If you give someone a '3' on the Apparent Sadness scale, what does it mean? Apparently it's /between /'Looks dispirited but does brighten up without difficulty' and 'Appears sad and unhappy most of the time'....

So now imagine that this '3' appears for me in my record - just that value. The scale doesn't tell you what it means. It probably should have a value like 'Appears sad quite often' or similar. Instead, I would see nothing at all, and maybe I would know to go online and try to understand what 3 means by looking at the values for 2 and 4. Even in a paper record, the problem is the same.

At a technical level, the RM will does require a DV_CODED_TEXT. So one question is: considering that the set of texts for an ordinal is actually a set of terms, what does the term set look like? It must be value set with only 4 members instead of 7.

Personally I think that scale is not ready for use in paper or electronic health record...

- thomas

On 26/04/2016 11:59, Bakke, Silje Ljosland wrote:

Hi everyone,

We’re working on an archetype for the Montgomery-Åsberg Depression Rating Scale (MADRS). This scale contains several ordinal values where there is no description, and some where there is no text at all. This doesn’t work very well in archetypes, and particularly when uploading to a CKM, because there’s an expectation that every field should be filled in, and the CKM will replace empty fields with * or sometimes *([language code]). Is there any way to get around this?

See here for what the MADRS looks like: http://www.psy-world.com/madrs.htm


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