Mental Status Examination

From WikiHIT

1 Description
2 Synopsis
3 Applicability
4 Instructions
5 Relationships
6 Attributes
7 Reference

[edit] Description

Mental status examination, or MSE, is a medical process where a clinician working in the field of mental health (usually a psychotherapist, social worker, psychiatrist, psychiatric nurse or psychologist) systematically examines a patient's mind. Each area of function is considered separately under categories in a way similar to a physical examination performed by physicians. However, much of the material for the MSE is gathered during psychiatric history taking. The result of this examination is combined with the psychiatric history to produce a "psychiatric formulation" of the person being examined.

[edit] Synopsis

Short Name	MSE
Long Name	Mental Status Examination
TemplateID
UMLS Concept Code
Synonym	MSE
Type	Observation
Revision	14216

[edit] Applicability

Account	eCHR/ePHR
Sex	All
Age	All
Exceptions	None

[edit] Instructions

Patient
Clinical

[edit] Relationships

Type	Category or CDD	Cardinality
Contains	Appearance, Personal	0..1
Contains	Behavior	0..1
Contains	State of Mind	0..1
Contains	Mood	0..1
Contains	Speech	0..1
Contains	Affect	0..1
Contains	Thought	0..1
Contains	Hallucinations	0..1
Contains	Impaired Cognition	0..1
Contains	Consciousness	0..1
Contains	Orientation	0..1
Contains	Judgement	0..1
Contains	Insight	0..1