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| { | |
| "SPECIFIC PHOBIA": { | |
| "duration": "persistent for at least 6 months", | |
| "rule": "YES on all of Items 2-6 (B-F). Screening item marks phobia type.", | |
| "logic": { | |
| "all": [ | |
| { "item": "2", "equals": "YES" }, | |
| { "item": "3", "equals": "YES" }, | |
| { "item": "4", "equals": "YES" }, | |
| { "item": "5", "equals": "YES" }, | |
| { "item": "6", "equals": "YES" } | |
| ] | |
| }, | |
| "dsm5_item_map": { "2": "B", "3": "C", "4": "D", "5": "E (≥6 months)", "6": "F (impairment)" } | |
| }, | |
| "SEPARATION ANXIETY DISORDER": { | |
| "duration": "at least 4 weeks (children/adolescents), disabling", | |
| "rule": "YES on ≥3 of Items 2-9 (A1-A8) AND Item 10 (B) AND Item 11 (C).", | |
| "logic": { | |
| "all": [ | |
| { "min_yes": 3, "items": ["2","3","4","5","6","7","8","9"] }, | |
| { "item": "10", "equals": "YES" }, | |
| { "item": "11", "equals": "YES" } | |
| ] | |
| }, | |
| "dsm5_item_map": { "2-9": "A1-A8", "10": "B (duration ≥4w)", "11": "C (impairment)" } | |
| }, | |
| "SOCIAL ANXIETY DISORDER": { | |
| "duration": "several months; present with peers (DSM-5 commonly ≥6 months); disabling", | |
| "rule": "YES on Items 2-7 (A-G) AND Item 8 (H: not due to substance/medical) AND Item 9 (J: not due to other medical condition).", | |
| "logic": { | |
| "all": [ | |
| { "item": "2", "equals": "YES" }, | |
| { "item": "3", "equals": "YES" }, | |
| { "item": "4", "equals": "YES" }, | |
| { "item": "5", "equals": "YES" }, | |
| { "item": "6", "equals": "YES" }, | |
| { "item": "7", "equals": "YES" }, | |
| { "item": "8", "equals": "YES" }, | |
| { "item": "9", "equals": "YES" } | |
| ] | |
| }, | |
| "dsm5_item_map": { | |
| "2": "A", | |
| "3": "B", | |
| "4": "C", | |
| "5": "D", | |
| "6": "E (duration)", | |
| "7": "G (impairment)", | |
| "8": "H (substance/medical exclusion)", | |
| "9": "J (other medical condition exclusion)" | |
| } | |
| }, | |
| "PANIC DISORDER": { | |
| "duration": "≥1 month of persistent worry and/or maladaptive change (B1/B2).", | |
| "rule": "YES if (≥4 symptoms checked in Item 2) AND (YES on Item 3 OR YES on Item 4) AND YES on Item 5 (exclusion).", | |
| "logic": { | |
| "all": [ | |
| { "min_checked": 4, "item": "2" }, | |
| { "any": [ { "item": "3", "equals": "YES" }, { "item": "4", "equals": "YES" } ] }, | |
| { "item": "5", "equals": "YES" } | |
| ] | |
| }, | |
| "dsm5_item_map": { "2": "A1-A13 (≥4)", "3": "B1 (persistent worry)", "4": "B2 (maladaptive change)", "5": "C (exclusion)" } | |
| }, | |
| "AGORAPHOBIA": { | |
| "duration": "persistent (≥ 6 months), disabling", | |
| "rule": "YES if (≥2 situations checked in Item 2) AND YES on all Items 3-9.", | |
| "logic": { | |
| "all": [ | |
| { "min_checked": 2, "item": "2" }, | |
| { "item": "3", "equals": "YES" }, | |
| { "item": "4", "equals": "YES" }, | |
| { "item": "5", "equals": "YES" }, | |
| { "item": "6", "equals": "YES" }, | |
| { "item": "7", "equals": "YES" }, | |
| { "item": "8", "equals": "YES" }, | |
| { "item": "9", "equals": "YES" } | |
| ] | |
| }, | |
| "dsm5_item_map": { | |
| "2": "A1-A5 (situations)", | |
| "3": "B", | |
| "4": "C", | |
| "5": "D", | |
| "6": "E", | |
| "7": "F (≥6m)", | |
| "8": "G (impairment)", | |
| "9": "H/I (medical relation/exclusion)" | |
| } | |
| }, | |
| "GENERALISED ANXIETY DISORDER": { | |
| "duration": "persistent for several months and present most days (DSM-5: ≥6 months)", | |
| "rule": "YES on Item 2 (B: difficulty controlling worry) AND ≥1 symptom checked in Item 3 (C1-C6) AND Item 4 (D: impairment) AND Item 5 (E: exclusion).", | |
| "logic": { | |
| "all": [ | |
| { "item": "2", "equals": "YES" }, | |
| { "min_checked": 1, "item": "3" }, | |
| { "item": "4", "equals": "YES" }, | |
| { "item": "5", "equals": "YES" } | |
| ] | |
| }, | |
| "dsm5_item_map": { "2": "B", "3": "C1-C6 (≥1 child)", "4": "D (impairment)", "5": "E (exclusion)" } | |
| }, | |
| "OBSESSIVE-COMPULSIVE DISORDER": { | |
| "duration": "time-consuming (>1 hour/day) or clinically significant distress/impairment.", | |
| "rule": "(Obsessions: YES on Items 2 AND 4) OR (Compulsions: YES on Items 5 AND 7) AND YES on Item 8 AND YES on Item 9.", | |
| "logic": { | |
| "all": [ | |
| { | |
| "any": [ | |
| { "all": [ { "item": "2", "equals": "YES" }, { "item": "4", "equals": "YES" } ] }, | |
| { "all": [ { "item": "5", "equals": "YES" }, { "item": "7", "equals": "YES" } ] } | |
| ] | |
| }, | |
| { "item": "8", "equals": "YES" }, | |
| { "item": "9", "equals": "YES" } | |
| ] | |
| }, | |
| "dsm5_item_map": { | |
| "2": "A obsessions", | |
| "4": "A attempts to suppress", | |
| "5": "A compulsions", | |
| "7": "A goal of compulsions", | |
| "8": "B (time/impairment)", | |
| "9": "C (exclusion)" | |
| } | |
| }, | |
| "PTSD/COMPLEX PTSD": { | |
| "duration": "≥ 1 month (Criterion F).", | |
| "rule": "PTSD: Item 2 YES (A) AND ≥1 of Items 3-7 (B) AND ≥1 of Items 8-9 (C) AND ≥2 of Items 10,11,11.1,12-16 (D) AND ≥2 of Items 19-24 (E) AND Items 25 (F), 26 (G), 27 (H) YES. Complex PTSD adds 11.1, 17, 18.", | |
| "logic": { | |
| "ptsd": { | |
| "all": [ | |
| { "item": "2", "equals": "YES" }, | |
| { "min_yes": 1, "items": ["3","4","5","6","7"] }, | |
| { "min_yes": 1, "items": ["8","9"] }, | |
| { "min_yes": 2, "items": ["10","11","11.1","12","13","14","15","16"] }, | |
| { "min_yes": 2, "items": ["19","20","21","22","23","24"] }, | |
| { "item": "25", "equals": "YES" }, | |
| { "item": "26", "equals": "YES" }, | |
| { "item": "27", "equals": "YES" } | |
| ] | |
| }, | |
| "complex_ptsd": { | |
| "all": [ | |
| { "ref": "ptsd" }, | |
| { "item": "11.1", "equals": "YES" }, | |
| { "item": "17", "equals": "YES" }, | |
| { "item": "18", "equals": "YES" } | |
| ] | |
| } | |
| }, | |
| "dsm5_item_map": { | |
| "2": "A", | |
| "3-7": "B (≥1)", | |
| "8-9": "C (≥1)", | |
| "10,11,11.1,12-16": "D (≥2)", | |
| "19-24": "E (≥2)", | |
| "25": "F", | |
| "26": "G", | |
| "27": "H", | |
| "11.1,17,18": "ICD-11 DSO" | |
| } | |
| }, | |
| "SUICIDALITY": { | |
| "duration": "n/a (risk construct; consider current and past).", | |
| "rule": "Positive screen if any of Items 4-7 are YES (suicidal thoughts/plans/attempts or self-harm).", | |
| "logic": { | |
| "any": [ | |
| { "item": "4", "equals": "YES" }, | |
| { "item": "5", "equals": "YES" }, | |
| { "item": "6", "equals": "YES" }, | |
| { "item": "7", "equals": "YES" } | |
| ] | |
| }, | |
| "risk_notes": "Prior attempts (Item 6) and current plans (Item 5) indicate higher acute risk; follow safeguarding protocol." | |
| }, | |
| "MAJOR DEPRESSIVE EPISODE": { | |
| "duration": "symptoms present nearly every day during the same 2-week period", | |
| "rule": "YES on ≥5 of Items 2-10 (A1-A9) with at least one of Item 2 or 3, AND Item 11 (B) AND Item 12 (C).", | |
| "logic": { | |
| "all": [ | |
| { "symptom_block": { "items": ["2","3","4","5","6","7","8","9","10"], "count_yes_at_least": 5, "must_include_any_of": ["2","3"] } }, | |
| { "item": "11", "equals": "YES" }, | |
| { "item": "12", "equals": "YES" } | |
| ] | |
| }, | |
| "dsm5_item_map": { "2-10": "A1-A9 (≥5 incl. 2 or 3)", "11": "B (impairment)", "12": "C (exclusion)" } | |
| }, | |
| "PERSISTENT DEPRESSION": { | |
| "duration": "≥1 year; not symptom-free >2 months at a time", | |
| "rule": "Item 2 (B1-B6): ≥2 symptoms checked AND Item 3 YES (C: not symptom-free >2 months) AND Item 4 YES (impairment) AND Item 5 YES (exclusion).", | |
| "logic": { | |
| "all": [ | |
| { "min_checked": 2, "item": "2" }, | |
| { "item": "3", "equals": "YES" }, | |
| { "item": "4", "equals": "YES" }, | |
| { "item": "5", "equals": "YES" } | |
| ] | |
| }, | |
| "dsm5_item_map": { "2": "B1-B6 (≥2)", "3": "C (not symptom-free >2m)", "4": "H (impairment)", "5": "G (exclusion)" } | |
| }, | |
| "MANIC/HYPOMANIC EPISODE": { | |
| "duration": "mania: ≥1 week or any duration if hospitalised; hypomania: ≥4 days (captured via items 3-6).", | |
| "rule": "Mania path: Item 2 (B1-B7) ≥3 checked AND Item 5 YES (marked impairment/psychosis/hospitalisation) AND Item 7 YES (exclusion). Hypomania path: Item 2 ≥3 checked AND Item 4 YES (noticeable to others) AND Item 6 YES (no significant disability) AND Item 7 YES (exclusion).", | |
| "logic": { | |
| "mania": { | |
| "all": [ | |
| { "min_checked": 3, "item": "2" }, | |
| { "item": "5", "equals": "YES" }, | |
| { "item": "7", "equals": "YES" } | |
| ] | |
| }, | |
| "hypomania": { | |
| "all": [ | |
| { "min_checked": 3, "item": "2" }, | |
| { "item": "4", "equals": "YES" }, | |
| { "item": "6", "equals": "YES" }, | |
| { "item": "7", "equals": "YES" } | |
| ] | |
| } | |
| }, | |
| "dsm5_item_map": { | |
| "2": "B1-B7 (≥3)", | |
| "4": "Hypomania visibility", | |
| "5": "C (mania severity/psychosis)", | |
| "6": "Hypomania—no marked impairment", | |
| "7": "D (exclusion)" | |
| } | |
| }, | |
| "SCREEN FOR PSYCHOTIC DISORDERS": { | |
| "duration": "for schizophrenia-spectrum disorders, continuous signs ≥6 months with ≥1 month active-phase—EPSI-C here is a screen.", | |
| "rule": "Positive psychosis screen if (any YES among Items 2-6) AND Item 7 YES (impairment) AND Item 8 YES (exclusion).", | |
| "logic": { | |
| "all": [ | |
| { "min_yes": 1, "items": ["2","3","4","5","6"] }, | |
| { "item": "7", "equals": "YES" }, | |
| { "item": "8", "equals": "YES" } | |
| ] | |
| }, | |
| "dsm5_item_map": { | |
| "2": "Hallucinations", | |
| "3": "Delusions", | |
| "4": "Disorganized speech", | |
| "5": "Disorganized/catatonic behavior", | |
| "6": "Negative symptoms", | |
| "7": "Impairment", | |
| "8": "Exclusion" | |
| } | |
| }, | |
| "ANOREXIA NERVOSA": { | |
| "duration": "persistent pattern; DSM-5 has no fixed minimum duration", | |
| "rule": "YES on Item 2 (A: restriction/low weight) AND Item 3 (C: body image disturbance/lack of recognition).", | |
| "logic": { | |
| "all": [ | |
| { "item": "2", "equals": "YES" }, | |
| { "item": "3", "equals": "YES" } | |
| ] | |
| }, | |
| "dsm5_item_map": { "2": "A", "3": "C (includes B via behaviours)" } | |
| }, | |
| "BULIMIA NERVOSA": { | |
| "duration": "≥1/week for 3 months", | |
| "rule": "YES on Item 2 (binge amount) AND Item 3 (loss of control) AND Item 4 (compensatory behaviours) AND Item 5 (frequency/duration) AND Item 6 (shape/weight influence).", | |
| "logic": { | |
| "all": [ | |
| { "item": "2", "equals": "YES" }, | |
| { "item": "3", "equals": "YES" }, | |
| { "item": "4", "equals": "YES" }, | |
| { "item": "5", "equals": "YES" }, | |
| { "item": "6", "equals": "YES" } | |
| ] | |
| }, | |
| "dsm5_item_map": { "2": "A (binge)", "3": "A (loss of control)", "4": "B (compensation)", "5": "C (freq/dur)", "6": "D (self-evaluation)" } | |
| }, | |
| "BINGE-EATING DISORDER": { | |
| "duration": "≥1/week for 3 months", | |
| "rule": "YES on Item 2 (binge) AND Item 3 (loss of control) AND ≥3 features in Item 4 (B1-B5) AND Item 5 (distress) AND Item 6 (frequency/duration) AND Item 7 (no compensatory behaviours).", | |
| "logic": { | |
| "all": [ | |
| { "item": "2", "equals": "YES" }, | |
| { "item": "3", "equals": "YES" }, | |
| { "min_checked": 3, "item": "4" }, | |
| { "item": "5", "equals": "YES" }, | |
| { "item": "6", "equals": "YES" }, | |
| { "item": "7", "equals": "YES" } | |
| ] | |
| }, | |
| "dsm5_item_map": { | |
| "2": "A", | |
| "3": "A (loss of control)", | |
| "4": "B1-B5 (≥3)", | |
| "5": "C", | |
| "6": "D", | |
| "7": "E/F" | |
| } | |
| }, | |
| "ADHD": { | |
| "duration": "≥6 months; several symptoms before age 12; present in ≥2 settings", | |
| "rule": "Combined: (≥6 YES in Items 2-10) AND (≥6 YES in Items 11-19) AND Items 20,21,22 YES. Inattentive: (≥6 YES in 2-10) AND 20,21,22 YES AND <6 YES in 11-19. Hyperactive/Impulsive: (≥6 YES in 11-19) AND 20,21,22 YES AND <6 YES in 2-10.", | |
| "logic": { | |
| "combined": { | |
| "all": [ | |
| { "min_yes": 6, "items": ["2","3","4","5","6","7","8","9","10"] }, | |
| { "min_yes": 6, "items": ["11","12","13","14","15","16","17","18","19"] }, | |
| { "item": "20", "equals": "YES" }, | |
| { "item": "21", "equals": "YES" }, | |
| { "item": "22", "equals": "YES" } | |
| ] | |
| }, | |
| "inattentive": { | |
| "all": [ | |
| { "min_yes": 6, "items": ["2","3","4","5","6","7","8","9","10"] }, | |
| { "item": "20", "equals": "YES" }, | |
| { "item": "21", "equals": "YES" }, | |
| { "item": "22", "equals": "YES" } | |
| ], | |
| "not": { "min_yes": 6, "items": ["11","12","13","14","15","16","17","18","19"] } | |
| }, | |
| "hyperactive_impulsive": { | |
| "all": [ | |
| { "min_yes": 6, "items": ["11","12","13","14","15","16","17","18","19"] }, | |
| { "item": "20", "equals": "YES" }, | |
| { "item": "21", "equals": "YES" }, | |
| { "item": "22", "equals": "YES" } | |
| ], | |
| "not": { "min_yes": 6, "items": ["2","3","4","5","6","7","8","9","10"] } | |
| } | |
| }, | |
| "dsm5_item_map": { | |
| "2-10": "Inattention (≥6)", | |
| "11-19": "Hyperactivity/Impulsivity (≥6)", | |
| "20": "Onset <12y", | |
| "21": "≥2 settings", | |
| "22": "Impairment" | |
| } | |
| }, | |
| "AUTISM SPECTRUM DISORDER": { | |
| "duration": "present in the early developmental period; may become apparent later as demands increase", | |
| "rule": "YES on Items 2,3,4 (A1-A3 all) AND ≥2 YES among Items 5-8 (B1-B4) AND Item 9 YES (early onset) AND Item 10 YES (impairment).", | |
| "logic": { | |
| "all": [ | |
| { "all": [ { "item": "2", "equals": "YES" }, { "item": "3", "equals": "YES" }, { "item": "4", "equals": "YES" } ] }, | |
| { "min_yes": 2, "items": ["5","6","7","8"] }, | |
| { "item": "9", "equals": "YES" }, | |
| { "item": "10", "equals": "YES" } | |
| ] | |
| }, | |
| "dsm5_item_map": { "2-4": "A1-A3 (all)", "5-8": "B1-B4 (≥2)", "9": "C (early)", "10": "D (impairment) / E (exclusion) context" } | |
| }, | |
| "TOURETTE’S DISORDER/TICS": { | |
| "duration": "> 1 year; onset before 18 (captured via items)", | |
| "rule": "Tourette’s path: Items 2 AND 3 AND 4 AND 5 YES. Persistent Tic path: (Item 2 OR Item 3) AND 4 AND 5 YES.", | |
| "logic": { | |
| "tourette": { | |
| "all": [ | |
| { "item": "2", "equals": "YES" }, | |
| { "item": "3", "equals": "YES" }, | |
| { "item": "4", "equals": "YES" }, | |
| { "item": "5", "equals": "YES" } | |
| ] | |
| }, | |
| "persistent_tic": { | |
| "all": [ | |
| { "any": [ { "item": "2", "equals": "YES" }, { "item": "3", "equals": "YES" } ] }, | |
| { "item": "4", "equals": "YES" }, | |
| { "item": "5", "equals": "YES" } | |
| ] | |
| } | |
| }, | |
| "dsm5_item_map": { "2": "Motor tics", "3": "Vocal tics", "4": ">=1 year", "5": "Exclusion (substance/medical)" } | |
| }, | |
| "OPPOSITIONAL DEFIANT DISORDER": { | |
| "duration": "≥6 months; frequency by age norms; impairment required", | |
| "rule": "YES if ≥4 YES among Items 2-9 AND Item 10 YES (impairment/distress).", | |
| "logic": { | |
| "all": [ | |
| { "min_yes": 4, "items": ["2","3","4","5","6","7","8","9"] }, | |
| { "item": "10", "equals": "YES" } | |
| ] | |
| }, | |
| "dsm5_item_map": { "2-9": "A symptoms (≥4)", "10": "Distress/impairment" } | |
| }, | |
| "CONDUCT DISORDER": { | |
| "duration": "≥3 criteria in last 12 months with ≥1 in last 6 months; impairment", | |
| "rule": "YES if ≥3 behaviours checked in Item 2 (12 months) AND Item 3 YES (≥1 in last 6 months) AND Item 4 YES (impairment).", | |
| "logic": { | |
| "all": [ | |
| { "min_checked": 3, "item": "2" }, | |
| { "item": "3", "equals": "YES" }, | |
| { "item": "4", "equals": "YES" } | |
| ] | |
| }, | |
| "dsm5_item_map": { "2": "A1-A15 (≥3 in 12m)", "3": "Recency ≥1 in 6m", "4": "Impairment" } | |
| }, | |
| "SUBSTANCE-RELATED DISORDERS": { | |
| "duration": "occurring within a 12-month period; severity by count", | |
| "rule": "Count DSM-5 criteria groups across Items 2-12 plus tolerance (11/12) and withdrawal (13/14). Severity: 2-3 mild, 4-5 moderate, ≥6 severe.", | |
| "logic": { | |
| "severity_by_count": { | |
| "groups": [ | |
| ["2"], ["3"], ["4"], ["5"], ["6"], ["7"], ["8"], ["9"], ["10"], | |
| ["11","12"], ["13","14"] | |
| ], | |
| "window": "12m", | |
| "thresholds": { "mild": [2,3], "moderate": [4,5], "severe": [6,11] } | |
| } | |
| }, | |
| "dsm5_item_map": { "2-10": "A1-A9", "11-12": "Tolerance (either)", "13-14": "Withdrawal (either)" } | |
| } | |
| } | |