ARCHETYPE Young Mania Rating Scale (YMRS) (openEHR-EHR-OBSERVATION.ymrs.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.ymrs.v0
ConceptYoung Mania Rating Scale (YMRS)
DescriptionClinical interview scale to assess the severity of manic episodes.
UseUse as a tool to assess and record the severity of a manic episode. The questionnaire consists of eleven items which the clinician rates based on the assessment of the patients current condition during the course of the interview. Each contributes points to the total score which ranges from 0-60. - Elevated mood - Increased motor activity-energy - Sexual interest - Sleep - Irritability - Speech (rate and amount) - Language-thought disorder - Content - Disruptive-aggressive behaviour - Appearance - Insight Score interpretation: 14-19 points indicate hypomania 20-30 points indicate moderate mania >30 points indicate severe mania.
PurposeTo assess and record the severity of a manic episode.
ReferencesYoung RC, Biggs JT, Ziegler VE, Meyer DA. A rating scale for mania: reliability, validity and sensitivity. Br J Psychiatry. 1978 Nov;133:429-35. PubMed PMID: 728692.
Copyright© Cambio Healthcare Systems, openEHR Foundation
AuthorsAuthor name: Dennis Forslund
Organisation: Cambio Healthcare Systems
Email: models@cambiocds.com
Date originally authored: 2016-12-14
Other Details LanguageAuthor name: Dennis Forslund
Organisation: Cambio Healthcare Systems
Email: models@cambiocds.com
Date originally authored: 2016-12-14
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/., custodian_organisation=openEHR Foundation, references=Young RC, Biggs JT, Ziegler VE, Meyer DA. A rating scale for mania: reliability, validity and sensitivity. Br J Psychiatry. 1978 Nov;133:429-35. PubMed PMID: 728692., current_contact=Heather Leslie, Atomica Informatics, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=896357B7F869A6CEB7ADA1C2F6A0D786, build_uid=205153bc-efb5-44c4-8b3b-322ffd831760, revision=0.0.1-alpha}
KeywordsYMRS, Young Mania Rating Scale, mania, hypomania, DSM, psychiatry
Lifecyclein_development
UID792bcb5d-08be-4d89-a5c7-16f1cff9685d
Language useden
Citeable Identifier1013.1.3781
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Clinical interview scale to assess the severity of manic episodes., archetypeConceptComment=null, otherContributors=Heather Leslie, Atomica Informatics, Australia, originalLanguage=en, translators=
  • Swedish: Dennis Forslund, Cambio Healthcare Systems

  • , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={state=[], contacts=[], details=[], description=[], content=[], provider=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Elevated mood, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Absent [*]
    1: Mildly or possibly increased on questioning [*]
    2: Definite subjective elevation; optimistic, self-confident; cheerful; appropriate to content [*]
    3: Elevated, inappropriate to content; humorous [*]
    4: Euphoric; inappropriate laughter; singing [*]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Increased motor activity-energy, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Absent [*]
    1: Subjectively increased [*]
    2: Animated; gestures increased [*]
    3: Excessive energy; hyperactive at times; restless (can be calmed) [*]
    4: Motor excitement; continuous hyperactivity (cannot be calmed) [*]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=Sexual interest, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Normal; not increased [*]
    1: Mildly or possibly increased [*]
    2: Definite subjective increase on questioning [*]
    3: Spontaneous sexual content; elaborates on sexual matters; hypersexual by self-report [*]
    4: Overt sexual acts (toward patients, staff or interviewer) [*]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0007], code=at0007, itemType=ELEMENT, level=4, text=Sleep, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Reports no decrease in sleep [*]
    1: Sleeping less than normal amount by up to one hour [*]
    2: Sleeping less than normal by more than one hour [*]
    3: Reports decreased need for sleep [*]
    4: Denies need for sleep [*]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0008], code=at0008, itemType=ELEMENT, level=4, text=Irritability, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Absent [*]
    2: Subjectively increased [*]
    4: Irritable at times during interview; recent episodes of anges or annoyance on ward [*]
    6: Frequently irritable during interview; short, curt throughout [*]
    8: Hostile, unco-operative; interview impossible [*]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Speech (rate and amount), description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No increase [*]
    2: Feels talkative [*]
    4: Increased rate or amount at times, verbose at times [*]
    6: Push; consistently increased rate and amount; difficult to interrupt [*]
    8: Pressured; uninterruptible, continuous speech [*]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Language - thought disorder, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Absent [*]
    1: Circumstantial; mild distractibility; quick thoughts [*]
    2: Distractible; loses goal of thought; changes topics frequently; racing thoughts [*]
    3: Flight of ideas; tangentiality; difficult to follow; rhyming, echolalia [*]
    4: Incoherent; communication impossible [*]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Content, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Normal [*]
    2: Questionable plans, new interests [*]
    4: Special project(s); hyperreligous [*]
    6: Grandiose or paranoid ideas; ideas of reference [*]
    8: Delusions; hallucinations [*]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0012], code=at0012, itemType=ELEMENT, level=4, text=Disruptive-aggressive behaviour, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Absent [*]
    2: Sarcastic; loud at times, guarded [*]
    4: Demanding; threats on ward [*]
    6: Threatens interviewer; shouting; interview difficult [*]
    8: Assaultive; destructive; interview impossible [*]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0013], code=at0013, itemType=ELEMENT, level=4, text=Appearance, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Appropriate dress and grooming [*]
    1: Minimally unkempt [*]
    2: Poorly groomed; moderately dishevelled; overdressed [*]
    3: Dishevelled; partly clothed; garish make-up [*]
    4: Completely unkempt; decorated; bizarre garb [*]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0014], code=at0014, itemType=ELEMENT, level=4, text=Insight, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Present; admits illness; agrees with need for treatment [*]
    1: Possibly ill [*]
    2: Admits behaviour change, but denies illness [*]
    3: Admits possible change in behaviour, but denies illness [*]
    4: Denies any behaviour change [*]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0015], code=at0015, itemType=ELEMENT, level=4, text=Total score, description=The sum of each ordinal scores recorded for each of the eleven component responses., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=60

    , extendedValues=null]], identities=[], other_participations=[], activities=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0071]/items[at0072], code=at0072, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    All not explicitly excluded archetypes, extendedValues=null]], credentials=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=2, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=null, extendedValues=null]], context=[], relationships=[], target=[], capabilities=[], items=[], source=[], ism_transition=[]}, topLevelItems={data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0071], code=at0071, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0071]/items[at0072], code=at0072, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    All not explicitly excluded archetypes, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]