ARCHETYPE Yale global tic severity scale - score (openEHR-EHR-OBSERVATION.yale_global_tic_score.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.yale_global_tic_score.v0
ConceptYale global tic severity scale - score
DescriptionScore of tic severity.
UseUse to record tic severity. The archetype represents the score of the YGTSS scale. Use the CLUSTER.xxx to record the checklist part.
PurposeTo record tic severity.
ReferencesLeckman, J. F., Riddle, M. A., Hardin, M. T., Ort, S. I., Swartz, K. L., Stevenson, J. O. H. N., & Cohen, D. J. (1989). The Yale Global Tic Severity Scale: initial testing of a clinician-rated scale of tic severity. Journal of the American Academy of Child & Adolescent Psychiatry, 28(4), 566-573

Norsk oversettelse ved Heike Eichele (2020), Regionalt fagmiljø for autisme, ADHD, Tourettes syndrom og narkolepsi Helse Vest Etter tillatelse fra Lawrence Scahill og James Leckman, Yale.
Copyright© openEHR Foundation
AuthorsAuthor name: John Tore Valand
Date originally authored: 2021-03-12
Other Details LanguageAuthor name: John Tore Valand
Date originally authored: 2021-03-12
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, references=Leckman, J. F., Riddle, M. A., Hardin, M. T., Ort, S. I., Swartz, K. L., Stevenson, J. O. H. N., & Cohen, D. J. (1989). The Yale Global Tic Severity Scale: initial testing of a clinician-rated scale of tic severity. Journal of the American Academy of Child & Adolescent Psychiatry, 28(4), 566-573 Norsk oversettelse ved Heike Eichele (2020), Regionalt fagmiljø for autisme, ADHD, Tourettes syndrom og narkolepsi Helse Vest Etter tillatelse fra Lawrence Scahill og James Leckman, Yale., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=C0CA6B3304221AC75434CCF031904123, build_uid=ca332656-5c63-4234-b3f3-2cc4a361eed4, revision=0.0.1-alpha}
Keywords
Lifecyclein_development
UIDaeb175c9-8694-437a-af98-707d50deeea5
Language useden
Citeable Identifier1013.1.5319
Revision Number0.0.1-alpha
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1: Single tic
2: Multiple discrete tics (2-5)
3: Multiple discrete tics (>5)
4: Multiplediscrete tics plus as least one orchestrated pattern of multiple simultaneous or sequential tics where it is difficult to distinguish discrete tics
5: Multiple discrete tics plus several (>2) orchestrated paroxysms of multiple simultaneous or sequential tics that where it is difficult to distinguish discrete tics
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0005]/items[at0006]/items[at0007], code=at0007, itemType=ELEMENT, level=6, text=Frequency, description=Frequency of motor tics., 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: None [No evidence of specific tic behaviors.]
1: Rarely [Specific tic behaviors have been present during previous week. These behaviors occur infrequently, often not on a daily basis. If bouts of tics occur, they are brief and uncommon.]
2: Occasionally [Specific tic behaviors are usually present on a daily basis, but there are long tic-free intervals during the day. Bouts of tics may occur on occasion and are not sustained for more than a few minutes at a time.]
3: Frequently [Specific tic behaviors are present on a daily basis. tic free intervals as longas 3 hours are not uncommon. Bouts of tics occur regularly but may be limited to a single setting.]
4: Almost always [Specific tic behaviors are present virtually every waking hour of every day, and periods of sustained tic behaviors occur regularly. Bouts of tics are common and are not limited to a single setting.]
5: Always [Specific tic behaviors are present virtually all the time. Tic free intervals are difficult to identify and do not last more than 5 to 10 minutes at most.]
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1: Minimal intensity [Tics not visible or audible (based solely on patient's private experience) or tics are less forceful than comparable voluntary actions and are typically not noticed because of their intensity.]
2: Mild intensity [Tics are not more forceful than comparable voluntary actions or utterances and are typically not noticed because of their intensity.]
3: Moderate intensity [Tics are more forceful than comparable voluntary actions but are not outside the range of normal expression for comparable voluntary actions or utterances. They may call attention to the individual because of their forceful character.]
4: Marked intensity [Tics are more forceful than comparable voluntary actions or utterances and typically have an "exaggerated" character. Such tics frequently call attention to the individual becauseof their forceful and exaggerated character.]
5: Severe intensity [Tics are extremely forceful and exaggerated in expression. These tics call attention to the individual and may result in risk of physical injury (accidental, provoked, or self-inflicted) because of their forceful expression.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0005]/items[at0006]/items[at0028], code=at0028, itemType=ELEMENT, level=6, text=Complexity, description=Complexity of motor tics., 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: None [If present, all tics are clearly "simple" (sudden, brief, purposeless) in character.]
1: Borderline [Some tics are not clearly "simple" in character.]
2: Mild [Some tics are clearly "complex" (purposive in appearance) and mimic brief "automatic" behaviors, such as grooming, syllables, or brief meaningful utterances such as "ah huh," "hi" that could be readily camouflaged.]
3: Moderate [Some tics are more "complex" (more purposive and sustained in appearance) and may occur in orchestrated bouts that would be difficult to camouflage but could be rationalized or "explained" as normal behavior or speech (picking, tapping, saying "you bet" or "honey", brief echolalia).]
4: Marked [Some tics are very "complex" in character and tend to occur in sustained orchestrated bouts that would be difficult to camouflage and could not be easily rationalized as normal behavior or speech because of their duration and/or their unusual, inappropriate, bizarre or obscene character (a lengthy facial contortion, touching genitals, echolalia, speech atypicalities, longer bouts of saying "what do you mean" repeatedly, or saying "fu" or "sh").]
5: Severe [Some tics involve lengthy bouts oforchestrated behavior or speech that would be impossible to camouflage or successfully rationalize as normal because of their duration and/or extremely unusual, inappropriate, bizarre or obscene character (lengthy displays or utterances often involving copropraxia, self-abusive behavior, or coprolalia).]
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1: Minimal [When tics are present, they do not interrupt the flow of behavior or speech.]
2: Mild [When tics are present, they occasionally interrupt the flowof behavior or speech.]
3: Moderate [When tics are present, they frequently interrupt the flow of behavior or speech.]
4: Marked [When tics are present, they frequently interrupt the flow of behavior or speech, and they occasionally disrupt intendedaction or communication.]
5: Severe [When tics are present, they frequently disrupt intended action or communication.]
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1: Single tic
2: Multiple discrete tics (2-5)
3: Multiple discrete tics (>5)
4: Multiplediscrete tics plus as least one orchestrated pattern of multiple simultaneous or sequential tics where it is difficult to distinguish discrete tics
5: Multiple discrete tics plus several (>2) orchestrated paroxysms of multiple simultaneous or sequential tics that where it is difficult to distinguish discrete tics
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1: Rarely [Specific tic behaviors have been present during previous week. These behaviors occur infrequently, often not on a daily basis. If bouts of tics occur, they are brief and uncommon.]
2: Occasionally [Specific tic behaviors are usually present on a daily basis, but there are long tic-free intervals during the day. Bouts of tics may occur on occasion and are not sustained for more than a few minutes at a time.]
3: Frequently [Specific tic behaviors are present on a daily basis. tic free intervals as longas 3 hours are not uncommon. Bouts of tics occur regularly but may be limited to a single setting.]
4: Almost always [Specific tic behaviors are present virtually every waking hour of every day, and periods of sustained tic behaviors occur regularly. Bouts of tics are common and are not limited to a single setting.]
5: Always [Specific tic behaviors are present virtually all the time. Tic free intervals are difficult to identify and do not last more than 5 to 10 minutes at most.]
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1: Minimal intensity [Tics not visible or audible (based solely on patient's private experience) or tics are less forceful than comparable voluntary actions and are typically not noticed because of their intensity.]
2: Mild intensity [Tics are not more forceful than comparable voluntary actions or utterances and are typically not noticed because of their intensity.]
3: Moderate intensity [Tics are more forceful than comparable voluntary actions but are not outside the range of normal expression for comparable voluntary actions or utterances. They may call attention to the individual because of their forceful character.]
4: Marked intensity [Tics are more forceful than comparable voluntary actions or utterances and typically have an "exaggerated" character. Such tics frequently call attention to the individual becauseof their forceful and exaggerated character.]
5: Severe intensity [Tics are extremely forceful and exaggerated in expression. These tics call attention to the individual and may result in risk of physical injury (accidental, provoked, or self-inflicted) because of their forceful expression.]
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1: Borderline [Some tics are not clearly "simple" in character.]
2: Mild [Some tics are clearly "complex" (purposive in appearance) and mimic brief "automatic" behaviors, such as grooming, syllables, or brief meaningful utterances such as "ah huh," "hi" that could be readily camouflaged.]
3: Moderate [Some tics are more "complex" (more purposive and sustained in appearance) and may occur in orchestrated bouts that would be difficult to camouflage but could be rationalized or "explained" as normal behavior or speech (picking, tapping, saying "you bet" or "honey", brief echolalia).]
4: Marked [Some tics are very "complex" in character and tend to occur in sustained orchestrated bouts that would be difficult to camouflage and could not be easily rationalized as normal behavior or speech because of their duration and/or their unusual, inappropriate, bizarre or obscene character (a lengthy facial contortion, touching genitals, echolalia, speech atypicalities, longer bouts of saying "what do you mean" repeatedly, or saying "fu" or "sh").]
5: Severe [Some tics involve lengthy bouts oforchestrated behavior or speech that would be impossible to camouflage or successfully rationalize as normal because of their duration and/or extremely unusual, inappropriate, bizarre or obscene character (lengthy displays or utterances often involving copropraxia, self-abusive behavior, or coprolalia).]
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1: Minimal [When tics are present, they do not interrupt the flow of behavior or speech.]
2: Mild [When tics are present, they occasionally interrupt the flowof behavior or speech.]
3: Moderate [When tics are present, they frequently interrupt the flow of behavior or speech.]
4: Marked [When tics are present, they frequently interrupt the flow of behavior or speech, and they occasionally disrupt intendedaction or communication.]
5: Severe [When tics are present, they frequently disrupt intended action or communication.]
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10: Minimal [Tics associated with subtle difficulties in self-esteem, family life, social acceptance, orschool or job functioning (infrequent upset or concern about tics vis a vis the future, periodic, slight increase in family tensions because of tics, friends or acquaintances may occasionally notice or comment about tics in an upsetting way).]
20: Mild [Tics associated with minor difficulties in self-esteem, family life, social acceptance, or school or job functioning.]
30: Moderate [Tics associated with some clear problems in self-esteem family life, social acceptance, or school or job functioning (episodes of dysphoria, periodic distress and upheaval in the family, frequent teasing by peers or episodic social avoidance, periodic interference in school or job performance because of tics).]
40: Marked [Tics associated with major difficulties in self-esteem, family life, social acceptance, or school or job functioning.]
50: Severe [Tics associated with extreme difficulties in self-esteem, family life, social acceptance, or school or job functioning (severe depression with suicidal ideation, disruption of the family (separation/divorce, residential placement), disruption of social tics - severely restricted life because of social stigma and social avoidance, removal from school or loss of job).]
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