "next-node": "mood-irritability-check" } ] }, { "id": "mood-irritability-check", "question": "Was your mood only irritable (not elevated or expansive)?", "branches": [ { "option": "yes", "next-node": "symptom-count-irritable" }, { "option": "no", "next-node": "symptom-count-elevated" } ] }, { "id": "symptom-count-irritable", "question": "Do you have at least 4 of the additional symptoms (since mood was only irritable)?", "branches": [ { "option": "yes", "next-node": "impairment-check" }, { "option": "no", "next-node": "conclude-insufficient-symptoms" } ] }, { "id": "symptom-count-elevated", "question": "Do you have at least 3 of the additional symptoms (inflated self-esteem, decreased sleep, more talkative, racing thoughts, distractibility, increased activity, or risky behaviors)?", "branches": [ { "option": "yes", "next-node": "impairment-check" }, { "option": "no", "next-node": "conclude-insufficient-symptoms" } ] }, { "id": "impairment-check", "question": "Does this mood disturbance cause marked impairment in functioning, necessitate hospitalization, or include psychotic features?", "branches": [ { "option": "yes", "next-node": "conclude-manic-episode" }, { "option": "no", "next-node": "conclude-hypomanic-episode" } ] }, { "id": "conclude-no-mania", "question": "Classification: No Manic Episode - No elevated, expansive, or irritable mood", "branches": [] }, { "id": "conclude-no-energy-increase", "question": "Classification: No Manic Episode - No increase in goal-directed activity or energy", "branches": [] }, { "id": "conclude-insufficient-duration", "question": "Classification: No Manic Episode - Duration less than 1 week", "branches": [] }, { "id": "conclude-insufficient-symptoms", "question": "Classification: No Manic Episode - Insufficient symptom count", "branches": [] }, { "id": "conclude-hypomanic-episode", "question": "Classification: Possible Hypomanic Episode - Symptoms present but no marked impairment", "branches": [] }, { "id": "conclude-manic-episode", "question": "Classification: Manic Episode - Criteria met", "branches": [] } ]
schizophrenia-dt
sequential
delusions
[ { "id": "delusions", "question": "Do you experience delusions (fixed false beliefs)?", "branches": [ { "option": "yes", "next-node": "hallucinations" }, { "option": "no", "next-node": "hallucinations" } ] }, { "id": "hallucinations", "question": "Do you experience hallucinations (seeing, hearing, or sensing things that aren't there)?", "branches": [ { "option": "yes", "next-node": "disorganized-speech" }, { "option": "no", "next-node": "disorganized-speech" } ] }, { "id": "disorganized-speech", "question": "Do you experience disorganized speech (e.g., frequent derailment or incoherence)?", "branches": [ { "option": "yes", "next-node": "disorganized-behavior" }, { "option": "no", "next-node": "disorganized-behavior" } ] }, { "id": "disorganized-behavior", "question": "Do you exhibit grossly disorganized or catatonic behavior?", "branches": [ { "option": "yes", "next-node": "negative-symptoms" }, { "option": "no", "next-node": "negative-symptoms" } ] }, { "id": "negative-symptoms", "question": "Do you experience negative symptoms (diminished emotional expression, avolition/lack of motivation)?", "branches": [ { "option": "yes", "next-node": "core-symptoms-check" }, { "option": "no", "next-node": "core-symptoms-check" } ] }, { "id": "core-symptoms-check", "question": "Do you have at least 2 of the core symptoms (delusions, hallucinations, disorganized speech, disorganized behavior, or negative symptoms), with at least one being delusions, hallucinations, or disorganized speech?", "branches": [ { "option": "yes", "next-node": "functioning-decline" }, { "option": "no", "next-node": "conclude-insufficient-symptoms" } ] }, { "id": "functioning-decline", "question": "Is your level of functioning in at least one major area (work, relationships, self-care) markedly lower than before symptom onset?", "branches": [ { "option": "yes", "next-node": "duration-check" }, { "option": "no", "next-node": "conclude-no-functional-decline" } ] }, { "id": "duration-check", "question": "Have continuous signs of disturbance persisted for at least 6 months, with at least 1 month of active symptoms (core symptoms)?", "branches": [ { "option": "yes", "next-node": "mood-disorder-ruled-out" }, { "option": "no", "next-node": "conclude-insufficient-duration" } ] }, { "id": "mood-disorder-ruled-out", "question": "Have schizoaffective disorder and depressive or bipolar disorder with psychotic features been ruled out?", "branches": [ { "option": "yes", "next-node": "conclude-schizophrenia" }, { "option": "no", "next-node": "conclude-mood-disorder-with-psychosis" } ] }, { "id": "conclude-insufficient-symptoms", "question": "Classification: No Schizophrenia - Less than 2 core symptoms or missing required symptom types", "branches": [] }, { "id": "conclude-no-functional-decline", "question": "Classification: No Schizophrenia - No marked decline in functioning", "branches": [] }, { "id": "conclude-insufficient-duration", "question": "Classification: No Schizophrenia - Duration less than 6 months (consider Brief Psychotic Disorder)", "branches": [] }, { "id": "conclude-mood-disorder-with-psychosis", "question": "Classification: Mood Disorder with Psychotic Features or Schizoaffective Disorder - Further evaluation needed", "branches": [] }, { "id": "conclude-schizophrenia", "question": "Classification: Schizophrenia - Criteria met", "branches": [] } ]
separation-anxiety-dt
sequential
distress-separation
[ { "id": "distress-separation", "question": "Do you experience persistent and excessive distress when anticipating or experiencing separation from home or from major attachment figures?", "branches": [ { "option": "yes", "next-node": "worry-losing-caregiver" }, { "option": "no", "next-node": "worry-losing-caregiver" } ] }, { "id": "worry-losing-caregiver", "question": "Do you experience persistent and excessive worry about losing a major attachment figure or about possible harm to them (illness, injury, disaster, death)?", "branches": [ { "option": "yes", "next-node": "worry-untoward-event" }, { "option": "no", "next-node": "worry-untoward-event" } ] }, { "id": "worry-untoward-event", "question": "Do you experience persistent and excessive worry about experiencing an untoward event (getting lost, kidnapped, having an accident) that would cause separation?", "branches": [ { "option": "yes", "next-node": "fear-being-alone" }, { "option": "no", "next-node": "fear-being-alone" } ] }, { "id": "fear-being-alone", "question": "Do you have persistent fear or reluctance about being alone or without major attachment figures at home or in other settings?", "branches": [ { "option": "yes", "next-node": "reluctance-go-out" }, { "option": "no", "next-node": "reluctance-go-out" } ] }, { "id": "reluctance-go-out", "question": "Are you persistently reluctant or refuse to go out, away from home, to school, work, or elsewhere because of fear of separation?", "branches": [ { "option": "yes", "next-node": "reluctance-sleep-away" }, { "option": "no", "next-node": "reluctance-sleep-away" } ] }, { "id": "reluctance-sleep-away", "question": "Are you persistently reluctant or refuse to sleep away from home or to go to sleep without being near a major attachment figure?", "branches": [ { "option": "yes", "next-node": "nightmares" }, { "option": "no", "next-node": "nightmares" } ] }, { "id": "nightmares", "question": "Do you have repeated nightmares involving the theme of separation?", "branches": [ { "option": "yes", "next-node": "physical-symptoms" }, { "option": "no", "next-node": "physical-symptoms" } ] }, { "id": "physical-symptoms", "question": "Do you have repeated complaints of physical symptoms (headaches, stomachaches, nausea, vomiting) when separation occurs or is anticipated?", "branches": [ { "option": "yes", "next-node": "symptom-count-check" }, { "option": "no", "next-node": "symptom-count-check" } ] }, { "id": "symptom-count-check", "question": "Do you have at least 3 of these symptoms?", "branches": [ { "option": "yes", "next-node": "duration-check" }, { "option": "no", "next-node": "conclude-insufficient-symptoms" } ] }, { "id": "duration-check", "question": "Have these symptoms lasted for at least 4 weeks?", "branches": [ { "option": "yes", "next-node": "impairment-check" }, { "option": "no", "next-node": "conclude-insufficient-duration" } ] }, { "id": "impairment-check", "question": "Do these symptoms cause clinically significant distress or impairment in social, academic, occupational, or other important areas of functioning?", "branches": [ { "option": "yes", "next-node": "conclude-separation-anxiety" }, { "option": "no", "next-node": "conclude-subthreshold-separation-anxiety" } ] }, { "id": "conclude-insufficient-symptoms", "question": "Classification: No Separation Anxiety Disorder - Less than 3 symptoms", "branches": [] }, { "id": "conclude-insufficient-duration", "question": "Classification: No Separation Anxiety Disorder - Duration less than 4 weeks", "branches": [] }, { "id": "conclude-subthreshold-separation-anxiety", "question": "Classification: Subthreshold Separation Anxiety - Symptoms present but insufficient impairment", "branches": [] }, { "id": "conclude-separation-anxiety", "question": "Classification: Separation Anxiety Disorder - Criteria met", "branches": [] } ]
social-anxiety-disorder-dt
sequential
fear-social-situations
[ { "id": "fear-social-situations", "question": "Do you experience marked fear or anxiety in social situations where you might be observed or evaluated by others?", "branches": [ { "option": "yes", "next-node": "fear-of-embarrassment" }, { "option": "no", "next-node": "conclude-no-social-anxiety" } ] }, { "id": "fear-of-embarrassment", "question": "Do you fear showing anxiety symptoms or doing something that will lead to embarrassment, rejection, or offending someone?", "branches": [ { "option": "yes", "next-node": "situations-provoke-fear" }, { "option": "no", "next-node": "conclude-no-fear-embarrassment" } ] }, { "id": "situations-provoke-fear", "question": "Do these social situations almost always provoke fear or anxiety?", "branches": [ { "option": "yes", "next-node": "avoidance-or-endurance" }, { "option": "no", "next-node": "conclude-inconsistent-fear" } ] }, { "id": "avoidance-or-endurance", "question": "Do you avoid these situations or endure them with intense fear or anxiety?", "branches": [ { "option": "yes", "next-node": "situation-conversations" }, { "option": "no", "next-node": "conclude-no-avoidance" } ] }, { "id": "situation-conversations", "question": "Do you experience this fear/anxiety in conversations?", "branches": [ { "option": "yes", "next-node": "situation-meeting-new" }, { "option": "no", "next-node": "situation-meeting-new" } ] }, { "id": "situation-meeting-new", "question": "Do you experience this fear/anxiety when meeting new people?", "branches": [ { "option": "yes", "next-node": "situation-eating" }, { "option": "no", "next-node": "situation-eating" } ] }, { "id": "situation-eating", "question": "Do you experience this fear/anxiety when eating in front of others?", "branches": [ { "option": "yes", "next-node": "situation-performance" }, { "option": "no", "next-node": "situation-performance" } ] }, { "id": "situation-performance", "question": "Do you experience this fear/anxiety during speeches or performances?", "branches": [ { "option": "yes", "next-node": "situation-class" }, { "option": "no", "next-node": "situation-class" } ] }, { "id": "situation-class", "question": "Do you experience this fear/anxiety when talking in class or at work?", "branches": [ { "option": "yes", "next-node": "situation-authority" }, { "option": "no", "next-node": "situation-authority" } ] }, { "id": "situation-authority", "question": "Do you experience this fear/anxiety when speaking with authority figures?", "branches": [ { "option": "yes", "next-node": "duration-check" }, { "option": "no", "next-node": "duration-check" } ] }, { "id": "duration-check", "question": "Have these symptoms been persistent for approximately 6 months or longer?", "branches": [ { "option": "yes", "next-node": "impairment-check" }, { "option": "no", "next-node": "conclude-insufficient-duration" } ] }, { "id": "impairment-check", "question": "Does this fear, anxiety, or avoidance cause significant distress or impairment in social, occupational, or other important areas of functioning?", "branches": [ { "option": "yes", "next-node": "conclude-social-anxiety" }, { "option": "no", "next-node": "conclude-subthreshold-social-anxiety" } ] }, { "id": "conclude-no-social-anxiety", "question": "Classification: No Social Anxiety Disorder - No marked fear in social situations", "branches": [] }, { "id": "conclude-no-fear-embarrassment", "question": "Classification: No Social Anxiety Disorder - No fear of embarrassment or negative evaluation", "branches": [] }, { "id": "conclude-inconsistent-fear", "question": "Classification: No Social Anxiety Disorder - Fear not consistently provoked", "branches": [] }, { "id": "conclude-no-avoidance", "question": "Classification: No Social Anxiety Disorder - No avoidance or endurance with intense fear", "branches": [] }, { "id": "conclude-insufficient-duration", "question": "Classification: No Social Anxiety Disorder - Duration less than 6 months", "branches": [] }, { "id": "conclude-subthreshold-social-anxiety", "question": "Classification: Subthreshold Social Anxiety - Symptoms present but insufficient impairment", "branches": [] }, { "id": "conclude-social-anxiety", "question": "Classification: Social Anxiety Disorder - Criteria met", "branches": [] } ]
is-human-dt
sequential
human-question
[ { "id": "human-question", "question": "Are you a human?", "branches": [ { "option": "yes", "next-node": "conclude-human" }, { "option": "no", "next-node": "two-hands" } ] }, { "id": "two-hands", "question": "Do you have two hands?", "branches": [ { "option": "yes", "next-node": "two-legs" }, { "option": "no", "next-node": "disability-question" } ] }, { "id": "two-legs", "question": "Do you have two legs?", "branches": [ { "option": "yes", "next-node": "feel-emotions" }, { "option": "no", "next-node": "disability-question" } ] }, { "id": "disability-question", "question": "Do you have a disability?", "branches": [ { "option": "yes", "next-node": "conclude-human-with-disability" }, { "option": "no", "next-node": "consciousness-question" } ] }, { "id": "feel-emotions", "question": "Do you feel emotions?", "branches": [ { "option": "yes", "next-node": "conclude-likely-human" }, { "option": "no", "next-node": "disability-question" } ] }, { "id": "consciousness-question", "question": "Are you conscious and self-aware?", "branches": [ { "option": "yes", "next-node": "conclude-possible-human" }, { "option": "no", "next-node": "conclude-not-human" } ] }, { "id": "conclude-human", "question": "Classification: Human (self-identified)", "branches": [] }, { "id": "conclude-human-with-disability", "question": "Classification: Human with disability", "branches": [] }, { "id": "conclude-likely-human", "question": "Classification: Likely Human (has physical form and emotions)", "branches": [] }, { "id": "conclude-possible-human", "question": "Classification: Possibly Human (conscious but claims no emotions)", "branches": [] }, { "id": "conclude-not-human", "question": "Classification: Not Human (lacks consciousness and emotions)", "branches": [] }, { "id": "conclude-artificial-being", "question": "Classification: Artificial Being (no physical human form, no disability)", "branches": [] } ]