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Care Manager Tracking Database Data Dictionary (Mental Health)
Data Element
Dysthymia?
Type/Control
Checkbox
Values
Yes/No
Required Definition
No
Does Patient have Dysthymia? Steadman's defn:
"A chronic mood disorder manifested as
depression for most of the day, more days than
not, accompanied by some of the following
symptoms: poor appetite or overeating, insomnia
or hypersomnia, low energy or fatigue, low selfesteem, poor concentration, difficulty making
decisions, and feelings of hopelessness."
PHQ Suicide Q9
Drop-down
0;1;2;3
No
Suicide State
Drop-down
No
Suicide Risk
Drop-down
No
Potential Patient has in taking his/her own life
Clinician Aware?
Follow Up Required?
Suicide Comments
Mood and Anxiety / Sleep
Mood Screen 1
Mood Screen 2
Mood Screen 3
Symptom Rating Scales Sx-Mood
Symptom Rating Scales Sx-Anx
Symptom Rating Scales Imp-Mood
Symptom Rating Scales Imp-Anx
Mood Comments
Anxiety Comments
Sleep Assessment
(Sleep) Difficulty?
(Sleep) Severity
Pediatric Only
Checkbox
Checkbox
Textbox
1. Thoughts Only; 2.
Thoughts and Plans; 3.
Thoughts/Plans/Actions
No Risk; Low Risk; Medium
Risk; High Risk
Yes/No
Yes/No
Free Text
Suicide Score based on the personal health
questionnaire nine symptom checklist (PHQ-9)
calculated by totaling the values for each suicide
question.
The state of risk for Suicide for the Patient
No
No
No
Is Clinician aware of Suicide risk?
Follow-up needed for Suicide risk?
Comments relating to suicide
Textbox
Textbox
Textbox
Textbox
Textbox
Textbox
Textbox
Textbox
Textbox
Numeric
Free Text
Free Text
Numeric
Numeric
Numeric
Numeric
Free Text
Free Text
No
No
No
No
No
No
No
No
No
Score (7)/13
Y/N
+\Score (40)/100
Score (30)/60
Score (10)/20
Score (10)/20
Comments relating to Patient mood
Comments relating to Patient anxiety
Checkbox
Textbox
Yes/No
Numeric
No
No
Patient having difficulty sleeping?
Severity of Sleep Difficulty (Scale of 0-10)
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