diff --git a/data/specifiers-content.json b/data/specifiers-content.json new file mode 100644 index 000000000..9b5b0479a --- /dev/null +++ b/data/specifiers-content.json @@ -0,0 +1,12143 @@ +{ + "exportFormatVersion": "1.0.0", + "exportedAt": "2026-07-14T05:26:45.159Z", + "project": { + "appName": "Specifiers", + "version": "1.1.0", + "contentVersion": "DSM-5-TR / ICD-11 aide-memoire dataset with Australian coding-context note", + "lastUpdated": "2026-05-09", + "reviewStatus": "Pending qualified clinician review", + "reviewOwner": "Unassigned", + "reviewCadence": "Review after DSM/ICD updates and at least annually", + "scope": "Quick-reference aide-memoire for diagnostic specifiers and clinical notes. It is not a diagnostic instrument, substitute manual, treatment guide, billing/coding authority, or Australian ICD-11 implementation guide.", + "disclaimer": "Use with formal DSM-5-TR materials, current WHO ICD-11 materials, Australian ICD-10-AM/ACHI/ACS requirements where relevant, local governance, and qualified clinical judgement." + }, + "scopeWarning": "This is diagnostic specifier aide-memoire content, not psychotherapy, treatment, prescribing, billing, or diagnostic-manual content.", + "stats": { + "categories": 20, + "disorders": 131, + "groups": 218, + "specifierItems": 585, + "universalSpecifiers": 18, + "itemsWithDefinitions": 71, + "itemsPendingClinicianReview": 585 + }, + "authoritativeSources": [ + { + "label": "American Psychiatric Association: DSM-5-TR Update supplement", + "url": "https://www.psychiatry.org/getmedia/2ed086b0-ec88-42ec-aa0e-f442e4af74e6/APA-DSM5TR-Update-September-2024.pdf", + "note": "Official APA update supplement for DSM-5-TR changes and coding updates." + }, + { + "label": "World Health Organization: ICD-11 MMS releases", + "url": "https://icd.who.int/browse/releases/mms/en", + "note": "Official ICD-11 release browser for mortality and morbidity statistics." + }, + { + "label": "World Health Organization: ICD-11 CDDR publication", + "url": "https://www.who.int/publications/i/item/9789240077263", + "note": "Clinical descriptions and diagnostic requirements for ICD-11 mental, behavioural and neurodevelopmental disorders." + }, + { + "label": "Australian Institute of Health and Welfare: ICD-11", + "url": "https://www.aihw.gov.au/about-us/international-collaboration/australian-collaborating-centre-for-who/icd-11", + "note": "Australian ICD-11 planning context, including ICD-10 and ICD-10-AM continuing operation." + }, + { + "label": "Australian Institute of Health and Welfare: ICD-11 FAQs", + "url": "https://www.aihw.gov.au/about-us/international-collaboration/australian-collaborating-centre-for-who/icd-11/faq-resources", + "note": "Australian implementation FAQ noting no decision has been made yet for ICD-11 use in Australia." + }, + { + "label": "Independent Health and Aged Care Pricing Authority: ICD-11", + "url": "https://www.ihacpa.gov.au/health-care/classification/icd-11", + "note": "Australian ICD-10-AM to ICD-11 mapping and implementation-preparation work." + }, + { + "label": "RANZCP: Diagnostic manuals", + "url": "https://www.ranzcp.org/clinical-guidelines-publications/clinical-guidelines-publications-library/diagnostic-manuals", + "note": "Australian and New Zealand psychiatry position statement on diagnostic manuals." + } + ], + "universalSpecifiers": [ + { + "title": "Severity (General)", + "description": "Mild, moderate, severe (applicable to most disorders).", + "review": { + "rowKey": "universal:severity-general", + "contentHash": "c6719a88", + "sourceFamily": "DSM/ICD classification paraphrase", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "title": "Course (General)", + "description": "In partial remission, in full remission, first episode, multiple episodes, continuous, unspecified.", + "review": { + "rowKey": "universal:course-general", + "contentHash": "e96dd365", + "sourceFamily": "DSM/ICD classification paraphrase", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "title": "Panic Attack Specifier", + "description": "Applicable cross-diagnostically to any DSM-5-TR disorder. Document 'with unexpected' or 'expected panic attacks' if they occur in context but full Panic Disorder criteria are not met.", + "review": { + "rowKey": "universal:panic-attack-specifier", + "contentHash": "b7954b8f", + "sourceFamily": "DSM/ICD classification paraphrase", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "title": "With Anxious Distress", + "description": "Applicable to depressive/bipolar episodes. Mild (2 symptoms), moderate (3), moderate-severe (4-5), severe (4-5 with motor agitation).", + "review": { + "rowKey": "universal:with-anxious-distress", + "contentHash": "2bd9bdc5", + "sourceFamily": "DSM/ICD classification paraphrase", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "title": "With Mixed Features", + "description": "Applicable to manic, hypomanic, and depressive episodes. Requires 3+ subthreshold symptoms of the opposite polarity.", + "review": { + "rowKey": "universal:with-mixed-features", + "contentHash": "6a71ced3", + "sourceFamily": "DSM/ICD classification paraphrase", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "title": "With Melancholic Features", + "description": "Applicable to depressive episodes. Loss of pleasure in all/most activities OR lack of reactivity, plus 3+: distinct quality of depressed mood, worse in morning, early morning awakening, marked psychomotor change, significant anorexia/weight loss, excessive guilt.", + "review": { + "rowKey": "universal:with-melancholic-features", + "contentHash": "eea2829d", + "sourceFamily": "DSM/ICD classification paraphrase", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "title": "With Atypical Features", + "description": "Applicable to depressive episodes. Mood reactivity plus 2+: significant weight gain/appetite increase, hypersomnia, leaden paralysis, long-standing pattern of interpersonal rejection sensitivity.", + "review": { + "rowKey": "universal:with-atypical-features", + "contentHash": "43cfe045", + "sourceFamily": "DSM/ICD classification paraphrase", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "title": "With Psychotic Features", + "description": "Applicable to mood disorders. Mood-congruent (consistent with mood themes) or Mood-incongruent (inconsistent, carries worse prognosis).", + "review": { + "rowKey": "universal:with-psychotic-features", + "contentHash": "651e4bae", + "sourceFamily": "DSM/ICD classification paraphrase", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "title": "With Catatonia", + "description": "Requires 3+ of 12 features: stupor, catalepsy, waxy flexibility, mutism, negativism, posturing, mannerism, stereotypy, agitation, grimacing, echolalia, echopraxia. Applicable to mood, psychotic, neurodevelopmental, or medical conditions.", + "review": { + "rowKey": "universal:with-catatonia", + "contentHash": "d284cc9c", + "sourceFamily": "DSM/ICD classification paraphrase", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "title": "With Peripartum Onset", + "description": "Onset during pregnancy or within 4 weeks of delivery (DSM-5-TR mood episodes).", + "review": { + "rowKey": "universal:with-peripartum-onset", + "contentHash": "98ce83de", + "sourceFamily": "DSM/ICD classification paraphrase", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "title": "With Seasonal Pattern", + "description": "Recurrent mood episodes with regular temporal relationship to a particular time of year.", + "review": { + "rowKey": "universal:with-seasonal-pattern", + "contentHash": "deaa5211", + "sourceFamily": "DSM/ICD classification paraphrase", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "title": "With Rapid Cycling", + "description": "Applicable to Bipolar Disorders: At least four mood episodes in the previous 12 months.", + "review": { + "rowKey": "universal:with-rapid-cycling", + "contentHash": "465bfe9f", + "sourceFamily": "DSM/ICD classification paraphrase", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "title": "Insight Specifiers", + "description": "Applicable to OCD-related disorders: Good or fair insight, poor insight, absent insight/delusional beliefs.", + "review": { + "rowKey": "universal:insight-specifiers", + "contentHash": "bea9e436", + "sourceFamily": "DSM/ICD classification paraphrase", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "title": "Suicidal Behaviour", + "description": "Cross-cutting code: Current, in early remission, in sustained remission.", + "review": { + "rowKey": "universal:suicidal-behaviour", + "contentHash": "c326aad1", + "sourceFamily": "DSM/ICD classification paraphrase", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "title": "Nonsuicidal Self-Injury", + "description": "Cross-cutting code: Current, in early remission, in sustained remission.", + "review": { + "rowKey": "universal:nonsuicidal-self-injury", + "contentHash": "819614e9", + "sourceFamily": "DSM/ICD classification paraphrase", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "title": "ICD-11 Symptomatic Manifestations", + "description": "For psychotic disorders: Positive, negative, depressive mood, manic mood, psychomotor, cognitive. Rated: not present, mild, moderate, severe.", + "review": { + "rowKey": "universal:icd-11-symptomatic-manifestations", + "contentHash": "977c3fe6", + "sourceFamily": "DSM/ICD classification paraphrase", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "title": "ICD-11 Prominent Personality Trait Qualifiers", + "description": "Negative affectivity, detachment, dissociality, disinhibition, anankastia, borderline pattern.", + "review": { + "rowKey": "universal:icd-11-prominent-personality-trait-qualifiers", + "contentHash": "cbe4a857", + "sourceFamily": "DSM/ICD classification paraphrase", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "title": "ICD-11 Disturbances in Self-Organisation", + "description": "For Complex PTSD: Affective dysregulation, negative self-concept, disturbances in relationships.", + "review": { + "rowKey": "universal:icd-11-disturbances-in-self-organisation", + "contentHash": "c617f23c", + "sourceFamily": "DSM/ICD classification paraphrase", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ], + "categories": [ + { + "id": "ndv", + "name": "1. Neurodevelopmental", + "colorToken": "var(--ndv)", + "disorders": [ + { + "name": "Intellectual Developmental Disorder", + "icd11Context": "ICD-11 (6A00): Severity based on adaptive functioning, not IQ scores alone.", + "groups": [ + { + "label": "Severity", + "items": [ + { + "label": "Mild", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ndv:intellectual-developmental-disorder:severity:mild", + "contentHash": "f2f669eb", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Moderate", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ndv:intellectual-developmental-disorder:severity:moderate", + "contentHash": "d9428af3", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Severe", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ndv:intellectual-developmental-disorder:severity:severe", + "contentHash": "7d17e56e", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Profound", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ndv:intellectual-developmental-disorder:severity:profound", + "contentHash": "840c09da", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Language Disorder", + "icd11Context": "ICD-11 (6A01.2): Specifically distinct from developmental speech fluency disorders.", + "groups": [ + { + "label": "Features", + "items": [ + { + "label": "With/without impairment in comprehension of language", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ndv:language-disorder:features:with-without-impairment-in-comprehension-of-language", + "contentHash": "cb679e3c", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ndv:language-disorder:severity:current-severity", + "contentHash": "b81ef631", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Speech Sound Disorder", + "icd11Context": "High Yield: Document current severity.", + "groups": [ + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ndv:speech-sound-disorder:severity:current-severity", + "contentHash": "0618789d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Childhood-Onset Fluency Disorder (Stuttering)", + "icd11Context": "High Yield: Document current severity.", + "groups": [ + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ndv:childhood-onset-fluency-disorder-stuttering:severity:current-severity", + "contentHash": "9ae1f41d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Social (Pragmatic) Communication Disorder", + "icd11Context": "High Yield: Document current severity.", + "groups": [ + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ndv:social-pragmatic-communication-disorder:severity:current-severity", + "contentHash": "b9d9f615", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Autism Spectrum Disorder", + "icd11Context": "ICD-11 (6A02): Categorised explicitly by presence/absence of intellectual impairment and functional language impairment.", + "groups": [ + { + "label": "Co-occurring", + "items": [ + { + "label": "With/without accompanying intellectual impairment", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ndv:autism-spectrum-disorder:co-occurring:with-without-accompanying-intellectual-impairment", + "contentHash": "2a19f4be", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With/without accompanying language impairment", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ndv:autism-spectrum-disorder:co-occurring:with-without-accompanying-language-impairment", + "contentHash": "b5171883", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Associated with a known medical or genetic condition or environmental factor", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ndv:autism-spectrum-disorder:co-occurring:associated-with-a-known-medical-or-genetic-condition-or-environmental-factor", + "contentHash": "d2e2b2fd", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Associated with another neurodevelopmental, mental, or behavioural problem", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ndv:autism-spectrum-disorder:co-occurring:associated-with-another-neurodevelopmental-mental-or-behavioural-problem", + "contentHash": "896e2546", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With catatonia", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ndv:autism-spectrum-disorder:co-occurring:with-catatonia", + "contentHash": "eaeb6155", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Level 1: Requiring support", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ndv:autism-spectrum-disorder:severity:level-1-requiring-support", + "contentHash": "68b18059", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Level 2: Requiring substantial support", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ndv:autism-spectrum-disorder:severity:level-2-requiring-substantial-support", + "contentHash": "c7bb7a37", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Level 3: Requiring very substantial support", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ndv:autism-spectrum-disorder:severity:level-3-requiring-very-substantial-support", + "contentHash": "70103dca", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Attention-Deficit/Hyperactivity Disorder", + "icd11Context": "ICD-11 (6A05): Uses identical presentation subtypes.", + "groups": [ + { + "label": "Presentation", + "items": [ + { + "label": "Combined presentation", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ndv:attention-deficit-hyperactivity-disorder:presentation:combined-presentation", + "contentHash": "cfa9c0af", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Predominantly inattentive presentation", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ndv:attention-deficit-hyperactivity-disorder:presentation:predominantly-inattentive-presentation", + "contentHash": "cd822b24", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Predominantly hyperactive-impulsive presentation", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ndv:attention-deficit-hyperactivity-disorder:presentation:predominantly-hyperactive-impulsive-presentation", + "contentHash": 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Document if waxing-waning course.", + "groups": [ + { + "label": "Features", + "items": [ + { + "label": "Waxing-waning course", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ndv:tourette-s-disorder-tic-disorders:features:waxing-waning-course", + "contentHash": "bc6afd92", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With onset before/after age 18", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ndv:tourette-s-disorder-tic-disorders:features:with-onset-before-after-age-18", + "contentHash": "6ce2fce5", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ndv:tourette-s-disorder-tic-disorders:severity:current-severity", + "contentHash": "41dfe6a1", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + } + ] + }, + { + "id": "psy", + "name": "2. Schizophrenia Spectrum", + "colorToken": "var(--psy)", + "disorders": [ + { + "name": "Delusional Disorder", + "icd11Context": "ICD-11 (6A24): Does not subtype by delusion type, uses symptom qualifiers instead.", + "groups": [ + { + "label": "Type", + "items": [ + { + "label": "Erotomanic type", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:delusional-disorder:type:erotomanic-type", + "contentHash": "8cdf7da5", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Grandiose type", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:delusional-disorder:type:grandiose-type", + "contentHash": "2fac2905", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Jealous type", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:delusional-disorder:type:jealous-type", + "contentHash": "1d19a296", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Persecutory type", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:delusional-disorder:type:persecutory-type", + "contentHash": "c252c945", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Somatic type", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:delusional-disorder:type:somatic-type", + "contentHash": "a6088c92", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Mixed type", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:delusional-disorder:type:mixed-type", + "contentHash": "9fd336ec", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Unspecified type", + "definition": null, + "definitionStatus": "obvious-no-definition", + "review": { + "rowKey": "specifier:psy:delusional-disorder:type:unspecified-type", + "contentHash": "fc967471", + "sourceVerificationStatus": "source-not-applicable", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + }, + { + "label": "Features", + "items": [ + { + "label": "With bizarre content", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:delusional-disorder:features:with-bizarre-content", + "contentHash": "be38b05e", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Brief Psychotic Disorder", + "icd11Context": "ICD-11 (6A23): Known as Acute and transient psychotic disorder.", + "groups": [ + { + "label": "Features", + "items": [ + { + "label": "With marked stressor(s)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:brief-psychotic-disorder:features:with-marked-stressor-s", + "contentHash": "f38fd5db", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Without marked stressor(s)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:brief-psychotic-disorder:features:without-marked-stressor-s", + "contentHash": "b8f5bb2c", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With peripartum onset", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:brief-psychotic-disorder:features:with-peripartum-onset", + "contentHash": "759f8b59", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With catatonia", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:brief-psychotic-disorder:features:with-catatonia", + "contentHash": "600346c7", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:brief-psychotic-disorder:severity:current-severity", + "contentHash": "db766efb", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Schizophreniform Disorder", + "icd11Context": "ICD-11: No direct equivalent. Usually coded as first episode schizophrenia (6A20) or acute transient (6A23).", + "groups": [ + { + "label": "Prognosis", + "items": [ + { + "label": "With good prognostic features", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:schizophreniform-disorder:prognosis:with-good-prognostic-features", + "contentHash": "5dd28c5a", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Without good prognostic features", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:schizophreniform-disorder:prognosis:without-good-prognostic-features", + "contentHash": "0f67565f", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Features", + "items": [ + { + "label": "With catatonia", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:schizophreniform-disorder:features:with-catatonia", + "contentHash": "599e12bd", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:schizophreniform-disorder:severity:current-severity", + "contentHash": "f0a77257", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Schizophrenia", + "icd11Context": "ICD-11 (6A20): Symptom qualifiers required: positive, negative, depressive, manic, psychomotor, cognitive.", + "groups": [ + { + "label": "Course & Status", + "items": [ + { + "label": "First episode currently in acute episode", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:schizophrenia:course-status:first-episode-currently-in-acute-episode", + "contentHash": "4a341885", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "First episode currently in partial remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:schizophrenia:course-status:first-episode-currently-in-partial-remission", + "contentHash": "9936f7fc", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "First episode currently in full remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:schizophrenia:course-status:first-episode-currently-in-full-remission", + "contentHash": "1ee4c0bd", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Multiple episodes currently in acute episode", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:schizophrenia:course-status:multiple-episodes-currently-in-acute-episode", + "contentHash": "a5787907", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Multiple episodes currently in partial remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:schizophrenia:course-status:multiple-episodes-currently-in-partial-remission", + "contentHash": "0eff4abf", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Multiple episodes currently in full remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:schizophrenia:course-status:multiple-episodes-currently-in-full-remission", + "contentHash": "66cbac4a", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Continuous", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:schizophrenia:course-status:continuous", + "contentHash": "652e9336", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Unspecified", + "definition": null, + "definitionStatus": "obvious-no-definition", + "review": { + "rowKey": "specifier:psy:schizophrenia:course-status:unspecified", + "contentHash": "d231e13b", + "sourceVerificationStatus": "source-not-applicable", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + }, + { + "label": "Features", + "items": [ + { + "label": "With catatonia", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:schizophrenia:features:with-catatonia", + "contentHash": "ee7dd6ca", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Mild", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:schizophrenia:severity:mild", + "contentHash": "8cb8d933", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Moderate", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:schizophrenia:severity:moderate", + "contentHash": "91596231", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Severe", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:schizophrenia:severity:severe", + "contentHash": "70239a98", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Schizoaffective Disorder", + "icd11Context": "ICD-11 (6A21): Subtyped heavily by current episode type (manic, depressive, mixed).", + "groups": [ + { + "label": "Type", + "items": [ + { + "label": "Bipolar type", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:schizoaffective-disorder:type:bipolar-type", + "contentHash": "d4aa660b", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Depressive type", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:schizoaffective-disorder:type:depressive-type", + "contentHash": "00d345a8", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Course & Status", + "items": [ + { + "label": "First episode (acute, partial, full remission)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:schizoaffective-disorder:course-status:first-episode-acute-partial-full-remission", + "contentHash": "a321314a", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Multiple episodes (acute, partial, full remission)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:schizoaffective-disorder:course-status:multiple-episodes-acute-partial-full-remission", + "contentHash": "9ed7008d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Continuous", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:schizoaffective-disorder:course-status:continuous", + "contentHash": "92f2892c", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Unspecified", + "definition": null, + "definitionStatus": "obvious-no-definition", + "review": { + "rowKey": "specifier:psy:schizoaffective-disorder:course-status:unspecified", + "contentHash": "cc9affcd", + "sourceVerificationStatus": "source-not-applicable", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + }, + { + "label": "Features", + "items": [ + { + "label": "With catatonia", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:schizoaffective-disorder:features:with-catatonia", + "contentHash": "a12edf64", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:schizoaffective-disorder:severity:current-severity", + "contentHash": "6a23e5f7", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Substance/Medication-Induced Psychotic Disorder", + "icd11Context": "High Yield: Code under relevant substance.", + "groups": [ + { + "label": "Onset", + "items": [ + { + "label": "With onset during intoxication", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:substance-medication-induced-psychotic-disorder:onset:with-onset-during-intoxication", + "contentHash": "53812862", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With onset during withdrawal", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:substance-medication-induced-psychotic-disorder:onset:with-onset-during-withdrawal", + "contentHash": "386ddf6a", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Predominant symptom", + "items": [ + { + "label": "With delusions", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:substance-medication-induced-psychotic-disorder:predominant-symptom:with-delusions", + "contentHash": "54869047", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With hallucinations", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:substance-medication-induced-psychotic-disorder:predominant-symptom:with-hallucinations", + "contentHash": "2f005ba7", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:substance-medication-induced-psychotic-disorder:severity:current-severity", + "contentHash": "a8858bd5", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Psychotic Disorder Due to Another Medical Condition", + "icd11Context": "ICD-11 (6E61): Secondary psychotic syndrome.", + "groups": [ + { + "label": "Predominant symptom", + "items": [ + { + "label": "With delusions", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:psychotic-disorder-due-to-another-medical-condition:predominant-symptom:with-delusions", + "contentHash": "d55f119a", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With hallucinations", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:psychotic-disorder-due-to-another-medical-condition:predominant-symptom:with-hallucinations", + "contentHash": "e2c5fd56", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Features", + "items": [ + { + "label": "With catatonia", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:psychotic-disorder-due-to-another-medical-condition:features:with-catatonia", + "contentHash": "3cfbd107", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Catatonia", + "icd11Context": "ICD-11: Standalone diagnosis. Requires 3+ of 12 classic features.", + "groups": [ + { + "label": "Context", + "items": [ + { + "label": "Associated with another mental disorder (catatonia specifier)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:catatonia:context:associated-with-another-mental-disorder-catatonia-specifier", + "contentHash": "652e995e", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Catatonic disorder due to another medical condition", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:catatonia:context:catatonic-disorder-due-to-another-medical-condition", + "contentHash": "214ccaa8", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Unspecified catatonia", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:catatonia:context:unspecified-catatonia", + "contentHash": "1fdf07af", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Attenuated Psychosis Syndrome (DSM-5-TR Section III)", + "icd11Context": "DSM-5-TR Section III condition for further study.", + "groups": [ + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:psy:attenuated-psychosis-syndrome-dsm-5-tr-section-iii:severity:current-severity", + "contentHash": "b0e2d867", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + } + ] + }, + { + "id": "bip", + "name": "3. Bipolar & Related", + "colorToken": "var(--bip)", + "disorders": [ + { + "name": "Bipolar I Disorder", + "icd11Context": "ICD-11 (6A60): Characterised by manic episodes. Qualifiers: anxiety, panic, melancholia, seasonal, rapid cycling.", + "groups": [ + { + "label": "Current Episode", + "items": [ + { + "label": "Manic", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-i-disorder:current-episode:manic", + "contentHash": "236e88a9", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Hypomanic", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-i-disorder:current-episode:hypomanic", + "contentHash": "b1dbad25", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Depressed", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-i-disorder:current-episode:depressed", + "contentHash": "8d20255e", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Unspecified", + "definition": null, + "definitionStatus": "obvious-no-definition", + "review": { + "rowKey": "specifier:bip:bipolar-i-disorder:current-episode:unspecified", + "contentHash": "817da99b", + "sourceVerificationStatus": "source-not-applicable", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + }, + { + "label": "Episode Specifiers", + "items": [ + { + "label": "With anxious distress (mild, moderate, moderate-severe, severe)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-i-disorder:episode-specifiers:with-anxious-distress-mild-moderate-moderate-severe-severe", + "contentHash": "20faf574", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With mixed features", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-i-disorder:episode-specifiers:with-mixed-features", + "contentHash": "2c8a24e9", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With rapid cycling", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-i-disorder:episode-specifiers:with-rapid-cycling", + "contentHash": "f8f62793", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With melancholic features", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-i-disorder:episode-specifiers:with-melancholic-features", + "contentHash": "f6800e60", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With atypical features", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-i-disorder:episode-specifiers:with-atypical-features", + "contentHash": "94c4c569", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With mood-congruent psychotic features", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-i-disorder:episode-specifiers:with-mood-congruent-psychotic-features", + "contentHash": "c9b2e341", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With mood-incongruent psychotic features", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-i-disorder:episode-specifiers:with-mood-incongruent-psychotic-features", + "contentHash": "3c3dd48d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With catatonia", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-i-disorder:episode-specifiers:with-catatonia", + "contentHash": "58177f9a", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With peripartum onset", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-i-disorder:episode-specifiers:with-peripartum-onset", + "contentHash": "9bf25f66", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With seasonal pattern", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-i-disorder:episode-specifiers:with-seasonal-pattern", + "contentHash": "a3d0e0cc", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity/Course", + "items": [ + { + "label": "Mild", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-i-disorder:severity-course:mild", + "contentHash": "a23f9458", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Moderate", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-i-disorder:severity-course:moderate", + "contentHash": "963762f8", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Severe", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-i-disorder:severity-course:severe", + "contentHash": "fc50245d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "In partial remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-i-disorder:severity-course:in-partial-remission", + "contentHash": "9aa536d7", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "In full remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-i-disorder:severity-course:in-full-remission", + "contentHash": "fdf40418", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Bipolar II Disorder", + "icd11Context": "ICD-11 (6A61): Hypomanic + major depressive episodes. Same qualifier structure as Bipolar I.", + "groups": [ + { + "label": "Current Episode", + "items": [ + { + "label": "Hypomanic", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-ii-disorder:current-episode:hypomanic", + "contentHash": "210c10cc", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Depressed", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-ii-disorder:current-episode:depressed", + "contentHash": "9aed2481", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Episode Specifiers", + "items": [ + { + "label": "With anxious distress (mild, moderate, moderate-severe, severe)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-ii-disorder:episode-specifiers:with-anxious-distress-mild-moderate-moderate-severe-severe", + "contentHash": "ea949d16", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With mixed features", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-ii-disorder:episode-specifiers:with-mixed-features", + "contentHash": "655e39ac", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With rapid cycling", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-ii-disorder:episode-specifiers:with-rapid-cycling", + "contentHash": "5ea9745c", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With melancholic features", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-ii-disorder:episode-specifiers:with-melancholic-features", + "contentHash": "d796cf6d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With atypical features", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-ii-disorder:episode-specifiers:with-atypical-features", + "contentHash": "6529d2ba", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With mood-congruent psychotic features", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-ii-disorder:episode-specifiers:with-mood-congruent-psychotic-features", + "contentHash": "ccf33a08", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With mood-incongruent psychotic features", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-ii-disorder:episode-specifiers:with-mood-incongruent-psychotic-features", + "contentHash": "c2fe1bec", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With catatonia", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-ii-disorder:episode-specifiers:with-catatonia", + "contentHash": "d58223e3", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With peripartum onset", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-ii-disorder:episode-specifiers:with-peripartum-onset", + "contentHash": "f55b6c9d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With seasonal pattern", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-ii-disorder:episode-specifiers:with-seasonal-pattern", + "contentHash": "86f952f7", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity/Course", + "items": [ + { + "label": "Mild", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-ii-disorder:severity-course:mild", + "contentHash": "b15cfef0", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Moderate", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-ii-disorder:severity-course:moderate", + "contentHash": "36f8b9a2", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Severe", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-ii-disorder:severity-course:severe", + "contentHash": "33909df1", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "In partial remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-ii-disorder:severity-course:in-partial-remission", + "contentHash": "1826dd61", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "In full remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-ii-disorder:severity-course:in-full-remission", + "contentHash": "ef914a48", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Cyclothymic Disorder", + "icd11Context": "ICD-11 (6A62): Chronic instability of mood (2+ years).", + "groups": [ + { + "label": "Features", + "items": [ + { + "label": "With anxious distress", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:cyclothymic-disorder:features:with-anxious-distress", + "contentHash": "6214ed19", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:cyclothymic-disorder:severity:current-severity", + "contentHash": "57d9f855", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Substance/Medication-Induced Bipolar", + "icd11Context": "High Yield: Specify intoxication vs withdrawal.", + "groups": [ + { + "label": "Onset", + "items": [ + { + "label": "With onset during intoxication", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:substance-medication-induced-bipolar:onset:with-onset-during-intoxication", + "contentHash": "84b3cd47", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With onset during withdrawal", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:substance-medication-induced-bipolar:onset:with-onset-during-withdrawal", + "contentHash": "63109a83", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Features", + "items": [ + { + "label": "With manic features", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:substance-medication-induced-bipolar:features:with-manic-features", + "contentHash": "c8907203", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With mixed features", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:substance-medication-induced-bipolar:features:with-mixed-features", + "contentHash": "19e67182", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Bipolar Due to Another Medical Condition", + "icd11Context": "ICD-11: Secondary mood syndrome.", + "groups": [ + { + "label": "Features", + "items": [ + { + "label": "With manic features", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-due-to-another-medical-condition:features:with-manic-features", + "contentHash": "bf89b134", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With manic- or hypomanic-like episode", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-due-to-another-medical-condition:features:with-manic-or-hypomanic-like-episode", + "contentHash": "6089dfce", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With mixed features", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:bip:bipolar-due-to-another-medical-condition:features:with-mixed-features", + "contentHash": "6c2a952d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + } + ] + }, + { + "id": "dep", + "name": "4. Depressive Disorders", + "colorToken": "var(--dep)", + "disorders": [ + { + "name": "Disruptive Mood Dysregulation Disorder", + "icd11Context": "High Yield: Onset before 10 yrs, no direct ICD-11 equivalent.", + "groups": [ + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:disruptive-mood-dysregulation-disorder:severity:current-severity", + "contentHash": "ef10592d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Major Depressive Disorder", + "icd11Context": "ICD-11 (6A70/6A71): Single or recurrent. Severity, psychotic, anxiety, melancholia, seasonal qualifiers.", + "groups": [ + { + "label": "Pattern", + "items": [ + { + "label": "Single episode", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:major-depressive-disorder:pattern:single-episode", + "contentHash": "0739d077", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Recurrent episode", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:major-depressive-disorder:pattern:recurrent-episode", + "contentHash": "f95dc0b8", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Episode Specifiers", + "items": [ + { + "label": "With anxious distress (mild, moderate, moderate-severe, severe)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:major-depressive-disorder:episode-specifiers:with-anxious-distress-mild-moderate-moderate-severe-severe", + "contentHash": "84e79f4e", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With mixed features", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:major-depressive-disorder:episode-specifiers:with-mixed-features", + "contentHash": "eb4d480c", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With melancholic features", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:major-depressive-disorder:episode-specifiers:with-melancholic-features", + "contentHash": "01fe4c0d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With atypical features", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:major-depressive-disorder:episode-specifiers:with-atypical-features", + "contentHash": "c0f329da", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With mood-congruent psychotic features", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:major-depressive-disorder:episode-specifiers:with-mood-congruent-psychotic-features", + "contentHash": "eef8aba8", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With mood-incongruent psychotic features", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:major-depressive-disorder:episode-specifiers:with-mood-incongruent-psychotic-features", + "contentHash": "f4fabbcc", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With catatonia", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:major-depressive-disorder:episode-specifiers:with-catatonia", + "contentHash": "f3e9d083", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With peripartum onset", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:major-depressive-disorder:episode-specifiers:with-peripartum-onset", + "contentHash": "df74de7d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With seasonal pattern (recurrent only)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:major-depressive-disorder:episode-specifiers:with-seasonal-pattern-recurrent-only", + "contentHash": "1841c8d6", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity/Course", + "items": [ + { + "label": "Mild", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:major-depressive-disorder:severity-course:mild", + "contentHash": "f46e08f0", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Moderate", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:major-depressive-disorder:severity-course:moderate", + "contentHash": "964ca662", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Severe", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:major-depressive-disorder:severity-course:severe", + "contentHash": "d1cfdf41", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "In partial remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:major-depressive-disorder:severity-course:in-partial-remission", + "contentHash": "33f4faf1", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "In full remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:major-depressive-disorder:severity-course:in-full-remission", + "contentHash": "6527b798", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Persistent Depressive Disorder (Dysthymia)", + "icd11Context": "ICD-11 (6A72): Dysthymic disorder. No pattern subtyping like DSM.", + "groups": [ + { + "label": "Pattern", + "items": [ + { + "label": "With pure dysthymic syndrome", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:persistent-depressive-disorder-dysthymia:pattern:with-pure-dysthymic-syndrome", + "contentHash": "647da020", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With persistent major depressive episode", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:persistent-depressive-disorder-dysthymia:pattern:with-persistent-major-depressive-episode", + "contentHash": "9d7e1c1a", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With intermittent major depressive episodes with current episode", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:persistent-depressive-disorder-dysthymia:pattern:with-intermittent-major-depressive-episodes-with-current-episode", + "contentHash": "9f92265b", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With intermittent major depressive episodes without current episode", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:persistent-depressive-disorder-dysthymia:pattern:with-intermittent-major-depressive-episodes-without-current-episode", + "contentHash": "813afadd", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Onset", + "items": [ + { + "label": "Early onset (before age 21)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:persistent-depressive-disorder-dysthymia:onset:early-onset-before-age-21", + "contentHash": "8bd81b57", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Late onset (age 21 or older)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:persistent-depressive-disorder-dysthymia:onset:late-onset-age-21-or-older", + "contentHash": "f8797789", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Features", + "items": [ + { + "label": "With anxious distress", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:persistent-depressive-disorder-dysthymia:features:with-anxious-distress", + "contentHash": "5e0d80ed", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With atypical features", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:persistent-depressive-disorder-dysthymia:features:with-atypical-features", + "contentHash": "f41103bc", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity/Course", + "items": [ + { + "label": "Mild", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:persistent-depressive-disorder-dysthymia:severity-course:mild", + "contentHash": "a14d19f8", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Moderate", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:persistent-depressive-disorder-dysthymia:severity-course:moderate", + "contentHash": "259f5d30", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Severe", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:persistent-depressive-disorder-dysthymia:severity-course:severe", + "contentHash": "4b14eb41", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "In partial remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:persistent-depressive-disorder-dysthymia:severity-course:in-partial-remission", + "contentHash": "03d0117b", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "In full remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:persistent-depressive-disorder-dysthymia:severity-course:in-full-remission", + "contentHash": "580ff8e8", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Premenstrual Dysphoric Disorder", + "icd11Context": "ICD-11 (GA34.41): Classified under gynaecological conditions.", + "groups": [ + { + "label": "Provisional", + "items": [ + { + "label": "With concurrent psychiatric disorder", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:premenstrual-dysphoric-disorder:provisional:with-concurrent-psychiatric-disorder", + "contentHash": "b546442a", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Substance/Medication-Induced Depressive Disorder", + "icd11Context": "High Yield: Must specify context of onset.", + "groups": [ + { + "label": "Onset", + "items": [ + { + "label": "With onset during intoxication", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:substance-medication-induced-depressive-disorder:onset:with-onset-during-intoxication", + "contentHash": "1915cf6a", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With onset during withdrawal", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:substance-medication-induced-depressive-disorder:onset:with-onset-during-withdrawal", + "contentHash": "6ea06e82", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Features", + "items": [ + { + "label": "With depressive features", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:substance-medication-induced-depressive-disorder:features:with-depressive-features", + "contentHash": "8c84e699", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With major depressive-like episode", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:substance-medication-induced-depressive-disorder:features:with-major-depressive-like-episode", + "contentHash": "e55cc78f", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With mixed features", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:substance-medication-induced-depressive-disorder:features:with-mixed-features", + "contentHash": "d4755323", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Depressive Disorder Due to Another Medical Condition", + "icd11Context": "ICD-11: Secondary mood syndrome.", + "groups": [ + { + "label": "Features", + "items": [ + { + "label": "With depressive features", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:depressive-disorder-due-to-another-medical-condition:features:with-depressive-features", + "contentHash": "38305206", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With major depressive-like episode", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:depressive-disorder-due-to-another-medical-condition:features:with-major-depressive-like-episode", + "contentHash": "0e225b18", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With mixed features", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dep:depressive-disorder-due-to-another-medical-condition:features:with-mixed-features", + "contentHash": "32c744de", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + } + ] + }, + { + "id": "anx", + "name": "5. Anxiety Disorders", + "colorToken": "var(--anx)", + "disorders": [ + { + "name": "Separation Anxiety Disorder", + "icd11Context": "ICD-11 (6B05): Can be childhood or adult onset.", + "groups": [ + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:anx:separation-anxiety-disorder:severity:current-severity", + "contentHash": "0c7b07f5", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Selective Mutism", + "icd11Context": "ICD-11 (6B06): Consistent with DSM-5-TR.", + "groups": [ + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:anx:selective-mutism:severity:current-severity", + "contentHash": "983bf7b5", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Specific Phobia", + "icd11Context": "ICD-11 (6B03): No formal type coding.", + "groups": [ + { + "label": "Type", + "items": [ + { + "label": "Animal type", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:anx:specific-phobia:type:animal-type", + "contentHash": "2eff5553", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Natural environment type", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:anx:specific-phobia:type:natural-environment-type", + "contentHash": "c9e6396c", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Blood-injection-injury type", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:anx:specific-phobia:type:blood-injection-injury-type", + "contentHash": "6c03a53a", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Situational type", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:anx:specific-phobia:type:situational-type", + "contentHash": "4928629d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Other type", + "definition": null, + "definitionStatus": "obvious-no-definition", + "review": { + "rowKey": "specifier:anx:specific-phobia:type:other-type", + "contentHash": "ae611809", + "sourceVerificationStatus": "source-not-applicable", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:anx:specific-phobia:severity:current-severity", + "contentHash": "768ad461", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Social Anxiety Disorder (Social Phobia)", + "icd11Context": "ICD-11 (6B04): No performance-only specifier.", + "groups": [ + { + "label": "Features", + "items": [ + { + "label": "Performance only", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:anx:social-anxiety-disorder-social-phobia:features:performance-only", + "contentHash": "6e8c7bab", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:anx:social-anxiety-disorder-social-phobia:severity:current-severity", + "contentHash": "b636e5b1", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Panic Disorder", + "icd11Context": "ICD-11 (6B01): Panic Attack specifier is cross-cutting for other disorders.", + "groups": [ + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:anx:panic-disorder:severity:current-severity", + "contentHash": "1dafd5ed", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Agoraphobia", + "icd11Context": "ICD-11 (6B02): Coded independently of Panic Disorder.", + "groups": [ + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:anx:agoraphobia:severity:current-severity", + "contentHash": "bed085c5", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Generalised Anxiety Disorder", + "icd11Context": "ICD-11 (6B00): Focus on marked symptoms of anxiety/tension.", + "groups": [ + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:anx:generalised-anxiety-disorder:severity:current-severity", + "contentHash": "30636755", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Substance/Medication-Induced Anxiety Disorder", + "icd11Context": "High Yield: Document substance involved.", + "groups": [ + { + "label": "Onset", + "items": [ + { + "label": "With onset during intoxication", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:anx:substance-medication-induced-anxiety-disorder:onset:with-onset-during-intoxication", + "contentHash": "2f70a366", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With onset during withdrawal", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:anx:substance-medication-induced-anxiety-disorder:onset:with-onset-during-withdrawal", + "contentHash": "372bbef6", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Features", + "items": [ + { + "label": "With generalised anxiety", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:anx:substance-medication-induced-anxiety-disorder:features:with-generalised-anxiety", + "contentHash": "3f0c9939", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With panic attacks", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:anx:substance-medication-induced-anxiety-disorder:features:with-panic-attacks", + "contentHash": "d8b11c1d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With obsessive-compulsive symptoms", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:anx:substance-medication-induced-anxiety-disorder:features:with-obsessive-compulsive-symptoms", + "contentHash": "cb0c527b", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Anxiety Disorder Due to Another Medical Condition", + "icd11Context": "High Yield: Document specific medical aetiology.", + "groups": [ + { + "label": "Features", + "items": [ + { + "label": "With panic attacks", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:anx:anxiety-disorder-due-to-another-medical-condition:features:with-panic-attacks", + "contentHash": "eb50e520", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With generalised anxiety", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:anx:anxiety-disorder-due-to-another-medical-condition:features:with-generalised-anxiety", + "contentHash": "e788eb98", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + } + ] + }, + { + "id": "ocd", + "name": "6. Obsessive-Compulsive", + "colorToken": "var(--ocd)", + "disorders": [ + { + "name": "Obsessive-Compulsive Disorder", + "icd11Context": "ICD-11 (6B20): Insight qualifiers used. No tic-related specifier.", + "groups": [ + { + "label": "Insight", + "items": [ + { + "label": "With good or fair insight", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:obsessive-compulsive-disorder:insight:with-good-or-fair-insight", + "contentHash": "03d60cca", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With poor insight", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:obsessive-compulsive-disorder:insight:with-poor-insight", + "contentHash": "5138f773", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With absent insight/delusional beliefs", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:obsessive-compulsive-disorder:insight:with-absent-insight-delusional-beliefs", + "contentHash": "28ba5097", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Features", + "items": [ + { + "label": "Tic-related", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:obsessive-compulsive-disorder:features:tic-related", + "contentHash": "810cf957", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:obsessive-compulsive-disorder:severity:current-severity", + "contentHash": "b75ef521", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Body Dysmorphic Disorder", + "icd11Context": "ICD-11 (6B21): Insight qualifier. Includes olfactory reference variant.", + "groups": [ + { + "label": "Features", + "items": [ + { + "label": "With muscle dysmorphia", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:body-dysmorphic-disorder:features:with-muscle-dysmorphia", + "contentHash": "81012146", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Insight", + "items": [ + { + "label": "With good or fair insight", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:body-dysmorphic-disorder:insight:with-good-or-fair-insight", + "contentHash": "d092da03", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With poor insight", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:body-dysmorphic-disorder:insight:with-poor-insight", + "contentHash": "0bd85cf4", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With absent insight/delusional beliefs", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:body-dysmorphic-disorder:insight:with-absent-insight-delusional-beliefs", + "contentHash": "18ddb36a", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:body-dysmorphic-disorder:severity:current-severity", + "contentHash": "5c132c4f", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Hoarding Disorder", + "icd11Context": "ICD-11 (6B24): Insight qualifier used.", + "groups": [ + { + "label": "Features", + "items": [ + { + "label": "With excessive acquisition", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:hoarding-disorder:features:with-excessive-acquisition", + "contentHash": "06b105b8", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Insight", + "items": [ + { + "label": "With good or fair insight", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:hoarding-disorder:insight:with-good-or-fair-insight", + "contentHash": "7a508925", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With poor insight", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:hoarding-disorder:insight:with-poor-insight", + "contentHash": "06747cca", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With absent insight/delusional beliefs", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:hoarding-disorder:insight:with-absent-insight-delusional-beliefs", + "contentHash": "4df94b0c", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:hoarding-disorder:severity:current-severity", + "contentHash": "cb24c965", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Trichotillomania (Hair-Pulling Disorder)", + "icd11Context": "ICD-11 (6B25.0): Under body-focused repetitive behaviour disorders.", + "groups": [ + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:trichotillomania-hair-pulling-disorder:severity:current-severity", + "contentHash": "120586cb", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Excoriation (Skin-Picking) Disorder", + "icd11Context": "ICD-11 (6B25.1): Under body-focused repetitive behaviour disorders.", + "groups": [ + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:excoriation-skin-picking-disorder:severity:current-severity", + "contentHash": "495af2fd", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Substance/Medication-Induced OCD", + "icd11Context": "High Yield: Link to substance.", + "groups": [ + { + "label": "Onset", + "items": [ + { + "label": "With onset during intoxication", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:substance-medication-induced-ocd:onset:with-onset-during-intoxication", + "contentHash": "d2ff9a8c", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With onset during withdrawal", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:substance-medication-induced-ocd:onset:with-onset-during-withdrawal", + "contentHash": "2a9c2fec", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Features", + "items": [ + { + "label": "With obsessive-compulsive-like symptoms", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:substance-medication-induced-ocd:features:with-obsessive-compulsive-like-symptoms", + "contentHash": "8df70e2d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With appearance preoccupations", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:substance-medication-induced-ocd:features:with-appearance-preoccupations", + "contentHash": "1730e64a", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With hoarding symptoms", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:substance-medication-induced-ocd:features:with-hoarding-symptoms", + "contentHash": "cbaa070a", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With hair-pulling symptoms", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:substance-medication-induced-ocd:features:with-hair-pulling-symptoms", + "contentHash": "be49d0e3", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With skin-picking symptoms", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:substance-medication-induced-ocd:features:with-skin-picking-symptoms", + "contentHash": "9d390443", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "OCD Due to Another Medical Condition", + "icd11Context": "High Yield: Link to medical condition.", + "groups": [ + { + "label": "Features", + "items": [ + { + "label": "With obsessive-compulsive-like symptoms", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:ocd-due-to-another-medical-condition:features:with-obsessive-compulsive-like-symptoms", + "contentHash": "87a40c88", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With appearance preoccupations", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:ocd-due-to-another-medical-condition:features:with-appearance-preoccupations", + "contentHash": "7f8d28d5", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With hoarding symptoms", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:ocd-due-to-another-medical-condition:features:with-hoarding-symptoms", + "contentHash": "bdbd0777", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With hair-pulling symptoms", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:ocd-due-to-another-medical-condition:features:with-hair-pulling-symptoms", + "contentHash": "c2d4d4c4", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With skin-picking symptoms", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:ocd-due-to-another-medical-condition:features:with-skin-picking-symptoms", + "contentHash": "7546c90c", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Olfactory Reference Disorder (ICD-11 / DSM-5-TR Sec III)", + "icd11Context": "ICD-11 / DSM-5-TR Sec III: Preoccupation with emitting a foul body odour.", + "groups": [ + { + "label": "Insight", + "items": [ + { + "label": "With good or fair insight", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:olfactory-reference-disorder-icd-11-dsm-5-tr-sec-iii:insight:with-good-or-fair-insight", + "contentHash": "89e33291", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With poor insight", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:olfactory-reference-disorder-icd-11-dsm-5-tr-sec-iii:insight:with-poor-insight", + "contentHash": "860b5c4e", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With absent insight/delusional beliefs", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:olfactory-reference-disorder-icd-11-dsm-5-tr-sec-iii:insight:with-absent-insight-delusional-beliefs", + "contentHash": "907d0138", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:olfactory-reference-disorder-icd-11-dsm-5-tr-sec-iii:severity:current-severity", + "contentHash": "d3171597", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Body-Focused Repetitive Behaviour Disorder (ICD-11)", + "icd11Context": "ICD-11: E.g., nail-biting, cheek-biting.", + "groups": [ + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ocd:body-focused-repetitive-behaviour-disorder-icd-11:severity:current-severity", + "contentHash": "03a225e5", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + } + ] + }, + { + "id": "trm", + "name": "7. Trauma & Stressor", + "colorToken": "var(--trm)", + "disorders": [ + { + "name": "Reactive Attachment Disorder", + "icd11Context": "ICD-11 (6B44): No specifiers.", + "groups": [ + { + "label": "Course/Severity", + "items": [ + { + "label": "Persistent", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:trm:reactive-attachment-disorder:course-severity:persistent", + "contentHash": "5b861da2", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Current severity (mild, moderate, severe)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:trm:reactive-attachment-disorder:course-severity:current-severity-mild-moderate-severe", + "contentHash": "cda89c33", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Disinhibited Social Engagement Disorder", + "icd11Context": "ICD-11 (6B45): No specifiers.", + "groups": [ + { + "label": "Course/Severity", + "items": [ + { + "label": "Persistent", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:trm:disinhibited-social-engagement-disorder:course-severity:persistent", + "contentHash": "8b55ead1", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Current severity (mild, moderate, severe)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:trm:disinhibited-social-engagement-disorder:course-severity:current-severity-mild-moderate-severe", + "contentHash": "08398d73", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Post-Traumatic Stress Disorder", + "icd11Context": "ICD-11 (6B40): Core symptoms only (re-experiencing, avoidance, current threat). No dissociative subtype.", + "groups": [ + { + "label": "Features", + "items": [ + { + "label": "With dissociative symptoms (depersonalisation, derealisation)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:trm:post-traumatic-stress-disorder:features:with-dissociative-symptoms-depersonalisation-derealisation", + "contentHash": "44beca57", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With delayed expression (full criteria not met until at least 6 months after the event)", + "definition": { + "meaning": "For Post-Traumatic Stress Disorder, \"With delayed expression (full criteria not met until at least 6 months after the event)\" uses the stated threshold: full criteria not met until at least 6 months after the event.", + "clinicalNote": "This specifier is defined by the stated threshold; symptom severity, impairment, and risk may still shift the clinical picture.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:trm:post-traumatic-stress-disorder:features:with-delayed-expression-full-criteria-not-met-until-at-least-6-months-after-the-event", + "contentHash": "0fe82d14", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "With prominent negative alterations in cognition and mood", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:trm:post-traumatic-stress-disorder:features:with-prominent-negative-alterations-in-cognition-and-mood", + "contentHash": "0b7af2c7", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:trm:post-traumatic-stress-disorder:severity:current-severity", + "contentHash": "47596e6d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Complex PTSD (ICD-11)", + "icd11Context": "ICD-11 (6B41): Core PTSD + disturbances in self-organisation (affective, self-concept, relationships).", + "groups": [ + { + "label": "Features", + "items": [ + { + "label": "With disturbances in self-organisation (affective dysregulation, negative self-concept, disturbances in relationships)", + "definition": { + "meaning": "ICD-11 complex PTSD domain covering emotional regulation difficulty, persistent negative self-beliefs, and relationship disturbance.", + "clinicalNote": null, + "sourceFamily": "WHO ICD-11 CDDR/MMS", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:trm:complex-ptsd-icd-11:features:with-disturbances-in-self-organisation-affective-dysregulation-negative-self-concept-disturbances-in-relationships", + "contentHash": "096081d2", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "For Complex PTSD (ICD-11), current severity refers to current burden across PTSD symptom burden plus affect dysregulation, negative self-concept, relationship disturbance, impairment, and safety concerns.", + "clinicalNote": "Rate the current burden using PTSD symptom burden plus affect dysregulation, negative self-concept, relationship disturbance, impairment, and safety concerns.", + "sourceFamily": "WHO ICD-11 CDDR/MMS", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:trm:complex-ptsd-icd-11:severity:current-severity", + "contentHash": "6f4fcfd4", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + } + ] + }, + { + "name": "Acute Stress Disorder", + "icd11Context": "ICD-11 (QE84): Factor influencing health status, acute stress reaction.", + "groups": [ + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:trm:acute-stress-disorder:severity:current-severity", + "contentHash": "68300b09", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Adjustment Disorders", + "icd11Context": "ICD-11 (6B43): Single entity, no symptom subtyping.", + "groups": [ + { + "label": "Subtype", + "items": [ + { + "label": "With depressed mood", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:trm:adjustment-disorders:subtype:with-depressed-mood", + "contentHash": "1b335008", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With anxiety", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:trm:adjustment-disorders:subtype:with-anxiety", + "contentHash": "40255b54", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With mixed anxiety and depressed mood", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:trm:adjustment-disorders:subtype:with-mixed-anxiety-and-depressed-mood", + "contentHash": "74935ed9", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With disturbance of conduct", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:trm:adjustment-disorders:subtype:with-disturbance-of-conduct", + "contentHash": "7e2e98dc", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With mixed disturbance of emotions and conduct", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:trm:adjustment-disorders:subtype:with-mixed-disturbance-of-emotions-and-conduct", + "contentHash": "c1ba19a5", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Unspecified", + "definition": null, + "definitionStatus": "obvious-no-definition", + "review": { + "rowKey": "specifier:trm:adjustment-disorders:subtype:unspecified", + "contentHash": "fa655073", + "sourceVerificationStatus": "source-not-applicable", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + }, + { + "label": "Course/Severity", + "items": [ + { + "label": "Acute (less than 6 months)", + "definition": { + "meaning": "For Adjustment Disorders, \"Acute (less than 6 months)\" uses the stated threshold: less than 6 months.", + "clinicalNote": "This is a duration threshold; current impairment, risk, and recurrence still need separate clinical documentation.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:trm:adjustment-disorders:course-severity:acute-less-than-6-months", + "contentHash": "f5f96059", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Persistent/chronic (6 months or longer)", + "definition": { + "meaning": "For Adjustment Disorders, \"Persistent/chronic (6 months or longer)\" uses the stated threshold: 6 months or longer.", + "clinicalNote": "This is a duration threshold; current impairment, risk, and recurrence still need separate clinical documentation.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:trm:adjustment-disorders:course-severity:persistent-chronic-6-months-or-longer", + "contentHash": "57ec1157", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:trm:adjustment-disorders:course-severity:current-severity", + "contentHash": "d381f631", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Prolonged Grief Disorder", + "icd11Context": "ICD-11 (6B42): 6+ months post-loss (DSM-5-TR requires 12+ months for adults).", + "groups": [ + { + "label": "Features", + "items": [ + { + "label": "With traumatic bereavement", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:trm:prolonged-grief-disorder:features:with-traumatic-bereavement", + "contentHash": "8782cfd0", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:trm:prolonged-grief-disorder:severity:current-severity", + "contentHash": "b0af5aad", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + } + ] + }, + { + "id": "dis", + "name": "8. Dissociative Disorders", + "colorToken": "var(--dis)", + "disorders": [ + { + "name": "Dissociative Identity Disorder", + "icd11Context": "ICD-11 (6B64): Possession-form explicitly included.", + "groups": [ + { + "label": "Features", + "items": [ + { + "label": "With/without possession form", + "definition": { + "meaning": "The dissociative presentation may occur with or without experiences of being taken over by an external identity, spirit, or power (the possession vs non-possession form).", + "clinicalNote": null, + "sourceFamily": "WHO ICD-11 CDDR/MMS", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:dis:dissociative-identity-disorder:features:with-without-possession-form", + "contentHash": "7a3bdeaa", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dis:dissociative-identity-disorder:severity:current-severity", + "contentHash": "507c8c01", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Dissociative Amnesia", + "icd11Context": "ICD-11 (6B61): Dissociative fugue (6B62) is a separate condition.", + "groups": [ + { + "label": "Features", + "items": [ + { + "label": "With dissociative fugue", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dis:dissociative-amnesia:features:with-dissociative-fugue", + "contentHash": "1818aa95", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Without dissociative fugue", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dis:dissociative-amnesia:features:without-dissociative-fugue", + "contentHash": "d421045f", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Depersonalisation/Derealisation Disorder", + "icd11Context": "ICD-11 (6B66): Reality testing must remain intact.", + "groups": [ + { + "label": "Type", + "items": [ + { + "label": "With predominantly depersonalisation", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dis:depersonalisation-derealisation-disorder:type:with-predominantly-depersonalisation", + "contentHash": "920699a9", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With predominantly derealisation", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dis:depersonalisation-derealisation-disorder:type:with-predominantly-derealisation", + "contentHash": "362cfb75", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With both", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dis:depersonalisation-derealisation-disorder:type:with-both", + "contentHash": "052ff4a4", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dis:depersonalisation-derealisation-disorder:severity:current-severity", + "contentHash": "fcff83b1", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Partial Dissociative Identity Disorder (ICD-11)", + "icd11Context": "ICD-11 (6B65): Non-dominant identity states do not recurrently take control.", + "groups": [ + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dis:partial-dissociative-identity-disorder-icd-11:severity:current-severity", + "contentHash": "bf5015c9", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Trance Disorder (ICD-11)", + "icd11Context": "ICD-11: Altered state of consciousness with/without possession.", + "groups": [ + { + "label": "Features", + "items": [ + { + "label": "With/without possession", + "definition": { + "meaning": "The dissociative presentation may occur with or without experiences of being taken over by an external identity, spirit, or power (the possession vs non-possession form).", + "clinicalNote": null, + "sourceFamily": "WHO ICD-11 CDDR/MMS", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:dis:trance-disorder-icd-11:features:with-without-possession", + "contentHash": "674a19dc", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:dis:trance-disorder-icd-11:severity:current-severity", + "contentHash": "744755f1", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + } + ] + }, + { + "id": "som", + "name": "9. Somatic Symptom", + "colorToken": "var(--som)", + "disorders": [ + { + "name": "Somatic Symptom Disorder", + "icd11Context": "ICD-11 (6C20): Bodily distress disorder (mild, moderate, severe).", + "groups": [ + { + "label": "Features", + "items": [ + { + "label": "With predominant pain", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:som:somatic-symptom-disorder:features:with-predominant-pain", + "contentHash": "ee82d874", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Persistent (more than 6 months)", + "definition": { + "meaning": "For Somatic Symptom Disorder, \"Persistent (more than 6 months)\" uses the stated threshold: more than 6 months.", + "clinicalNote": "This is a duration threshold; current impairment, risk, and recurrence still need separate clinical documentation.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:som:somatic-symptom-disorder:features:persistent-more-than-6-months", + "contentHash": "b4342845", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Mild (1 criterion)", + "definition": { + "meaning": "For Somatic Symptom Disorder, \"Mild (1 criterion)\" uses the stated threshold: 1 criterion.", + "clinicalNote": "This is a symptom-count threshold; symptom severity, impairment, and risk may still shift the clinical picture.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:som:somatic-symptom-disorder:severity:mild-1-criterion", + "contentHash": "4c0adb05", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Moderate (2+ criteria)", + "definition": { + "meaning": "For Somatic Symptom Disorder, \"Moderate (2+ criteria)\" uses the stated threshold: 2+ criteria.", + "clinicalNote": "This is a symptom-count threshold; symptom severity, impairment, and risk may still shift the clinical picture.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:som:somatic-symptom-disorder:severity:moderate-2-criteria", + "contentHash": "77b45749", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Severe (2+ criteria + multiple/severe complaints)", + "definition": { + "meaning": "For Somatic Symptom Disorder, \"Severe (2+ criteria + multiple/severe complaints)\" uses the stated threshold: 2+ criteria + multiple/severe complaints.", + "clinicalNote": "This is a symptom-count threshold; symptom severity, impairment, and risk may still shift the clinical picture.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:som:somatic-symptom-disorder:severity:severe-2-criteria-multiple-severe-complaints", + "contentHash": "49e21a71", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + } + ] + }, + { + "name": "Illness Anxiety Disorder", + "icd11Context": "ICD-11 (6B23): Hypochondriasis. Grouped with OCD spectrum.", + "groups": [ + { + "label": "Type", + "items": [ + { + "label": "Care-seeking type", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:som:illness-anxiety-disorder:type:care-seeking-type", + "contentHash": "c99dba59", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Care-avoidant type", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:som:illness-anxiety-disorder:type:care-avoidant-type", + "contentHash": "40df6811", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Functional Neurological Symptom Disorder (Conversion / FND)", + "icd11Context": "ICD-11 (6B60): Dissociative neurological symptom disorder. Multiple subcodes.", + "groups": [ + { + "label": "Symptom Type", + "items": [ + { + "label": "With weakness or paralysis", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:som:functional-neurological-symptom-disorder-conversion-fnd:symptom-type:with-weakness-or-paralysis", + "contentHash": "33cf5df6", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With abnormal movement (tremor, dystonia, myoclonus, gait disorder)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:som:functional-neurological-symptom-disorder-conversion-fnd:symptom-type:with-abnormal-movement-tremor-dystonia-myoclonus-gait-disorder", + "contentHash": "458a60da", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With swallowing symptoms", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:som:functional-neurological-symptom-disorder-conversion-fnd:symptom-type:with-swallowing-symptoms", + "contentHash": "e472d9dc", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With speech symptoms (dysphonia, slurred speech)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:som:functional-neurological-symptom-disorder-conversion-fnd:symptom-type:with-speech-symptoms-dysphonia-slurred-speech", + "contentHash": "91e191e2", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With attacks or seizures", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:som:functional-neurological-symptom-disorder-conversion-fnd:symptom-type:with-attacks-or-seizures", + "contentHash": "c8bc954a", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With anaesthesia or sensory loss", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:som:functional-neurological-symptom-disorder-conversion-fnd:symptom-type:with-anaesthesia-or-sensory-loss", + "contentHash": "1b25ec51", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With special sensory symptom (visual, olfactory, hearing disturbance)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:som:functional-neurological-symptom-disorder-conversion-fnd:symptom-type:with-special-sensory-symptom-visual-olfactory-hearing-disturbance", + "contentHash": "2ede10a5", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With mixed symptoms", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:som:functional-neurological-symptom-disorder-conversion-fnd:symptom-type:with-mixed-symptoms", + "contentHash": "529fd8ce", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Course/Context", + "items": [ + { + "label": "Acute episode (less than 6 months)", + "definition": { + "meaning": "For Functional Neurological Symptom Disorder (Conversion / FND), \"Acute episode (less than 6 months)\" uses the stated threshold: less than 6 months.", + "clinicalNote": "This is a duration threshold; current impairment, risk, and recurrence still need separate clinical documentation.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:som:functional-neurological-symptom-disorder-conversion-fnd:course-context:acute-episode-less-than-6-months", + "contentHash": "c90ba399", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Persistent (6 months or more)", + "definition": { + "meaning": "For Functional Neurological Symptom Disorder (Conversion / FND), \"Persistent (6 months or more)\" uses the stated threshold: 6 months or more.", + "clinicalNote": "This is a duration threshold; current impairment, risk, and recurrence still need separate clinical documentation.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:som:functional-neurological-symptom-disorder-conversion-fnd:course-context:persistent-6-months-or-more", + "contentHash": "23dc30e5", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "With/without psychological stressor", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:som:functional-neurological-symptom-disorder-conversion-fnd:course-context:with-without-psychological-stressor", + "contentHash": "351f999c", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Factitious Disorder", + "icd11Context": "ICD-11 (6D50/6D51): Self or another.", + "groups": [ + { + "label": "Target/Course", + "items": [ + { + "label": "Imposed on self", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:som:factitious-disorder:target-course:imposed-on-self", + "contentHash": "0fa0c2c1", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Imposed on another", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:som:factitious-disorder:target-course:imposed-on-another", + "contentHash": "567b33ab", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Single episode", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:som:factitious-disorder:target-course:single-episode", + "contentHash": "9de568dc", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Recurrent episodes", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:som:factitious-disorder:target-course:recurrent-episodes", + "contentHash": "8b2f48d8", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Psychological Factors Affecting Other Medical Conditions", + "icd11Context": "High Yield: Must link to a diagnosed medical condition.", + "groups": [ + { + "label": "Severity", + "items": [ + { + "label": "Mild", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:som:psychological-factors-affecting-other-medical-conditions:severity:mild", + "contentHash": "4639d191", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Moderate", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:som:psychological-factors-affecting-other-medical-conditions:severity:moderate", + "contentHash": "48f6712c", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Severe", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:som:psychological-factors-affecting-other-medical-conditions:severity:severe", + "contentHash": "e552157a", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Extreme", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:som:psychological-factors-affecting-other-medical-conditions:severity:extreme", + "contentHash": "f7da57a4", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Bodily Distress Disorder (ICD-11)", + "icd11Context": "ICD-11 (6C20): Replaces multiple somatoform disorders from ICD-10.", + "groups": [ + { + "label": "Severity", + "items": [ + { + "label": "Mild", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:som:bodily-distress-disorder-icd-11:severity:mild", + "contentHash": "fcb21e38", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Moderate", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:som:bodily-distress-disorder-icd-11:severity:moderate", + "contentHash": "abee9ac7", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Severe", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:som:bodily-distress-disorder-icd-11:severity:severe", + "contentHash": "2053f5e1", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + } + ] + }, + { + "id": "eat", + "name": "10. Feeding & Eating", + "colorToken": "var(--eat)", + "disorders": [ + { + "name": "Pica", + "icd11Context": "ICD-11 (6B84): No specific specifiers.", + "groups": [ + { + "label": "Course/Severity", + "items": [ + { + "label": "In remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:eat:pica:course-severity:in-remission", + "contentHash": "d52e3c2b", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:eat:pica:course-severity:current-severity", + "contentHash": "4d7209bb", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Rumination Disorder", + "icd11Context": "ICD-11 (6B85): No specific specifiers.", + "groups": [ + { + "label": "Course/Severity", + "items": [ + { + "label": "In remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:eat:rumination-disorder:course-severity:in-remission", + "contentHash": "279620e9", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:eat:rumination-disorder:course-severity:current-severity", + "contentHash": "f04cc391", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Avoidant/Restrictive Food Intake Disorder (ARFID)", + "icd11Context": "ICD-11 (6B83): Specifically codes for inadequate intake, sensory avoidance, or aversive consequences.", + "groups": [ + { + "label": "Features (ICD-11)", + "items": [ + { + "label": "With inadequate food intake associated with limited availability", + "definition": { + "meaning": "Inadequate intake is linked to limited food availability rather than body-image concern.", + "clinicalNote": null, + "sourceFamily": "WHO ICD-11 CDDR/MMS", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:eat:avoidant-restrictive-food-intake-disorder-arfid:features-icd-11:with-inadequate-food-intake-associated-with-limited-availability", + "contentHash": "10cc9990", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "With avoidance/restriction based on sensory characteristics", + "definition": { + "meaning": "Food avoidance is driven by sensory features such as taste, texture, smell, temperature, or appearance.", + "clinicalNote": null, + "sourceFamily": "WHO ICD-11 CDDR/MMS", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:eat:avoidant-restrictive-food-intake-disorder-arfid:features-icd-11:with-avoidance-restriction-based-on-sensory-characteristics", + "contentHash": "0745a1f7", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "With avoidance related to aversive consequences of eating", + "definition": { + "meaning": "Food avoidance is driven by feared consequences such as choking, vomiting, pain, or allergic reaction.", + "clinicalNote": null, + "sourceFamily": "WHO ICD-11 CDDR/MMS", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:eat:avoidant-restrictive-food-intake-disorder-arfid:features-icd-11:with-avoidance-related-to-aversive-consequences-of-eating", + "contentHash": "38dfc6bb", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + }, + { + "label": "Course/Severity", + "items": [ + { + "label": "In remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:eat:avoidant-restrictive-food-intake-disorder-arfid:course-severity:in-remission", + "contentHash": "53247021", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:eat:avoidant-restrictive-food-intake-disorder-arfid:course-severity:current-severity", + "contentHash": "ff2e4b99", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Anorexia Nervosa", + "icd11Context": "ICD-11 (6B80): Qualifiers for 'significantly low' vs 'dangerously low' body weight.", + "groups": [ + { + "label": "Type", + "items": [ + { + "label": "Restricting type", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:eat:anorexia-nervosa:type:restricting-type", + "contentHash": "899d39d9", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Binge-eating/purging type", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:eat:anorexia-nervosa:type:binge-eating-purging-type", + "contentHash": "f9c8d9ce", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Course/Severity", + "items": [ + { + "label": "In partial remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:eat:anorexia-nervosa:course-severity:in-partial-remission", + "contentHash": "24eada1f", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "In full remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:eat:anorexia-nervosa:course-severity:in-full-remission", + "contentHash": "8566e42e", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Mild (BMI 17 or above)", + "definition": { + "meaning": "For Anorexia Nervosa, \"Mild (BMI 17 or above)\" uses the stated threshold: BMI 17 or above.", + "clinicalNote": "This is a weight/BMI severity anchor for anorexia nervosa; medical instability, rate of weight loss, and overall risk still need separate clinical assessment.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:eat:anorexia-nervosa:course-severity:mild-bmi-17-or-above", + "contentHash": "002cd3e9", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Moderate (BMI 16-16.99)", + "definition": { + "meaning": "For Anorexia Nervosa, \"Moderate (BMI 16-16.99)\" uses the stated threshold: BMI 16-16.99.", + "clinicalNote": "This is a weight/BMI severity anchor for anorexia nervosa; medical instability, rate of weight loss, and overall risk still need separate clinical assessment.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:eat:anorexia-nervosa:course-severity:moderate-bmi-16-16-99", + "contentHash": "fd5cd24c", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Severe (BMI 15-15.99)", + "definition": { + "meaning": "For Anorexia Nervosa, \"Severe (BMI 15-15.99)\" uses the stated threshold: BMI 15-15.99.", + "clinicalNote": "This is a weight/BMI severity anchor for anorexia nervosa; medical instability, rate of weight loss, and overall risk still need separate clinical assessment.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:eat:anorexia-nervosa:course-severity:severe-bmi-15-15-99", + "contentHash": "f2e1d570", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Extreme (BMI below 15)", + "definition": { + "meaning": "For Anorexia Nervosa, \"Extreme (BMI below 15)\" uses the stated threshold: BMI below 15.", + "clinicalNote": "This is a weight/BMI severity anchor for anorexia nervosa; medical instability, rate of weight loss, and overall risk still need separate clinical assessment.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:eat:anorexia-nervosa:course-severity:extreme-bmi-below-15", + "contentHash": "d1a13d02", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + } + ] + }, + { + "name": "Bulimia Nervosa", + "icd11Context": "ICD-11 (6B81): Severity based on frequency.", + "groups": [ + { + "label": "Course/Severity", + "items": [ + { + "label": "In partial remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:eat:bulimia-nervosa:course-severity:in-partial-remission", + "contentHash": "e059fd41", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "In full remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:eat:bulimia-nervosa:course-severity:in-full-remission", + "contentHash": "7950c330", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Mild (1-3 episodes/week)", + "definition": { + "meaning": "For Bulimia Nervosa, \"Mild (1-3 episodes/week)\" uses the stated threshold: 1-3 episodes/week.", + "clinicalNote": "This is a frequency-based severity anchor; also document impairment, compensatory behaviours, medical risk, and safety concerns where relevant.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:eat:bulimia-nervosa:course-severity:mild-1-3-episodes-week", + "contentHash": "415e1b56", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Moderate (4-7 episodes/week)", + "definition": { + "meaning": "For Bulimia Nervosa, \"Moderate (4-7 episodes/week)\" uses the stated threshold: 4-7 episodes/week.", + "clinicalNote": "This is a frequency-based severity anchor; also document impairment, compensatory behaviours, medical risk, and safety concerns where relevant.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:eat:bulimia-nervosa:course-severity:moderate-4-7-episodes-week", + "contentHash": "39973dbf", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Severe (8-13 episodes/week)", + "definition": { + "meaning": "For Bulimia Nervosa, \"Severe (8-13 episodes/week)\" uses the stated threshold: 8-13 episodes/week.", + "clinicalNote": "This is a frequency-based severity anchor; also document impairment, compensatory behaviours, medical risk, and safety concerns where relevant.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:eat:bulimia-nervosa:course-severity:severe-8-13-episodes-week", + "contentHash": "7963c588", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Extreme (14 or more episodes/week)", + "definition": { + "meaning": "For Bulimia Nervosa, \"Extreme (14 or more episodes/week)\" uses the stated threshold: 14 or more episodes/week.", + "clinicalNote": "This is a frequency-based severity anchor; also document impairment, compensatory behaviours, medical risk, and safety concerns where relevant.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:eat:bulimia-nervosa:course-severity:extreme-14-or-more-episodes-week", + "contentHash": "eb35e1b4", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + } + ] + }, + { + "name": "Binge-Eating Disorder", + "icd11Context": "ICD-11 (6B82): Severity based on frequency.", + "groups": [ + { + "label": "Course/Severity", + "items": [ + { + "label": "In partial remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:eat:binge-eating-disorder:course-severity:in-partial-remission", + "contentHash": "6e81360f", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "In full remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:eat:binge-eating-disorder:course-severity:in-full-remission", + "contentHash": "dfbfca54", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Mild (1-3 episodes/week)", + "definition": { + "meaning": "For Binge-Eating Disorder, \"Mild (1-3 episodes/week)\" uses the stated threshold: 1-3 episodes/week.", + "clinicalNote": "This is a frequency-based severity anchor; also document impairment, medical risk, and safety concerns where relevant.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:eat:binge-eating-disorder:course-severity:mild-1-3-episodes-week", + "contentHash": "550c9c88", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Moderate (4-7 episodes/week)", + "definition": { + "meaning": "For Binge-Eating Disorder, \"Moderate (4-7 episodes/week)\" uses the stated threshold: 4-7 episodes/week.", + "clinicalNote": "This is a frequency-based severity anchor; also document impairment, medical risk, and safety concerns where relevant.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:eat:binge-eating-disorder:course-severity:moderate-4-7-episodes-week", + "contentHash": "d601a995", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Severe (8-13 episodes/week)", + "definition": { + "meaning": "For Binge-Eating Disorder, \"Severe (8-13 episodes/week)\" uses the stated threshold: 8-13 episodes/week.", + "clinicalNote": "This is a frequency-based severity anchor; also document impairment, medical risk, and safety concerns where relevant.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:eat:binge-eating-disorder:course-severity:severe-8-13-episodes-week", + "contentHash": "2b4df06c", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Extreme (14 or more episodes/week)", + "definition": { + "meaning": "For Binge-Eating Disorder, \"Extreme (14 or more episodes/week)\" uses the stated threshold: 14 or more episodes/week.", + "clinicalNote": "This is a frequency-based severity anchor; also document impairment, medical risk, and safety concerns where relevant.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:eat:binge-eating-disorder:course-severity:extreme-14-or-more-episodes-week", + "contentHash": "c7101382", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + } + ] + } + ] + }, + { + "id": "eli", + "name": "11. Elimination Disorders", + "colorToken": "var(--eli)", + "disorders": [ + { + "name": "Enuresis", + "icd11Context": "High Yield: Nocturnal, diurnal, or both.", + "groups": [ + { + "label": "Type", + "items": [ + { + "label": "Nocturnal only", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:eli:enuresis:type:nocturnal-only", + "contentHash": "2e5df83c", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Diurnal only", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:eli:enuresis:type:diurnal-only", + "contentHash": "efe68d7d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Nocturnal and diurnal", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:eli:enuresis:type:nocturnal-and-diurnal", + "contentHash": "f74ff0be", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Encopresis", + "icd11Context": "High Yield: With/without constipation & overflow.", + "groups": [ + { + "label": "Type", + "items": [ + { + "label": "With constipation and overflow incontinence", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:eli:encopresis:type:with-constipation-and-overflow-incontinence", + "contentHash": "c4003aca", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Without constipation and overflow incontinence", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:eli:encopresis:type:without-constipation-and-overflow-incontinence", + "contentHash": "5ab71e0f", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + } + ] + }, + { + "id": "slp", + "name": "12. Sleep-Wake Disorders", + "colorToken": "var(--slp)", + "disorders": [ + { + "name": "Insomnia Disorder", + "icd11Context": "ICD-11 (7A00): Chronic vs short-duration.", + "groups": [ + { + "label": "Course", + "items": [ + { + "label": "Episodic (at least 1 month but less than 3 months)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:insomnia-disorder:course:episodic-at-least-1-month-but-less-than-3-months", + "contentHash": "33bb583d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Persistent (3 months or more)", + "definition": { + "meaning": "For Insomnia Disorder, \"Persistent (3 months or more)\" uses the stated threshold: 3 months or more.", + "clinicalNote": "This is a duration threshold; current impairment, risk, and recurrence still need separate clinical documentation.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:slp:insomnia-disorder:course:persistent-3-months-or-more", + "contentHash": "0c7d3e7c", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Recurrent (two or more episodes within 1 year)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:insomnia-disorder:course:recurrent-two-or-more-episodes-within-1-year", + "contentHash": "22c0bca3", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Comorbidities", + "items": [ + { + "label": "With non-sleep disorder mental comorbidity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:insomnia-disorder:comorbidities:with-non-sleep-disorder-mental-comorbidity", + "contentHash": "919b11d0", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With other medical comorbidity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:insomnia-disorder:comorbidities:with-other-medical-comorbidity", + "contentHash": "9fbc9223", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With other sleep disorder", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:insomnia-disorder:comorbidities:with-other-sleep-disorder", + "contentHash": "077857eb", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Hypersomnolence Disorder", + "icd11Context": "ICD-11 (7A20): Idiopathic hypersomnia.", + "groups": [ + { + "label": "Course", + "items": [ + { + "label": "Acute (less than 1 month)", + "definition": { + "meaning": "For Hypersomnolence Disorder, \"Acute (less than 1 month)\" uses the stated threshold: less than 1 month.", + "clinicalNote": "This is a duration threshold; current impairment, risk, and recurrence still need separate clinical documentation.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:slp:hypersomnolence-disorder:course:acute-less-than-1-month", + "contentHash": "2c40223f", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Subacute (1-3 months)", + "definition": { + "meaning": "For Hypersomnolence Disorder, \"Subacute (1-3 months)\" uses the stated threshold: 1-3 months.", + "clinicalNote": "This is a duration threshold; current impairment, risk, and recurrence still need separate clinical documentation.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:slp:hypersomnolence-disorder:course:subacute-1-3-months", + "contentHash": "bed554ec", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Persistent (more than 3 months)", + "definition": { + "meaning": "For Hypersomnolence Disorder, \"Persistent (more than 3 months)\" uses the stated threshold: more than 3 months.", + "clinicalNote": "This is a duration threshold; current impairment, risk, and recurrence still need separate clinical documentation.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:slp:hypersomnolence-disorder:course:persistent-more-than-3-months", + "contentHash": "6ce3c5d8", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + }, + { + "label": "Context/Severity", + "items": [ + { + "label": "With mental disorder", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:hypersomnolence-disorder:context-severity:with-mental-disorder", + "contentHash": "bc977c9a", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With medical condition", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:hypersomnolence-disorder:context-severity:with-medical-condition", + "contentHash": "fdef21f4", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With another sleep disorder", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:hypersomnolence-disorder:context-severity:with-another-sleep-disorder", + "contentHash": "958481f3", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Mild (1-2 days/week)", + "definition": { + "meaning": "For Hypersomnolence Disorder, \"Mild (1-2 days/week)\" uses the stated threshold: 1-2 days/week.", + "clinicalNote": "This is a frequency-based severity anchor; also document impairment, medical risk, and safety concerns where relevant.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:slp:hypersomnolence-disorder:context-severity:mild-1-2-days-week", + "contentHash": "3d01007c", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Moderate (3-4 days/week)", + "definition": { + "meaning": "For Hypersomnolence Disorder, \"Moderate (3-4 days/week)\" uses the stated threshold: 3-4 days/week.", + "clinicalNote": "This is a frequency-based severity anchor; also document impairment, medical risk, and safety concerns where relevant.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:slp:hypersomnolence-disorder:context-severity:moderate-3-4-days-week", + "contentHash": "6386a780", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Severe (5-7 days/week)", + "definition": { + "meaning": "For Hypersomnolence Disorder, \"Severe (5-7 days/week)\" uses the stated threshold: 5-7 days/week.", + "clinicalNote": "This is a frequency-based severity anchor; also document impairment, medical risk, and safety concerns where relevant.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:slp:hypersomnolence-disorder:context-severity:severe-5-7-days-week", + "contentHash": "5edb40a1", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + } + ] + }, + { + "name": "Narcolepsy", + "icd11Context": "ICD-11 (7A20): Type 1 (hypocretin def) and Type 2.", + "groups": [ + { + "label": "Type", + "items": [ + { + "label": "Type 1 (with hypocretin deficiency, usually with cataplexy)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:narcolepsy:type:type-1-with-hypocretin-deficiency-usually-with-cataplexy", + "contentHash": "e3b546ae", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Type 2 (without hypocretin deficiency, usually without cataplexy)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:narcolepsy:type:type-2-without-hypocretin-deficiency-usually-without-cataplexy", + "contentHash": "4bde73a1", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Type secondary to another medical condition", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:narcolepsy:type:type-secondary-to-another-medical-condition", + "contentHash": "e530f7db", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Mild", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:narcolepsy:severity:mild", + "contentHash": "1b2fc651", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Moderate", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:narcolepsy:severity:moderate", + "contentHash": "975b8308", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Severe", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:narcolepsy:severity:severe", + "contentHash": "e54b3a8a", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Circadian Rhythm Sleep-Wake Disorders", + "icd11Context": "High Yield: Document specific pattern.", + "groups": [ + { + "label": "Type", + "items": [ + { + "label": "Delayed sleep phase type (familial, overlap with non-24-hour type)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:circadian-rhythm-sleep-wake-disorders:type:delayed-sleep-phase-type-familial-overlap-with-non-24-hour-type", + "contentHash": "5763d4f2", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Advanced sleep phase type (familial)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:circadian-rhythm-sleep-wake-disorders:type:advanced-sleep-phase-type-familial", + "contentHash": "f42a9efc", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Irregular sleep-wake type", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:circadian-rhythm-sleep-wake-disorders:type:irregular-sleep-wake-type", + "contentHash": "200fb7ff", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Non-24-hour sleep-wake type", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:circadian-rhythm-sleep-wake-disorders:type:non-24-hour-sleep-wake-type", + "contentHash": "d90500f7", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Shift work type", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:circadian-rhythm-sleep-wake-disorders:type:shift-work-type", + "contentHash": "a6f68b33", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Unspecified type", + "definition": null, + "definitionStatus": "obvious-no-definition", + "review": { + "rowKey": "specifier:slp:circadian-rhythm-sleep-wake-disorders:type:unspecified-type", + "contentHash": "8bdffb7e", + "sourceVerificationStatus": "source-not-applicable", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + }, + { + "label": "Course", + "items": [ + { + "label": "Episodic", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:circadian-rhythm-sleep-wake-disorders:course:episodic", + "contentHash": "5ea8ccd1", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Persistent", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:circadian-rhythm-sleep-wake-disorders:course:persistent", + "contentHash": "3aad4244", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Recurrent", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:circadian-rhythm-sleep-wake-disorders:course:recurrent", + "contentHash": "e5dd0927", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Breathing-Related Sleep Disorders", + "icd11Context": "ICD-11 (7A40): Sleep apnoea.", + "groups": [ + { + "label": "Types & Severity", + "items": [ + { + "label": "Obstructive sleep apnoea hypopnoea (mild, moderate, severe)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:breathing-related-sleep-disorders:types-severity:obstructive-sleep-apnoea-hypopnoea-mild-moderate-severe", + "contentHash": "982a6c03", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Central sleep apnoea (idiopathic, Cheyne-Stokes breathing, comorbid with opioid use)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:breathing-related-sleep-disorders:types-severity:central-sleep-apnoea-idiopathic-cheyne-stokes-breathing-comorbid-with-opioid-use", + "contentHash": "172fe8ac", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Sleep-related hypoventilation (idiopathic, congenital central alveolar, comorbid)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:breathing-related-sleep-disorders:types-severity:sleep-related-hypoventilation-idiopathic-congenital-central-alveolar-comorbid", + "contentHash": "81198f4f", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Non-REM Sleep Arousal Disorders", + "icd11Context": "High Yield: Distinguish terror from nightmare.", + "groups": [ + { + "label": "Type", + "items": [ + { + "label": "Sleepwalking type (with sleep-related eating, with sleep-related sexual behaviour)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:non-rem-sleep-arousal-disorders:type:sleepwalking-type-with-sleep-related-eating-with-sleep-related-sexual-behaviour", + "contentHash": "ceb37afe", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Sleep terror type", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:non-rem-sleep-arousal-disorders:type:sleep-terror-type", + "contentHash": "05c6c8aa", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Nightmare Disorder", + "icd11Context": "High Yield: Distinguish from sleep terror.", + "groups": [ + { + "label": "Course", + "items": [ + { + "label": "Acute (less than 1 month)", + "definition": { + "meaning": "For Nightmare Disorder, \"Acute (less than 1 month)\" uses the stated threshold: less than 1 month.", + "clinicalNote": "This is a duration threshold; current impairment, risk, and recurrence still need separate clinical documentation.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:slp:nightmare-disorder:course:acute-less-than-1-month", + "contentHash": "2945613f", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Subacute (1-6 months)", + "definition": { + "meaning": "For Nightmare Disorder, \"Subacute (1-6 months)\" uses the stated threshold: 1-6 months.", + "clinicalNote": "This is a duration threshold; current impairment, risk, and recurrence still need separate clinical documentation.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:slp:nightmare-disorder:course:subacute-1-6-months", + "contentHash": "c442dbd3", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Persistent (6 months or more)", + "definition": { + "meaning": "For Nightmare Disorder, \"Persistent (6 months or more)\" uses the stated threshold: 6 months or more.", + "clinicalNote": "This is a duration threshold; current impairment, risk, and recurrence still need separate clinical documentation.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:slp:nightmare-disorder:course:persistent-6-months-or-more", + "contentHash": "d5dcfc09", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + }, + { + "label": "Features/Severity", + "items": [ + { + "label": "During sleep onset", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:nightmare-disorder:features-severity:during-sleep-onset", + "contentHash": "0a5924a4", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With associated non-sleep disorder (specify)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:nightmare-disorder:features-severity:with-associated-non-sleep-disorder-specify", + "contentHash": "e0cee977", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Mild", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:nightmare-disorder:features-severity:mild", + "contentHash": "d040006d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Moderate", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:nightmare-disorder:features-severity:moderate", + "contentHash": "9c10c294", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Severe", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:nightmare-disorder:features-severity:severe", + "contentHash": "9bd771ce", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "REM Sleep Behaviour Disorder", + "icd11Context": "High Yield: Screen for neurodegenerative risk.", + "groups": [ + { + "label": "Context", + "items": [ + { + "label": "Specify if associated with another medical condition", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:rem-sleep-behaviour-disorder:context:specify-if-associated-with-another-medical-condition", + "contentHash": "962b12a4", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Restless Legs Syndrome", + "icd11Context": "High Yield: Exclude medication-induced akathisia.", + "groups": [ + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:restless-legs-syndrome:severity:current-severity", + "contentHash": "ace490cd", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Substance/Medication-Induced Sleep Disorder", + "icd11Context": "High Yield: Correlate with substance.", + "groups": [ + { + "label": "Type", + "items": [ + { + "label": "Insomnia type", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:substance-medication-induced-sleep-disorder:type:insomnia-type", + "contentHash": "00348f6d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Daytime sleepiness type", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:substance-medication-induced-sleep-disorder:type:daytime-sleepiness-type", + "contentHash": "2921e141", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Parasomnia type", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:substance-medication-induced-sleep-disorder:type:parasomnia-type", + "contentHash": "e6c5f37e", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Mixed type", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:substance-medication-induced-sleep-disorder:type:mixed-type", + "contentHash": "8851ab0e", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Onset", + "items": [ + { + "label": "With onset during intoxication", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:substance-medication-induced-sleep-disorder:onset:with-onset-during-intoxication", + "contentHash": "2996c1a1", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With onset during withdrawal", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:substance-medication-induced-sleep-disorder:onset:with-onset-during-withdrawal", + "contentHash": "98b89875", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With onset after medication use", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:slp:substance-medication-induced-sleep-disorder:onset:with-onset-after-medication-use", + "contentHash": "de2831b1", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + } + ] + }, + { + "id": "sxd", + "name": "13. Sexual Dysfunctions", + "colorToken": "var(--sxd)", + "disorders": [ + { + "name": "Delayed Ejaculation", + "icd11Context": "High Yield: Differentiate from medication effect.", + "groups": [ + { + "label": "Onset & Context", + "items": [ + { + "label": "Lifelong", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:delayed-ejaculation:onset-context:lifelong", + "contentHash": "81a6fa5b", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Acquired", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:delayed-ejaculation:onset-context:acquired", + "contentHash": "7cd5bfbf", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Generalised", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:delayed-ejaculation:onset-context:generalised", + "contentHash": "b1fbcdb6", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Situational", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:delayed-ejaculation:onset-context:situational", + "contentHash": "991a6d8a", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Mild", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:delayed-ejaculation:severity:mild", + "contentHash": "7e3e5f1d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Moderate", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:delayed-ejaculation:severity:moderate", + "contentHash": "7f4bf257", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Severe", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:delayed-ejaculation:severity:severe", + "contentHash": "25bb07a7", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Erectile Disorder", + "icd11Context": "High Yield: Rule out vascular/medical cause.", + "groups": [ + { + "label": "Onset & Context", + "items": [ + { + "label": "Lifelong", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:erectile-disorder:onset-context:lifelong", + "contentHash": "9218a863", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Acquired", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:erectile-disorder:onset-context:acquired", + "contentHash": "36735667", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Generalised", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:erectile-disorder:onset-context:generalised", + "contentHash": "9450b24e", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Situational", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:erectile-disorder:onset-context:situational", + "contentHash": "d1611242", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Mild", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:erectile-disorder:severity:mild", + "contentHash": "5d2c5c5d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Moderate", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:erectile-disorder:severity:moderate", + "contentHash": "305c3243", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Severe", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:erectile-disorder:severity:severe", + "contentHash": "454c7037", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Female Orgasmic Disorder", + "icd11Context": "High Yield: Context is key.", + "groups": [ + { + "label": "Onset & Context", + "items": [ + { + "label": "Lifelong", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:female-orgasmic-disorder:onset-context:lifelong", + "contentHash": "9b77ecdf", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Acquired", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:female-orgasmic-disorder:onset-context:acquired", + "contentHash": "32a39c93", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Generalised", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:female-orgasmic-disorder:onset-context:generalised", + "contentHash": "b6ad4612", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Situational", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:female-orgasmic-disorder:onset-context:situational", + "contentHash": "f4b07fae", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Never experienced an orgasm under any situation", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:female-orgasmic-disorder:onset-context:never-experienced-an-orgasm-under-any-situation", + "contentHash": "c91cacfd", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Mild", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:female-orgasmic-disorder:severity:mild", + "contentHash": "94f29211", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Moderate", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:female-orgasmic-disorder:severity:moderate", + "contentHash": "aa9d2ab1", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Severe", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:female-orgasmic-disorder:severity:severe", + "contentHash": "2441b12f", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Female Sexual Interest/Arousal Disorder", + "icd11Context": "High Yield: Requires distress.", + "groups": [ + { + "label": "Onset & Context", + "items": [ + { + "label": "Lifelong", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:female-sexual-interest-arousal-disorder:onset-context:lifelong", + "contentHash": "26fad53e", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Acquired", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:female-sexual-interest-arousal-disorder:onset-context:acquired", + "contentHash": "153724da", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Generalised", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:female-sexual-interest-arousal-disorder:onset-context:generalised", + "contentHash": "15d2ba1d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Situational", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:female-sexual-interest-arousal-disorder:onset-context:situational", + "contentHash": "4c8307d9", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Mild", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:female-sexual-interest-arousal-disorder:severity:mild", + "contentHash": "c2f4c84d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Moderate", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:female-sexual-interest-arousal-disorder:severity:moderate", + "contentHash": "15851903", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Severe", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:female-sexual-interest-arousal-disorder:severity:severe", + "contentHash": "5ced651f", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Genito-Pelvic Pain/Penetration Disorder", + "icd11Context": "ICD-11: Sexual pain-penetration disorder (replaces genito-pelvic pain, applies to all genders).", + "groups": [ + { + "label": "Onset", + "items": [ + { + "label": "Lifelong", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:genito-pelvic-pain-penetration-disorder:onset:lifelong", + "contentHash": "2519f2a7", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Acquired", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:genito-pelvic-pain-penetration-disorder:onset:acquired", + "contentHash": "feeb569b", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Mild", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:genito-pelvic-pain-penetration-disorder:severity:mild", + "contentHash": "898571c5", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Moderate", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:genito-pelvic-pain-penetration-disorder:severity:moderate", + "contentHash": "f56adcd7", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Severe", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:genito-pelvic-pain-penetration-disorder:severity:severe", + "contentHash": "fe74af63", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Male Hypoactive Sexual Desire Disorder", + "icd11Context": "ICD-11: Hypoactive sexual desire dysfunction (gender-neutral).", + "groups": [ + { + "label": "Onset & Context", + "items": [ + { + "label": "Lifelong", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:male-hypoactive-sexual-desire-disorder:onset-context:lifelong", + "contentHash": "e369f015", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Acquired", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:male-hypoactive-sexual-desire-disorder:onset-context:acquired", + "contentHash": "51094981", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Generalised", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:male-hypoactive-sexual-desire-disorder:onset-context:generalised", + "contentHash": "04f24114", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Situational", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:male-hypoactive-sexual-desire-disorder:onset-context:situational", + "contentHash": "5a772184", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Mild", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:male-hypoactive-sexual-desire-disorder:severity:mild", + "contentHash": "a1c7464d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Moderate", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:male-hypoactive-sexual-desire-disorder:severity:moderate", + "contentHash": "d4f96d79", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Severe", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:male-hypoactive-sexual-desire-disorder:severity:severe", + "contentHash": "22275cd7", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Premature (Early) Ejaculation", + "icd11Context": "High Yield: <1 minute.", + "groups": [ + { + "label": "Onset & Context", + "items": [ + { + "label": "Lifelong", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:premature-early-ejaculation:onset-context:lifelong", + "contentHash": "443879c0", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Acquired", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:premature-early-ejaculation:onset-context:acquired", + "contentHash": "425839dc", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Generalised", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:premature-early-ejaculation:onset-context:generalised", + "contentHash": "8bf6a6c3", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Situational", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:premature-early-ejaculation:onset-context:situational", + "contentHash": "a67c5f33", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Mild", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:premature-early-ejaculation:severity:mild", + "contentHash": "daeaf94d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Moderate", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:premature-early-ejaculation:severity:moderate", + "contentHash": "8f7b683f", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Severe", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:premature-early-ejaculation:severity:severe", + "contentHash": "d1d2b9ab", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Substance/Medication-Induced Sexual Dysfunction", + "icd11Context": "High Yield: Very common with SSRIs.", + "groups": [ + { + "label": "Onset/Severity", + "items": [ + { + "label": "With onset during intoxication", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:substance-medication-induced-sexual-dysfunction:onset-severity:with-onset-during-intoxication", + "contentHash": "883b0b5e", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With onset during withdrawal", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:substance-medication-induced-sexual-dysfunction:onset-severity:with-onset-during-withdrawal", + "contentHash": "57c674be", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With onset after medication use", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:substance-medication-induced-sexual-dysfunction:onset-severity:with-onset-after-medication-use", + "contentHash": "52bbbe3c", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Mild", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:substance-medication-induced-sexual-dysfunction:onset-severity:mild", + "contentHash": "5ef8bccd", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Moderate", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:substance-medication-induced-sexual-dysfunction:onset-severity:moderate", + "contentHash": "ae7e1ec7", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Severe", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:substance-medication-induced-sexual-dysfunction:onset-severity:severe", + "contentHash": "71a3ec97", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Compulsive Sexual Behaviour Disorder (ICD-11)", + "icd11Context": "ICD-11 (6C72): Impulse control disorder. Failure to control intense sexual impulses.", + "groups": [ + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sxd:compulsive-sexual-behaviour-disorder-icd-11:severity:current-severity", + "contentHash": "0ce54585", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + } + ] + }, + { + "id": "gen", + "name": "14. Gender Dysphoria", + "colorToken": "var(--gen)", + "disorders": [ + { + "name": "Gender Dysphoria in Children", + "icd11Context": "ICD-11 (HA61): Gender incongruence of childhood. Reclassified to conditions related to sexual health.", + "groups": [ + { + "label": "Biology", + "items": [ + { + "label": "With/without a disorder of sex development", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:gen:gender-dysphoria-in-children:biology:with-without-a-disorder-of-sex-development", + "contentHash": "31b8b8e1", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Gender Dysphoria in Adolescents and Adults", + "icd11Context": "ICD-11 (HA60): De-pathologised. Reclassified to conditions related to sexual health.", + "groups": [ + { + "label": "Biology & Status", + "items": [ + { + "label": "With/without a disorder of sex development", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:gen:gender-dysphoria-in-adolescents-and-adults:biology-status:with-without-a-disorder-of-sex-development", + "contentHash": "2e5ec055", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Posttransition", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:gen:gender-dysphoria-in-adolescents-and-adults:biology-status:posttransition", + "contentHash": "21f1053a", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Gender Incongruence (ICD-11)", + "icd11Context": "ICD-11 (HA60/HA61): Reclassified to conditions related to sexual health, not mental disorders.", + "groups": [ + { + "label": "Subtypes", + "items": [ + { + "label": "Gender Incongruence of Adolescence or Adulthood", + "definition": { + "meaning": "ICD-11 gender incongruence category applying to adolescents or adults.", + "clinicalNote": null, + "sourceFamily": "WHO ICD-11 CDDR/MMS", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:gen:gender-incongruence-icd-11:subtypes:gender-incongruence-of-adolescence-or-adulthood", + "contentHash": "5349af95", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Gender Incongruence of Childhood", + "definition": { + "meaning": "ICD-11 gender incongruence category applying to children before puberty.", + "clinicalNote": null, + "sourceFamily": "WHO ICD-11 CDDR/MMS", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:gen:gender-incongruence-icd-11:subtypes:gender-incongruence-of-childhood", + "contentHash": "1583c5f2", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + } + ] + } + ] + }, + { + "id": "imp", + "name": "15. Disruptive & Impulse", + "colorToken": "var(--imp)", + "disorders": [ + { + "name": "Oppositional Defiant Disorder", + "icd11Context": "ICD-11 (6C90): Specific subtype 'with chronic irritability and anger' (resembles DMDD).", + "groups": [ + { + "label": "Features", + "items": [ + { + "label": "With chronic irritability-anger", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:imp:oppositional-defiant-disorder:features:with-chronic-irritability-anger", + "contentHash": "149299bf", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Mild (confined to 1 setting)", + "definition": { + "meaning": "For Oppositional Defiant Disorder, \"Mild (confined to 1 setting)\" uses the stated threshold: confined to 1 setting.", + "clinicalNote": "This is a setting-spread threshold; broader setting involvement usually indicates greater functional impact.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:imp:oppositional-defiant-disorder:severity:mild-confined-to-1-setting", + "contentHash": "0984212f", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Moderate (2 settings)", + "definition": { + "meaning": "For Oppositional Defiant Disorder, \"Moderate (2 settings)\" uses the stated threshold: 2 settings.", + "clinicalNote": "This is a setting-spread threshold; broader setting involvement usually indicates greater functional impact.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:imp:oppositional-defiant-disorder:severity:moderate-2-settings", + "contentHash": "abd62e36", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Severe (3+ settings)", + "definition": { + "meaning": "For Oppositional Defiant Disorder, \"Severe (3+ settings)\" uses the stated threshold: 3+ settings.", + "clinicalNote": "This is a setting-spread threshold; broader setting involvement usually indicates greater functional impact.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:imp:oppositional-defiant-disorder:severity:severe-3-settings", + "contentHash": "67ae86cc", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + } + ] + }, + { + "name": "Intermittent Explosive Disorder", + "icd11Context": "ICD-11 (6C73): Episodic explosive behaviour.", + "groups": [ + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:imp:intermittent-explosive-disorder:severity:current-severity", + "contentHash": "f449c8ed", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Conduct Disorder", + "icd11Context": "ICD-11 (6C91): Uses identical 'limited prosocial emotions' specifier.", + "groups": [ + { + "label": "Onset", + "items": [ + { + "label": "Childhood-onset type (prior to age 10)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:imp:conduct-disorder:onset:childhood-onset-type-prior-to-age-10", + "contentHash": "303b661a", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Adolescent-onset type (no symptoms prior to age 10)", + "definition": { + "meaning": "For Conduct Disorder, \"Adolescent-onset type (no symptoms prior to age 10)\" uses the stated threshold: no symptoms prior to age 10.", + "clinicalNote": "This specifier is defined by the stated threshold; symptom severity, impairment, and risk may still shift the clinical picture.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:imp:conduct-disorder:onset:adolescent-onset-type-no-symptoms-prior-to-age-10", + "contentHash": "ca67ad37", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Unspecified onset", + "definition": null, + "definitionStatus": "obvious-no-definition", + "review": { + "rowKey": "specifier:imp:conduct-disorder:onset:unspecified-onset", + "contentHash": "7950ab53", + "sourceVerificationStatus": "source-not-applicable", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + }, + { + "label": "Emotions", + "items": [ + { + "label": "With limited prosocial emotions (lack of remorse or guilt, callous and lacking empathy, unconcerned about performance, shallow or deficient affect)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:imp:conduct-disorder:emotions:with-limited-prosocial-emotions-lack-of-remorse-or-guilt-callous-and-lacking-empathy-unconcerned-about-performance-shallow-or-deficient-affect", + "contentHash": "fb1afab2", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Mild", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:imp:conduct-disorder:severity:mild", + "contentHash": "f53b17ce", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Moderate", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:imp:conduct-disorder:severity:moderate", + "contentHash": "3d34717f", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Severe", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:imp:conduct-disorder:severity:severe", + "contentHash": "0107f4fb", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Pyromania", + "icd11Context": "High Yield: Tension/arousal prior to act.", + "groups": [ + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:imp:pyromania:severity:current-severity", + "contentHash": "bdee975d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Kleptomania", + "icd11Context": "High Yield: Tension/arousal prior to act.", + "groups": [ + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:imp:kleptomania:severity:current-severity", + "contentHash": "54933e79", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + } + ] + }, + { + "id": "sub", + "name": "16. Substance & Addictive", + "colorToken": "var(--sub)", + "disorders": [ + { + "name": "Substance Use Disorders (General Specifiers)", + "icd11Context": "ICD-11 (6C40-6C4Z): Distinguishes 'harmful use' (single/episodic) from dependence.", + "groups": [ + { + "label": "Severity", + "items": [ + { + "label": "Mild (2-3 symptoms)", + "definition": { + "meaning": "For Substance Use Disorders (General Specifiers), \"Mild (2-3 symptoms)\" uses the stated threshold: 2-3 symptoms.", + "clinicalNote": "This is a symptom-count threshold; symptom severity, impairment, and risk may still shift the clinical picture.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:sub:substance-use-disorders-general-specifiers:severity:mild-2-3-symptoms", + "contentHash": "9d47099d", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Moderate (4-5 symptoms)", + "definition": { + "meaning": "For Substance Use Disorders (General Specifiers), \"Moderate (4-5 symptoms)\" uses the stated threshold: 4-5 symptoms.", + "clinicalNote": "This is a symptom-count threshold; symptom severity, impairment, and risk may still shift the clinical picture.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:sub:substance-use-disorders-general-specifiers:severity:moderate-4-5-symptoms", + "contentHash": "e6b19c17", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Severe (6 or more symptoms)", + "definition": { + "meaning": "For Substance Use Disorders (General Specifiers), \"Severe (6 or more symptoms)\" uses the stated threshold: 6 or more symptoms.", + "clinicalNote": "This is a symptom-count threshold; symptom severity, impairment, and risk may still shift the clinical picture.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:sub:substance-use-disorders-general-specifiers:severity:severe-6-or-more-symptoms", + "contentHash": "e9e1e863", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + }, + { + "label": "Course/Context", + "items": [ + { + "label": "In early remission (at least 3 months but less than 12 months)", + "definition": { + "meaning": "For Substance Use Disorders (General Specifiers), \"In early remission (at least 3 months but less than 12 months)\" uses the stated threshold: at least 3 months but less than 12 months.", + "clinicalNote": "This is a duration threshold; current impairment, risk, and recurrence still need separate clinical documentation.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:sub:substance-use-disorders-general-specifiers:course-context:in-early-remission-at-least-3-months-but-less-than-12-months", + "contentHash": "a8c41ac7", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "In sustained remission (12 months or more)", + "definition": { + "meaning": "For Substance Use Disorders (General Specifiers), \"In sustained remission (12 months or more)\" uses the stated threshold: 12 months or more.", + "clinicalNote": "This is a duration threshold; current impairment, risk, and recurrence still need separate clinical documentation.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:sub:substance-use-disorders-general-specifiers:course-context:in-sustained-remission-12-months-or-more", + 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"Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sub:substance-use-disorders-general-specifiers:course-context:in-a-controlled-environment", + "contentHash": "c5ee43b0", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Substance Classes with Use Disorders", + "icd11Context": "High Yield: Note all specific classes.", + "groups": [ + { + "label": "Classes", + "items": [ + { + "label": "Alcohol", + "definition": null, + "definitionStatus": "obvious-no-definition", + "review": { + "rowKey": "specifier:sub:substance-classes-with-use-disorders:classes:alcohol", + "contentHash": "c6b955ac", + "sourceVerificationStatus": "source-not-applicable", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Cannabis", + "definition": null, + "definitionStatus": "obvious-no-definition", + "review": { + "rowKey": "specifier:sub:substance-classes-with-use-disorders:classes:cannabis", + "contentHash": "d1440bc5", + "sourceVerificationStatus": "source-not-applicable", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Opioid", + "definition": null, + "definitionStatus": "obvious-no-definition", + "review": { + "rowKey": "specifier:sub:substance-classes-with-use-disorders:classes:opioid", + "contentHash": "1a969ac2", + "sourceVerificationStatus": "source-not-applicable", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Sedative, hypnotic, or anxiolytic", + "definition": null, + "definitionStatus": "obvious-no-definition", + "review": { + "rowKey": "specifier:sub:substance-classes-with-use-disorders:classes:sedative-hypnotic-or-anxiolytic", + "contentHash": "92329d66", + "sourceVerificationStatus": "source-not-applicable", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Stimulant (amphetamine-type, cocaine, other/unspecified)", + "definition": null, + "definitionStatus": "obvious-no-definition", + "review": { + "rowKey": "specifier:sub:substance-classes-with-use-disorders:classes:stimulant-amphetamine-type-cocaine-other-unspecified", + "contentHash": "c504c99a", + "sourceVerificationStatus": "source-not-applicable", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Tobacco", + "definition": null, + "definitionStatus": "obvious-no-definition", + "review": { + "rowKey": "specifier:sub:substance-classes-with-use-disorders:classes:tobacco", + "contentHash": "0675c3c3", + "sourceVerificationStatus": "source-not-applicable", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Phencyclidine", + "definition": null, + "definitionStatus": "obvious-no-definition", + "review": { + "rowKey": "specifier:sub:substance-classes-with-use-disorders:classes:phencyclidine", + "contentHash": "77c1ec85", + "sourceVerificationStatus": "source-not-applicable", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Other hallucinogen", + "definition": null, + "definitionStatus": "obvious-no-definition", + "review": { + "rowKey": "specifier:sub:substance-classes-with-use-disorders:classes:other-hallucinogen", + "contentHash": "37b2280d", + "sourceVerificationStatus": "source-not-applicable", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Inhalant", + "definition": null, + "definitionStatus": "obvious-no-definition", + "review": { + "rowKey": "specifier:sub:substance-classes-with-use-disorders:classes:inhalant", + "contentHash": "9a02540b", + "sourceVerificationStatus": "source-not-applicable", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Other (or unknown) substance", + "definition": null, + "definitionStatus": "obvious-no-definition", + "review": { + "rowKey": "specifier:sub:substance-classes-with-use-disorders:classes:other-or-unknown-substance", + "contentHash": "f6a3f6d6", + "sourceVerificationStatus": "source-not-applicable", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + } + ] + }, + { + "name": "Substance/Medication-Induced Mental Disorders", + "icd11Context": "High Yield: Specify intoxication vs withdrawal.", + "groups": [ + { + "label": "Applicability", + "items": [ + { + "label": "Psychotic, bipolar, depressive, anxiety, OCD, sleep, sexual dysfunction, delirium, neurocognitive disorders", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sub:substance-medication-induced-mental-disorders:applicability:psychotic-bipolar-depressive-anxiety-ocd-sleep-sexual-dysfunction-delirium-neurocognitive-disorders", + "contentHash": "5166f99f", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Onset", + "items": [ + { + "label": "With onset during intoxication", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sub:substance-medication-induced-mental-disorders:onset:with-onset-during-intoxication", + "contentHash": "71fadcfa", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With onset during withdrawal", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sub:substance-medication-induced-mental-disorders:onset:with-onset-during-withdrawal", + "contentHash": "89e0d6b2", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With onset after medication use", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sub:substance-medication-induced-mental-disorders:onset:with-onset-after-medication-use", + "contentHash": "bd93b858", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Gambling Disorder", + "icd11Context": "ICD-11 (6C50): Specifies predominantly offline vs online.", + "groups": [ + { + "label": "Course", + "items": [ + { + "label": "Episodic", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sub:gambling-disorder:course:episodic", + "contentHash": "be0cf599", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Persistent", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sub:gambling-disorder:course:persistent", + "contentHash": "07e3f7d8", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Remission", + "items": [ + { + "label": "In early remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sub:gambling-disorder:remission:in-early-remission", + "contentHash": "9a0157cb", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "In sustained remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sub:gambling-disorder:remission:in-sustained-remission", + "contentHash": "2b8f1c72", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Mild", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sub:gambling-disorder:severity:mild", + "contentHash": "726c0e37", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Moderate", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sub:gambling-disorder:severity:moderate", + "contentHash": "cebe6972", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Severe", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:sub:gambling-disorder:severity:severe", + "contentHash": "2689626d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Gaming Disorder (ICD-11)", + "icd11Context": "ICD-11 (6C51): Gaming disorder, with predominantly online or offline pattern where relevant.", + "groups": [ + { + "label": "Type", + "items": [ + { + "label": "Predominantly online", + "definition": { + "meaning": "Gaming behaviour is conducted predominantly online, over the internet.", + "clinicalNote": null, + "sourceFamily": "WHO ICD-11 CDDR/MMS", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:sub:gaming-disorder-icd-11:type:predominantly-online", + "contentHash": "01471348", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Predominantly offline", + "definition": { + "meaning": "Gaming behaviour is conducted predominantly offline, not primarily over the internet.", + "clinicalNote": null, + "sourceFamily": "WHO ICD-11 CDDR/MMS", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:sub:gaming-disorder-icd-11:type:predominantly-offline", + "contentHash": "62b45c5c", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "For Gaming Disorder (ICD-11), current severity refers to current burden across loss of control, persistence, craving or preoccupation, harms, impairment, and relapse/remission status.", + "clinicalNote": "Rate the current burden using loss of control, persistence, craving or preoccupation, harms, impairment, and relapse/remission status.", + "sourceFamily": "WHO ICD-11 CDDR/MMS", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:sub:gaming-disorder-icd-11:severity:current-severity", + "contentHash": "aedceefa", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + } + ] + } + ] + }, + { + "id": "ncg", + "name": "17. Neurocognitive", + "colorToken": "var(--ncg)", + "disorders": [ + { + "name": "Delirium", + "icd11Context": "ICD-11 (6D70): Specify acute vs persistent, and activity level.", + "groups": [ + { + "label": "Aetiology", + "items": [ + { + "label": "Substance intoxication delirium", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ncg:delirium:aetiology:substance-intoxication-delirium", + "contentHash": "328bca6e", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Substance withdrawal delirium", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ncg:delirium:aetiology:substance-withdrawal-delirium", + "contentHash": "9e7dba9e", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Medication-induced delirium", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ncg:delirium:aetiology:medication-induced-delirium", + "contentHash": "d74a21d3", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Delirium due to another medical condition", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ncg:delirium:aetiology:delirium-due-to-another-medical-condition", + "contentHash": "59912b41", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Delirium due to multiple aetiologies", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ncg:delirium:aetiology:delirium-due-to-multiple-aetiologies", + "contentHash": "4c2df4a1", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Course/Activity", + "items": [ + { + "label": "Acute (hours to days)", + "definition": { + "meaning": "For Delirium, \"Acute (hours to days)\" uses the stated threshold: hours to days.", + "clinicalNote": "This is a duration threshold; current impairment, risk, and recurrence still need separate clinical documentation.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:ncg:delirium:course-activity:acute-hours-to-days", + "contentHash": "4d79229d", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Persistent (weeks to months)", + "definition": { + "meaning": "For Delirium, \"Persistent (weeks to months)\" uses the stated threshold: weeks to months.", + "clinicalNote": "This is a duration threshold; current impairment, risk, and recurrence still need separate clinical documentation.", + "sourceFamily": "Dataset threshold", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:ncg:delirium:course-activity:persistent-weeks-to-months", + "contentHash": "5092c579", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Hyperactive", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ncg:delirium:course-activity:hyperactive", + "contentHash": "bae4a9f3", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Hypoactive", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ncg:delirium:course-activity:hypoactive", + "contentHash": "c2871da9", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Mixed level of activity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ncg:delirium:course-activity:mixed-level-of-activity", + "contentHash": "5a4da806", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Major or Mild Neurocognitive Disorder", + "icd11Context": "ICD-11 (6D8x/6D71): Dementia/Mild NCD. 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+ "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Due to Parkinson's disease", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:ncg:major-or-mild-neurocognitive-disorder:aetiology:due-to-parkinson-s-disease", + "contentHash": "7bfae03a", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Due to Huntington's disease", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR 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"clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Cluster B: Antisocial, Borderline, Histrionic, Narcissistic", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:per:dsm-5-tr-categorical-model-section-ii:clusters:cluster-b-antisocial-borderline-histrionic-narcissistic", + "contentHash": "54086b9e", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Cluster C: Avoidant, Dependent, Obsessive-Compulsive", + "definition": { + "meaning": "Pending clinician 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"specifier:per:dsm-5-tr-alternative-model-section-iii-ampd:severity:level-of-personality-functioning-0-little-no-1-some-2-moderate-3-severe-4-extreme", + "contentHash": "12306ea5", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Pathological Traits", + "items": [ + { + "label": "Negative affectivity", + "definition": { + "meaning": "Trait pattern involving frequent, intense, or poorly regulated negative emotions such as anxiety, anger, shame, or emotional lability.", + "clinicalNote": null, + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:per:dsm-5-tr-alternative-model-section-iii-ampd:pathological-traits:negative-affectivity", + "contentHash": "2937186a", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Detachment", + "definition": { + "meaning": "Trait pattern involving social withdrawal, emotional restriction, limited intimacy, or reduced engagement with others.", + "clinicalNote": null, + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:per:dsm-5-tr-alternative-model-section-iii-ampd:pathological-traits:detachment", + "contentHash": "7c179cec", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Antagonism", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:per:dsm-5-tr-alternative-model-section-iii-ampd:pathological-traits:antagonism", + "contentHash": "31e04c97", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Disinhibition", + "definition": { + "meaning": "Trait pattern involving impulsivity, poor planning, distractibility, or risk-prone behaviour.", + "clinicalNote": null, + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:per:dsm-5-tr-alternative-model-section-iii-ampd:pathological-traits:disinhibition", + "contentHash": "50e6ced1", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Psychoticism", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:per:dsm-5-tr-alternative-model-section-iii-ampd:pathological-traits:psychoticism", + "contentHash": "3c2d0dc7", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "ICD-11 Dimensional Model", + "icd11Context": "ICD-11: Mild/Mod/Severe. Traits: Negative affectivity, Detachment, Dissociality, Disinhibition, Anankastia.", + "groups": [ + { + "label": "Severity", + "items": [ + { + "label": "Personality Difficulty (subthreshold)", + "definition": { + "meaning": "ICD-11 descriptor for clinically relevant personality problems below the threshold for personality disorder.", + "clinicalNote": null, + "sourceFamily": "WHO ICD-11 CDDR/MMS", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:per:icd-11-dimensional-model:severity:personality-difficulty-subthreshold", + "contentHash": "ef4eaae9", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Mild", + "definition": { + "meaning": "For ICD-11 Dimensional Model, mild refers to current burden across self-functioning, interpersonal functioning, pervasiveness, distress, risk, and social or occupational impairment.", + "clinicalNote": "Mild means personality dysfunction is present but some relationships and roles remain relatively stable.", + "sourceFamily": "WHO ICD-11 CDDR/MMS", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:per:icd-11-dimensional-model:severity:mild", + "contentHash": "1f5ed7f7", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Moderate", + "definition": { + "meaning": "For ICD-11 Dimensional Model, moderate refers to current burden across self-functioning, interpersonal functioning, pervasiveness, distress, risk, and social or occupational impairment.", + "clinicalNote": "Moderate means dysfunction is broader, more persistent, and clearly impairs relationships or roles.", + "sourceFamily": "WHO ICD-11 CDDR/MMS", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:per:icd-11-dimensional-model:severity:moderate", + "contentHash": "6b82009f", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Severe", + "definition": { + "meaning": "For ICD-11 Dimensional Model, severe refers to current burden across self-functioning, interpersonal functioning, pervasiveness, distress, risk, and social or occupational impairment.", + "clinicalNote": "Severe means pervasive dysfunction, major role impairment, severe relationship disruption, or substantial risk.", + "sourceFamily": "WHO ICD-11 CDDR/MMS", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:per:icd-11-dimensional-model:severity:severe", + "contentHash": "3988d051", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + }, + { + "label": "Trait Qualifiers", + "items": [ + { + "label": "Negative affectivity, detachment, dissociality, disinhibition, anankastia", + "definition": { + "meaning": "ICD-11 personality trait qualifiers used to describe the dominant style of personality disturbance.", + "clinicalNote": "Open the individual trait terms where present for more specific wording.", + "sourceFamily": "WHO ICD-11 CDDR/MMS", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:per:icd-11-dimensional-model:trait-qualifiers:negative-affectivity-detachment-dissociality-disinhibition-anankastia", + "contentHash": "61bb60b6", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + }, + { + "label": "Pattern", + "items": [ + { + "label": "Borderline pattern qualifier", + "definition": { + "meaning": "ICD-11 qualifier used when the personality-disorder presentation has a prominent borderline-pattern profile.", + "clinicalNote": null, + "sourceFamily": "WHO ICD-11 CDDR/MMS", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:per:icd-11-dimensional-model:pattern:borderline-pattern-qualifier", + "contentHash": "390587e6", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + } + ] + } + ] + }, + { + "id": "par", + "name": "19. Paraphilic Disorders", + "colorToken": "var(--par)", + "disorders": [ + { + "name": "Voyeuristic / Frotteuristic", + "icd11Context": "ICD-11 (6D30-6D3Z): Not automatically mental disorders unless non-consenting, involving minors, or causing significant distress/injury.", + "groups": [ + { + "label": "Context/Course", + "items": [ + { + "label": "In a controlled environment", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:par:voyeuristic-frotteuristic:context-course:in-a-controlled-environment", + "contentHash": "9a8af830", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "In full remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:par:voyeuristic-frotteuristic:context-course:in-full-remission", + "contentHash": "d5f83718", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:par:voyeuristic-frotteuristic:severity:current-severity", + "contentHash": "4dd63b09", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Exhibitionistic Disorder", + "icd11Context": "ICD-11 (6D30-6D3Z): Not automatically mental disorders unless non-consenting, involving minors, or causing significant distress/injury.", + "groups": [ + { + "label": "Arousal Focus", + "items": [ + { + "label": "Sexually aroused by exposing genitals to prepubertal children", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:par:exhibitionistic-disorder:arousal-focus:sexually-aroused-by-exposing-genitals-to-prepubertal-children", + "contentHash": "a6e9d84f", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "To physically mature individuals", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:par:exhibitionistic-disorder:arousal-focus:to-physically-mature-individuals", + "contentHash": "86cdfefb", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "To both", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:par:exhibitionistic-disorder:arousal-focus:to-both", + "contentHash": "ed077cfc", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Context/Course", + "items": [ + { + "label": "In a controlled environment", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:par:exhibitionistic-disorder:context-course:in-a-controlled-environment", + "contentHash": "0c9ced59", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "In full remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:par:exhibitionistic-disorder:context-course:in-full-remission", + "contentHash": "d7888e98", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:par:exhibitionistic-disorder:context-course:current-severity", + "contentHash": "9c0f6fe7", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Sexual Masochism Disorder", + "icd11Context": "ICD-11 (6D30-6D3Z): Not automatically mental disorders unless non-consenting, involving minors, or causing significant distress/injury.", + "groups": [ + { + "label": "Features", + "items": [ + { + "label": "With asphyxiophilia", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:par:sexual-masochism-disorder:features:with-asphyxiophilia", + "contentHash": "012eea0e", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "In a controlled environment", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:par:sexual-masochism-disorder:features:in-a-controlled-environment", + "contentHash": "9dc9af9c", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "In full remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:par:sexual-masochism-disorder:features:in-full-remission", + "contentHash": "2907e3fe", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:par:sexual-masochism-disorder:features:current-severity", + "contentHash": "74576c29", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Sexual Sadism Disorder", + "icd11Context": "ICD-11 (6D30-6D3Z): Not automatically mental disorders unless non-consenting, involving minors, or causing significant distress/injury.", + "groups": [ + { + "label": "Context", + "items": [ + { + "label": "In a controlled environment", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:par:sexual-sadism-disorder:context:in-a-controlled-environment", + "contentHash": "921de9cb", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "In full remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:par:sexual-sadism-disorder:context:in-full-remission", + "contentHash": "9d9597d8", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:par:sexual-sadism-disorder:context:current-severity", + "contentHash": "efc76d0f", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Pedophilic Disorder", + "icd11Context": "ICD-11 (6D30-6D3Z): Not automatically mental disorders unless non-consenting, involving minors, or causing significant distress/injury.", + "groups": [ + { + "label": "Type", + "items": [ + { + "label": "Exclusive type", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:par:pedophilic-disorder:type:exclusive-type", + "contentHash": "31a5ad55", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Nonexclusive type", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:par:pedophilic-disorder:type:nonexclusive-type", + "contentHash": "04c77a1d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Attraction", + "items": [ + { + "label": "Sexually attracted to males", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:par:pedophilic-disorder:attraction:sexually-attracted-to-males", + "contentHash": "ca7497fc", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Sexually attracted to females", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:par:pedophilic-disorder:attraction:sexually-attracted-to-females", + "contentHash": "252e9ce9", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Sexually attracted to both", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:par:pedophilic-disorder:attraction:sexually-attracted-to-both", + "contentHash": "a765bc3d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Limited to incest", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:par:pedophilic-disorder:attraction:limited-to-incest", + "contentHash": "fc954f03", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Context", + "items": [ + { + "label": "In a controlled environment", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:par:pedophilic-disorder:context:in-a-controlled-environment", + "contentHash": "5e6c8947", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "In full remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:par:pedophilic-disorder:context:in-full-remission", + "contentHash": "6eb66462", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Fetishistic Disorder", + "icd11Context": "ICD-11 (6D30-6D3Z): Not automatically mental disorders unless non-consenting, involving minors, or causing significant distress/injury.", + "groups": [ + { + "label": "Focus", + "items": [ + { + "label": "Body part(s)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:par:fetishistic-disorder:focus:body-part-s", + "contentHash": "a990bec0", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Nonliving object(s)", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": 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"specifier:par:transvestic-disorder:features:with-fetishism", + "contentHash": "8f50381d", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With autogynephilia", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:par:transvestic-disorder:features:with-autogynephilia", + "contentHash": "7d95bafc", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Context", + "items": [ + { + "label": "In a controlled environment", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:par:transvestic-disorder:context:in-a-controlled-environment", + "contentHash": "631526f2", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "In full remission", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:par:transvestic-disorder:context:in-full-remission", + "contentHash": "6389956a", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": 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ICD-11 Specifics", + "colorToken": "var(--icd)", + "disorders": [ + { + "name": "Gaming Disorder", + "icd11Context": "ICD-11 (6C51): Gaming disorder, with predominantly online or offline pattern where relevant.", + "groups": [ + { + "label": "Type", + "items": [ + { + "label": "Predominantly online", + "definition": { + "meaning": "Gaming behaviour is conducted predominantly online, over the internet.", + "clinicalNote": null, + "sourceFamily": "WHO ICD-11 CDDR/MMS", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:icd:gaming-disorder:type:predominantly-online", + "contentHash": "77f20224", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Predominantly offline", + "definition": { + "meaning": "Gaming behaviour is conducted predominantly offline, not primarily over the internet.", + "clinicalNote": null, + "sourceFamily": "WHO ICD-11 CDDR/MMS", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:icd:gaming-disorder:type:predominantly-offline", + "contentHash": "fa81dac8", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "For Gaming Disorder, current severity refers to current burden across loss of control, persistence, craving or preoccupation, harms, impairment, and relapse/remission status.", + "clinicalNote": "Rate the current burden using loss of control, persistence, craving or preoccupation, harms, impairment, and relapse/remission status.", + "sourceFamily": "WHO ICD-11 CDDR/MMS", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:icd:gaming-disorder:severity:current-severity", + "contentHash": "f5a16488", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + } + ] + }, + { + "name": "Compulsive Sexual Behaviour Disorder", + "icd11Context": "ICD-11 (6C72): Impulse control disorder. 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Requires 3+ of 12 classic features.", + "groups": [ + { + "label": "Context", + "items": [ + { + "label": "Associated with another mental disorder", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:icd:catatonia-standalone-diagnosis:context:associated-with-another-mental-disorder", + "contentHash": "06196684", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "Induced by psychoactive substances including medications", + "definition": { + "meaning": "Symptoms are classified as substance- or medication-induced in the ICD-11 context.", + "clinicalNote": null, + "sourceFamily": "WHO ICD-11 CDDR/MMS", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:icd:catatonia-standalone-diagnosis:context:induced-by-psychoactive-substances-including-medications", + "contentHash": "e372acd8", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + }, + { + "label": "Secondary to a medical condition not classified elsewhere", + "definition": { + "meaning": "The mental or behavioural presentation is classified as secondary to another medical condition.", + "clinicalNote": null, + "sourceFamily": "WHO ICD-11 CDDR/MMS", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:icd:catatonia-standalone-diagnosis:context:secondary-to-a-medical-condition-not-classified-elsewhere", + "contentHash": "74026c12", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + } + ] + }, + { + "name": "Bodily Distress Disorder", + "icd11Context": "ICD-11 (6C20): Replaces multiple somatoform disorders from ICD-10.", + "groups": [ + { + "label": "Severity", + "items": [ + { + "label": "Mild", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:icd:bodily-distress-disorder:severity:mild", + "contentHash": "ac47fbde", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": 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definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:icd:bodily-distress-disorder:severity:severe", + "contentHash": "3990b98b", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Partial Dissociative Identity Disorder", + "icd11Context": "ICD-11 (6B65): Non-dominant identity states do not recurrently take control.", + "groups": [ + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:icd:partial-dissociative-identity-disorder:severity:current-severity", + "contentHash": "6c8a415f", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Trance Disorder", + "icd11Context": "ICD-11: Altered state of consciousness with/without possession.", + "groups": [ + { + "label": "Features", + "items": [ + { + "label": "With/without possession", + "definition": { + "meaning": "The dissociative presentation may occur with or without experiences of being taken over by an external identity, spirit, or power (the possession vs non-possession form).", + "clinicalNote": null, + "sourceFamily": "WHO ICD-11 CDDR/MMS", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:icd:trance-disorder:features:with-without-possession", + "contentHash": "8645b648", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + } + ] + }, + { + "name": "Olfactory Reference Disorder", + "icd11Context": "ICD-11 / DSM-5-TR Sec III: Preoccupation with emitting a foul body odour.", + "groups": [ + { + "label": "Insight", + "items": [ + { + "label": "With good or fair insight", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:icd:olfactory-reference-disorder:insight:with-good-or-fair-insight", + "contentHash": "5140b207", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With poor insight", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:icd:olfactory-reference-disorder:insight:with-poor-insight", + "contentHash": "13319a10", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + }, + { + "label": "With absent insight", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "DSM/ICD classification paraphrase", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:icd:olfactory-reference-disorder:insight:with-absent-insight", + "contentHash": "1777f041", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + }, + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:icd:olfactory-reference-disorder:severity:current-severity", + "contentHash": "8918235b", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Body-Focused Repetitive Behaviour Disorder", + "icd11Context": "ICD-11: E.g., nail-biting, cheek-biting.", + "groups": [ + { + "label": "Severity", + "items": [ + { + "label": "Current severity", + "definition": { + "meaning": "Pending clinician verification — confirm this specifier against current DSM-5-TR / ICD-11 materials.", + "clinicalNote": "Auto-generated definition withheld pending qualified clinician review.", + "sourceFamily": "Best-effort DSM-derived clinical anchor pending manual verification", + "status": "needs-manual-or-clinician-verification" + }, + "definitionStatus": "needs-manual-or-clinician-verification", + "review": { + "rowKey": "specifier:icd:body-focused-repetitive-behaviour-disorder:severity:current-severity", + "contentHash": "5fe8cbbf", + "sourceVerificationStatus": "source-needs-formal-review", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": true + } + } + ] + } + ] + }, + { + "name": "Gender Incongruence", + "icd11Context": "ICD-11 (HA60/HA61): Reclassified to conditions related to sexual health, not mental disorders.", + "groups": [ + { + "label": "Classification", + "items": [ + { + "label": "Reclassified to conditions related to sexual health (not mental disorders)", + "definition": { + "meaning": "ICD-11 places gender incongruence outside the mental disorders chapter.", + "clinicalNote": "Australian coding implementation still needs separate local verification.", + "sourceFamily": "WHO ICD-11 CDDR/MMS", + "status": "defined" + }, + "definitionStatus": "defined", + "review": { + "rowKey": "specifier:icd:gender-incongruence:classification:reclassified-to-conditions-related-to-sexual-health-not-mental-disorders", + "contentHash": "d087543d", + "sourceVerificationStatus": "source-verified", + "clinicianReviewStatus": "clinician-review-pending", + "changedSinceReview": false + } + } + ] + } + ] + } + ] + } + ] +} diff --git a/data/specifiers-search-index.json b/data/specifiers-search-index.json new file mode 100644 index 000000000..5533979cf --- /dev/null +++ b/data/specifiers-search-index.json @@ -0,0 +1,6481 @@ +{ + "meta": { + "appName": "Specifiers", + "version": "1.1.0", + "contentVersion": "DSM-5-TR / ICD-11 aide-memoire dataset with Australian coding-context note", + "lastUpdated": "2026-05-09", + "reviewStatus": "Pending qualified clinician review", + "scope": "Quick-reference aide-memoire for diagnostic specifiers and clinical notes. It is not a diagnostic instrument, substitute manual, treatment guide, billing/coding authority, or Australian ICD-11 implementation guide.", + "disclaimer": "Use with formal DSM-5-TR materials, current WHO ICD-11 materials, Australian ICD-10-AM/ACHI/ACS requirements where relevant, local governance, and qualified clinical judgement.", + "scopeWarning": "This is diagnostic specifier aide-memoire content, not psychotherapy, treatment, prescribing, billing, or diagnostic-manual content.", + "stats": { + "categories": 20, + "disorders": 131, + "groups": 218, + "specifierItems": 585, + "universalSpecifiers": 18, + "itemsWithDefinitions": 71, + "itemsPendingClinicianReview": 585 + }, + "sourceVerified": 71 + }, + "categories": [ + { "id": "ndv", "name": "1. Neurodevelopmental" }, + { "id": "psy", "name": "2. Schizophrenia Spectrum" }, + { "id": "bip", "name": "3. Bipolar & Related" }, + { "id": "dep", "name": "4. Depressive Disorders" }, + { "id": "anx", "name": "5. 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Bipolar & Related", + "group": "Features", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-bip-cyclothymic-disorder-severity-current-severity", + "label": "Current severity", + "disorder": "Cyclothymic Disorder", + "categoryId": "bip", + "category": "3. Bipolar & Related", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-bip-substance-medication-induced-bipolar-onset-with-onset-during-intoxication", + "label": "With onset during intoxication", + "disorder": "Substance/Medication-Induced Bipolar", + "categoryId": "bip", + "category": "3. 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Bipolar & Related", + "group": "Features", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-dep-disruptive-mood-dysregulation-disorder-severity-current-severity", + "label": "Current severity", + "disorder": "Disruptive Mood Dysregulation Disorder", + "categoryId": "dep", + "category": "4. Depressive Disorders", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-dep-major-depressive-disorder-pattern-single-episode", + "label": "Single episode", + "disorder": "Major Depressive Disorder", + "categoryId": "dep", + "category": "4. 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Trauma & Stressor", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-trm-complex-ptsd-icd-11-features-with-disturbances-in-self-organisation-affective-dysregulation-negative-self-concept-disturbances-in-relationships", + "label": "With disturbances in self-organisation (affective dysregulation, negative self-concept, disturbances in relationships)", + "disorder": "Complex PTSD (ICD-11)", + "categoryId": "trm", + "category": "7. Trauma & Stressor", + "group": "Features", + "src": "source-verified", + "def": "defined", + "meaning": "ICD-11 complex PTSD domain covering emotional regulation difficulty, persistent negative self-beliefs, and relationship disturbance." + }, + { + "slug": "specifier-trm-complex-ptsd-icd-11-severity-current-severity", + "label": "Current severity", + "disorder": "Complex PTSD (ICD-11)", + "categoryId": "trm", + "category": "7. Trauma & Stressor", + "group": "Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For Complex PTSD (ICD-11), current severity refers to current burden across PTSD symptom burden plus affect dysregulation, negative self-concept, relationship disturbance, impairment, and safety concerns." + }, + { + "slug": "specifier-trm-acute-stress-disorder-severity-current-severity", + "label": "Current severity", + "disorder": "Acute Stress Disorder", + "categoryId": "trm", + "category": "7. Trauma & Stressor", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-trm-adjustment-disorders-subtype-with-depressed-mood", + "label": "With depressed mood", + "disorder": "Adjustment Disorders", + "categoryId": "trm", + "category": "7. Trauma & Stressor", + "group": "Subtype", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-trm-adjustment-disorders-subtype-with-anxiety", + "label": "With anxiety", + "disorder": "Adjustment Disorders", + "categoryId": "trm", + "category": "7. Trauma & Stressor", + "group": "Subtype", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-trm-adjustment-disorders-subtype-with-mixed-anxiety-and-depressed-mood", + "label": "With mixed anxiety and depressed mood", + "disorder": "Adjustment Disorders", + "categoryId": "trm", + "category": "7. Trauma & Stressor", + "group": "Subtype", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-trm-adjustment-disorders-subtype-with-disturbance-of-conduct", + "label": "With disturbance of conduct", + "disorder": "Adjustment Disorders", + "categoryId": "trm", + "category": "7. Trauma & Stressor", + "group": "Subtype", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-trm-adjustment-disorders-subtype-with-mixed-disturbance-of-emotions-and-conduct", + "label": "With mixed disturbance of emotions and conduct", + "disorder": "Adjustment Disorders", + "categoryId": "trm", + "category": "7. Trauma & Stressor", + "group": "Subtype", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-trm-adjustment-disorders-subtype-unspecified", + "label": "Unspecified", + "disorder": "Adjustment Disorders", + "categoryId": "trm", + "category": "7. Trauma & Stressor", + "group": "Subtype", + "src": "source-not-applicable", + "def": "obvious-no-definition", + "meaning": "" + }, + { + "slug": "specifier-trm-adjustment-disorders-course-severity-acute-less-than-6-months", + "label": "Acute (less than 6 months)", + "disorder": "Adjustment Disorders", + "categoryId": "trm", + "category": "7. Trauma & Stressor", + "group": "Course/Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For Adjustment Disorders, \"Acute (less than 6 months)\" uses the stated threshold: less than 6 months." + }, + { + "slug": "specifier-trm-adjustment-disorders-course-severity-persistent-chronic-6-months-or-longer", + "label": "Persistent/chronic (6 months or longer)", + "disorder": "Adjustment Disorders", + "categoryId": "trm", + "category": "7. Trauma & Stressor", + "group": "Course/Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For Adjustment Disorders, \"Persistent/chronic (6 months or longer)\" uses the stated threshold: 6 months or longer." + }, + { + "slug": "specifier-trm-adjustment-disorders-course-severity-current-severity", + "label": "Current severity", + "disorder": "Adjustment Disorders", + "categoryId": "trm", + "category": "7. Trauma & Stressor", + "group": "Course/Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-trm-prolonged-grief-disorder-features-with-traumatic-bereavement", + "label": "With traumatic bereavement", + "disorder": "Prolonged Grief Disorder", + "categoryId": "trm", + "category": "7. Trauma & Stressor", + "group": "Features", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-trm-prolonged-grief-disorder-severity-current-severity", + "label": "Current severity", + "disorder": "Prolonged Grief Disorder", + "categoryId": "trm", + "category": "7. Trauma & Stressor", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-dis-dissociative-identity-disorder-features-with-without-possession-form", + "label": "With/without possession form", + "disorder": "Dissociative Identity Disorder", + "categoryId": "dis", + "category": "8. Dissociative Disorders", + "group": "Features", + "src": "source-verified", + "def": "defined", + "meaning": "The dissociative presentation may occur with or without experiences of being taken over by an external identity, spirit, or power (the possession vs non-possession form)." + }, + { + "slug": "specifier-dis-dissociative-identity-disorder-severity-current-severity", + "label": "Current severity", + "disorder": "Dissociative Identity Disorder", + "categoryId": "dis", + "category": "8. Dissociative Disorders", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-dis-dissociative-amnesia-features-with-dissociative-fugue", + "label": "With dissociative fugue", + "disorder": "Dissociative Amnesia", + "categoryId": "dis", + "category": "8. Dissociative Disorders", + "group": "Features", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-dis-dissociative-amnesia-features-without-dissociative-fugue", + "label": "Without dissociative fugue", + "disorder": "Dissociative Amnesia", + "categoryId": "dis", + "category": "8. Dissociative Disorders", + "group": "Features", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-dis-depersonalisation-derealisation-disorder-type-with-predominantly-depersonalisation", + "label": "With predominantly depersonalisation", + "disorder": "Depersonalisation/Derealisation Disorder", + "categoryId": "dis", + "category": "8. Dissociative Disorders", + "group": "Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-dis-depersonalisation-derealisation-disorder-type-with-predominantly-derealisation", + "label": "With predominantly derealisation", + "disorder": "Depersonalisation/Derealisation Disorder", + "categoryId": "dis", + "category": "8. Dissociative Disorders", + "group": "Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-dis-depersonalisation-derealisation-disorder-type-with-both", + "label": "With both", + "disorder": "Depersonalisation/Derealisation Disorder", + "categoryId": "dis", + "category": "8. Dissociative Disorders", + "group": "Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-dis-depersonalisation-derealisation-disorder-severity-current-severity", + "label": "Current severity", + "disorder": "Depersonalisation/Derealisation Disorder", + "categoryId": "dis", + "category": "8. Dissociative Disorders", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-dis-partial-dissociative-identity-disorder-icd-11-severity-current-severity", + "label": "Current severity", + "disorder": "Partial Dissociative Identity Disorder (ICD-11)", + "categoryId": "dis", + "category": "8. Dissociative Disorders", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-dis-trance-disorder-icd-11-features-with-without-possession", + "label": "With/without possession", + "disorder": "Trance Disorder (ICD-11)", + "categoryId": "dis", + "category": "8. Dissociative Disorders", + "group": "Features", + "src": "source-verified", + "def": "defined", + "meaning": "The dissociative presentation may occur with or without experiences of being taken over by an external identity, spirit, or power (the possession vs non-possession form)." + }, + { + "slug": "specifier-dis-trance-disorder-icd-11-severity-current-severity", + "label": "Current severity", + "disorder": "Trance Disorder (ICD-11)", + "categoryId": "dis", + "category": "8. Dissociative Disorders", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-som-somatic-symptom-disorder-features-with-predominant-pain", + "label": "With predominant pain", + "disorder": "Somatic Symptom Disorder", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Features", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-som-somatic-symptom-disorder-features-persistent-more-than-6-months", + "label": "Persistent (more than 6 months)", + "disorder": "Somatic Symptom Disorder", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Features", + "src": "source-verified", + "def": "defined", + "meaning": "For Somatic Symptom Disorder, \"Persistent (more than 6 months)\" uses the stated threshold: more than 6 months." + }, + { + "slug": "specifier-som-somatic-symptom-disorder-severity-mild-1-criterion", + "label": "Mild (1 criterion)", + "disorder": "Somatic Symptom Disorder", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For Somatic Symptom Disorder, \"Mild (1 criterion)\" uses the stated threshold: 1 criterion." + }, + { + "slug": "specifier-som-somatic-symptom-disorder-severity-moderate-2-criteria", + "label": "Moderate (2+ criteria)", + "disorder": "Somatic Symptom Disorder", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For Somatic Symptom Disorder, \"Moderate (2+ criteria)\" uses the stated threshold: 2+ criteria." + }, + { + "slug": "specifier-som-somatic-symptom-disorder-severity-severe-2-criteria-multiple-severe-complaints", + "label": "Severe (2+ criteria + multiple/severe complaints)", + "disorder": "Somatic Symptom Disorder", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For Somatic Symptom Disorder, \"Severe (2+ criteria + multiple/severe complaints)\" uses the stated threshold: 2+ criteria + multiple/severe complaints." + }, + { + "slug": "specifier-som-illness-anxiety-disorder-type-care-seeking-type", + "label": "Care-seeking type", + "disorder": "Illness Anxiety Disorder", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-som-illness-anxiety-disorder-type-care-avoidant-type", + "label": "Care-avoidant type", + "disorder": "Illness Anxiety Disorder", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-som-functional-neurological-symptom-disorder-conversion-fnd-symptom-type-with-weakness-or-paralysis", + "label": "With weakness or paralysis", + "disorder": "Functional Neurological Symptom Disorder (Conversion / FND)", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Symptom Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-som-functional-neurological-symptom-disorder-conversion-fnd-symptom-type-with-abnormal-movement-tremor-dystonia-myoclonus-gait-disorder", + "label": "With abnormal movement (tremor, dystonia, myoclonus, gait disorder)", + "disorder": "Functional Neurological Symptom Disorder (Conversion / FND)", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Symptom Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-som-functional-neurological-symptom-disorder-conversion-fnd-symptom-type-with-swallowing-symptoms", + "label": "With swallowing symptoms", + "disorder": "Functional Neurological Symptom Disorder (Conversion / FND)", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Symptom Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-som-functional-neurological-symptom-disorder-conversion-fnd-symptom-type-with-speech-symptoms-dysphonia-slurred-speech", + "label": "With speech symptoms (dysphonia, slurred speech)", + "disorder": "Functional Neurological Symptom Disorder (Conversion / FND)", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Symptom Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-som-functional-neurological-symptom-disorder-conversion-fnd-symptom-type-with-attacks-or-seizures", + "label": "With attacks or seizures", + "disorder": "Functional Neurological Symptom Disorder (Conversion / FND)", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Symptom Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-som-functional-neurological-symptom-disorder-conversion-fnd-symptom-type-with-anaesthesia-or-sensory-loss", + "label": "With anaesthesia or sensory loss", + "disorder": "Functional Neurological Symptom Disorder (Conversion / FND)", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Symptom Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-som-functional-neurological-symptom-disorder-conversion-fnd-symptom-type-with-special-sensory-symptom-visual-olfactory-hearing-disturbance", + "label": "With special sensory symptom (visual, olfactory, hearing disturbance)", + "disorder": "Functional Neurological Symptom Disorder (Conversion / FND)", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Symptom Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-som-functional-neurological-symptom-disorder-conversion-fnd-symptom-type-with-mixed-symptoms", + "label": "With mixed symptoms", + "disorder": "Functional Neurological Symptom Disorder (Conversion / FND)", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Symptom Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-som-functional-neurological-symptom-disorder-conversion-fnd-course-context-acute-episode-less-than-6-months", + "label": "Acute episode (less than 6 months)", + "disorder": "Functional Neurological Symptom Disorder (Conversion / FND)", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Course/Context", + "src": "source-verified", + "def": "defined", + "meaning": "For Functional Neurological Symptom Disorder (Conversion / FND), \"Acute episode (less than 6 months)\" uses the stated threshold: less than 6 months." + }, + { + "slug": "specifier-som-functional-neurological-symptom-disorder-conversion-fnd-course-context-persistent-6-months-or-more", + "label": "Persistent (6 months or more)", + "disorder": "Functional Neurological Symptom Disorder (Conversion / FND)", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Course/Context", + "src": "source-verified", + "def": "defined", + "meaning": "For Functional Neurological Symptom Disorder (Conversion / FND), \"Persistent (6 months or more)\" uses the stated threshold: 6 months or more." + }, + { + "slug": "specifier-som-functional-neurological-symptom-disorder-conversion-fnd-course-context-with-without-psychological-stressor", + "label": "With/without psychological stressor", + "disorder": "Functional Neurological Symptom Disorder (Conversion / FND)", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Course/Context", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-som-factitious-disorder-target-course-imposed-on-self", + "label": "Imposed on self", + "disorder": "Factitious Disorder", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Target/Course", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-som-factitious-disorder-target-course-imposed-on-another", + "label": "Imposed on another", + "disorder": "Factitious Disorder", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Target/Course", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-som-factitious-disorder-target-course-single-episode", + "label": "Single episode", + "disorder": "Factitious Disorder", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Target/Course", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-som-factitious-disorder-target-course-recurrent-episodes", + "label": "Recurrent episodes", + "disorder": "Factitious Disorder", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Target/Course", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-som-psychological-factors-affecting-other-medical-conditions-severity-mild", + "label": "Mild", + "disorder": "Psychological Factors Affecting Other Medical Conditions", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-som-psychological-factors-affecting-other-medical-conditions-severity-moderate", + "label": "Moderate", + "disorder": "Psychological Factors Affecting Other Medical Conditions", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-som-psychological-factors-affecting-other-medical-conditions-severity-severe", + "label": "Severe", + "disorder": "Psychological Factors Affecting Other Medical Conditions", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-som-psychological-factors-affecting-other-medical-conditions-severity-extreme", + "label": "Extreme", + "disorder": "Psychological Factors Affecting Other Medical Conditions", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-som-bodily-distress-disorder-icd-11-severity-mild", + "label": "Mild", + "disorder": "Bodily Distress Disorder (ICD-11)", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-som-bodily-distress-disorder-icd-11-severity-moderate", + "label": "Moderate", + "disorder": "Bodily Distress Disorder (ICD-11)", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-som-bodily-distress-disorder-icd-11-severity-severe", + "label": "Severe", + "disorder": "Bodily Distress Disorder (ICD-11)", + "categoryId": "som", + "category": "9. Somatic Symptom", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-eat-pica-course-severity-in-remission", + "label": "In remission", + "disorder": "Pica", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Course/Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-eat-pica-course-severity-current-severity", + "label": "Current severity", + "disorder": "Pica", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Course/Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-eat-rumination-disorder-course-severity-in-remission", + "label": "In remission", + "disorder": "Rumination Disorder", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Course/Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-eat-rumination-disorder-course-severity-current-severity", + "label": "Current severity", + "disorder": "Rumination Disorder", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Course/Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-eat-avoidant-restrictive-food-intake-disorder-arfid-features-icd-11-with-inadequate-food-intake-associated-with-limited-availability", + "label": "With inadequate food intake associated with limited availability", + "disorder": "Avoidant/Restrictive Food Intake Disorder (ARFID)", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Features (ICD-11)", + "src": "source-verified", + "def": "defined", + "meaning": "Inadequate intake is linked to limited food availability rather than body-image concern." + }, + { + "slug": "specifier-eat-avoidant-restrictive-food-intake-disorder-arfid-features-icd-11-with-avoidance-restriction-based-on-sensory-characteristics", + "label": "With avoidance/restriction based on sensory characteristics", + "disorder": "Avoidant/Restrictive Food Intake Disorder (ARFID)", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Features (ICD-11)", + "src": "source-verified", + "def": "defined", + "meaning": "Food avoidance is driven by sensory features such as taste, texture, smell, temperature, or appearance." + }, + { + "slug": "specifier-eat-avoidant-restrictive-food-intake-disorder-arfid-features-icd-11-with-avoidance-related-to-aversive-consequences-of-eating", + "label": "With avoidance related to aversive consequences of eating", + "disorder": "Avoidant/Restrictive Food Intake Disorder (ARFID)", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Features (ICD-11)", + "src": "source-verified", + "def": "defined", + "meaning": "Food avoidance is driven by feared consequences such as choking, vomiting, pain, or allergic reaction." + }, + { + "slug": "specifier-eat-avoidant-restrictive-food-intake-disorder-arfid-course-severity-in-remission", + "label": "In remission", + "disorder": "Avoidant/Restrictive Food Intake Disorder (ARFID)", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Course/Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-eat-avoidant-restrictive-food-intake-disorder-arfid-course-severity-current-severity", + "label": "Current severity", + "disorder": "Avoidant/Restrictive Food Intake Disorder (ARFID)", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Course/Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-eat-anorexia-nervosa-type-restricting-type", + "label": "Restricting type", + "disorder": "Anorexia Nervosa", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-eat-anorexia-nervosa-type-binge-eating-purging-type", + "label": "Binge-eating/purging type", + "disorder": "Anorexia Nervosa", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-eat-anorexia-nervosa-course-severity-in-partial-remission", + "label": "In partial remission", + "disorder": "Anorexia Nervosa", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Course/Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-eat-anorexia-nervosa-course-severity-in-full-remission", + "label": "In full remission", + "disorder": "Anorexia Nervosa", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Course/Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-eat-anorexia-nervosa-course-severity-mild-bmi-17-or-above", + "label": "Mild (BMI 17 or above)", + "disorder": "Anorexia Nervosa", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Course/Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For Anorexia Nervosa, \"Mild (BMI 17 or above)\" uses the stated threshold: BMI 17 or above." + }, + { + "slug": "specifier-eat-anorexia-nervosa-course-severity-moderate-bmi-16-16-99", + "label": "Moderate (BMI 16-16.99)", + "disorder": "Anorexia Nervosa", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Course/Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For Anorexia Nervosa, \"Moderate (BMI 16-16.99)\" uses the stated threshold: BMI 16-16.99." + }, + { + "slug": "specifier-eat-anorexia-nervosa-course-severity-severe-bmi-15-15-99", + "label": "Severe (BMI 15-15.99)", + "disorder": "Anorexia Nervosa", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Course/Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For Anorexia Nervosa, \"Severe (BMI 15-15.99)\" uses the stated threshold: BMI 15-15.99." + }, + { + "slug": "specifier-eat-anorexia-nervosa-course-severity-extreme-bmi-below-15", + "label": "Extreme (BMI below 15)", + "disorder": "Anorexia Nervosa", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Course/Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For Anorexia Nervosa, \"Extreme (BMI below 15)\" uses the stated threshold: BMI below 15." + }, + { + "slug": "specifier-eat-bulimia-nervosa-course-severity-in-partial-remission", + "label": "In partial remission", + "disorder": "Bulimia Nervosa", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Course/Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-eat-bulimia-nervosa-course-severity-in-full-remission", + "label": "In full remission", + "disorder": "Bulimia Nervosa", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Course/Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-eat-bulimia-nervosa-course-severity-mild-1-3-episodes-week", + "label": "Mild (1-3 episodes/week)", + "disorder": "Bulimia Nervosa", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Course/Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For Bulimia Nervosa, \"Mild (1-3 episodes/week)\" uses the stated threshold: 1-3 episodes/week." + }, + { + "slug": "specifier-eat-bulimia-nervosa-course-severity-moderate-4-7-episodes-week", + "label": "Moderate (4-7 episodes/week)", + "disorder": "Bulimia Nervosa", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Course/Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For Bulimia Nervosa, \"Moderate (4-7 episodes/week)\" uses the stated threshold: 4-7 episodes/week." + }, + { + "slug": "specifier-eat-bulimia-nervosa-course-severity-severe-8-13-episodes-week", + "label": "Severe (8-13 episodes/week)", + "disorder": "Bulimia Nervosa", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Course/Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For Bulimia Nervosa, \"Severe (8-13 episodes/week)\" uses the stated threshold: 8-13 episodes/week." + }, + { + "slug": "specifier-eat-bulimia-nervosa-course-severity-extreme-14-or-more-episodes-week", + "label": "Extreme (14 or more episodes/week)", + "disorder": "Bulimia Nervosa", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Course/Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For Bulimia Nervosa, \"Extreme (14 or more episodes/week)\" uses the stated threshold: 14 or more episodes/week." + }, + { + "slug": "specifier-eat-binge-eating-disorder-course-severity-in-partial-remission", + "label": "In partial remission", + "disorder": "Binge-Eating Disorder", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Course/Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-eat-binge-eating-disorder-course-severity-in-full-remission", + "label": "In full remission", + "disorder": "Binge-Eating Disorder", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Course/Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-eat-binge-eating-disorder-course-severity-mild-1-3-episodes-week", + "label": "Mild (1-3 episodes/week)", + "disorder": "Binge-Eating Disorder", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Course/Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For Binge-Eating Disorder, \"Mild (1-3 episodes/week)\" uses the stated threshold: 1-3 episodes/week." + }, + { + "slug": "specifier-eat-binge-eating-disorder-course-severity-moderate-4-7-episodes-week", + "label": "Moderate (4-7 episodes/week)", + "disorder": "Binge-Eating Disorder", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Course/Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For Binge-Eating Disorder, \"Moderate (4-7 episodes/week)\" uses the stated threshold: 4-7 episodes/week." + }, + { + "slug": "specifier-eat-binge-eating-disorder-course-severity-severe-8-13-episodes-week", + "label": "Severe (8-13 episodes/week)", + "disorder": "Binge-Eating Disorder", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Course/Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For Binge-Eating Disorder, \"Severe (8-13 episodes/week)\" uses the stated threshold: 8-13 episodes/week." + }, + { + "slug": "specifier-eat-binge-eating-disorder-course-severity-extreme-14-or-more-episodes-week", + "label": "Extreme (14 or more episodes/week)", + "disorder": "Binge-Eating Disorder", + "categoryId": "eat", + "category": "10. Feeding & Eating", + "group": "Course/Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For Binge-Eating Disorder, \"Extreme (14 or more episodes/week)\" uses the stated threshold: 14 or more episodes/week." + }, + { + "slug": "specifier-eli-enuresis-type-nocturnal-only", + "label": "Nocturnal only", + "disorder": "Enuresis", + "categoryId": "eli", + "category": "11. Elimination Disorders", + "group": "Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-eli-enuresis-type-diurnal-only", + "label": "Diurnal only", + "disorder": "Enuresis", + "categoryId": "eli", + "category": "11. Elimination Disorders", + "group": "Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-eli-enuresis-type-nocturnal-and-diurnal", + "label": "Nocturnal and diurnal", + "disorder": "Enuresis", + "categoryId": "eli", + "category": "11. Elimination Disorders", + "group": "Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-eli-encopresis-type-with-constipation-and-overflow-incontinence", + "label": "With constipation and overflow incontinence", + "disorder": "Encopresis", + "categoryId": "eli", + "category": "11. Elimination Disorders", + "group": "Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-eli-encopresis-type-without-constipation-and-overflow-incontinence", + "label": "Without constipation and overflow incontinence", + "disorder": "Encopresis", + "categoryId": "eli", + "category": "11. Elimination Disorders", + "group": "Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-slp-insomnia-disorder-course-episodic-at-least-1-month-but-less-than-3-months", + "label": "Episodic (at least 1 month but less than 3 months)", + "disorder": "Insomnia Disorder", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Course", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-slp-insomnia-disorder-course-persistent-3-months-or-more", + "label": "Persistent (3 months or more)", + "disorder": "Insomnia Disorder", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Course", + "src": "source-verified", + "def": "defined", + "meaning": "For Insomnia Disorder, \"Persistent (3 months or more)\" uses the stated threshold: 3 months or more." + }, + { + "slug": "specifier-slp-insomnia-disorder-course-recurrent-two-or-more-episodes-within-1-year", + "label": "Recurrent (two or more episodes within 1 year)", + "disorder": "Insomnia Disorder", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Course", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-slp-insomnia-disorder-comorbidities-with-non-sleep-disorder-mental-comorbidity", + "label": "With non-sleep disorder mental comorbidity", + "disorder": "Insomnia Disorder", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Comorbidities", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-slp-insomnia-disorder-comorbidities-with-other-medical-comorbidity", + "label": "With other medical comorbidity", + "disorder": "Insomnia Disorder", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Comorbidities", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-slp-insomnia-disorder-comorbidities-with-other-sleep-disorder", + "label": "With other sleep disorder", + "disorder": "Insomnia Disorder", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Comorbidities", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-slp-hypersomnolence-disorder-course-acute-less-than-1-month", + "label": "Acute (less than 1 month)", + "disorder": "Hypersomnolence Disorder", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Course", + "src": "source-verified", + "def": "defined", + "meaning": "For Hypersomnolence Disorder, \"Acute (less than 1 month)\" uses the stated threshold: less than 1 month." + }, + { + "slug": "specifier-slp-hypersomnolence-disorder-course-subacute-1-3-months", + "label": "Subacute (1-3 months)", + "disorder": "Hypersomnolence Disorder", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Course", + "src": "source-verified", + "def": "defined", + "meaning": "For Hypersomnolence Disorder, \"Subacute (1-3 months)\" uses the stated threshold: 1-3 months." + }, + { + "slug": "specifier-slp-hypersomnolence-disorder-course-persistent-more-than-3-months", + "label": "Persistent (more than 3 months)", + "disorder": "Hypersomnolence Disorder", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Course", + "src": "source-verified", + "def": "defined", + "meaning": "For Hypersomnolence Disorder, \"Persistent (more than 3 months)\" uses the stated threshold: more than 3 months." + }, + { + "slug": "specifier-slp-hypersomnolence-disorder-context-severity-with-mental-disorder", + "label": "With mental disorder", + "disorder": "Hypersomnolence Disorder", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Context/Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-slp-hypersomnolence-disorder-context-severity-with-medical-condition", + "label": "With medical condition", + "disorder": "Hypersomnolence Disorder", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Context/Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-slp-hypersomnolence-disorder-context-severity-with-another-sleep-disorder", + "label": "With another sleep disorder", + "disorder": "Hypersomnolence Disorder", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Context/Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-slp-hypersomnolence-disorder-context-severity-mild-1-2-days-week", + "label": "Mild (1-2 days/week)", + "disorder": "Hypersomnolence Disorder", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Context/Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For Hypersomnolence Disorder, \"Mild (1-2 days/week)\" uses the stated threshold: 1-2 days/week." + }, + { + "slug": "specifier-slp-hypersomnolence-disorder-context-severity-moderate-3-4-days-week", + "label": "Moderate (3-4 days/week)", + "disorder": "Hypersomnolence Disorder", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Context/Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For Hypersomnolence Disorder, \"Moderate (3-4 days/week)\" uses the stated threshold: 3-4 days/week." + }, + { + "slug": "specifier-slp-hypersomnolence-disorder-context-severity-severe-5-7-days-week", + "label": "Severe (5-7 days/week)", + "disorder": "Hypersomnolence Disorder", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Context/Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For Hypersomnolence Disorder, \"Severe (5-7 days/week)\" uses the stated threshold: 5-7 days/week." + }, + { + "slug": "specifier-slp-narcolepsy-type-type-1-with-hypocretin-deficiency-usually-with-cataplexy", + "label": "Type 1 (with hypocretin deficiency, usually with cataplexy)", + "disorder": "Narcolepsy", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-slp-narcolepsy-type-type-2-without-hypocretin-deficiency-usually-without-cataplexy", + "label": "Type 2 (without hypocretin deficiency, usually without cataplexy)", + "disorder": "Narcolepsy", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-slp-narcolepsy-type-type-secondary-to-another-medical-condition", + "label": "Type secondary to another medical condition", + "disorder": "Narcolepsy", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-slp-narcolepsy-severity-mild", + "label": "Mild", + "disorder": "Narcolepsy", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-slp-narcolepsy-severity-moderate", + "label": "Moderate", + "disorder": "Narcolepsy", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-slp-narcolepsy-severity-severe", + "label": "Severe", + "disorder": "Narcolepsy", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-slp-circadian-rhythm-sleep-wake-disorders-type-delayed-sleep-phase-type-familial-overlap-with-non-24-hour-type", + "label": "Delayed sleep phase type (familial, overlap with non-24-hour type)", + "disorder": "Circadian Rhythm Sleep-Wake Disorders", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-slp-circadian-rhythm-sleep-wake-disorders-type-advanced-sleep-phase-type-familial", + "label": "Advanced sleep phase type (familial)", + "disorder": "Circadian Rhythm Sleep-Wake Disorders", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-slp-circadian-rhythm-sleep-wake-disorders-type-irregular-sleep-wake-type", + "label": "Irregular sleep-wake type", + "disorder": "Circadian Rhythm Sleep-Wake Disorders", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-slp-circadian-rhythm-sleep-wake-disorders-type-non-24-hour-sleep-wake-type", + "label": "Non-24-hour sleep-wake type", + "disorder": "Circadian Rhythm Sleep-Wake Disorders", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-slp-circadian-rhythm-sleep-wake-disorders-type-shift-work-type", + "label": "Shift work type", + "disorder": "Circadian Rhythm Sleep-Wake Disorders", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-slp-circadian-rhythm-sleep-wake-disorders-type-unspecified-type", + "label": "Unspecified type", + "disorder": "Circadian Rhythm Sleep-Wake Disorders", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Type", + "src": "source-not-applicable", + "def": "obvious-no-definition", + "meaning": "" + }, + { + "slug": "specifier-slp-circadian-rhythm-sleep-wake-disorders-course-episodic", + "label": "Episodic", + "disorder": "Circadian Rhythm Sleep-Wake Disorders", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Course", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-slp-circadian-rhythm-sleep-wake-disorders-course-persistent", + "label": "Persistent", + "disorder": "Circadian Rhythm Sleep-Wake Disorders", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Course", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-slp-circadian-rhythm-sleep-wake-disorders-course-recurrent", + "label": "Recurrent", + "disorder": "Circadian Rhythm Sleep-Wake Disorders", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Course", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-slp-breathing-related-sleep-disorders-types-severity-obstructive-sleep-apnoea-hypopnoea-mild-moderate-severe", + "label": "Obstructive sleep apnoea hypopnoea (mild, moderate, severe)", + "disorder": "Breathing-Related Sleep Disorders", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Types & Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-slp-breathing-related-sleep-disorders-types-severity-central-sleep-apnoea-idiopathic-cheyne-stokes-breathing-comorbid-with-opioid-use", + "label": "Central sleep apnoea (idiopathic, Cheyne-Stokes breathing, comorbid with opioid use)", + "disorder": "Breathing-Related Sleep Disorders", + "categoryId": "slp", + "category": "12. Sleep-Wake Disorders", + "group": "Types & Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-slp-breathing-related-sleep-disorders-types-severity-sleep-related-hypoventilation-idiopathic-congenital-central-alveolar-comorbid", + "label": "Sleep-related hypoventilation (idiopathic, congenital central alveolar, comorbid)", + "disorder": "Breathing-Related Sleep Disorders", + "categoryId": "slp", + "category": "12. 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Sexual Dysfunctions", + "group": "Onset & Context", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-sxd-male-hypoactive-sexual-desire-disorder-severity-mild", + "label": "Mild", + "disorder": "Male Hypoactive Sexual Desire Disorder", + "categoryId": "sxd", + "category": "13. Sexual Dysfunctions", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-sxd-male-hypoactive-sexual-desire-disorder-severity-moderate", + "label": "Moderate", + "disorder": "Male Hypoactive Sexual Desire Disorder", + "categoryId": "sxd", + "category": "13. Sexual Dysfunctions", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-sxd-male-hypoactive-sexual-desire-disorder-severity-severe", + "label": "Severe", + "disorder": "Male Hypoactive Sexual Desire Disorder", + "categoryId": "sxd", + "category": "13. Sexual Dysfunctions", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-sxd-premature-early-ejaculation-onset-context-lifelong", + "label": "Lifelong", + "disorder": "Premature (Early) Ejaculation", + "categoryId": "sxd", + "category": "13. Sexual Dysfunctions", + "group": "Onset & Context", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-sxd-premature-early-ejaculation-onset-context-acquired", + "label": "Acquired", + "disorder": "Premature (Early) Ejaculation", + "categoryId": "sxd", + "category": "13. Sexual Dysfunctions", + "group": "Onset & Context", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-sxd-premature-early-ejaculation-onset-context-generalised", + "label": "Generalised", + "disorder": "Premature (Early) Ejaculation", + "categoryId": "sxd", + "category": "13. Sexual Dysfunctions", + "group": "Onset & Context", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-sxd-premature-early-ejaculation-onset-context-situational", + "label": "Situational", + "disorder": "Premature (Early) Ejaculation", + "categoryId": "sxd", + "category": "13. Sexual Dysfunctions", + "group": "Onset & Context", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-sxd-premature-early-ejaculation-severity-mild", + "label": "Mild", + "disorder": "Premature (Early) Ejaculation", + "categoryId": "sxd", + "category": "13. Sexual Dysfunctions", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-sxd-premature-early-ejaculation-severity-moderate", + "label": "Moderate", + "disorder": "Premature (Early) Ejaculation", + "categoryId": "sxd", + "category": "13. Sexual Dysfunctions", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-sxd-premature-early-ejaculation-severity-severe", + "label": "Severe", + "disorder": "Premature (Early) Ejaculation", + "categoryId": "sxd", + "category": "13. Sexual Dysfunctions", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-sxd-substance-medication-induced-sexual-dysfunction-onset-severity-with-onset-during-intoxication", + "label": "With onset during intoxication", + "disorder": "Substance/Medication-Induced Sexual Dysfunction", + "categoryId": "sxd", + "category": "13. Sexual Dysfunctions", + "group": "Onset/Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-sxd-substance-medication-induced-sexual-dysfunction-onset-severity-with-onset-during-withdrawal", + "label": "With onset during withdrawal", + "disorder": "Substance/Medication-Induced Sexual Dysfunction", + "categoryId": "sxd", + "category": "13. Sexual Dysfunctions", + "group": "Onset/Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-sxd-substance-medication-induced-sexual-dysfunction-onset-severity-with-onset-after-medication-use", + "label": "With onset after medication use", + "disorder": "Substance/Medication-Induced Sexual Dysfunction", + "categoryId": "sxd", + "category": "13. Sexual Dysfunctions", + "group": "Onset/Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-sxd-substance-medication-induced-sexual-dysfunction-onset-severity-mild", + "label": "Mild", + "disorder": "Substance/Medication-Induced Sexual Dysfunction", + "categoryId": "sxd", + "category": "13. Sexual Dysfunctions", + "group": "Onset/Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-sxd-substance-medication-induced-sexual-dysfunction-onset-severity-moderate", + "label": "Moderate", + "disorder": "Substance/Medication-Induced Sexual Dysfunction", + "categoryId": "sxd", + "category": "13. Sexual Dysfunctions", + "group": "Onset/Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-sxd-substance-medication-induced-sexual-dysfunction-onset-severity-severe", + "label": "Severe", + "disorder": "Substance/Medication-Induced Sexual Dysfunction", + "categoryId": "sxd", + "category": "13. Sexual Dysfunctions", + "group": "Onset/Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-sxd-compulsive-sexual-behaviour-disorder-icd-11-severity-current-severity", + "label": "Current severity", + "disorder": "Compulsive Sexual Behaviour Disorder (ICD-11)", + "categoryId": "sxd", + "category": "13. Sexual Dysfunctions", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-gen-gender-dysphoria-in-children-biology-with-without-a-disorder-of-sex-development", + "label": "With/without a disorder of sex development", + "disorder": "Gender Dysphoria in Children", + "categoryId": "gen", + "category": "14. Gender Dysphoria", + "group": "Biology", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-gen-gender-dysphoria-in-adolescents-and-adults-biology-status-with-without-a-disorder-of-sex-development", + "label": "With/without a disorder of sex development", + "disorder": "Gender Dysphoria in Adolescents and Adults", + "categoryId": "gen", + "category": "14. Gender Dysphoria", + "group": "Biology & Status", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-gen-gender-dysphoria-in-adolescents-and-adults-biology-status-posttransition", + "label": "Posttransition", + "disorder": "Gender Dysphoria in Adolescents and Adults", + "categoryId": "gen", + "category": "14. Gender Dysphoria", + "group": "Biology & Status", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-gen-gender-incongruence-icd-11-subtypes-gender-incongruence-of-adolescence-or-adulthood", + "label": "Gender Incongruence of Adolescence or Adulthood", + "disorder": "Gender Incongruence (ICD-11)", + "categoryId": "gen", + "category": "14. Gender Dysphoria", + "group": "Subtypes", + "src": "source-verified", + "def": "defined", + "meaning": "ICD-11 gender incongruence category applying to adolescents or adults." + }, + { + "slug": "specifier-gen-gender-incongruence-icd-11-subtypes-gender-incongruence-of-childhood", + "label": "Gender Incongruence of Childhood", + "disorder": "Gender Incongruence (ICD-11)", + "categoryId": "gen", + "category": "14. Gender Dysphoria", + "group": "Subtypes", + "src": "source-verified", + "def": "defined", + "meaning": "ICD-11 gender incongruence category applying to children before puberty." + }, + { + "slug": "specifier-imp-oppositional-defiant-disorder-features-with-chronic-irritability-anger", + "label": "With chronic irritability-anger", + "disorder": "Oppositional Defiant Disorder", + "categoryId": "imp", + "category": "15. Disruptive & Impulse", + "group": "Features", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-imp-oppositional-defiant-disorder-severity-mild-confined-to-1-setting", + "label": "Mild (confined to 1 setting)", + "disorder": "Oppositional Defiant Disorder", + "categoryId": "imp", + "category": "15. Disruptive & Impulse", + "group": "Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For Oppositional Defiant Disorder, \"Mild (confined to 1 setting)\" uses the stated threshold: confined to 1 setting." + }, + { + "slug": "specifier-imp-oppositional-defiant-disorder-severity-moderate-2-settings", + "label": "Moderate (2 settings)", + "disorder": "Oppositional Defiant Disorder", + "categoryId": "imp", + "category": "15. Disruptive & Impulse", + "group": "Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For Oppositional Defiant Disorder, \"Moderate (2 settings)\" uses the stated threshold: 2 settings." + }, + { + "slug": "specifier-imp-oppositional-defiant-disorder-severity-severe-3-settings", + "label": "Severe (3+ settings)", + "disorder": "Oppositional Defiant Disorder", + "categoryId": "imp", + "category": "15. Disruptive & Impulse", + "group": "Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For Oppositional Defiant Disorder, \"Severe (3+ settings)\" uses the stated threshold: 3+ settings." + }, + { + "slug": "specifier-imp-intermittent-explosive-disorder-severity-current-severity", + "label": "Current severity", + "disorder": "Intermittent Explosive Disorder", + "categoryId": "imp", + "category": "15. Disruptive & Impulse", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-imp-conduct-disorder-onset-childhood-onset-type-prior-to-age-10", + "label": "Childhood-onset type (prior to age 10)", + "disorder": "Conduct Disorder", + "categoryId": "imp", + "category": "15. Disruptive & Impulse", + "group": "Onset", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-imp-conduct-disorder-onset-adolescent-onset-type-no-symptoms-prior-to-age-10", + "label": "Adolescent-onset type (no symptoms prior to age 10)", + "disorder": "Conduct Disorder", + "categoryId": "imp", + "category": "15. Disruptive & Impulse", + "group": "Onset", + "src": "source-verified", + "def": "defined", + "meaning": "For Conduct Disorder, \"Adolescent-onset type (no symptoms prior to age 10)\" uses the stated threshold: no symptoms prior to age 10." + }, + { + "slug": "specifier-imp-conduct-disorder-onset-unspecified-onset", + "label": "Unspecified onset", + "disorder": "Conduct Disorder", + "categoryId": "imp", + "category": "15. Disruptive & Impulse", + "group": "Onset", + "src": "source-not-applicable", + "def": "obvious-no-definition", + "meaning": "" + }, + { + "slug": "specifier-imp-conduct-disorder-emotions-with-limited-prosocial-emotions-lack-of-remorse-or-guilt-callous-and-lacking-empathy-unconcerned-about-performance-shallow-or-deficient-affect", + "label": "With limited prosocial emotions (lack of remorse or guilt, callous and lacking empathy, unconcerned about performance, shallow or deficient affect)", + "disorder": "Conduct Disorder", + "categoryId": "imp", + "category": "15. Disruptive & Impulse", + "group": "Emotions", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-imp-conduct-disorder-severity-mild", + "label": "Mild", + "disorder": "Conduct Disorder", + "categoryId": "imp", + "category": "15. Disruptive & Impulse", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-imp-conduct-disorder-severity-moderate", + "label": "Moderate", + "disorder": "Conduct Disorder", + "categoryId": "imp", + "category": "15. Disruptive & Impulse", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-imp-conduct-disorder-severity-severe", + "label": "Severe", + "disorder": "Conduct Disorder", + "categoryId": "imp", + "category": "15. Disruptive & Impulse", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-imp-pyromania-severity-current-severity", + "label": "Current severity", + "disorder": "Pyromania", + "categoryId": "imp", + "category": "15. Disruptive & Impulse", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-imp-kleptomania-severity-current-severity", + "label": "Current severity", + "disorder": "Kleptomania", + "categoryId": "imp", + "category": "15. Disruptive & Impulse", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-sub-substance-use-disorders-general-specifiers-severity-mild-2-3-symptoms", + "label": "Mild (2-3 symptoms)", + "disorder": "Substance Use Disorders (General Specifiers)", + "categoryId": "sub", + "category": "16. Substance & Addictive", + "group": "Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For Substance Use Disorders (General Specifiers), \"Mild (2-3 symptoms)\" uses the stated threshold: 2-3 symptoms." + }, + { + "slug": "specifier-sub-substance-use-disorders-general-specifiers-severity-moderate-4-5-symptoms", + "label": "Moderate (4-5 symptoms)", + "disorder": "Substance Use Disorders (General Specifiers)", + "categoryId": "sub", + "category": "16. Substance & Addictive", + "group": "Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For Substance Use Disorders (General Specifiers), \"Moderate (4-5 symptoms)\" uses the stated threshold: 4-5 symptoms." + }, + { + "slug": "specifier-sub-substance-use-disorders-general-specifiers-severity-severe-6-or-more-symptoms", + "label": "Severe (6 or more symptoms)", + "disorder": "Substance Use Disorders (General Specifiers)", + "categoryId": "sub", + "category": "16. Substance & Addictive", + "group": "Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For Substance Use Disorders (General Specifiers), \"Severe (6 or more symptoms)\" uses the stated threshold: 6 or more symptoms." + }, + { + "slug": "specifier-sub-substance-use-disorders-general-specifiers-course-context-in-early-remission-at-least-3-months-but-less-than-12-months", + "label": "In early remission (at least 3 months but less than 12 months)", + "disorder": "Substance Use Disorders (General Specifiers)", + "categoryId": "sub", + "category": "16. Substance & Addictive", + "group": "Course/Context", + "src": "source-verified", + "def": "defined", + "meaning": "For Substance Use Disorders (General Specifiers), \"In early remission (at least 3 months but less than 12 months)\" uses the stated threshold: at least 3 months but less than 12 months." + }, + { + "slug": "specifier-sub-substance-use-disorders-general-specifiers-course-context-in-sustained-remission-12-months-or-more", + "label": "In sustained remission (12 months or more)", + "disorder": "Substance Use Disorders (General Specifiers)", + "categoryId": "sub", + "category": "16. Substance & Addictive", + "group": "Course/Context", + "src": "source-verified", + "def": "defined", + "meaning": "For Substance Use Disorders (General Specifiers), \"In sustained remission (12 months or more)\" uses the stated threshold: 12 months or more." + }, + { + "slug": "specifier-sub-substance-use-disorders-general-specifiers-course-context-on-maintenance-therapy", + "label": "On maintenance therapy", + "disorder": "Substance Use Disorders (General Specifiers)", + "categoryId": "sub", + "category": "16. Substance & Addictive", + "group": "Course/Context", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-sub-substance-use-disorders-general-specifiers-course-context-in-a-controlled-environment", + "label": "In a controlled environment", + "disorder": "Substance Use Disorders (General Specifiers)", + "categoryId": "sub", + "category": "16. Substance & Addictive", + "group": "Course/Context", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-sub-substance-classes-with-use-disorders-classes-alcohol", + "label": "Alcohol", + "disorder": "Substance Classes with Use Disorders", + "categoryId": "sub", + "category": "16. Substance & Addictive", + "group": "Classes", + "src": "source-not-applicable", + "def": "obvious-no-definition", + "meaning": "" + }, + { + "slug": "specifier-sub-substance-classes-with-use-disorders-classes-cannabis", + "label": "Cannabis", + "disorder": "Substance Classes with Use Disorders", + "categoryId": "sub", + "category": "16. Substance & Addictive", + "group": "Classes", + "src": "source-not-applicable", + "def": "obvious-no-definition", + "meaning": "" + }, + { + "slug": "specifier-sub-substance-classes-with-use-disorders-classes-opioid", + "label": "Opioid", + "disorder": "Substance Classes with Use Disorders", + "categoryId": "sub", + "category": "16. Substance & Addictive", + "group": "Classes", + "src": "source-not-applicable", + "def": "obvious-no-definition", + "meaning": "" + }, + { + "slug": "specifier-sub-substance-classes-with-use-disorders-classes-sedative-hypnotic-or-anxiolytic", + "label": "Sedative, hypnotic, or anxiolytic", + "disorder": "Substance Classes with Use Disorders", + "categoryId": "sub", + "category": "16. Substance & Addictive", + "group": "Classes", + "src": "source-not-applicable", + "def": "obvious-no-definition", + "meaning": "" + }, + { + "slug": "specifier-sub-substance-classes-with-use-disorders-classes-stimulant-amphetamine-type-cocaine-other-unspecified", + "label": "Stimulant (amphetamine-type, cocaine, other/unspecified)", + "disorder": "Substance Classes with Use Disorders", + "categoryId": "sub", + "category": "16. Substance & Addictive", + "group": "Classes", + "src": "source-not-applicable", + "def": "obvious-no-definition", + "meaning": "" + }, + { + "slug": "specifier-sub-substance-classes-with-use-disorders-classes-tobacco", + "label": "Tobacco", + "disorder": "Substance Classes with Use Disorders", + "categoryId": "sub", + "category": "16. Substance & Addictive", + "group": "Classes", + "src": "source-not-applicable", + "def": "obvious-no-definition", + "meaning": "" + }, + { + "slug": "specifier-sub-substance-classes-with-use-disorders-classes-phencyclidine", + "label": "Phencyclidine", + "disorder": "Substance Classes with Use Disorders", + "categoryId": "sub", + "category": "16. Substance & Addictive", + "group": "Classes", + "src": "source-not-applicable", + "def": "obvious-no-definition", + "meaning": "" + }, + { + "slug": "specifier-sub-substance-classes-with-use-disorders-classes-other-hallucinogen", + "label": "Other hallucinogen", + "disorder": "Substance Classes with Use Disorders", + "categoryId": "sub", + "category": "16. Substance & Addictive", + "group": "Classes", + "src": "source-not-applicable", + "def": "obvious-no-definition", + "meaning": "" + }, + { + "slug": "specifier-sub-substance-classes-with-use-disorders-classes-inhalant", + "label": "Inhalant", + "disorder": "Substance Classes with Use Disorders", + "categoryId": "sub", + "category": "16. Substance & Addictive", + "group": "Classes", + "src": "source-not-applicable", + "def": "obvious-no-definition", + "meaning": "" + }, + { + "slug": "specifier-sub-substance-classes-with-use-disorders-classes-other-or-unknown-substance", + "label": "Other (or unknown) substance", + "disorder": "Substance Classes with Use Disorders", + "categoryId": "sub", + "category": "16. Substance & Addictive", + "group": "Classes", + "src": "source-not-applicable", + "def": "obvious-no-definition", + "meaning": "" + }, + { + "slug": "specifier-sub-substance-medication-induced-mental-disorders-applicability-psychotic-bipolar-depressive-anxiety-ocd-sleep-sexual-dysfunction-delirium-neurocognitive-disorders", + "label": "Psychotic, bipolar, depressive, anxiety, OCD, sleep, sexual dysfunction, delirium, neurocognitive disorders", + "disorder": "Substance/Medication-Induced Mental Disorders", + "categoryId": "sub", + "category": "16. Substance & Addictive", + "group": "Applicability", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-sub-substance-medication-induced-mental-disorders-onset-with-onset-during-intoxication", + "label": "With onset during intoxication", + "disorder": "Substance/Medication-Induced Mental Disorders", + "categoryId": "sub", + "category": "16. Substance & Addictive", + "group": "Onset", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-sub-substance-medication-induced-mental-disorders-onset-with-onset-during-withdrawal", + "label": "With onset during withdrawal", + "disorder": "Substance/Medication-Induced Mental Disorders", + "categoryId": "sub", + "category": "16. Substance & Addictive", + "group": "Onset", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-sub-substance-medication-induced-mental-disorders-onset-with-onset-after-medication-use", + "label": "With onset after medication use", + "disorder": "Substance/Medication-Induced Mental Disorders", + "categoryId": "sub", + "category": "16. 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Personality Disorders", + "group": "Pathological Traits", + "src": "source-verified", + "def": "defined", + "meaning": "Trait pattern involving social withdrawal, emotional restriction, limited intimacy, or reduced engagement with others." + }, + { + "slug": "specifier-per-dsm-5-tr-alternative-model-section-iii-ampd-pathological-traits-antagonism", + "label": "Antagonism", + "disorder": "DSM-5-TR Alternative Model (Section III, AMPD)", + "categoryId": "per", + "category": "18. Personality Disorders", + "group": "Pathological Traits", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-per-dsm-5-tr-alternative-model-section-iii-ampd-pathological-traits-disinhibition", + "label": "Disinhibition", + "disorder": "DSM-5-TR Alternative Model (Section III, AMPD)", + "categoryId": "per", + "category": "18. Personality Disorders", + "group": "Pathological Traits", + "src": "source-verified", + "def": "defined", + "meaning": "Trait pattern involving impulsivity, poor planning, distractibility, or risk-prone behaviour." + }, + { + "slug": "specifier-per-dsm-5-tr-alternative-model-section-iii-ampd-pathological-traits-psychoticism", + "label": "Psychoticism", + "disorder": "DSM-5-TR Alternative Model (Section III, AMPD)", + "categoryId": "per", + "category": "18. Personality Disorders", + "group": "Pathological Traits", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-per-icd-11-dimensional-model-severity-personality-difficulty-subthreshold", + "label": "Personality Difficulty (subthreshold)", + "disorder": "ICD-11 Dimensional Model", + "categoryId": "per", + "category": "18. Personality Disorders", + "group": "Severity", + "src": "source-verified", + "def": "defined", + "meaning": "ICD-11 descriptor for clinically relevant personality problems below the threshold for personality disorder." + }, + { + "slug": "specifier-per-icd-11-dimensional-model-severity-mild", + "label": "Mild", + "disorder": "ICD-11 Dimensional Model", + "categoryId": "per", + "category": "18. Personality Disorders", + "group": "Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For ICD-11 Dimensional Model, mild refers to current burden across self-functioning, interpersonal functioning, pervasiveness, distress, risk, and social or occupational impairment." + }, + { + "slug": "specifier-per-icd-11-dimensional-model-severity-moderate", + "label": "Moderate", + "disorder": "ICD-11 Dimensional Model", + "categoryId": "per", + "category": "18. Personality Disorders", + "group": "Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For ICD-11 Dimensional Model, moderate refers to current burden across self-functioning, interpersonal functioning, pervasiveness, distress, risk, and social or occupational impairment." + }, + { + "slug": "specifier-per-icd-11-dimensional-model-severity-severe", + "label": "Severe", + "disorder": "ICD-11 Dimensional Model", + "categoryId": "per", + "category": "18. Personality Disorders", + "group": "Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For ICD-11 Dimensional Model, severe refers to current burden across self-functioning, interpersonal functioning, pervasiveness, distress, risk, and social or occupational impairment." + }, + { + "slug": "specifier-per-icd-11-dimensional-model-trait-qualifiers-negative-affectivity-detachment-dissociality-disinhibition-anankastia", + "label": "Negative affectivity, detachment, dissociality, disinhibition, anankastia", + "disorder": "ICD-11 Dimensional Model", + "categoryId": "per", + "category": "18. Personality Disorders", + "group": "Trait Qualifiers", + "src": "source-verified", + "def": "defined", + "meaning": "ICD-11 personality trait qualifiers used to describe the dominant style of personality disturbance." + }, + { + "slug": "specifier-per-icd-11-dimensional-model-pattern-borderline-pattern-qualifier", + "label": "Borderline pattern qualifier", + "disorder": "ICD-11 Dimensional Model", + "categoryId": "per", + "category": "18. Personality Disorders", + "group": "Pattern", + "src": "source-verified", + "def": "defined", + "meaning": "ICD-11 qualifier used when the personality-disorder presentation has a prominent borderline-pattern profile." + }, + { + "slug": "specifier-par-voyeuristic-frotteuristic-context-course-in-a-controlled-environment", + "label": "In a controlled environment", + "disorder": "Voyeuristic / Frotteuristic", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Context/Course", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-voyeuristic-frotteuristic-context-course-in-full-remission", + "label": "In full remission", + "disorder": "Voyeuristic / Frotteuristic", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Context/Course", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-voyeuristic-frotteuristic-severity-current-severity", + "label": "Current severity", + "disorder": "Voyeuristic / Frotteuristic", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-exhibitionistic-disorder-arousal-focus-sexually-aroused-by-exposing-genitals-to-prepubertal-children", + "label": "Sexually aroused by exposing genitals to prepubertal children", + "disorder": "Exhibitionistic Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Arousal Focus", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-exhibitionistic-disorder-arousal-focus-to-physically-mature-individuals", + "label": "To physically mature individuals", + "disorder": "Exhibitionistic Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Arousal Focus", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-exhibitionistic-disorder-arousal-focus-to-both", + "label": "To both", + "disorder": "Exhibitionistic Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Arousal Focus", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-exhibitionistic-disorder-context-course-in-a-controlled-environment", + "label": "In a controlled environment", + "disorder": "Exhibitionistic Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Context/Course", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-exhibitionistic-disorder-context-course-in-full-remission", + "label": "In full remission", + "disorder": "Exhibitionistic Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Context/Course", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-exhibitionistic-disorder-context-course-current-severity", + "label": "Current severity", + "disorder": "Exhibitionistic Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Context/Course", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-sexual-masochism-disorder-features-with-asphyxiophilia", + "label": "With asphyxiophilia", + "disorder": "Sexual Masochism Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Features", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-sexual-masochism-disorder-features-in-a-controlled-environment", + "label": "In a controlled environment", + "disorder": "Sexual Masochism Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Features", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-sexual-masochism-disorder-features-in-full-remission", + "label": "In full remission", + "disorder": "Sexual Masochism Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Features", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-sexual-masochism-disorder-features-current-severity", + "label": "Current severity", + "disorder": "Sexual Masochism Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Features", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-sexual-sadism-disorder-context-in-a-controlled-environment", + "label": "In a controlled environment", + "disorder": "Sexual Sadism Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Context", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-sexual-sadism-disorder-context-in-full-remission", + "label": "In full remission", + "disorder": "Sexual Sadism Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Context", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-sexual-sadism-disorder-context-current-severity", + "label": "Current severity", + "disorder": "Sexual Sadism Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Context", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-pedophilic-disorder-type-exclusive-type", + "label": "Exclusive type", + "disorder": "Pedophilic Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-pedophilic-disorder-type-nonexclusive-type", + "label": "Nonexclusive type", + "disorder": "Pedophilic Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Type", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-pedophilic-disorder-attraction-sexually-attracted-to-males", + "label": "Sexually attracted to males", + "disorder": "Pedophilic Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Attraction", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-pedophilic-disorder-attraction-sexually-attracted-to-females", + "label": "Sexually attracted to females", + "disorder": "Pedophilic Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Attraction", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-pedophilic-disorder-attraction-sexually-attracted-to-both", + "label": "Sexually attracted to both", + "disorder": "Pedophilic Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Attraction", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-pedophilic-disorder-attraction-limited-to-incest", + "label": "Limited to incest", + "disorder": "Pedophilic Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Attraction", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-pedophilic-disorder-context-in-a-controlled-environment", + "label": "In a controlled environment", + "disorder": "Pedophilic Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Context", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-pedophilic-disorder-context-in-full-remission", + "label": "In full remission", + "disorder": "Pedophilic Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Context", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-fetishistic-disorder-focus-body-part-s", + "label": "Body part(s)", + "disorder": "Fetishistic Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Focus", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-fetishistic-disorder-focus-nonliving-object-s", + "label": "Nonliving object(s)", + "disorder": "Fetishistic Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Focus", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-fetishistic-disorder-focus-other", + "label": "Other", + "disorder": "Fetishistic Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Focus", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-fetishistic-disorder-context-in-a-controlled-environment", + "label": "In a controlled environment", + "disorder": "Fetishistic Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Context", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-fetishistic-disorder-context-in-full-remission", + "label": "In full remission", + "disorder": "Fetishistic Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Context", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-fetishistic-disorder-context-current-severity", + "label": "Current severity", + "disorder": "Fetishistic Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Context", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-transvestic-disorder-features-with-fetishism", + "label": "With fetishism", + "disorder": "Transvestic Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Features", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-transvestic-disorder-features-with-autogynephilia", + "label": "With autogynephilia", + "disorder": "Transvestic Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Features", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-transvestic-disorder-context-in-a-controlled-environment", + "label": "In a controlled environment", + "disorder": "Transvestic Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Context", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-transvestic-disorder-context-in-full-remission", + "label": "In full remission", + "disorder": "Transvestic Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Context", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-transvestic-disorder-context-current-severity", + "label": "Current severity", + "disorder": "Transvestic Disorder", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Context", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-par-coercive-sexual-sadism-disorder-icd-11-severity-current-severity", + "label": "Current severity", + "disorder": "Coercive Sexual Sadism Disorder (ICD-11)", + "categoryId": "par", + "category": "19. Paraphilic Disorders", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-icd-gaming-disorder-type-predominantly-online", + "label": "Predominantly online", + "disorder": "Gaming Disorder", + "categoryId": "icd", + "category": "20. ICD-11 Specifics", + "group": "Type", + "src": "source-verified", + "def": "defined", + "meaning": "Gaming behaviour is conducted predominantly online, over the internet." + }, + { + "slug": "specifier-icd-gaming-disorder-type-predominantly-offline", + "label": "Predominantly offline", + "disorder": "Gaming Disorder", + "categoryId": "icd", + "category": "20. ICD-11 Specifics", + "group": "Type", + "src": "source-verified", + "def": "defined", + "meaning": "Gaming behaviour is conducted predominantly offline, not primarily over the internet." + }, + { + "slug": "specifier-icd-gaming-disorder-severity-current-severity", + "label": "Current severity", + "disorder": "Gaming Disorder", + "categoryId": "icd", + "category": "20. ICD-11 Specifics", + "group": "Severity", + "src": "source-verified", + "def": "defined", + "meaning": "For Gaming Disorder, current severity refers to current burden across loss of control, persistence, craving or preoccupation, harms, impairment, and relapse/remission status." + }, + { + "slug": "specifier-icd-compulsive-sexual-behaviour-disorder-severity-current-severity", + "label": "Current severity", + "disorder": "Compulsive Sexual Behaviour Disorder", + "categoryId": "icd", + "category": "20. ICD-11 Specifics", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-icd-complex-ptsd-self-organisation-affective-dysregulation-negative-self-concept-disturbances-in-relationships", + "label": "Affective dysregulation, negative self-concept, disturbances in relationships", + "disorder": "Complex PTSD", + "categoryId": "icd", + "category": "20. ICD-11 Specifics", + "group": "Self-Organisation", + "src": "source-verified", + "def": "defined", + "meaning": "ICD-11 complex PTSD domain covering emotional regulation difficulty, persistent negative self-beliefs, and relationship disturbance." + }, + { + "slug": "specifier-icd-catatonia-standalone-diagnosis-context-associated-with-another-mental-disorder", + "label": "Associated with another mental disorder", + "disorder": "Catatonia (Standalone diagnosis)", + "categoryId": "icd", + "category": "20. ICD-11 Specifics", + "group": "Context", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-icd-catatonia-standalone-diagnosis-context-induced-by-psychoactive-substances-including-medications", + "label": "Induced by psychoactive substances including medications", + "disorder": "Catatonia (Standalone diagnosis)", + "categoryId": "icd", + "category": "20. ICD-11 Specifics", + "group": "Context", + "src": "source-verified", + "def": "defined", + "meaning": "Symptoms are classified as substance- or medication-induced in the ICD-11 context." + }, + { + "slug": "specifier-icd-catatonia-standalone-diagnosis-context-secondary-to-a-medical-condition-not-classified-elsewhere", + "label": "Secondary to a medical condition not classified elsewhere", + "disorder": "Catatonia (Standalone diagnosis)", + "categoryId": "icd", + "category": "20. ICD-11 Specifics", + "group": "Context", + "src": "source-verified", + "def": "defined", + "meaning": "The mental or behavioural presentation is classified as secondary to another medical condition." + }, + { + "slug": "specifier-icd-bodily-distress-disorder-severity-mild", + "label": "Mild", + "disorder": "Bodily Distress Disorder", + "categoryId": "icd", + "category": "20. ICD-11 Specifics", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-icd-bodily-distress-disorder-severity-moderate", + "label": "Moderate", + "disorder": "Bodily Distress Disorder", + "categoryId": "icd", + "category": "20. ICD-11 Specifics", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-icd-bodily-distress-disorder-severity-severe", + "label": "Severe", + "disorder": "Bodily Distress Disorder", + "categoryId": "icd", + "category": "20. ICD-11 Specifics", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-icd-partial-dissociative-identity-disorder-severity-current-severity", + "label": "Current severity", + "disorder": "Partial Dissociative Identity Disorder", + "categoryId": "icd", + "category": "20. ICD-11 Specifics", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-icd-trance-disorder-features-with-without-possession", + "label": "With/without possession", + "disorder": "Trance Disorder", + "categoryId": "icd", + "category": "20. ICD-11 Specifics", + "group": "Features", + "src": "source-verified", + "def": "defined", + "meaning": "The dissociative presentation may occur with or without experiences of being taken over by an external identity, spirit, or power (the possession vs non-possession form)." + }, + { + "slug": "specifier-icd-olfactory-reference-disorder-insight-with-good-or-fair-insight", + "label": "With good or fair insight", + "disorder": "Olfactory Reference Disorder", + "categoryId": "icd", + "category": "20. ICD-11 Specifics", + "group": "Insight", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-icd-olfactory-reference-disorder-insight-with-poor-insight", + "label": "With poor insight", + "disorder": "Olfactory Reference Disorder", + "categoryId": "icd", + "category": "20. ICD-11 Specifics", + "group": "Insight", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-icd-olfactory-reference-disorder-insight-with-absent-insight", + "label": "With absent insight", + "disorder": "Olfactory Reference Disorder", + "categoryId": "icd", + "category": "20. ICD-11 Specifics", + "group": "Insight", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-icd-olfactory-reference-disorder-severity-current-severity", + "label": "Current severity", + "disorder": "Olfactory Reference Disorder", + "categoryId": "icd", + "category": "20. ICD-11 Specifics", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-icd-body-focused-repetitive-behaviour-disorder-severity-current-severity", + "label": "Current severity", + "disorder": "Body-Focused Repetitive Behaviour Disorder", + "categoryId": "icd", + "category": "20. ICD-11 Specifics", + "group": "Severity", + "src": "source-needs-formal-review", + "def": "needs-manual-or-clinician-verification", + "meaning": "" + }, + { + "slug": "specifier-icd-gender-incongruence-classification-reclassified-to-conditions-related-to-sexual-health-not-mental-disorders", + "label": "Reclassified to conditions related to sexual health (not mental disorders)", + "disorder": "Gender Incongruence", + "categoryId": "icd", + "category": "20. ICD-11 Specifics", + "group": "Classification", + "src": "source-verified", + "def": "defined", + "meaning": "ICD-11 places gender incongruence outside the mental disorders chapter." + } + ] +} diff --git a/src/app/specifiers/[slug]/page.tsx b/src/app/specifiers/[slug]/page.tsx index 4fdb68283..d69274f9e 100644 --- a/src/app/specifiers/[slug]/page.tsx +++ b/src/app/specifiers/[slug]/page.tsx @@ -2,31 +2,55 @@ import type { Metadata } from "next"; import { notFound } from "next/navigation"; import { SpecifierRecordPage } from "@/components/specifiers/specifier-record-page"; +import { SpecifierReferencePage } from "@/components/specifiers/specifier-reference-page"; import { findSpecifier, specifierRecords } from "@/lib/specifiers"; +import { getSpecifierCatalogItem, popularCatalogSlugs } from "@/lib/specifiers-content"; + +// Curated records are always pre-rendered. The full DSM-5-TR catalogue (~585 items) +// is too large to statically generate in full, so only the source-verified subset is +// pre-rendered and the remainder render on demand. +export const dynamicParams = true; type SpecifierDetailRouteProps = { params: Promise<{ slug: string }>; }; export function generateStaticParams() { - return specifierRecords.map((record) => ({ slug: record.slug })); + const curated = specifierRecords.map((record) => record.slug); + const catalog = popularCatalogSlugs(); + return Array.from(new Set([...curated, ...catalog])).map((slug) => ({ slug })); } export async function generateMetadata({ params }: SpecifierDetailRouteProps): Promise { const { slug } = await params; + const record = findSpecifier(slug); - if (!record) return { title: "Specifier not found - Clinical KB" }; + if (record) { + return { + title: `${record.name} - Psychiatric specifier - Clinical KB`, + description: record.summary, + }; + } + + const item = getSpecifierCatalogItem(slug); + if (item) { + return { + title: `${item.label} - ${item.disorderName} specifier - Clinical KB`, + description: `${item.label} — ${item.disorderName} specifier (${item.categoryName}).`, + }; + } - return { - title: `${record.name} - Psychiatric specifier - Clinical KB`, - description: record.summary, - }; + return { title: "Specifier not found - Clinical KB" }; } export default async function SpecifierDetailRoute({ params }: SpecifierDetailRouteProps) { const { slug } = await params; + const record = findSpecifier(slug); - if (!record) notFound(); + if (record) return ; + + const item = getSpecifierCatalogItem(slug); + if (item) return ; - return ; + notFound(); } diff --git a/src/components/specifiers/specifier-reference-page.tsx b/src/components/specifiers/specifier-reference-page.tsx new file mode 100644 index 000000000..b9ed5119c --- /dev/null +++ b/src/components/specifiers/specifier-reference-page.tsx @@ -0,0 +1,323 @@ +import Link from "next/link"; +import type { ComponentType, ReactNode } from "react"; +import { + ArrowRight, + BookOpenCheck, + Check, + CircleHelp, + FileCheck2, + Layers, + ListChecks, + ShieldAlert, + Stethoscope, + Tags, +} from "lucide-react"; + +import { + CategoryTag, + DiagnosisChips, + DsmBadge, + QuickTile, + ReviewStatusBadge, + SectionHeading, + SpecifierBreadcrumbs, + SpecifierPageShell, + SpecifierSafetyNote, + SpecifierSubnav, + categoryShortName, + specifierCard, +} from "@/components/specifiers/specifier-ui"; +import { cn, eyebrowText } from "@/components/ui-primitives"; +import { + curatedEnrichmentFor, + relatedCatalogItems, + type SpecifierCatalogItem, + type SpecifierDefinitionStatus, + type SpecifierSourceStatus, +} from "@/lib/specifiers-content"; + +const definitionStatusLabel: Record = { + defined: "Generated clinical anchor", + "obvious-no-definition": "Self-explanatory label", + "needs-manual-or-clinician-verification": "Needs manual verification", +}; + +const sourceStatusLabel: Record = { + "source-verified": "Source verified", + "source-needs-formal-review": "Needs formal source review", + "source-not-applicable": "Source not applicable", +}; + +// The dataset spans DSM-5-TR and ICD-11/WHO material. Label the source badge from +// the item's own provenance rather than always claiming DSM-5-TR: the "ICD-11 +// Specifics" category, an ICD-11/WHO source family, or an "(ICD-11)" disorder name +// all indicate ICD-11 content. +function sourceManualLabel(item: SpecifierCatalogItem): string { + const family = item.definition?.sourceFamily ?? item.review.sourceFamily ?? ""; + if (item.categoryId === "icd" || /icd-11|who/i.test(family) || /\(icd-11\)/i.test(item.disorderName)) { + return "ICD-11"; + } + return "DSM-5-TR"; +} + +function InfoCard({ + icon: Icon, + eyebrow, + title, + children, +}: { + icon: ComponentType<{ className?: string }>; + eyebrow: string; + title: string; + children: ReactNode; +}) { + return ( +
+
+ + + +
+

{eyebrow}

+

{title}

+
+
+ {children} +
+ ); +} + +function ReasoningList({ + title, + items, + tone, +}: { + title: string; + items: string[]; + tone: "success" | "warning" | "default"; +}) { + const dot = + tone === "success" + ? "bg-[color:var(--success)]" + : tone === "warning" + ? "bg-[color:var(--warning)]" + : "bg-[color:var(--clinical-accent)]"; + return ( +
+

{title}

+
    + {items.map((entry) => ( +
  • + + {entry} +
    • + ))} +
+
+ ); +} + +export function SpecifierReferencePage({ item }: { item: SpecifierCatalogItem }) { + const enrichment = curatedEnrichmentFor(item); + const related = relatedCatalogItems(item); + // Only source-verified definitions are trusted for display. Unverified generated + // text was systematically mis-templated in the source export, so it is withheld + // pending clinician review (see the verification gate in the data build). + const trusted = item.review.sourceVerificationStatus === "source-verified" && Boolean(item.definition); + const pendingVerification = item.definitionStatus === "needs-manual-or-clinician-verification"; + const sourceManual = sourceManualLabel(item); + const description = trusted + ? item.definition!.meaning + : pendingVerification + ? `“${item.label}” is recorded for ${item.disorderName}; its generated definition is pending clinician verification — confirm against the current DSM-5-TR / ICD-11 text.` + : `“${item.label}” is recorded for ${item.disorderName} without a separate definition — read it against the current DSM-5-TR text.`; + + return ( + +
+ + +
+ + {/* Hero */} +
+
+ + + +
+
+ + + {item.groupLabel} + + +
+
+

{categoryShortName(item.categoryName)} specifier

+

+ {item.label} +

+
+

{description}

+
+ + +
+
+
+ + {enrichment ? ( +
+ + + Deep guide + + + + Build wording + +
+ ) : null} +
+ + {/* Quick tiles */} +
+ + + + +
+ +
+
+ + + {trusted ? ( + +

{item.definition!.meaning}

+ + ) : pendingVerification ? ( + +

+ The generated definition for this specifier is withheld pending qualified clinician review. Confirm the + specifier against current DSM-5-TR / ICD-11 materials before documenting. +

+ + ) : null} + + {trusted && item.definition?.clinicalNote ? ( + +

+ {item.definition.clinicalNote} +

+ + ) : null} + + {enrichment ? ( +
+
+ + + +
+

Curated clinical reasoning

+

Fit and exclusions

+
+
+
+ + +
+ {enrichment.checks.length ? ( + + ) : null} +
+ ) : null} + + {item.icd11Context ? ( + +

{item.icd11Context}

+ + ) : null} +
+ + +
+ + + + ); +} diff --git a/src/components/specifiers/specifier-ui.tsx b/src/components/specifiers/specifier-ui.tsx index d77bf526a..071daf0b0 100644 --- a/src/components/specifiers/specifier-ui.tsx +++ b/src/components/specifiers/specifier-ui.tsx @@ -1,9 +1,10 @@ import Link from "next/link"; -import type { ReactNode } from "react"; -import { ArrowLeft, ChevronRight, Info, Tags } from "lucide-react"; +import type { ComponentType, CSSProperties, ReactNode } from "react"; +import { ArrowLeft, CheckCircle2, ChevronRight, Info, Minus, ShieldAlert, Tags } from "lucide-react"; import { cn, eyebrowText, pageContainer } from "@/components/ui-primitives"; import type { SpecifierRecord } from "@/lib/specifiers"; +import type { SpecifierSourceStatus } from "@/lib/specifiers-search-index"; export const specifierCard = "rounded-lg border border-[color:var(--border)] bg-[color:var(--surface)] shadow-[var(--shadow-inset)]"; @@ -128,3 +129,173 @@ export function SectionHeading({ eyebrow, title, body }: { eyebrow?: string; tit ); } +// ── Catalog additions (small stylistic upgrades borrowed from the Specifiers v2 design) ── + +type CategoryTone = { color: string; background: string; borderColor: string }; + +// Categorical (taxonomy) palette drawn from existing tokens — never semantic status. +// Reuses the repo's `--type-*` categorical chips + tone tokens so it stays theme-aware. +const categoryPalette: CategoryTone[] = [ + { + color: "var(--type-document)", + background: "var(--type-document-soft)", + borderColor: "var(--type-document-border)", + }, + { color: "var(--type-table)", background: "var(--type-table-soft)", borderColor: "var(--type-table-border)" }, + { color: "var(--type-source)", background: "var(--type-source-soft)", borderColor: "var(--type-source-border)" }, + { color: "var(--type-service)", background: "var(--type-service-soft)", borderColor: "var(--type-service-border)" }, + { color: "var(--type-form)", background: "var(--type-form-soft)", borderColor: "var(--type-form-border)" }, + { + color: "var(--clinical-accent-hover)", + background: "var(--clinical-accent-soft)", + borderColor: "var(--clinical-accent-border)", + }, + { + color: "var(--tone-rose)", + background: "color-mix(in srgb, var(--tone-rose) 12%, transparent)", + borderColor: "color-mix(in srgb, var(--tone-rose) 32%, transparent)", + }, + { + color: "var(--tone-indigo)", + background: "color-mix(in srgb, var(--tone-indigo) 12%, transparent)", + borderColor: "color-mix(in srgb, var(--tone-indigo) 32%, transparent)", + }, + { + color: "var(--tone-purple)", + background: "color-mix(in srgb, var(--tone-purple) 12%, transparent)", + borderColor: "color-mix(in srgb, var(--tone-purple) 32%, transparent)", + }, + { color: "var(--type-search)", background: "var(--type-search-soft)", borderColor: "var(--type-search-border)" }, +]; + +const categoryOrder = [ + "ndv", + "psy", + "bip", + "dep", + "anx", + "ocd", + "trm", + "dis", + "som", + "eat", + "eli", + "slp", + "sxd", + "gen", + "imp", + "sub", + "ncg", + "per", + "par", + "icd", +]; + +export function categoryTone(categoryId: string): CategoryTone { + const known = categoryOrder.indexOf(categoryId); + const index = known >= 0 ? known : Array.from(categoryId).reduce((sum, char) => sum + char.charCodeAt(0), 0); + return categoryPalette[index % categoryPalette.length]; +} + +/** Strip the leading "1. " ordinal from a category name for compact chips. */ +export function categoryShortName(name: string) { + return name.replace(/^\s*\d+\.\s*/, ""); +} + +export function CategoryTag({ categoryId, name, className }: { categoryId: string; name: string; className?: string }) { + const tone = categoryTone(categoryId); + const style: CSSProperties = { color: tone.color, background: tone.background, borderColor: tone.borderColor }; + return ( + + + {categoryShortName(name)} + + ); +} + +const sourceStatusMeta: Record< + SpecifierSourceStatus, + { label: string; icon: ComponentType<{ className?: string }>; className: string } +> = { + "source-verified": { + label: "Source reviewed", + icon: CheckCircle2, + className: "border-[color:var(--success-border)] bg-[color:var(--success-soft)] text-[color:var(--success)]", + }, + "source-needs-formal-review": { + label: "Review due", + icon: ShieldAlert, + className: "border-[color:var(--warning-border)] bg-[color:var(--warning-soft)] text-[color:var(--warning)]", + }, + "source-not-applicable": { + label: "Source n/a", + icon: Minus, + className: "border-[color:var(--border)] bg-[color:var(--surface-inset)] text-[color:var(--text-soft)]", + }, +}; + +export function ReviewStatusBadge({ status, className }: { status: SpecifierSourceStatus; className?: string }) { + const meta = sourceStatusMeta[status] ?? sourceStatusMeta["source-needs-formal-review"]; + const Icon = meta.icon; + return ( + + + {meta.label} + + ); +} + +export function DsmBadge({ label = "DSM-5-TR" }: { label?: string }) { + return ( + + + {label} + + ); +} + +/** Compact 2×2-style reference tile (Specifiers v2 look). */ +export function QuickTile({ + icon: Icon, + label, + body, + tone = "default", +}: { + icon: ComponentType<{ className?: string }>; + label: string; + body: string; + tone?: "default" | "accent" | "info" | "success"; +}) { + const toneClass = + tone === "accent" + ? "border-[color:var(--clinical-accent-border)] text-[color:var(--clinical-accent)]" + : tone === "info" + ? "border-[color:var(--info-border)] bg-[color:var(--info-soft)] text-[color:var(--info)]" + : tone === "success" + ? "border-[color:var(--success-border)] bg-[color:var(--success-soft)] text-[color:var(--success)]" + : "border-[color:var(--border)] text-[color:var(--text-soft)]"; + const bodyClass = + tone === "info" + ? "text-[color:var(--info)]" + : tone === "success" + ? "text-[color:var(--success)]" + : "text-[color:var(--text-muted)]"; + return ( +
+
+ + {label} +
+

{body}

+
+ ); +} diff --git a/src/components/specifiers/specifiers-home-page.tsx b/src/components/specifiers/specifiers-home-page.tsx index 5423d5863..9d29bee15 100644 --- a/src/components/specifiers/specifiers-home-page.tsx +++ b/src/components/specifiers/specifiers-home-page.tsx @@ -16,7 +16,9 @@ import { import { ModeHomeMain, ModeHomeTemplate, ModeHomeVerificationFooter } from "@/components/mode-home-template"; import { + CategoryTag, DiagnosisChips, + ReviewStatusBadge, SpecifierBreadcrumbs, SpecifierFamilyBadge, SpecifierPageShell, @@ -28,6 +30,13 @@ import { cn, eyebrowText } from "@/components/ui-primitives"; import { appModeHomeHref } from "@/lib/app-modes"; import { modeHomeDesktopComposerSlotId } from "@/lib/mode-home-composer"; import { searchSpecifiers, specifierFamilies, specifierSearchPresets, type SpecifierFamily } from "@/lib/specifiers"; +import { searchSpecifierCatalog, type SpecifierCatalogMatch } from "@/lib/specifiers-search-index"; + +// The curated set covers a small number of high-signal mood-episode specifiers. +// The full DSM-5-TR catalogue (~585 items) is surfaced additively beneath the +// curated matches so a search still reaches the broader taxonomy without displacing +// the richer curated cards. +const CATALOGUE_RESULT_LIMIT = 24; const diagnosisOptions = [ { value: "", label: "All diagnoses" }, @@ -175,10 +184,69 @@ function EmptySearchResults({ query }: { query: string }) { ); } +function SpecifierCatalogueMatches({ matches }: { matches: SpecifierCatalogMatch[] }) { + if (!matches.length) return null; + + return ( +
+
+

Full specifier catalogue

+

+ More across the specifier taxonomy +

+

+ Broader matches from the complete catalogue. Definitions are shown only where the source has been verified; + the rest are marked pending clinician review. +

+
+ +
    + {matches.map(({ item }) => ( +
  • + +
    + + {item.label} + + +
    +

    {item.disorder}

    +
    + + +
    + +
    • + ))} +
+
+ ); +} + function SpecifierResults({ query }: { query: string }) { const [family, setFamily] = useState<"all" | SpecifierFamily>("all"); const [diagnosis, setDiagnosis] = useState(""); const results = useMemo(() => searchSpecifiers(query, { family, diagnosis }), [diagnosis, family, query]); + // The full-catalogue section is additive and diagnosis-specific, so it is NOT + // de-duped against the curated cards: those are generic mood-only specifiers, and + // a label-only match would wrongly hide the disorder-specific catalogue rows (e.g. + // a curated "With catatonia" card must not remove schizophrenia/autism catatonia). + // It still drives the shared count and empty-state so a catalog-only query never + // shows "0 matches" with an empty-state banner above real results. + const catalogueMatches = useMemo(() => searchSpecifierCatalog(query).slice(0, CATALOGUE_RESULT_LIMIT), [query]); + const totalMatches = results.length + catalogueMatches.length; return ( @@ -199,7 +267,7 @@ function SpecifierResults({ query }: { query: string }) {

- {results.length} {results.length === 1 ? "match" : "matches"} + {totalMatches} {totalMatches === 1 ? "match" : "matches"}

@@ -245,9 +313,9 @@ function SpecifierResults({ query }: { query: string }) { - {results.length === 0 ? ( + {totalMatches === 0 ? ( - ) : ( + ) : results.length > 0 ? (
{results.map(({ record }, index) => (
))}
- )} + ) : null} + + diff --git a/src/lib/specifiers-content.ts b/src/lib/specifiers-content.ts new file mode 100644 index 000000000..462cfc163 --- /dev/null +++ b/src/lib/specifiers-content.ts @@ -0,0 +1,246 @@ +// Full DSM-5-TR specifier catalog (server side). +// +// This module imports the complete nested dataset (data/specifiers-content.json). +// It is only imported by server components (the /specifiers/[slug] detail route and +// its reference page) so the full ~632KB payload never reaches the client bundle — +// client-side search uses the compact index in specifiers-search-index.ts instead. +// +// The dataset is a portable clinical-content export; its README states that missing +// definitions must NOT be invented and that the review/scope status must stay visible +// downstream. The rendering layers honour both. + +import specifiersContent from "../../data/specifiers-content.json"; + +import { findSpecifier, specifierRecords, type SpecifierRecord } from "@/lib/specifiers"; + +export type SpecifierSourceStatus = "source-verified" | "source-needs-formal-review" | "source-not-applicable"; +export type SpecifierDefinitionStatus = "defined" | "obvious-no-definition" | "needs-manual-or-clinician-verification"; + +export type SpecifierReview = { + rowKey: string; + contentHash: string; + sourceFamily?: string; + sourceVerificationStatus: SpecifierSourceStatus; + clinicianReviewStatus: string; + changedSinceReview: boolean; +}; + +export type SpecifierDefinition = { + meaning: string; + clinicalNote: string; + sourceFamily: string; + status: string; +}; + +export type SpecifierItem = { + label: string; + definition: SpecifierDefinition | null; + definitionStatus: SpecifierDefinitionStatus; + review: SpecifierReview; +}; + +export type SpecifierGroup = { label: string; items: SpecifierItem[] }; +export type SpecifierDisorder = { name: string; icd11Context: string; groups: SpecifierGroup[] }; +export type SpecifierCategory = { id: string; name: string; colorToken: string; disorders: SpecifierDisorder[] }; + +export type UniversalSpecifier = { title: string; description: string; review: SpecifierReview }; + +export type SpecifierProject = { + appName: string; + version: string; + contentVersion: string; + lastUpdated: string; + reviewStatus: string; + reviewOwner: string; + reviewCadence: string; + scope: string; + disclaimer: string; +}; + +export type SpecifierStats = { + categories: number; + disorders: number; + groups: number; + specifierItems: number; + universalSpecifiers: number; + itemsWithDefinitions: number; + itemsPendingClinicianReview: number; +}; + +export type AuthoritativeSource = { label: string; url: string; note?: string }; + +export type SpecifiersContent = { + exportFormatVersion: string; + exportedAt: string; + project: SpecifierProject; + scopeWarning: string; + stats: SpecifierStats; + authoritativeSources: AuthoritativeSource[]; + universalSpecifiers: UniversalSpecifier[]; + categories: SpecifierCategory[]; +}; + +/** A single specifier item flattened together with its parent context and a stable slug. */ +export type SpecifierCatalogItem = { + slug: string; + label: string; + groupLabel: string; + disorderName: string; + icd11Context: string; + categoryId: string; + categoryName: string; + definition: SpecifierDefinition | null; + definitionStatus: SpecifierDefinitionStatus; + review: SpecifierReview; +}; + +let cached: SpecifiersContent | null = null; + +function assertUsableSpecifiersContent(content: SpecifiersContent) { + if (!content.categories.length || !content.stats.specifierItems) { + throw new Error( + `Specifiers content is empty or incomplete: ${content.categories.length} categories, ${content.stats.specifierItems} items.`, + ); + } +} + +export function loadSpecifiersContent(): SpecifiersContent { + if (!cached) { + cached = specifiersContent as SpecifiersContent; + assertUsableSpecifiersContent(cached); + } + return cached; +} + +/** Must match the transform used when building data/specifiers-search-index.json. */ +export function specifierSlug(rowKey: string) { + return rowKey + .toLowerCase() + .replace(/[^a-z0-9]+/g, "-") + .replace(/^-+|-+$/g, ""); +} + +let cachedItems: SpecifierCatalogItem[] | null = null; +let cachedBySlug: Map | null = null; + +function buildCatalog() { + if (cachedItems && cachedBySlug) return; + const content = loadSpecifiersContent(); + const items: SpecifierCatalogItem[] = []; + for (const category of content.categories) { + for (const disorder of category.disorders) { + for (const group of disorder.groups) { + for (const item of group.items) { + items.push({ + slug: specifierSlug(item.review.rowKey), + label: item.label, + groupLabel: group.label, + disorderName: disorder.name, + icd11Context: disorder.icd11Context, + categoryId: category.id, + categoryName: category.name, + definition: item.definition, + definitionStatus: item.definitionStatus, + review: item.review, + }); + } + } + } + } + cachedItems = items; + cachedBySlug = new Map(items.map((item) => [item.slug, item])); +} + +export function specifierCatalogItems(): SpecifierCatalogItem[] { + buildCatalog(); + return cachedItems!; +} + +export function getSpecifierCatalogItem(slug: string): SpecifierCatalogItem | undefined { + buildCatalog(); + return cachedBySlug!.get(slug); +} + +/** Sibling specifiers in the same disorder (other groups included), for "related" rails. */ +export function relatedCatalogItems(item: SpecifierCatalogItem, limit = 6): SpecifierCatalogItem[] { + return specifierCatalogItems() + .filter( + (candidate) => + candidate.slug !== item.slug && + candidate.disorderName === item.disorderName && + candidate.categoryId === item.categoryId, + ) + .slice(0, limit); +} + +function normalizeLabel(value: string) { + return ( + value + .toLowerCase() + // Catalog labels carry parenthetical severity qualifiers, e.g. + // "With anxious distress (mild, moderate, severe)" — drop them so the core + // label still matches its curated record. + .replace(/\([^)]*\)/g, " ") + .replace(/^with\s+/, "") + .replace(/[^a-z0-9]+/g, " ") + .trim() + ); +} + +// The curated records are all mood-episode specifiers (depressive / bipolar). +// Enrichment must be confined to those diagnostic categories: a label-only match +// otherwise attaches mood-specific fit/exclusion guidance to unrelated diagnoses +// (e.g. an Intellectual Developmental Disorder "Mild" severity row picking up the +// mood "Mild severity" record). +const enrichableCategoryIds = new Set(["bip", "dep"]); + +let curatedByLabel: Map | null = null; +export function curatedEnrichmentFor(item: SpecifierCatalogItem): SpecifierRecord | undefined { + if (!enrichableCategoryIds.has(item.categoryId)) return undefined; + if (!curatedByLabel) { + // specifierRecords is a small hand-authored set; index it once by normalized + // full name. Short-name matching is intentionally omitted — generic short + // names like "Mild" collide with unrelated severity rows. + curatedByLabel = new Map(); + for (const record of specifierRecords) { + curatedByLabel.set(normalizeLabel(record.name), record); + } + } + return curatedByLabel.get(normalizeLabel(item.label)); +} + +/** Whether a catalog slug also resolves to a curated record (so it renders richly). */ +export function curatedRecordForSlug(slug: string): SpecifierRecord | undefined { + return findSpecifier(slug); +} + +/** + * A bounded set of slugs to pre-render at build time. Pre-rendering all 586 detail + * pages would bloat the build, so we statically generate the source-verified items + * (the highest-signal cut) and let the rest render on demand via dynamicParams. + */ +export function popularCatalogSlugs(limit = 96): string[] { + return specifierCatalogItems() + .filter((item) => item.review.sourceVerificationStatus === "source-verified") + .slice(0, limit) + .map((item) => item.slug); +} + +export function specifiersProject(): SpecifierProject { + return loadSpecifiersContent().project; +} +export function specifiersStats(): SpecifierStats { + return loadSpecifiersContent().stats; +} +export function specifiersScopeWarning(): string { + return loadSpecifiersContent().scopeWarning; +} +export function universalSpecifiers(): UniversalSpecifier[] { + return loadSpecifiersContent().universalSpecifiers; +} +export function specifierCategories(): SpecifierCategory[] { + return loadSpecifiersContent().categories; +} +export function authoritativeSources(): AuthoritativeSource[] { + return loadSpecifiersContent().authoritativeSources; +} diff --git a/src/lib/specifiers-search-index.ts b/src/lib/specifiers-search-index.ts new file mode 100644 index 000000000..bf494e9e6 --- /dev/null +++ b/src/lib/specifiers-search-index.ts @@ -0,0 +1,130 @@ +// Client-safe search layer for the full DSM-5-TR specifier catalog. +// +// The full nested dataset (data/specifiers-content.json, ~632KB) is only ever +// imported by server components (detail pages, see specifiers-content.ts). For +// the client-side instant search on /specifiers we ship a compact, pre-flattened +// index (data/specifiers-search-index.json, ~240KB) so the browser bundle stays +// lean. The index is regenerated from the source JSON by scripts/build-specifiers +// -index (kept in sync with data/specifiers-content.json). + +import searchIndex from "../../data/specifiers-search-index.json"; + +import { normalizeSearchText, rankCatalogRecords } from "@/lib/catalog-search"; + +export type SpecifierSourceStatus = "source-verified" | "source-needs-formal-review" | "source-not-applicable"; +export type SpecifierDefinitionStatus = "defined" | "obvious-no-definition" | "needs-manual-or-clinician-verification"; + +export type SpecifierIndexItem = { + slug: string; + label: string; + disorder: string; + categoryId: string; + category: string; + group: string; + /** sourceVerificationStatus */ + src: SpecifierSourceStatus; + /** definitionStatus */ + def: SpecifierDefinitionStatus; + /** definition.meaning ("" when the item has no generated definition) */ + meaning: string; +}; + +export type SpecifierIndexCategory = { id: string; name: string }; + +export type SpecifierIndexMeta = { + appName: string; + version: string; + contentVersion: string; + lastUpdated: string; + reviewStatus: string; + scope: string; + disclaimer: string; + scopeWarning: string; + stats: { + categories: number; + disorders: number; + groups: number; + specifierItems: number; + universalSpecifiers: number; + itemsWithDefinitions: number; + itemsPendingClinicianReview: number; + }; + sourceVerified: number; +}; + +type SpecifierSearchIndex = { + meta: SpecifierIndexMeta; + categories: SpecifierIndexCategory[]; + items: SpecifierIndexItem[]; +}; + +const index = searchIndex as SpecifierSearchIndex; + +export const specifierIndexMeta: SpecifierIndexMeta = index.meta; +export const specifierIndexCategories: SpecifierIndexCategory[] = index.categories; +export const specifierIndexItems: SpecifierIndexItem[] = index.items; + +/** Items whose source has been formally verified (the meaningful "reviewed" cut). */ +export const specifierVerifiedCount = specifierIndexMeta.sourceVerified; +/** All catalog items are pending qualified clinician review in this dataset. */ +export const specifierPendingReviewCount = specifierIndexMeta.stats.itemsPendingClinicianReview; + +/** Short, catalog-tuned starting queries for the home hero chips. */ +export const specifierCatalogPresets: Array<{ label: string; query: string }> = [ + { label: "Anxious distress", query: "anxious distress" }, + { label: "Melancholic features", query: "melancholic" }, + { label: "Rapid cycling", query: "rapid cycling" }, + { label: "Seasonal pattern", query: "seasonal" }, + { label: "Peripartum onset", query: "peripartum" }, + { label: "In remission", query: "remission" }, +]; + +export type SpecifierCatalogFilters = { + categoryId?: string; + /** Restrict to source-verified items only. */ + reviewedOnly?: boolean; +}; + +export type SpecifierCatalogMatch = { item: SpecifierIndexItem; score: number }; + +function applyFilters(items: SpecifierIndexItem[], filters: SpecifierCatalogFilters) { + let next = items; + if (filters.categoryId) next = next.filter((item) => item.categoryId === filters.categoryId); + if (filters.reviewedOnly) next = next.filter((item) => item.src === "source-verified"); + return next; +} + +/** + * Rank the catalog for a free-text query, reusing the shared registry ranker + * (src/lib/catalog-search.ts) so tokenization/weighting matches the other modes. + * With an empty query it returns the filtered catalog in stable (label) order. + */ +export function searchSpecifierCatalog(query: string, filters: SpecifierCatalogFilters = {}): SpecifierCatalogMatch[] { + const items = applyFilters(specifierIndexItems, filters); + const trimmed = query.trim(); + + if (!trimmed) { + return [...items] + .sort((left, right) => left.label.localeCompare(right.label) || left.disorder.localeCompare(right.disorder)) + .map((item) => ({ item, score: 0 })); + } + + // The ranker compares its bonuses against a lowercased/normalized query, so the + // field, full-text, exact, and prefix haystacks must be normalized the same way + // (mirroring the other catalog callers) — otherwise a lowercase query like "mild" + // misses the exact/prefix/phrase bonuses on a capitalized "Mild" label. + return rankCatalogRecords(items, trimmed, { + fields: [ + { id: "label", weight: 9, text: (item) => normalizeSearchText(item.label) }, + { id: "disorder", weight: 5, text: (item) => normalizeSearchText(item.disorder) }, + { id: "category", weight: 2, text: (item) => normalizeSearchText(item.category) }, + { id: "group", weight: 2, text: (item) => normalizeSearchText(item.group) }, + ], + fullText: (item) => + normalizeSearchText(`${item.label} ${item.disorder} ${item.category} ${item.group} ${item.meaning}`), + exactValues: (item) => [normalizeSearchText(item.label)], + prefixValues: (item) => [normalizeSearchText(item.label)], + prefixBonus: 3, + phraseBonus: 5, + }).map(({ record, score }) => ({ item: record, score })); +} diff --git a/tests/specifiers-content.test.ts b/tests/specifiers-content.test.ts new file mode 100644 index 000000000..b0391310b --- /dev/null +++ b/tests/specifiers-content.test.ts @@ -0,0 +1,196 @@ +import { describe, expect, it } from "vitest"; + +import { + curatedEnrichmentFor, + getSpecifierCatalogItem, + popularCatalogSlugs, + specifierCatalogItems, + specifierSlug, + specifiersStats, +} from "@/lib/specifiers-content"; +import { searchSpecifierCatalog, specifierIndexItems, specifierVerifiedCount } from "@/lib/specifiers-search-index"; + +describe("specifiers content catalog", () => { + it("flattens to the stats-reported item count", () => { + // Assert stats↔content consistency plus a sanity floor, rather than a brittle + // exact count (the dataset can gain/lose rows via governance edits). + expect(specifierCatalogItems().length).toBe(specifiersStats().specifierItems); + expect(specifiersStats().specifierItems).toBeGreaterThan(550); + }); + + it("assigns a unique slug to every item", () => { + const items = specifierCatalogItems(); + const slugs = new Set(items.map((item) => item.slug)); + expect(slugs.size).toBe(items.length); + }); + + it("derives URL-safe slugs from the row key", () => { + expect(specifierSlug("specifier:ndv:x:severity:mild")).toBe("specifier-ndv-x-severity-mild"); + expect(specifierCatalogItems().every((item) => /^[a-z0-9-]+$/.test(item.slug))).toBe(true); + }); + + it("round-trips getSpecifierCatalogItem by slug", () => { + const sample = specifierCatalogItems()[0]; + expect(getSpecifierCatalogItem(sample.slug)?.label).toBe(sample.label); + expect(getSpecifierCatalogItem("does-not-exist")).toBeUndefined(); + }); + + it("keeps the compact client index in sync with the full catalog", () => { + const catalogSlugs = new Set(specifierCatalogItems().map((item) => item.slug)); + expect(specifierIndexItems.length).toBe(catalogSlugs.size); + expect(specifierIndexItems.every((item) => catalogSlugs.has(item.slug))).toBe(true); + }); + + it("never invents a definition for self-explanatory items", () => { + for (const item of specifierCatalogItems()) { + if (item.definitionStatus === "obvious-no-definition") { + expect(item.definition).toBeNull(); + } + } + }); + + it("pre-renders a bounded subset (source-verified) rather than all 586", () => { + const slugs = popularCatalogSlugs(); + expect(slugs.length).toBeGreaterThan(0); + expect(slugs.length).toBeLessThan(specifierCatalogItems().length); + expect(slugs.length).toBe(Math.min(96, specifierVerifiedCount)); + }); + + it("enriches a catalog item that matches a curated record", () => { + const anxious = specifierCatalogItems().find((item) => /anxious distress/i.test(item.label)); + expect(anxious).toBeDefined(); + const enrichment = curatedEnrichmentFor(anxious!); + expect(enrichment?.fit.length).toBeGreaterThan(0); + }); + + it("does not enrich generic labels from unrelated diagnostic categories", () => { + // An Intellectual Developmental Disorder "Mild" severity row must not pick up + // the mood "Mild severity" curated guidance. + const nonMoodMild = specifierCatalogItems().find( + (item) => item.categoryId === "ndv" && item.label.toLowerCase() === "mild", + ); + expect(nonMoodMild).toBeDefined(); + expect(curatedEnrichmentFor(nonMoodMild!)).toBeUndefined(); + }); + + it("confines enrichment to mood (bipolar/depressive) categories", () => { + for (const item of specifierCatalogItems()) { + if (!["bip", "dep"].includes(item.categoryId)) { + expect(curatedEnrichmentFor(item)).toBeUndefined(); + } + } + }); + + it("withholds unverified generated definitions behind a verification gate", () => { + // Unverified auto-generated definitions were systematically mis-templated in the + // source export, so every non-source-verified defined item must be demoted to + // needs-manual-or-clinician-verification with a neutral placeholder — never + // presenting fabricated clinical guidance as fact. + for (const item of specifierCatalogItems()) { + if (item.review.sourceVerificationStatus !== "source-verified" && item.definition) { + expect(item.definitionStatus).toBe("needs-manual-or-clinician-verification"); + expect(item.definition.meaning).toMatch(/pending clinician verification/i); + } + } + }); + + it("only source-verified rows carry displayed definition text, free of cross-domain templates", () => { + const shown = specifierIndexItems.filter((item) => item.meaning); + expect(shown.length).toBe(specifierVerifiedCount); + for (const item of shown) { + expect(item.src).toBe("source-verified"); + expect(item.meaning).not.toMatch(/tic frequency|sexual-dysfunction context|personality change presentation/i); + } + }); + + it("does not mislabel timing/onset specifiers as symptom-count thresholds", () => { + // PTSD "delayed expression" is a timing threshold and Conduct "adolescent-onset" + // is an age-of-onset threshold — neither is a symptom-count rule, so the + // source-verified clinical note must not claim otherwise. + const rows = specifierCatalogItems().filter( + (item) => + (/post-traumatic stress disorder/i.test(item.disorderName) && /delayed expression/i.test(item.label)) || + (/conduct disorder/i.test(item.disorderName) && /adolescent-onset/i.test(item.label)), + ); + expect(rows.length).toBeGreaterThanOrEqual(2); + for (const item of rows) { + expect(item.definition?.clinicalNote ?? "").not.toMatch(/symptom-count threshold/i); + } + }); + + it("does not attach compensatory-behaviour notes to non-purging severity rows", () => { + // Binge-Eating and Hypersomnolence severity is frequency-based; compensatory + // behaviours belong to Bulimia, so those rows must not cite them. + const rows = specifierCatalogItems().filter( + (item) => + /(binge-eating disorder|hypersomnolence disorder)/i.test(item.disorderName) && + /episodes|days/i.test(item.label), + ); + expect(rows.length).toBeGreaterThan(0); + for (const item of rows) { + expect(item.definition?.clinicalNote ?? "").not.toMatch(/compensatory behaviour/i); + } + }); + + it("describes with/without possession rows for both states", () => { + const rows = specifierCatalogItems().filter((item) => /possession/i.test(item.label)); + expect(rows.length).toBeGreaterThan(0); + for (const item of rows) { + // Must not assert possession is present; must acknowledge both states. + expect(item.definition?.meaning ?? "").toMatch(/with or without|may occur|present or absent/i); + } + }); + + it("keeps DSM Section III (AMPD) provenance DSM-specific, not ICD-11", () => { + // The AMPD trait domains are DSM-5-TR Section III; the reference page derives the + // source badge from sourceFamily, so it must not carry an ICD-11/WHO provenance. + const ampd = specifierCatalogItems().filter((item) => /alternative model|ampd/i.test(item.disorderName)); + expect(ampd.length).toBeGreaterThan(0); + for (const item of ampd) { + expect(item.definition?.sourceFamily ?? "").not.toMatch(/icd-11|who/i); + } + }); + + it("gives Gaming Disorder online/offline subtypes direction-specific definitions", () => { + // The generator originally merged both subtypes into one "online or offline" + // string; each subtype must describe its own direction. + const gaming = specifierCatalogItems().filter( + (item) => /gaming disorder/i.test(item.disorderName) && /predominantly (on|off)line/i.test(item.label), + ); + expect(gaming.length).toBeGreaterThanOrEqual(2); + for (const item of gaming) { + const meaning = item.definition?.meaning ?? ""; + expect(meaning).not.toMatch(/online or offline/i); + expect(meaning).toMatch(/online/i.test(item.label) ? /\bonline\b/i : /\boffline\b/i); + } + }); +}); + +describe("searchSpecifierCatalog", () => { + it("finds a known specifier by label", () => { + const results = searchSpecifierCatalog("anxious distress"); + expect(results.length).toBeGreaterThan(0); + expect(results.some((result) => /anxious distress/i.test(result.item.label))).toBe(true); + }); + + it("returns the whole filtered category with an empty query", () => { + const results = searchSpecifierCatalog("", { categoryId: "dep" }); + expect(results.length).toBeGreaterThan(0); + expect(results.every((result) => result.item.categoryId === "dep")).toBe(true); + }); + + it("filters to source-verified items only", () => { + const results = searchSpecifierCatalog("", { reviewedOnly: true }); + expect(results.length).toBe(specifierVerifiedCount); + expect(results.every((result) => result.item.src === "source-verified")).toBe(true); + }); + + it("ranks an exact label match above incidental substring matches (case-insensitive)", () => { + // A lowercase "mild" query must reward an exact "Mild" label (via the exact / + // prefix / phrase bonuses) over rows that merely contain "mild" inside a + // parenthetical severity range — which requires normalizing the haystacks. + const results = searchSpecifierCatalog("mild"); + expect(results.length).toBeGreaterThan(0); + expect(results[0].item.label.toLowerCase()).toBe("mild"); + }); +});