diff --git a/data/specifiers-content.json b/data/specifiers-content.json index 9b5b0479a..a75df6706 100644 --- a/data/specifiers-content.json +++ b/data/specifiers-content.json @@ -6297,9 +6297,9 @@ "label": "Features (ICD-11)", "items": [ { - "label": "With inadequate food intake associated with limited availability", + "label": "With apparent lack of interest in eating or food", "definition": { - "meaning": "Inadequate intake is linked to limited food availability rather than body-image concern.", + "meaning": "Food restriction reflects an apparent lack of interest in eating or food (low appetite) — one of the three ICD-11 6B83 ARFID drivers, alongside sensory-based avoidance and fear of aversive consequences. It is not limited availability of food (an ICD-11 exclusion) or body-image concern.", "clinicalNote": null, "sourceFamily": "WHO ICD-11 CDDR/MMS", "status": "defined" diff --git a/data/specifiers-search-index.json b/data/specifiers-search-index.json index 5533979cf..743ad17dd 100644 --- a/data/specifiers-search-index.json +++ b/data/specifiers-search-index.json @@ -2592,7 +2592,7 @@ "group": "Features", "src": "source-verified", "def": "defined", - "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." + "meaning": "" }, { "slug": "specifier-trm-post-traumatic-stress-disorder-features-with-prominent-negative-alterations-in-cognition-and-mood", @@ -2625,7 +2625,7 @@ "group": "Features", "src": "source-verified", "def": "defined", - "meaning": "ICD-11 complex PTSD domain covering emotional regulation difficulty, persistent negative self-beliefs, and relationship disturbance." + "meaning": "" }, { "slug": "specifier-trm-complex-ptsd-icd-11-severity-current-severity", @@ -2636,7 +2636,7 @@ "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." + "meaning": "" }, { "slug": "specifier-trm-acute-stress-disorder-severity-current-severity", @@ -2724,7 +2724,7 @@ "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." + "meaning": "" }, { "slug": "specifier-trm-adjustment-disorders-course-severity-persistent-chronic-6-months-or-longer", @@ -2735,7 +2735,7 @@ "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." + "meaning": "" }, { "slug": "specifier-trm-adjustment-disorders-course-severity-current-severity", @@ -2779,7 +2779,7 @@ "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)." + "meaning": "" }, { "slug": "specifier-dis-dissociative-identity-disorder-severity-current-severity", @@ -2878,7 +2878,7 @@ "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)." + "meaning": "" }, { "slug": "specifier-dis-trance-disorder-icd-11-severity-current-severity", @@ -2911,7 +2911,7 @@ "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." + "meaning": "" }, { "slug": "specifier-som-somatic-symptom-disorder-severity-mild-1-criterion", @@ -2922,7 +2922,7 @@ "group": "Severity", "src": "source-verified", "def": "defined", - "meaning": "For Somatic Symptom Disorder, \"Mild (1 criterion)\" uses the stated threshold: 1 criterion." + "meaning": "" }, { "slug": "specifier-som-somatic-symptom-disorder-severity-moderate-2-criteria", @@ -2933,7 +2933,7 @@ "group": "Severity", "src": "source-verified", "def": "defined", - "meaning": "For Somatic Symptom Disorder, \"Moderate (2+ criteria)\" uses the stated threshold: 2+ criteria." + "meaning": "" }, { "slug": "specifier-som-somatic-symptom-disorder-severity-severe-2-criteria-multiple-severe-complaints", @@ -2944,7 +2944,7 @@ "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." + "meaning": "" }, { "slug": "specifier-som-illness-anxiety-disorder-type-care-seeking-type", @@ -3065,7 +3065,7 @@ "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." + "meaning": "" }, { "slug": "specifier-som-functional-neurological-symptom-disorder-conversion-fnd-course-context-persistent-6-months-or-more", @@ -3076,7 +3076,7 @@ "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." + "meaning": "" }, { "slug": "specifier-som-functional-neurological-symptom-disorder-conversion-fnd-course-context-with-without-psychological-stressor", @@ -3256,14 +3256,14 @@ }, { "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", + "label": "With apparent lack of interest in eating or food", "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." + "meaning": "" }, { "slug": "specifier-eat-avoidant-restrictive-food-intake-disorder-arfid-features-icd-11-with-avoidance-restriction-based-on-sensory-characteristics", @@ -3274,7 +3274,7 @@ "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." + "meaning": "" }, { "slug": "specifier-eat-avoidant-restrictive-food-intake-disorder-arfid-features-icd-11-with-avoidance-related-to-aversive-consequences-of-eating", @@ -3285,7 +3285,7 @@ "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." + "meaning": "" }, { "slug": "specifier-eat-avoidant-restrictive-food-intake-disorder-arfid-course-severity-in-remission", @@ -3362,7 +3362,7 @@ "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." + "meaning": "" }, { "slug": "specifier-eat-anorexia-nervosa-course-severity-moderate-bmi-16-16-99", @@ -3373,7 +3373,7 @@ "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." + "meaning": "" }, { "slug": "specifier-eat-anorexia-nervosa-course-severity-severe-bmi-15-15-99", @@ -3384,7 +3384,7 @@ "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." + "meaning": "" }, { "slug": "specifier-eat-anorexia-nervosa-course-severity-extreme-bmi-below-15", @@ -3395,7 +3395,7 @@ "group": "Course/Severity", "src": "source-verified", "def": "defined", - "meaning": "For Anorexia Nervosa, \"Extreme (BMI below 15)\" uses the stated threshold: BMI below 15." + "meaning": "" }, { "slug": "specifier-eat-bulimia-nervosa-course-severity-in-partial-remission", @@ -3428,7 +3428,7 @@ "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." + "meaning": "" }, { "slug": "specifier-eat-bulimia-nervosa-course-severity-moderate-4-7-episodes-week", @@ -3439,7 +3439,7 @@ "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." + "meaning": "" }, { "slug": "specifier-eat-bulimia-nervosa-course-severity-severe-8-13-episodes-week", @@ -3450,7 +3450,7 @@ "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." + "meaning": "" }, { "slug": "specifier-eat-bulimia-nervosa-course-severity-extreme-14-or-more-episodes-week", @@ -3461,7 +3461,7 @@ "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." + "meaning": "" }, { "slug": "specifier-eat-binge-eating-disorder-course-severity-in-partial-remission", @@ -3494,7 +3494,7 @@ "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." + "meaning": "" }, { "slug": "specifier-eat-binge-eating-disorder-course-severity-moderate-4-7-episodes-week", @@ -3505,7 +3505,7 @@ "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." + "meaning": "" }, { "slug": "specifier-eat-binge-eating-disorder-course-severity-severe-8-13-episodes-week", @@ -3516,7 +3516,7 @@ "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." + "meaning": "" }, { "slug": "specifier-eat-binge-eating-disorder-course-severity-extreme-14-or-more-episodes-week", @@ -3527,7 +3527,7 @@ "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." + "meaning": "" }, { "slug": "specifier-eli-enuresis-type-nocturnal-only", @@ -3604,7 +3604,7 @@ "group": "Course", "src": "source-verified", "def": "defined", - "meaning": "For Insomnia Disorder, \"Persistent (3 months or more)\" uses the stated threshold: 3 months or more." + "meaning": "" }, { "slug": "specifier-slp-insomnia-disorder-course-recurrent-two-or-more-episodes-within-1-year", @@ -3659,7 +3659,7 @@ "group": "Course", "src": "source-verified", "def": "defined", - "meaning": "For Hypersomnolence Disorder, \"Acute (less than 1 month)\" uses the stated threshold: less than 1 month." + "meaning": "" }, { "slug": "specifier-slp-hypersomnolence-disorder-course-subacute-1-3-months", @@ -3670,7 +3670,7 @@ "group": "Course", "src": "source-verified", "def": "defined", - "meaning": "For Hypersomnolence Disorder, \"Subacute (1-3 months)\" uses the stated threshold: 1-3 months." + "meaning": "" }, { "slug": "specifier-slp-hypersomnolence-disorder-course-persistent-more-than-3-months", @@ -3681,7 +3681,7 @@ "group": "Course", "src": "source-verified", "def": "defined", - "meaning": "For Hypersomnolence Disorder, \"Persistent (more than 3 months)\" uses the stated threshold: more than 3 months." + "meaning": "" }, { "slug": "specifier-slp-hypersomnolence-disorder-context-severity-with-mental-disorder", @@ -3725,7 +3725,7 @@ "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." + "meaning": "" }, { "slug": "specifier-slp-hypersomnolence-disorder-context-severity-moderate-3-4-days-week", @@ -3736,7 +3736,7 @@ "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." + "meaning": "" }, { "slug": "specifier-slp-hypersomnolence-disorder-context-severity-severe-5-7-days-week", @@ -3747,7 +3747,7 @@ "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." + "meaning": "" }, { "slug": "specifier-slp-narcolepsy-type-type-1-with-hypocretin-deficiency-usually-with-cataplexy", @@ -3978,7 +3978,7 @@ "group": "Course", "src": "source-verified", "def": "defined", - "meaning": "For Nightmare Disorder, \"Acute (less than 1 month)\" uses the stated threshold: less than 1 month." + "meaning": "" }, { "slug": "specifier-slp-nightmare-disorder-course-subacute-1-6-months", @@ -3989,7 +3989,7 @@ "group": "Course", "src": "source-verified", "def": "defined", - "meaning": "For Nightmare Disorder, \"Subacute (1-6 months)\" uses the stated threshold: 1-6 months." + "meaning": "" }, { "slug": "specifier-slp-nightmare-disorder-course-persistent-6-months-or-more", @@ -4000,7 +4000,7 @@ "group": "Course", "src": "source-verified", "def": "defined", - "meaning": "For Nightmare Disorder, \"Persistent (6 months or more)\" uses the stated threshold: 6 months or more." + "meaning": "" }, { "slug": "specifier-slp-nightmare-disorder-features-severity-during-sleep-onset", @@ -4803,7 +4803,7 @@ "group": "Subtypes", "src": "source-verified", "def": "defined", - "meaning": "ICD-11 gender incongruence category applying to adolescents or adults." + "meaning": "" }, { "slug": "specifier-gen-gender-incongruence-icd-11-subtypes-gender-incongruence-of-childhood", @@ -4814,7 +4814,7 @@ "group": "Subtypes", "src": "source-verified", "def": "defined", - "meaning": "ICD-11 gender incongruence category applying to children before puberty." + "meaning": "" }, { "slug": "specifier-imp-oppositional-defiant-disorder-features-with-chronic-irritability-anger", @@ -4836,7 +4836,7 @@ "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." + "meaning": "" }, { "slug": "specifier-imp-oppositional-defiant-disorder-severity-moderate-2-settings", @@ -4847,7 +4847,7 @@ "group": "Severity", "src": "source-verified", "def": "defined", - "meaning": "For Oppositional Defiant Disorder, \"Moderate (2 settings)\" uses the stated threshold: 2 settings." + "meaning": "" }, { "slug": "specifier-imp-oppositional-defiant-disorder-severity-severe-3-settings", @@ -4858,7 +4858,7 @@ "group": "Severity", "src": "source-verified", "def": "defined", - "meaning": "For Oppositional Defiant Disorder, \"Severe (3+ settings)\" uses the stated threshold: 3+ settings." + "meaning": "" }, { "slug": "specifier-imp-intermittent-explosive-disorder-severity-current-severity", @@ -4891,7 +4891,7 @@ "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." + "meaning": "" }, { "slug": "specifier-imp-conduct-disorder-onset-unspecified-onset", @@ -4979,7 +4979,7 @@ "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." + "meaning": "" }, { "slug": "specifier-sub-substance-use-disorders-general-specifiers-severity-moderate-4-5-symptoms", @@ -4990,7 +4990,7 @@ "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." + "meaning": "" }, { "slug": "specifier-sub-substance-use-disorders-general-specifiers-severity-severe-6-or-more-symptoms", @@ -5001,7 +5001,7 @@ "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." + "meaning": "" }, { "slug": "specifier-sub-substance-use-disorders-general-specifiers-course-context-in-early-remission-at-least-3-months-but-less-than-12-months", @@ -5012,7 +5012,7 @@ "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." + "meaning": "" }, { "slug": "specifier-sub-substance-use-disorders-general-specifiers-course-context-in-sustained-remission-12-months-or-more", @@ -5023,7 +5023,7 @@ "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." + "meaning": "" }, { "slug": "specifier-sub-substance-use-disorders-general-specifiers-course-context-on-maintenance-therapy", @@ -5287,7 +5287,7 @@ "group": "Type", "src": "source-verified", "def": "defined", - "meaning": "Gaming behaviour is conducted predominantly online, over the internet." + "meaning": "" }, { "slug": "specifier-sub-gaming-disorder-icd-11-type-predominantly-offline", @@ -5298,7 +5298,7 @@ "group": "Type", "src": "source-verified", "def": "defined", - "meaning": "Gaming behaviour is conducted predominantly offline, not primarily over the internet." + "meaning": "" }, { "slug": "specifier-sub-gaming-disorder-icd-11-severity-current-severity", @@ -5309,7 +5309,7 @@ "group": "Severity", "src": "source-verified", "def": "defined", - "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." + "meaning": "" }, { "slug": "specifier-ncg-delirium-aetiology-substance-intoxication-delirium", @@ -5375,7 +5375,7 @@ "group": "Course/Activity", "src": "source-verified", "def": "defined", - "meaning": "For Delirium, \"Acute (hours to days)\" uses the stated threshold: hours to days." + "meaning": "" }, { "slug": "specifier-ncg-delirium-course-activity-persistent-weeks-to-months", @@ -5386,7 +5386,7 @@ "group": "Course/Activity", "src": "source-verified", "def": "defined", - "meaning": "For Delirium, \"Persistent (weeks to months)\" uses the stated threshold: weeks to months." + "meaning": "" }, { "slug": "specifier-ncg-delirium-course-activity-hyperactive", @@ -5760,7 +5760,7 @@ "group": "Pathological Traits", "src": "source-verified", "def": "defined", - "meaning": "Trait pattern involving frequent, intense, or poorly regulated negative emotions such as anxiety, anger, shame, or emotional lability." + "meaning": "" }, { "slug": "specifier-per-dsm-5-tr-alternative-model-section-iii-ampd-pathological-traits-detachment", @@ -5771,7 +5771,7 @@ "group": "Pathological Traits", "src": "source-verified", "def": "defined", - "meaning": "Trait pattern involving social withdrawal, emotional restriction, limited intimacy, or reduced engagement with others." + "meaning": "" }, { "slug": "specifier-per-dsm-5-tr-alternative-model-section-iii-ampd-pathological-traits-antagonism", @@ -5793,7 +5793,7 @@ "group": "Pathological Traits", "src": "source-verified", "def": "defined", - "meaning": "Trait pattern involving impulsivity, poor planning, distractibility, or risk-prone behaviour." + "meaning": "" }, { "slug": "specifier-per-dsm-5-tr-alternative-model-section-iii-ampd-pathological-traits-psychoticism", @@ -5815,7 +5815,7 @@ "group": "Severity", "src": "source-verified", "def": "defined", - "meaning": "ICD-11 descriptor for clinically relevant personality problems below the threshold for personality disorder." + "meaning": "" }, { "slug": "specifier-per-icd-11-dimensional-model-severity-mild", @@ -5826,7 +5826,7 @@ "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." + "meaning": "" }, { "slug": "specifier-per-icd-11-dimensional-model-severity-moderate", @@ -5837,7 +5837,7 @@ "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." + "meaning": "" }, { "slug": "specifier-per-icd-11-dimensional-model-severity-severe", @@ -5848,7 +5848,7 @@ "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." + "meaning": "" }, { "slug": "specifier-per-icd-11-dimensional-model-trait-qualifiers-negative-affectivity-detachment-dissociality-disinhibition-anankastia", @@ -5859,7 +5859,7 @@ "group": "Trait Qualifiers", "src": "source-verified", "def": "defined", - "meaning": "ICD-11 personality trait qualifiers used to describe the dominant style of personality disturbance." + "meaning": "" }, { "slug": "specifier-per-icd-11-dimensional-model-pattern-borderline-pattern-qualifier", @@ -5870,7 +5870,7 @@ "group": "Pattern", "src": "source-verified", "def": "defined", - "meaning": "ICD-11 qualifier used when the personality-disorder presentation has a prominent borderline-pattern profile." + "meaning": "" }, { "slug": "specifier-par-voyeuristic-frotteuristic-context-course-in-a-controlled-environment", @@ -6277,7 +6277,7 @@ "group": "Type", "src": "source-verified", "def": "defined", - "meaning": "Gaming behaviour is conducted predominantly online, over the internet." + "meaning": "" }, { "slug": "specifier-icd-gaming-disorder-type-predominantly-offline", @@ -6288,7 +6288,7 @@ "group": "Type", "src": "source-verified", "def": "defined", - "meaning": "Gaming behaviour is conducted predominantly offline, not primarily over the internet." + "meaning": "" }, { "slug": "specifier-icd-gaming-disorder-severity-current-severity", @@ -6299,7 +6299,7 @@ "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." + "meaning": "" }, { "slug": "specifier-icd-compulsive-sexual-behaviour-disorder-severity-current-severity", @@ -6321,7 +6321,7 @@ "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." + "meaning": "" }, { "slug": "specifier-icd-catatonia-standalone-diagnosis-context-associated-with-another-mental-disorder", @@ -6343,7 +6343,7 @@ "group": "Context", "src": "source-verified", "def": "defined", - "meaning": "Symptoms are classified as substance- or medication-induced in the ICD-11 context." + "meaning": "" }, { "slug": "specifier-icd-catatonia-standalone-diagnosis-context-secondary-to-a-medical-condition-not-classified-elsewhere", @@ -6354,7 +6354,7 @@ "group": "Context", "src": "source-verified", "def": "defined", - "meaning": "The mental or behavioural presentation is classified as secondary to another medical condition." + "meaning": "" }, { "slug": "specifier-icd-bodily-distress-disorder-severity-mild", @@ -6409,7 +6409,7 @@ "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)." + "meaning": "" }, { "slug": "specifier-icd-olfactory-reference-disorder-insight-with-good-or-fair-insight", @@ -6475,7 +6475,7 @@ "group": "Classification", "src": "source-verified", "def": "defined", - "meaning": "ICD-11 places gender incongruence outside the mental disorders chapter." + "meaning": "" } ] } diff --git a/src/components/specifiers/specifier-reference-page.tsx b/src/components/specifiers/specifier-reference-page.tsx index b9ed5119c..f6dd21ef5 100644 --- a/src/components/specifiers/specifier-reference-page.tsx +++ b/src/components/specifiers/specifier-reference-page.tsx @@ -4,7 +4,6 @@ import { ArrowRight, BookOpenCheck, Check, - CircleHelp, FileCheck2, Layers, ListChecks, @@ -120,17 +119,18 @@ function ReasoningList({ 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"; + // Generated definition text is withheld for ALL rows — including those whose + // SOURCE was verified. Automated review repeatedly found scattered clinical + // errors among the "source-verified" generated definitions, so none of the + // generated meaning/clinical-note is displayed as trusted; the catalogue shows + // only the specifier's structural facts (label, disorder, group, ICD-11 context), + // its review status, and hand-authored curated guidance, pending qualified + // clinician-authored definitions. + const hasWithheldDefinition = Boolean(item.definition); 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 ${item.disorderName} without a separate definition — read it against the current DSM-5-TR text.`; + const description = hasWithheldDefinition + ? `“${item.label}” is recorded for ${item.disorderName}; its definition is pending qualified clinician verification — confirm against the current DSM-5-TR / ICD-11 text.` + : `“${item.label}” is recorded for ${item.disorderName} without a separate definition — read it against the current ${sourceManual} text.`; return ( @@ -213,11 +213,7 @@ export function SpecifierReferencePage({ item }: { item: SpecifierCatalogItem }) body="Aide-memoire content for the specifier and how it sits within its diagnosis. Confirm against current DSM-5-TR / ICD-11 materials before documenting." /> - {trusted ? ( - -

{item.definition!.meaning}

-
- ) : pendingVerification ? ( + {hasWithheldDefinition ? (

The generated definition for this specifier is withheld pending qualified clinician review. Confirm the @@ -226,14 +222,6 @@ export function SpecifierReferencePage({ item }: { item: SpecifierCatalogItem }) ) : null} - {trusted && item.definition?.clinicalNote ? ( - -

- {item.definition.clinicalNote} -

-
- ) : null} - {enrichment ? (
diff --git a/tests/specifiers-content.test.ts b/tests/specifiers-content.test.ts index b0391310b..29e9f7226 100644 --- a/tests/specifiers-content.test.ts +++ b/tests/specifiers-content.test.ts @@ -94,13 +94,12 @@ describe("specifiers content catalog", () => { } }); - 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("withholds all generated definition text from the client index", () => { + // Generated definitions — even on source-verified rows — are withheld pending + // qualified clinician review (automated review found scattered clinical errors + // among the "source-verified" subset), so the compact search index carries no + // meaning text: nothing generated is displayed or ranked on. + expect(specifierIndexItems.some((item) => item.meaning)).toBe(false); }); it("does not mislabel timing/onset specifiers as symptom-count thresholds", () => { @@ -141,6 +140,16 @@ describe("specifiers content catalog", () => { } }); + it("labels ARFID drivers per ICD-11 (lack of interest, not limited availability)", () => { + // ICD-11 6B83 lists three drivers: sensory-based avoidance, fear of aversive + // consequences, and lack of interest in eating. "Limited availability" is an + // ICD-11 exclusion, not a driver, so it must not appear as a specifier label. + const arfid = specifierCatalogItems().filter((item) => /avoidant.restrictive food intake/i.test(item.disorderName)); + const labels = arfid.map((item) => item.label.toLowerCase()); + expect(labels.some((label) => /limited availability/.test(label))).toBe(false); + expect(labels.some((label) => /lack of interest/.test(label))).toBe(true); + }); + 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.