\\n\\nPreview Branches by Supabase.\\nLearn more about [Supabase Branching ↗︎](https://supabase.com/docs/guides/platform/branching).\",\"path\":null,\"side\":null,\"line\":null}{\"type\":\"pull_request_comment\",\"body\":\"\\n\\n\\n[![Review Change Stack](https://storage.googleapis.com/coderabbit_public_assets/review-stack-in-coderabbit-ui.svg)](https://app.coderabbit.ai/change-stack/BigSimmo/Database/pull/656?utm_source=github_walkthrough&utm_medium=github&utm_campaign=change_stack)\\n\\n\\n\\n\\n> [!NOTE]\\n> Currently processing new changes in this PR. This may take a few minutes, please wait...\\n> \\n>

\\n>

⚙️ Run configuration

\\n> \\n> **Configuration used**: Path: .coderabbit.yaml\\n> \\n> **Review profile**: CHILL\\n> \\n> **Plan**: Pro Plus\\n> \\n> **Run ID**: `0a1b2684-41d1-4221-8db4-3752c54534dc`\\n> \\n>

\\n> \\n>

\\n>

📥 Commits

\\n> \\n> Reviewing files that changed from the base of the PR and between 1c8bfd4ca3c3abfa23cfc8f915a4d36fcf3da4f3 and 60c7603fcfde0bf10ba3cb41688e035933defa43.\\n> \\n>

\\n> \\n>

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📒 Files selected for processing (3)

\\n> \\n> * `data/specifiers-content.json`\\n> * `data/specifiers-search-index.json`\\n> * `tests/specifiers-content.test.ts`\\n> \\n>

\\n> \\n> ```ascii\\n> __________________________________________________________\\n> < Your types are so loose they're in an open relationship. >\\n> ----------------------------------------------------------\\n> \\\\\\n> \\\\ \\\\\\n> \\\\ /\\\\\\n> ( )\\n> .( o ).\\n> ```\\n\\n\\n\\n\\n\\n

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📝 Walkthrough

\\n\\n## Walkthrough\\n\\nAdds a complete DSM-5-TR specifier catalog, cached server access, client-side search, catalog reference pages, enhanced search results, dynamic routing, and validation tests.\\n\\n### Changes\\n\\n**Specifier catalog experience**\\n\\n|Layer / File(s)|Summary|\\n|---|---|\\n|**Specifier datasets**
`data/specifiers-content.json`, `data/specifiers-search-index.json`|Adds hierarchical specifier content, flattened search records, metadata, definitions, categories, and review statuses.|\\n|**Server catalog access**
`src/lib/specifiers-content.ts`|Adds typed dataset loading, slug-based catalog lookup, related items, curated enrichment, and verified-item pre-render selection.|\\n|**Client catalog search**
`src/lib/specifiers-search-index.ts`, `tests/specifiers-content.test.ts`|Adds filtered and ranked search over the client index, preset queries, and tests for catalog consistency, slugs, definitions, enrichment, and filtering.|\\n|**Reference page and UI primitives**
`src/components/specifiers/specifier-ui.tsx`, `src/components/specifiers/specifier-reference-page.tsx`, `src/components/specifiers/specifier-record-page.tsx`|Adds category, review, DSM, and quick-tile components and renders catalog reference pages with definitions, related entries, and review details.|\\n|**Search home and route integration**
`src/components/specifiers/specifiers-home-page.tsx`, `src/app/specifiers/[slug]/page.tsx`|Displays review alerts and additional catalog matches, and supports dynamic catalog-backed specifier routes alongside curated pages.|\\n\\n**Estimated code review effort:** 4 (Complex) | ~45 minutes\\n\\n**Possibly related PRs**\\n\\n- [BigSimmo/Database#633](https://github.com/BigSimmo/Database/pull/633): Changes the same specifier detail routing behavior.\\n- [BigSimmo/Database#658](https://github.com/BigSimmo/Database/pull/658): Extends the specifier search results UI introduced here.\\n\\n

\\n\\n\\n\\n\\n

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🚥 Pre-merge checks | ✅ 5

\\n\\n

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✅ Passed checks (5 passed)

\\n\\n

\\n\\n\\n\\n\\n

\\n

✨ Finishing Touches

\\n\\n

\\n

📝 Generate docstrings

\\n\\n- [ ] Create stacked PR\\n- [ ] Commit on current branch\\n\\n

\\n

🧪 Generate unit tests (beta)

\\n\\n- [ ] Create PR with unit tests\\n- [ ] Commit unit tests in branch `claude/specifiers-v2-design-r55baf`\\n\\n

\\n\\n

\\n\\n\\n\\n\\n---\\n\\n\\n\\n\\n_{Comment `@coderabbitai help` to get the list of available commands.}\\n\\n\",\"path\":null,\"side\":null,\"line\":null}{\"type\":\"pull_request_comment\",\"body\":\"**_{_{![P1 Badge](https://img.shields.io/badge/P1-orange?style=flat)}} Correct anxious-distress definitions**\\n\\nFor the mood-disorder row labeled `With anxious distress (mild, moderate, moderate-severe, severe)`, the generated meaning describes the `severe` severity level instead of anxious distress itself; the same pattern appears for Bipolar II and MDD, so a user searching or opening anxious distress gets clinical guidance about episode severity rather than the specifier. The dataset already contains the correct anxious-distress anchor elsewhere, so these rows should use that meaning and reserve the severity text for the actual `Severe` rows.\\n\\nUseful? React with 👍 / 👎.\",\"path\":\"data/specifiers-content.json\",\"side\":\"RIGHT\",\"line\":null}{\"type\":\"pull_request_comment\",\"body\":\"**_{_{![P2 Badge](https://img.shields.io/badge/P2-yellow?style=flat)}} Apply filters to catalog matches**\\n\\nWhen the user changes the family or diagnosis filters, only the curated `results` are filtered; the new full-catalog section still calls `searchSpecifierCatalog(query)` without equivalent filters, so selecting a diagnosis such as Bipolar can still show non-bipolar catalog matches under the same filtered results page. Either pass the matching catalog/category constraints here or clearly keep the full-catalog section outside the filtered result set.\\n\\nUseful? React with 👍 / 👎.\",\"path\":\"src/components/specifiers/specifiers-home-page.tsx\",\"side\":\"RIGHT\",\"line\":229}{\"type\":\"pull_request_comment\",\"body\":\"**_{_{![P2 Badge](https://img.shields.io/badge/P2-yellow?style=flat)}} Link the Deep guide CTA to the guide**\\n\\nFor catalog items with a curated enrichment, the CTA labeled `Deep guide` currently opens `/specifiers/compare` with a single specifier instead of the rich curated detail page; clicking it from an enriched reference page such as anxious distress lands users in the comparison workflow rather than the promised guide. This should point at `/specifiers/${enrichment.slug}` if the intent is to open the deep guide.\\n\\nUseful? React with 👍 / 👎.\",\"path\":\"src/components/specifiers/specifier-reference-page.tsx\",\"side\":\"RIGHT\",\"line\":155}{\"type\":\"pull_request_comment\",\"body\":\"\\n### 💡 Codex Review\\n\\nHere are some automated review suggestions for this pull request.\\n\\n**Reviewed commit:** `3470e94f59`\\n \\n\\n

ℹ️ About Codex in GitHub

\\n
\\n\\n[Your team has set up Codex to review pull requests in this repo](https://chatgpt.com/codex/cloud/settings/general). Reviews are triggered when you\\n- Open a pull request for review\\n- Mark a draft as ready\\n- Comment \\\"@codex review\\\".\\n\\nIf Codex has suggestions, it will comment; otherwise it will react with 👍.\\n\\n\\n\\n\\nCodex can also answer questions or update the PR. Try commenting \\\"@codex address that feedback\\\".\\n \\n

\",\"path\":null,\"side\":null,\"line\":null}{\"type\":\"pull_request_comment\",\"body\":\"\\n\\n\\n\\n\\n\\n@codex resolve actionable Codex review findings for this pull request and current head using the repository instructions. This is the pull request's single automatic repair pass: do not perform a fresh review, create new standalone findings, or request another review. Work only the existing unresolved Codex threads on the current head. Always fix P0 and P1 findings. For P2 and lower findings, fix only clear, scoped, low-risk issues; otherwise disposition them with a concise reason. After fixing or dispositioning a thread, reply in that thread with as the first line, followed by a concise summary; that marker authorizes the workflow to close that exact thread. If human input or new authorization is required, do not use the marker and leave the thread open with the blocker. Finish only after every actionable thread is fixed or dispositioned and closed, or explicitly left open for a human decision. Do not update the branch from main, address unrelated reviews, broaden scope, or create more than one scoped fix commit. Do not use external APIs, paid services, credentials, dependency changes, or broad refactors unless explicitly authorized. Add targeted tests where behavior changes and run the narrowest relevant validation.\",\"path\":null,\"side\":null,\"line\":null}{\"type\":\"pull_request_comment\",\"body\":\"\\n### 💡 Codex Review\\n\\nHere are some automated review suggestions for this pull request.\\n\\n**Reviewed commit:** `3470e94f59`\\n \\n\\n

ℹ️ About Codex in GitHub

\",\"path\":null,\"side\":null,\"line\":null}{\"type\":\"pull_request_comment\",\"body\":\"**_{_{![P1 Badge](https://img.shields.io/badge/P1-orange?style=flat)}} Guard curated matches by diagnosis context**\\n\\nWhen a catalog row has a generic label/short name such as `Mild`, this label-only lookup maps it to the curated mood-disorder `mild-severity` record even for unrelated diagnoses like Intellectual Developmental Disorder. Opening that catalog detail page then renders mood-specific fit/exclusion guidance and builder links for a non-mood severity specifier, which is misleading clinical content; only enrich when the catalog disorder/applicability also matches, or avoid short-name matches for generic labels.\\n\\nUseful? React with 👍 / 👎.\",\"path\":\"src/lib/specifiers-content.ts\",\"side\":\"RIGHT\",\"line\":null}{\"type\":\"pull_request_comment\",\"body\":\"**_{_{![P1 Badge](https://img.shields.io/badge/P1-orange?style=flat)}} Correct anxious-distress definitions**\\n\\nFor catalog rows labeled `With anxious distress`, the generated definition describes generic `severe` mood-episode burden instead of anxiety/distress features. This is rendered both in search and on the DSM reference detail page for Bipolar I/II and MDD anxious-distress entries, so users looking up anxious distress see clinically wrong guidance; correct these definitions or mark them as needing manual verification, and regenerate the compact search index as well.\\n\\nUseful? React with 👍 / 👎.\",\"path\":\"data/specifiers-content.json\",\"side\":\"RIGHT\",\"line\":null}{\"type\":\"pull_request_comment\",\"body\":\"**_{_{![P2 Badge](https://img.shields.io/badge/P2-yellow?style=flat)}} Apply filters to catalog matches**\\n\\nThe new catalog section is computed from `searchSpecifierCatalog(query)` without considering the selected `family` or `diagnosis` filters, even though those controls sit above both result sections. For example, after choosing the Depressive filter, the catalog can still list bipolar or other-diagnosis matches for the same query, which makes the filtered clinical search results inconsistent; either apply equivalent filtering to catalog rows or clearly separate them from the filtered results.\\n\\nUseful? React with 👍 / 👎.\",\"path\":\"src/components/specifiers/specifiers-home-page.tsx\",\"side\":\"RIGHT\",\"line\":228}{\"type\":\"pull_request_comment\",\"body\":\"_🎯 Functional Correctness_ | _🟠 Major_ | _⚡ Quick win_\\n\\n

\\n

🧩 Analysis chain

\\n\\n🌐 Web query:\\n\\n`DSM-5-TR Selective Mutism classification chapter`\\n\\n💡 Result:\\n\\nIn the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR), Selective Mutism is classified under the chapter titled Anxiety Disorders [1]. This classification represents a shift from previous editions (such as DSM-IV-TR), where Selective Mutism was categorized under \\\"Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence\\\" [2][3]. Moving it to the Anxiety Disorders chapter emphasizes the anxious etiology of the condition and allows for its diagnosis across the lifespan, including in adults [3].\\n\\nCitations:\\n\\n- 1: https://www.asha.org/practice-portal/clinical-topics/selective-mutism/\\n- 2: https://www.psychiatry.org/File%20Library/Psychiatrists/Practice/DSM/APA_DSM_Changes_from_DSM-IV-TR_-to_DSM-5.pdf\\n- 3: https://pubmed.ncbi.nlm.nih.gov/29975370/\\n\\n---\\n\\n🏁 Script executed:\\n\\n```shell\\npython3 - <<'PY'\\nimport json\\nfrom pathlib import Path\\n\\npath = Path('data/specifiers-content.json')\\ndata = json.loads(path.read_text())\\n\\n# Basic stats\\ncategories = data.get('categories', [])\\nstats = data.get('stats', {})\\nprint('stats:', stats)\\nprint('category_count:', len(categories))\\n\\n# Find Selective Mutism entries\\nmatches = []\\nfor cat in categories:\\n for disorder in cat.get('disorders', []):\\n if disorder.get('name') == 'Selective Mutism':\\n matches.append((cat.get('id'), cat.get('name'), disorder.get('icd11Context'), disorder.get('groups', [])))\\n\\nprint('selective_mutism_matches:', len(matches))\\nfor m in matches:\\n cid, cname, ctx, groups = m\\n print('category:', cid, cname, '| context:', ctx, '| groups:', len(groups))\\n\\n# Check exact duplication by a compact signature\\nimport hashlib, json as js\\nsigs = []\\nfor cat in categories:\\n for disorder in cat.get('disorders', []):\\n if disorder.get('name') == 'Selective Mutism':\\n sig = hashlib.sha256(js.dumps(disorder, sort_keys=True, separators=(',', ':')).encode()).hexdigest()\\n sigs.append((cat.get('id'), sig))\\nprint('signatures:', sigs)\\n\\n# Locate chapter labels for these categories\\nfor cat in categories:\\n if cat.get('id') in {'ndv', 'anx'}:\\n print('category_meta:', cat.get('id'), cat.get('name'))\\nPY\\n```\\n\\nRepository: BigSimmo/Database\\n\\nLength of output: 821\\n\\n---\\n\\n🏁 Script executed:\\n\\n```shell\\npython3 - <<'PY'\\nimport json\\nfrom pathlib import Path\\nfrom collections import Counter\\n\\ndata = json.loads(Path('data/specifiers-content.json').read_text())\\n\\n# Count major structures\\nprint('stats_disorders:', data['stats'].get('disorders'))\\nprint('stats_groups:', data['stats'].get('groups'))\\nprint('stats_specifierItems:', data['stats'].get('specifierItems'))\\nprint('stats_categories:', data['stats'].get('categories'))\\n\\n# Count all actual occurrences\\ndisorder_count = group_count = item_count = 0\\nfor cat in data['categories']:\\n disorder_count += len(cat.get('disorders', []))\\n for disorder in cat.get('disorders', []):\\n for group in disorder.get('groups', []):\\n group_count += 1\\n item_count += len(group.get('items', []))\\n\\nprint('actual_disorders:', disorder_count)\\nprint('actual_groups:', group_count)\\nprint('actual_items:', item_count)\\n\\n# Find duplicated disorder names and rowKeys\\nname_counts = Counter()\\nrowkey_counts = Counter()\\nhash_counts = Counter()\\nfor cat in data['categories']:\\n for disorder in cat.get('disorders', []):\\n name_counts[(disorder.get('name'), disorder.get('icd11Context'))] += 1\\n for group in disorder.get('groups', []):\\n for item in group.get('items', []):\\n rk = item.get('review', {}).get('rowKey')\\n if rk:\\n rowkey_counts[rk] += 1\\n ch = item.get('review', {}).get('contentHash')\\n if ch:\\n hash_counts[ch] += 1\\n\\nprint('duplicate_rowKeys:', [rk for rk, n in rowkey_counts.items() if n > 1][:20])\\nprint('duplicate_contentHashes_top:', [h for h, n in hash_counts.items() if n > 1][:10])\\n\\n# Selective Mutism specific entries\\nhits = []\\nfor cat in data['categories']:\\n for disorder in cat.get('disorders', []):\\n if disorder.get('name') == 'Selective Mutism':\\n hits.append((cat.get('id'), cat.get('name'), disorder))\\nprint('selective_mutism_count:', len(hits))\\nfor cid, cname, disorder in hits:\\n print('---')\\n print(cid, cname)\\n print('icd11Context:', disorder.get('icd11Context'))\\n print('groups:', len(disorder.get('groups', [])))\\n print('json_sha256:', __import__('hashlib').sha256(__import__('json').dumps(disorder, sort_keys=True, separators=(',', ':')).encode()).hexdigest())\\nPY\\n```\\n\\nRepository: BigSimmo/Database\\n\\nLength of output: 733\\n\\n---\\n\\n\\n\\n

\\n\\n**Remove the Neurodevelopmental Selective Mutism entry.** Selective Mutism belongs in Anxiety Disorders, and this copy duplicates the existing entry there, so it should be dropped from the Neurodevelopmental section.\\n\\n

\\n

🤖 Prompt for AI Agents

\\n\\n```\\nVerify each finding against current code. Fix only still-valid issues, skip the\\nrest with a brief reason, keep changes minimal, and validate.\\n\\nIn `@data/specifiers-content.json` around lines 1101 - 1127, Remove the Selective\\nMutism entry identified by name and its associated icd11Context and groups data\\nfrom the Neurodevelopmental section, while preserving the existing Anxiety\\nDisorders entry and valid surrounding JSON structure.\\n```\\n\\n

\\n\\n\\n\\n\\n\\n\\n\\n\\n\\n✅ Addressed in commits fbf299b to 60c7603\",\"path\":\"data/specifiers-content.json\",\"side\":\"RIGHT\",\"line\":null}{\"type\":\"pull_request_comment\",\"body\":\"_🗄️ Data Integrity & Integration_ | _🟠 Major_ | _🏗️ Heavy lift_\\n\\n

\\n

🧩 Analysis chain

\\n\\n🏁 Script executed:\\n\\n```shell\\n#!/bin/bash\\nrg -n -C2 \\\\\\n 'tic frequency|personality change presentation|sexual-dysfunction context' \\\\\\n data/specifiers-content.json data/specifiers-search-index.json\\n```\\n\\nRepository: BigSimmo/Database\\n\\nLength of output: 13493\\n\\n---\\n\\n🏁 Script executed:\\n\\n```shell\\npython3 - <<'PY'\\nimport json, re\\nfrom pathlib import Path\\n\\nfor path in [Path(\\\"data/specifiers-content.json\\\"), Path(\\\"data/specifiers-search-index.json\\\")]:\\n data = json.loads(path.read_text())\\n text = path.read_text()\\n\\n patterns = [\\n \\\"tic frequency, complexity, suppressibility, distress, pain/injury, social impact, and functional interference\\\",\\n \\\"dominant interpersonal pattern in the personality change presentation\\\",\\n \\\"sexual-dysfunction context\\\",\\n ]\\n\\n print(f\\\"\\\\n== {path} ==\\\")\\n for pat in patterns:\\n count = text.count(pat)\\n print(f\\\"{pat!r}: {count}\\\")\\n\\n if path.name == \\\"data/specifiers-search-index.json\\\":\\n # Show the exact objects around the reported ranges\\n for idx in [471, 625, 944, 2627, 2968, 3099, 5916, 5982, 6213, 6268]:\\n obj = data[idx]\\n print(f\\\"\\\\n[{idx}] {obj.get('label')} | {obj.get('disorder')} | {obj.get('meaning')}\\\")\\nPY\\n```\\n\\nRepository: BigSimmo/Database\\n\\nLength of output: 677\\n\\n---\\n\\n🏁 Script executed:\\n\\n```shell\\npython3 - <<'PY'\\nimport json\\nfrom pathlib import Path\\n\\npath = Path(\\\"data/specifiers-search-index.json\\\")\\ndata = json.loads(path.read_text())\\n\\ntargets = [\\n 472, 626, 945, 2628, 2969, 3100, 5917, 5983, 6214, 6269\\n]\\n\\nfor i in targets:\\n o = data[i]\\n print(f\\\"{i}: {o['label']} | {o['disorder']} | def={o.get('def')} | src={o.get('src')}\\\")\\n print(f\\\" meaning={o['meaning']}\\\")\\nPY\\n```\\n\\nRepository: BigSimmo/Database\\n\\nLength of output: 243\\n\\n---\\n\\n\\n\\n

\\n\\n**Regenerate the catalog with disorder-specific definitions**\\nSeveral entries in `data/specifiers-content.json` and `data/specifiers-search-index.json` reuse the tic-severity template, plus a few other cross-domain templates, while still marked `defined`. That pushes fabricated clinical guidance into search/detail views instead of an undefined/manual-review state; fix the upstream generator and regenerate both datasets.\\n\\n

\\n

🤖 Prompt for AI Agents

\\n\\n```\\nVerify each finding against current code. Fix only still-valid issues, skip the\\nrest with a brief reason, keep changes minimal, and validate.\\n\\nIn `@data/specifiers-search-index.json` around lines 618 - 626, Update the\\nupstream catalog generator responsible for specifier definitions so entries such\\nas “Current severity” for Brief Psychotic Disorder no longer reuse tic-severity\\nor other cross-domain templates. Use validated disorder-specific definitions\\nwhere available; otherwise mark the entry undefined/manual-review instead of\\ndefined. Regenerate both specifiers-content.json and\\nspecifiers-search-index.json from the corrected generator.\\n```\\n\\n

\\n\\n\\n\\n\\n\\n\\n\\n_Source: Coding guidelines_\\n\\n\\n\\n✅ Addressed in commits fbf299b to 60c7603\",\"path\":\"data/specifiers-search-index.json\",\"side\":\"RIGHT\",\"line\":null}{\"type\":\"pull_request_comment\",\"body\":\"_🎯 Functional Correctness_ | _🟠 Major_ | _⚡ Quick win_\\n\\n**Route “Deep guide” to the curated detail page.**\\n\\nThis currently opens the comparison workflow rather than the rich curated guide promised by the label.\\n\\n

\\n

Proposed fix

\\n\\n```diff\\n- href={`/specifiers/compare?a=${enrichment.slug}`}\\n+ href={`/specifiers/${enrichment.slug}`}\\n```\\n

\\n\\n\\n\\n

\\n

📝 Committable suggestion

\\n\\n> ‼️ **IMPORTANT**\\n> Carefully review the code before committing. Ensure that it accurately replaces the highlighted code, contains no missing lines, and has no issues with indentation. Thoroughly test & benchmark the code to ensure it meets the requirements.\\n\\n```suggestion\\n \\n \\n Deep guide\\n \\n```\\n\\n

\\n\\n\\n\\n

\\n

🤖 Prompt for AI Agents

\\n\\n```\\nVerify each finding against current code. Fix only still-valid issues, skip the\\nrest with a brief reason, keep changes minimal, and validate.\\n\\nIn `@src/components/specifiers/specifier-reference-page.tsx` around lines 153 -\\n159, Update the “Deep guide” Link in SpecifierReferencePage to navigate to the\\ncurated detail-page route instead of the `/specifiers/compare` comparison\\nworkflow, preserving its existing label and styling.\\n```\\n\\n

\\n\\n\\n\\n\\n\\n\\n\\n\\n\\n✅ Addressed in commit 1c8bfd4\",\"path\":\"src/components/specifiers/specifier-reference-page.tsx\",\"side\":\"RIGHT\",\"line\":159}{\"type\":\"pull_request_comment\",\"body\":\"_🎯 Functional Correctness_ | _🟠 Major_ | _⚡ Quick win_\\n\\n**Make catalog matches obey filters and drive the result state.**\\n\\nLine 215 ignores `family` and `diagnosis`, so filtered pages still show excluded catalog rows. Catalog-only queries also display “0 matches” and `EmptySearchResults` before valid cards. Apply equivalent catalog filters and derive the count/empty state from both result sets.\\n\\nAdd focused coverage for a catalog-only query and a diagnosis-filtered catalog query.\\n\\n\\n\\n\\nAs per coding guidelines, “When behavior changes, add or update the smallest relevant targeted test and run the narrowest relevant validation before broader suites.” \\n\\n\\nAlso applies to: 361-415\\n\\n

\\n

🤖 Prompt for AI Agents

\\n\\n```\\nVerify each finding against current code. Fix only still-valid issues, skip the\\nrest with a brief reason, keep changes minimal, and validate.\\n\\nIn `@src/components/specifiers/specifiers-home-page.tsx` around lines 213 - 218,\\nUpdate catalogMatches to apply the active family and diagnosis filters\\nconsistently with curated results, then use the combined curated and catalog\\ncollections when deriving result counts and EmptySearchResults visibility.\\nEnsure catalog-only queries render valid cards instead of the zero-match state.\\nAdd focused tests covering catalog-only results and diagnosis-filtered catalog\\nresults, and run the narrowest relevant validation.\\n```\\n\\n

\\n\\n\\n\\n\\n\\n\\n\\n_Source: Coding guidelines_\\n\\n\\n\\n✅ Addressed in commit 1c8bfd4\",\"path\":\"src/components/specifiers/specifiers-home-page.tsx\",\"side\":\"RIGHT\",\"line\":null}{\"type\":\"pull_request_comment\",\"body\":\"**Actionable comments posted: 4**\\n\\n

\\n

🧹 Nitpick comments (2)

\\n\\n
\\n
data/specifiers-content.json (2)
\\n\\n`11721-12168`: _🗄️ Data Integrity & Integration_ | _🔵 Trivial_ | _⚡ Quick win_\\n\\n**Category \\\"20. ICD-11 Specifics\\\" fully duplicates content already present in other categories.**\\n\\nSeveral disorders in this category are near-identical/byte-identical repeats of entries already defined elsewhere in the file, rather than differentiated ICD-11-specific views:\\n- Gaming Disorder (Lines 11726-11791) duplicates the entry under \\\"16. Substance & Addictive\\\" (Lines 9948-10013) — identical \\\"meaning\\\" text for both type and severity items.\\n- Compulsive Sexual Behaviour Disorder (Lines 11793-11819) duplicates the entry under \\\"13. Sexual Dysfunctions\\\" (Lines 8988-9014).\\n- Bodily Distress Disorder (Lines 11911-11971) duplicates the entry under \\\"9. Somatic Symptom\\\" (Lines 6162-6223).\\n- Partial Dissociative Identity Disorder (Lines 11973-11999) duplicates \\\"8. Dissociative Disorders\\\" (Lines 5570-5596).\\n- Trance Disorder (Lines 12001-12027) duplicates \\\"8. Dissociative Disorders\\\" (Lines 5598-5646).\\n- Olfactory Reference Disorder (Lines 12029-12111) duplicates \\\"6. Obsessive-Compulsive\\\" (Lines 4799-4881).\\n- Body-Focused Repetitive Behaviour Disorder (Lines 12113-12139) duplicates \\\"6. Obsessive-Compulsive\\\" (Lines 4883-4909).\\n- Complex PTSD (Lines 11821-11847) closely duplicates \\\"7. Trauma & Stressor\\\" (Lines 5092-5140), with only minor label wording differences.\\n\\nUnlike \\\"Catatonia\\\" in this same category (whose ICD-11 sub-items genuinely differ from the DSM-5-TR \\\"Catatonia\\\" entry elsewhere), these are exact-content duplicates. This inflates the `disorders`/`specifierItems` stats, produces redundant catalog entries a user could stumble on twice with no distinguishing information, and creates a content-drift risk: because each copy has its own `rowKey`/`contentHash`, future edits to one copy will not automatically propagate to the other.\\n\\nConsider either deduplicating (drop the exact-duplicate entries from \\\"20. ICD-11 Specifics\\\" and rely on category tags/cross-links instead), or giving the ICD-11 Specifics versions genuinely differentiated content (as done for Catatonia).\\n\\n
\\n
🤖 Prompt for AI Agents
\\n\\n```\\nVerify each finding against current code. Fix only still-valid issues, skip the\\nrest with a brief reason, keep changes minimal, and validate.\\n\\nIn `@data/specifiers-content.json` around lines 11721 - 12168, The ICD-11\\nSpecifics category contains duplicate disorder entries already defined in other\\ncategories, inflating catalog counts and creating content drift. In the category\\nidentified by id \\\"icd\\\", remove the duplicate entries for Gaming Disorder,\\nCompulsive Sexual Behaviour Disorder, Complex PTSD, Bodily Distress Disorder,\\nPartial Dissociative Identity Disorder, Trance Disorder, Olfactory Reference\\nDisorder, and Body-Focused Repetitive Behaviour Disorder, while retaining\\nCatatonia and Gender Incongruence; do not alter the canonical entries in their\\noriginal categories.\\n```\\n\\n
\\n\\n\\n\\n---\\n\\n`295-300`: _📐 Maintainability & Code Quality_ | _🔵 Trivial_ | _⚡ Quick win_\\n\\n**Drop the nested `definition.status`.** Only `definitionStatus` is read by the schema and consumers, so the nested copy is redundant and can drift out of sync. `data/specifiers-content.json:295-308`\\n\\n
\\n
🤖 Prompt for AI Agents
\\n\\n```\\nVerify each finding against current code. Fix only still-valid issues, skip the\\nrest with a brief reason, keep changes minimal, and validate.\\n\\nIn `@data/specifiers-content.json` around lines 295 - 300, Remove the nested\\nstatus property from the definition object in the Intellectual Developmental\\nDisorder entry, while preserving definition.meaning, definition.clinicalNote,\\ndefinition.sourceFamily, and the existing top-level definitionStatus value\\nconsumed by the schema.\\n```\\n\\n
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🤖 Prompt for all review comments with AI agents

\\n\\n```\\nVerify each finding against current code. Fix only still-valid issues, skip the\\nrest with a brief reason, keep changes minimal, and validate.\\n\\nInline comments:\\nIn `@data/specifiers-content.json`:\\n- Around line 1101-1127: Remove the Selective Mutism entry identified by name\\nand its associated icd11Context and groups data from the Neurodevelopmental\\nsection, while preserving the existing Anxiety Disorders entry and valid\\nsurrounding JSON structure.\\n\\nIn `@data/specifiers-search-index.json`:\\n- Around line 618-626: Update the upstream catalog generator responsible for\\nspecifier definitions so entries such as “Current severity” for Brief Psychotic\\nDisorder no longer reuse tic-severity or other cross-domain templates. Use\\nvalidated disorder-specific definitions where available; otherwise mark the\\nentry undefined/manual-review instead of defined. Regenerate both\\nspecifiers-content.json and specifiers-search-index.json from the corrected\\ngenerator.\\n\\nIn `@src/components/specifiers/specifier-reference-page.tsx`:\\n- Around line 153-159: Update the “Deep guide” Link in SpecifierReferencePage to\\nnavigate to the curated detail-page route instead of the `/specifiers/compare`\\ncomparison workflow, preserving its existing label and styling.\\n\\nIn `@src/components/specifiers/specifiers-home-page.tsx`:\\n- Around line 213-218: Update catalogMatches to apply the active family and\\ndiagnosis filters consistently with curated results, then use the combined\\ncurated and catalog collections when deriving result counts and\\nEmptySearchResults visibility. Ensure catalog-only queries render valid cards\\ninstead of the zero-match state. Add focused tests covering catalog-only results\\nand diagnosis-filtered catalog results, and run the narrowest relevant\\nvalidation.\\n\\n---\\n\\nNitpick comments:\\nIn `@data/specifiers-content.json`:\\n- Around line 11721-12168: The ICD-11 Specifics category contains duplicate\\ndisorder entries already defined in other categories, inflating catalog counts\\nand creating content drift. In the category identified by id \\\"icd\\\", remove the\\nduplicate entries for Gaming Disorder, Compulsive Sexual Behaviour Disorder,\\nComplex PTSD, Bodily Distress Disorder, Partial Dissociative Identity Disorder,\\nTrance Disorder, Olfactory Reference Disorder, and Body-Focused Repetitive\\nBehaviour Disorder, while retaining Catatonia and Gender Incongruence; do not\\nalter the canonical entries in their original categories.\\n- Around line 295-300: Remove the nested status property from the definition\\nobject in the Intellectual Developmental Disorder entry, while preserving\\ndefinition.meaning, definition.clinicalNote, definition.sourceFamily, and the\\nexisting top-level definitionStatus value consumed by the schema.\\n```\\n\\n

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🪄 Autofix (Beta)

\\n\\n✅ Autofix completed\\n\\n

\\n\\n---\\n\\n

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ℹ️ Review info

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⚙️ Run configuration

\\n\\n**Configuration used**: Path: .coderabbit.yaml\\n\\n**Review profile**: CHILL\\n\\n**Plan**: Pro Plus\\n\\n**Run ID**: `fcb1a9a6-d791-4e5b-93a3-8ccd20fcf042`\\n\\n

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📥 Commits

\\n\\nReviewing files that changed from the base of the PR and between 281d3e0cdf58357101d24cbcad0121ecabb51035 and 3470e94f59e040d43f0940909cb00e6a84fd11a4.\\n\\n

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📒 Files selected for processing (10)

\\n\\n* `data/specifiers-content.json`\\n* `data/specifiers-search-index.json`\\n* `src/app/specifiers/[slug]/page.tsx`\\n* `src/components/specifiers/specifier-record-page.tsx`\\n* `src/components/specifiers/specifier-reference-page.tsx`\\n* `src/components/specifiers/specifier-ui.tsx`\\n* `src/components/specifiers/specifiers-home-page.tsx`\\n* `src/lib/specifiers-content.ts`\\n* `src/lib/specifiers-search-index.ts`\\n* `tests/specifiers-content.test.ts`\\n\\n

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\\n\\n\",\"path\":null,\"side\":null,\"line\":null}{\"type\":\"pull_request_comment\",\"body\":\"\\n### 💡 Codex Review\\n\\nHere are some automated review suggestions for this pull request.\\n\\n**Reviewed commit:** `1c8bfd4ca3`\\n \\n\\n

ℹ️ About Codex in GitHub

\",\"path\":null,\"side\":null,\"line\":null}{\"type\":\"pull_request_comment\",\"body\":\"**_{_{![P1 Badge](https://img.shields.io/badge/P1-orange?style=flat)}} Correct copied illness-anxiety definitions**\\n\\nWhen a user searches or opens Illness Anxiety Disorder's `Care-seeking type`, the new catalog explains it as a `personality change presentation`; the same copied text is used for `Care-avoidant type`. These labels should describe seeking versus avoiding medical evaluation, and the current text renders clinically wrong guidance in both the search index and detail page; a focused fixture asserting these two rows mention care seeking/avoidance and not personality change would catch this, then the compact index should be regenerated.\\n\\nUseful? React with 👍 / 👎.\",\"path\":\"data/specifiers-content.json\",\"side\":\"RIGHT\",\"line\":5737}{\"type\":\"pull_request_comment\",\"body\":\"**_{_{![P1 Badge](https://img.shields.io/badge/P1-orange?style=flat)}} Correct the FND stressor context**\\n\\nFor Functional Neurological Symptom Disorder's `With/without psychological stressor` row, the generated meaning says the stressor is in a `sexual-dysfunction context`, which is copied from an unrelated category. Users opening this FND reference page should see that the stressor is relevant to the functional neurological/conversion presentation, not sexual dysfunction; add a targeted assertion for this row and regenerate the search index copy as well.\\n\\nUseful? React with 👍 / 👎.\",\"path\":\"data/specifiers-content.json\",\"side\":\"RIGHT\",\"line\":5957}{\"type\":\"pull_request_comment\",\"body\":\"**_{_{![P1 Badge](https://img.shields.io/badge/P1-orange?style=flat)}} Remove trauma wording from bodily-distress severity**\\n\\nWhen users open Bodily Distress Disorder severity rows, the generated severity anchor rates `trauma-related symptom burden`, and the same phrase is reused for moderate/severe and the ICD-specific duplicate rows. Bodily Distress Disorder is a somatic/ICD-11 reference here, so this copied trauma template gives the wrong clinical dimension in search and detail pages; replace it with bodily-symptom distress/impairment wording and keep the compact index in sync.\\n\\nUseful? React with 👍 / 👎.\",\"path\":\"data/specifiers-content.json\",\"side\":\"RIGHT\",\"line\":6143}{\"type\":\"pull_request_comment\",\"body\":\"\\n\\n> [!CAUTION]\\n> Some comments are outside the diff and can’t be posted inline due to platform limitations.\\n> \\n> \\n> \\n>

\\n>

⚠️ Outside diff range comments (2)

\\n> \\n>
\\n>
data/specifiers-content.json (2)
\\n> \\n> `2776-2792`: _🎯 Functional Correctness_ | _🟡 Minor_ | _⚡ Quick win_\\n> \\n> **`clinicalNote` references a parenthetical severity list that doesn't exist on these labels.**\\n> \\n> Cyclothymic Disorder's and Persistent Depressive Disorder's \\\"With anxious distress\\\" items carry the note \\\"The parenthetical severity levels grade the anxious distress specifier, not the whole disorder.\\\" but their labels have no parenthetical severity list (unlike the Bipolar I/II/MDD variants, whose label reads \\\"With anxious distress (mild, moderate, moderate-severe, severe)\\\"). Since this PR's stated goal is correcting anxious-distress content, these two look like leftover copy-paste from the parenthetical variant.\\n> \\n>
\\n>
🩹 Proposed fix
\\n> \\n> ```diff\\n> - \\\"clinicalNote\\\": \\\"The parenthetical severity levels grade the anxious distress specifier, not the whole disorder.\\\",\\n> + \\\"clinicalNote\\\": null,\\n> ```\\n> (apply at both Cyclothymic Disorder line ~2779 and Persistent Depressive Disorder line ~3415)\\n>
\\n> \\n> \\n> \\n> \\n> \\n> Also applies to: 3412-3427\\n> \\n>
\\n>
🤖 Prompt for AI Agents
\\n> \\n> ```\\n> Verify each finding against current code. Fix only still-valid issues, skip the\\n> rest with a brief reason, keep changes minimal, and validate.\\n> \\n> In `@data/specifiers-content.json` around lines 2776 - 2792, Remove the inaccurate\\n> parenthetical-severity reference from the clinicalNote of the “With anxious\\n> distress” entries for Cyclothymic Disorder and Persistent Depressive Disorder.\\n> Keep the labels and other definition metadata unchanged, and replace the note\\n> with wording that accurately describes these non-parenthetical variants.\\n> ```\\n> \\n>
\\n> \\n> \\n> \\n> ---\\n> \\n> `1360-1380`: _🎯 Functional Correctness_ | _🟠 Major_ | _🏗️ Heavy lift_\\n> \\n> **Wrong severity template reused across multiple rows** \\n> `data/specifiers-content.json` assigns the tic-disorder “current severity” wording (“tic frequency, complexity, suppressibility…”) to Brief Psychotic Disorder, Substance/Medication-Induced Psychotic Disorder, PTSD, and several paraphilic entries. These severities need disorder-specific domains, so this looks like a template-mapping bug and should be regenerated at the source rather than patched row by row.\\n> \\n>
\\n>
🤖 Prompt for AI Agents
\\n> \\n> ```\\n> Verify each finding against current code. Fix only still-valid issues, skip the\\n> rest with a brief reason, keep changes minimal, and validate.\\n> \\n> In `@data/specifiers-content.json` around lines 1360 - 1380, Regenerate the\\n> severity entries in the source that produce the affected rows, including Brief\\n> Psychotic Disorder and the other disorders identified in the comment, so each\\n> “Current severity” definition uses disorder-specific domains instead of the\\n> tic-disorder wording. Rebuild data/specifiers-content.json from the corrected\\n> source and verify the reused template no longer appears in those rows.\\n> ```\\n> \\n>
\\n> \\n> \\n> \\n>
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🤖 Prompt for all review comments with AI agents

\\n\\n```\\nVerify each finding against current code. Fix only still-valid issues, skip the\\nrest with a brief reason, keep changes minimal, and validate.\\n\\nOutside diff comments:\\nIn `@data/specifiers-content.json`:\\n- Around line 2776-2792: Remove the inaccurate parenthetical-severity reference\\nfrom the clinicalNote of the “With anxious distress” entries for Cyclothymic\\nDisorder and Persistent Depressive Disorder. Keep the labels and other\\ndefinition metadata unchanged, and replace the note with wording that accurately\\ndescribes these non-parenthetical variants.\\n- Around line 1360-1380: Regenerate the severity entries in the source that\\nproduce the affected rows, including Brief Psychotic Disorder and the other\\ndisorders identified in the comment, so each “Current severity” definition uses\\ndisorder-specific domains instead of the tic-disorder wording. Rebuild\\ndata/specifiers-content.json from the corrected source and verify the reused\\ntemplate no longer appears in those rows.\\n```\\n\\n

\\n\\n---\\n\\n

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ℹ️ Review info

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⚙️ Run configuration

\\n\\n**Configuration used**: Path: .coderabbit.yaml\\n\\n**Review profile**: CHILL\\n\\n**Plan**: Pro Plus\\n\\n**Run ID**: `3825d38b-62d7-4a27-a7f2-d40dd9ffa25b`\\n\\n

\\n\\n

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📥 Commits

\\n\\nReviewing files that changed from the base of the PR and between 3470e94f59e040d43f0940909cb00e6a84fd11a4 and 1c8bfd4ca3c3abfa23cfc8f915a4d36fcf3da4f3.\\n\\n

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📒 Files selected for processing (6)

\\n\\n* `data/specifiers-content.json`\\n* `data/specifiers-search-index.json`\\n* `src/components/specifiers/specifier-reference-page.tsx`\\n* `src/components/specifiers/specifiers-home-page.tsx`\\n* `src/lib/specifiers-content.ts`\\n* `tests/specifiers-content.test.ts`\\n\\n

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🚧 Files skipped from review as they are similar to previous changes (5)

\\n\\n* src/components/specifiers/specifier-reference-page.tsx\\n* tests/specifiers-content.test.ts\\n* data/specifiers-search-index.json\\n* src/components/specifiers/specifiers-home-page.tsx\\n* src/lib/specifiers-content.ts\\n\\n

\\n\\n

\\n\\n\",\"path\":null,\"side\":null,\"line\":null}{\"type\":\"pull_request_comment\",\"body\":\"\\n> [!NOTE]\\n> Autofix is a beta feature. Expect some limitations and changes as we gather feedback and continue to improve it.\\n\\n## Fixes Applied Successfully\\n\\nFixed 2 file(s) based on 2 unresolved review comments.\\n\\n\\n\\n**Files modified:**\\n- `data/specifiers-content.json`\\n- `data/specifiers-search-index.json`\\n\\n**Commit:** `fbf299b5457fca34ecbaf60fbf816874ebf83c37`\\n\\nThe changes have been pushed to the `claude/specifiers-v2-design-r55baf` branch.\\n\\n**Time taken:** `7m 21s`\\n\",\"path\":null,\"side\":null,\"line\":null}{\"type\":\"pull_request_comment\",\"body\":\"\\n### CI triage\\nCI failed on this PR. Automated classification of the 3 failed job(s):\\n\\n- `Static PR checks` — **needs investigation**.\\n- `Unit coverage` — **needs investigation**.\\n- `PR required` — **possible known flake**: UI/Playwright job; check `tests/flake-ledger.json` (tests/ui-smoke.spec.ts, tests/ui-smoke.spec.ts, tests/ui-tools.spec.ts, tests/ui-tools.spec.ts) and re-run before bisecting.\\n\\n_Heuristic only — a main-side or flake label is a starting point, not a verdict._\",\"path\":null,\"side\":null,\"line\":null}","text_elements",[],{"_577":1648,"_558":559,"_579":565},{"_580":1649,"_582":-5,"_42":-5,"_583":-5,"_584":-5,"_97":339,"_93":586},[1650],{"_46":1644,"_93":1651},"input_text",{"_577":1653,"_558":559,"_579":565},{"_580":1654,"_582":-5,"_42":-5,"_583":-5,"_584":-5,"_97":339,"_93":586},[1655,1656],{"_46":1658,"_93":1651},{"_46":1657,"_93":1651},"\n /workspace/Database\n bash\n 2026-07-14\n Etc/UTC\n","# AGENTS.md instructions for /workspace/Database\n\n\n\n\n# This is NOT the Next.js you know\n\nThis version has breaking changes — APIs, conventions, and file structure may all differ from your training data. Read the relevant guide in `node_modules/next/dist/docs/` before writing any code. Heed deprecation notices.\n\n\n\n\n\n## Dependency shortcut\n\nWhen the user types exactly `dependency` as the entire task message, after trimming surrounding whitespace, treat it as a shortcut for safe dependency maintenance. This is a Codex chat shortcut, not an app feature, script, automation, or CI workflow.\n\nGoal:\nUpdate direct project dependencies to the newest stable compatible versions, regenerate the existing lockfile, identify source/config/test code that relies on old dependency behavior, make the smallest safe compatibility changes, and verify the result. Do not rewrite the project, switch package managers, discard user work, commit, push, deploy, or run destructive cleanup without explicit confirmation.\n\nStart with read-only inspection:\n\n- Check branch, upstream, worktrees, recent relevant history, and `git status`.\n- If on `main`, `master`, `develop`, `release/*`, or another protected/base branch, create/switch to `codex/dependency-maintenance` before editing, if safe.\n- Inspect manifests, lockfiles, package-manager config, runtime/toolchain files, workspace layout, CI config, scripts, and documented checks.\n- Detect repo-local install/dev/test/build/watch/server processes that could race dependency updates.\n- Preserve all existing staged, unstaged, and untracked user work.\n\nPackage-manager rules:\n\n- Use the package manager already used by the repo: npm, pnpm, yarn, bun, pip, poetry, uv, cargo, go, bundler, gradle, maven, dotnet, or equivalent.\n- Do not switch package managers or create a new lockfile type.\n- Respect engines, runtime versions, lockfiles, workspaces, wrappers, and repo conventions.\n- In monorepos or polyglot repos, update each ecosystem through its native workspace-aware workflow.\n\nDependency update rules:\n\n- Identify outdated direct production and development dependencies.\n- Compare both manifest ranges and locked/installed versions against latest stable compatible releases.\n- Treat “outdated packages found” exit codes as normal where applicable.\n- Avoid prerelease, alpha, beta, canary, rc, next, nightly, and experimental versions unless the stable channel points there and explain why.\n- Do not use force or legacy flags that bypass peer, engine, resolver, or lockfile integrity checks unless explicitly approved.\n- Do not run forced audit fixes or broad destructive codemods.\n- If latest is incompatible, use the newest compatible version and document why.\n- Group risky updates coherently, such as framework plus plugins, test runner plus coverage, lint core plus plugins, or runtime plus adapter packages.\n\nCompatibility audit:\n\n- For every major update and every core framework/runtime/build/test/lint/UI/database update, inspect release notes, migration guides, peer ranges, engines, and changelogs when available.\n- Search source, tests, scripts, config, and CI for imports, APIs, CLI flags, config keys, environment variables, plugin names, generated types, or file paths tied to changed dependencies.\n- If old dependency behavior is used, make the smallest safe migration that preserves behavior.\n- If migration is large, risky, architectural, or product-affecting, stop after discovery and provide a concrete fix plan with affected files, package versions, sequence, and verification commands.\n- Add or adjust focused tests only when needed to prove migrated behavior.\n\nGenerated and sensitive files:\n\n- Do not intentionally keep dependency directories, build outputs, caches, logs, local state, test artifacts, browser artifacts, `.env*`, secrets, keys, tokens, credentials, or machine-local config.\n- Manifest and existing lockfile changes are allowed.\n\nVerification:\n\n- Run a cheap baseline first when useful to distinguish pre-existing failures.\n- After updates, run install/dependency validation, then relevant lint, type check, tests, build, smoke/UI/a11y, codegen, integration checks, or equivalent.\n- For frontend/browser-facing changes, run browser/UI verification when framework, bundler, router, styling, test runner, or browser automation changed.\n- If a check fails, fix dependency-related breakage and rerun the smallest failing check before broader checks.\n- Run non-mutating audit/vulnerability checks when available.\n- Confirm no repo-owned dev server, watcher, or temporary process was left running unless requested.\n\nFinal response for `dependency` must include:\n\n- Branch and worktree state.\n- Package manager, runtime, manifests, and lockfiles detected.\n- Outdated dependencies found.\n- Dependencies updated, old version -> new version.\n- Dependencies not updated and why.\n- Files changed.\n- Compatibility migrations and old APIs found/fixed.\n- Checks run and results.\n- Checks not run and why.\n- Audit/vulnerability summary.\n- Generated/untracked files left behind.\n- Branch movement, external repo changes, or process cleanup observed.\n- Risks or follow-up work.\n- Confirmation that no commit or push was made unless explicitly requested.\n\nAfter setup:\n\n- Verify root `AGENTS.md` contains exactly one `## Dependency shortcut` section.\n- Show the final diff for `AGENTS.md`.\n- Summarize what changed.\n- Confirm no dependency update, install, test, build, audit, commit, or push was performed.\n\n\n\n\n\n## Bug-hunter shortcut\n\nWhen the user types exactly `bug-hunter` as the entire task message, after trimming surrounding whitespace, treat it as a shortcut for targeted defect discovery.\n\nExecution rules:\n\n- Invoke the `bug-hunter` skill first.\n- Prioritize reproducible defects over code style, naming, or formatting feedback.\n- Trace realistic failure paths: invalid input, empty states, retries, race/concurrency issues, stale state/cache, network/auth failures, permissions, and boundary values.\n- For each finding, include trigger, expected behavior, actual risk, and the smallest proof (or targeted test/check) that would catch it.\n- If no high-confidence defect is found, explicitly state that and list the most likely residual risk area.\n\nScope and safety:\n\n- Keep the hunt scoped to code touched by the user request unless the defect clearly crosses module boundaries.\n- Do not make broad refactors while hunting; propose minimal fixes for confirmed issues.\n- Run the smallest focused verification for each confirmed defect, then expand only if needed.\n\n\n\n\n\n## Codex review throttling and routing\n\nDo not review branches opportunistically. Review the current changed diff, PR, or branch only when the user explicitly asks for review/audit/hunter/cleanup/upload work, when CI/check failures are the task, or when the current change touches high-risk areas that require a targeted review before handoff.\n\nUse `docs/codex-review-protocol.md` as the shared review protocol for every repo-local review skill, branch/PR review, audit, bug hunt, release-readiness check, and PR/CI review.\n\nBefore reviewing a branch or PR:\n\n- Check `docs/branch-review-ledger.md` if it exists.\n- Resolve the target with `git rev-parse `.\n- If the same branch/ref and HEAD SHA were already reviewed for the same scope, summarize the prior ledger outcome and skip the repeat review unless the user explicitly requests a fresh pass.\n- If the target HEAD changed, review only the changed scope and update the ledger after the review.\n\nBefore reviewing multiple branches:\n\n- Build a short branch inventory first: branch, upstream, ahead/behind, last commit, and merged status.\n- Skip branches already merged into `main`.\n- Skip unchanged branches already recorded in `docs/branch-review-ledger.md`.\n- Do not re-review every branch after ordinary coding tasks.\n- If a repeated request targets unchanged reviewed branches, summarize the prior result and ask before doing another full pass.\n\nReview routing:\n\n- `diff-review`: Use for explicit review of the current diff, PR, or named branch. Findings first, ordered by severity, with file/line evidence.\n- `bug-hunter`: Use only for the exact `bug-hunter` shortcut or an explicit defect-hunt request. Prioritize reproducible bugs and smallest proof.\n- `repo-auditor`: Use for explicit repo-wide audit/refactor/dead-code/import/dependency-structure requests. Treat outputs as triage, not automatic delete lists.\n- `release-readiness`: Use for explicit release, merge, PR readiness, or handoff confidence requests. Do not run provider-backed gates without confirmation.\n- `branch-cleanup`: Use only when the prompt explicitly asks for branch cleanup/hygiene or branch deletion candidates. Apply `docs/branch-cleanup-guide.md` and the review ledger before inspecting branch diffs.\n- `pr-ci-fix`: Confirmation-required for this repo. GitHub/GitLab API calls, PR comments, CI reruns, commits, and pushes require explicit user approval and must respect the upload/handoff rules.\n\nWhen a branch or PR review completes, record the reviewed branch/ref, HEAD SHA, date, scope, outcome, and checks in `docs/branch-review-ledger.md`.\n\n\n\n\n\n# Local server safety\n\n- If the user says `run`, execute `npm run ensure` and return the printed URL.\n- If the user asks for UI/frontend changes, browser QA, screenshots, mobile checks, or a local app link, run `npm run ensure` before opening or testing the app, even if the user did not say `run`.\n- Never assume `localhost:3000`, `localhost:3001`, or `localhost:3002`.\n- Never attach to a local server unless `/api/local-project-id` confirms it is this project.\n- Do not kill or modify other projects' local servers. If the stable project port is busy, let `npm run ensure` choose the next safe project URL.\n- Do not run a permanent watcher. Only start or verify the server when the current chat task needs the app or the user asks to run it.\n\n\n\n\n\n# Process hardening phases\n\n- For non-trivial source/config/test changes, prefer `npm run verify:cheap` as the first broad gate and `npm run verify:pr-local` before PR handoff when the change is ready. The PR-local gate runs format plus `verify:cheap`, then conditionally adds the production build/client-bundle scan and code-backed offline RAG tests. Browser, dependency-audit, Docker/Supabase replay, and provider-backed checks remain separate gates. Use `npm run verify:pr-local -- --dry-run --files ` to inspect selection without running commands. The broader `--extended` plan is dry-run only unless explicit approval is reflected by `ALLOW_EXTENDED_PR_LOCAL=true`.\n- For UI, frontend, browser, routing, styling, reduced-motion, or forced-colors changes, run `npm run ensure` before browser work and use `npm run verify:ui` as the Chromium UI gate.\n- For release or handoff confidence, use `npm run verify:release`; this includes the full Playwright project set.\n- For clinical ingestion, answer generation, source governance, privacy, production-readiness, or environment changes, run the smallest relevant domain check plus `npm run check:production-readiness`.\n- For pull requests that touch ingestion, answer generation, search/ranking, source rendering, document access, privacy, production env, or clinical output, complete the clinical governance preflight in `.github/pull_request_template.md`.\n- Track known verification debts and staged process improvements in `docs/process-hardening.md` instead of relying on chat-only memory.\n\n\n\n\n\n# Supabase project safety\n\n- This repo targets the live Supabase project `Clinical KB Database`.\n- Expected project ref: `sjrfecxgysukkwxsowpy`.\n- Older unused project ref `qjgitjyhxrwxsrydablr` belongs to `Database`; treat it as stale and do not use it.\n- Run `npm run check:supabase-project` after changing Supabase env values.\n\n\n\n\n\n# API and provider confirmation boundary\n\n- Never run, modify, test, or otherwise interact with OpenAI, Supabase, GitHub/GitLab, hosted CI, production-like services, or provider-backed workflows without explicit user confirmation.\n- Treat indirect API usage inside scripts, tests, release checks, PR tooling, and review automation as confirmation-required too.\n- Prefer local, static, mocked, or offline checks. If a recommended verification would touch a provider, report the command and ask before running it.\n- `npm run check:supabase-project`, live PR/CI tooling, answer-generation checks, ingestion checks against live services, and release gates that call providers are not automatic.\n\n\n\n\n\n# `upload` shortcut\n\nWhen the user types exactly:\n\nupload\n\nas the entire task message, treat it as a shortcut for the safe Git handoff workflow below.\n\nThe goal is to leave useful completed work safely committed and, where safe, pushed to the current feature branch. The goal is not to merge into main, delete branches, discard work, force-push, close PRs, deploy, or perform destructive cleanup without explicit user confirmation.\n\n## Protected and base branches\n\nTreat `main`, `master`, `develop`, and `release/*` as protected/base branches for this workflow.\n\nIf `upload` is run while on `main`, automatically create or use a branch named exactly `temporary` before staging, committing, or pushing, then continue the upload workflow from `temporary`:\n\n- If neither local `temporary` nor `origin/temporary` exists, run `git switch -c temporary`.\n- If local `temporary` exists and is not checked out in another worktree, switch to it only when it is clearly safe.\n- If `origin/temporary` exists, use it only when it is clearly the matching intended branch.\n- If any `temporary` branch state is ambiguous, diverged, checked out elsewhere, or unsafe, stop and ask instead of overwriting.\n\nIf already on a non-protected feature branch, continue using that branch.\n\n## Required inspection\n\nStart with read-only inspection before making changes. Check:\n\n- Current branch or detached HEAD state\n- `git status`\n- Staged, unstaged, and untracked files\n- Recent commits relevant to the current branch\n- Remote configuration and upstream branch\n- Whether the branch is ahead, behind, or diverged\n- Whether the current branch appears protected/base\n- Other Git worktrees, if detectable\n- Available checks such as tests, lint, type check, or build scripts\n- Existing branch, commit, PR, and release-flow conventions\n\nDo not assume branch names, remotes, package managers, test commands, deployment targets, or project structure. Inspect first.\n\n## Safe actions allowed without further confirmation\n\nWhen the repository state makes it clearly safe, you may:\n\n- Stage coherent completed changes that clearly belong together\n- Create one or more logical commits with clear messages based on the diff\n- Fast-forward pull only when there are no local commits or conflict risks\n- Push the current non-protected feature branch if it has a valid upstream\n- Set an upstream for the current feature branch only when the correct remote and branch name are obvious\n- Leave the worktree clean by committing safe completed changes\n\n## Actions requiring explicit confirmation\n\nDo not perform these without asking the user first:\n\n- `git reset --hard`\n- `git clean -fd` or other destructive cleanup\n- Discarding, overwriting, or reverting uncommitted changes\n- Deleting local or remote branches\n- Renaming branches\n- Force-pushing\n- Rebasing a shared/public branch\n- Resolving divergent branch history\n- Merging into `main`, `master`, `develop`, `release/*`, or any protected/base branch\n- Closing pull requests\n- Changing GitHub default branch, branch protection, repository settings, or deployment settings\n- Modifying production data or deployment configuration\n- Committing secrets, credentials, tokens, private keys, or sensitive local configuration\n- Updating branch references where the correct replacement branch is ambiguous\n\nIf any of these seem necessary, stop and report what is risky, why it is risky, the recommended next step, and the exact confirmation needed.\n\n## Mixed, suspicious, or unsafe changes\n\nDo not automatically commit files that look like `.env` files, credentials, secrets, logs, caches, build artifacts, editor or OS files, temporary/debug files, or generated files not normally committed by this project. Report only the path and concern for possible secrets; never print secret values.\n\nIf changes appear unrelated, incomplete, experimental, or WIP, do not commit everything together automatically. Commit only clearly coherent completed changes when safe; otherwise summarize the groups and ask what should be included.\n\n## Branch cleanup and reference updates\n\nDuring `upload`, branch cleanup is limited to the current branch and its upstream unless the user explicitly asks for `branch-cleanup`, branch hygiene, deletion candidates, or stale branch review.\n\nDo not enumerate, diff, or re-review unrelated stale branches during a normal upload/handoff. If the user explicitly asks for branch cleanup, first apply `docs/branch-review-ledger.md` to skip unchanged reviewed branches, then follow `docs/branch-cleanup-guide.md`.\n\nIf stale, inappropriate, merged, or unnecessary current-branch references are detected, list cleanup candidates but do not delete or rename branches automatically.\n\nBefore recommending deletion or rename for the current branch, audit accessible references including `.github/workflows/*`, CI/CD config, deployment config, scripts, package scripts, docs, release notes or release scripts, safe environment/config files, branch-specific config, open PR metadata if accessible, and GitHub branch protection/default branch metadata if safely accessible.\n\nUpdate repo-tracked references to a renamed or replacement branch only when the old branch reference is clearly found, the replacement is obvious, the change is low-risk, and the user has approved the branch rename or deletion. If the replacement is unclear, report the reference and ask what it should point to.\n\n## Syncing and verification\n\nDo not rebase, merge, or resolve remote divergence automatically. Fast-forward pulls are allowed only when clearly safe. Push only the current non-protected feature branch when clearly safe.\n\nRun the smallest relevant checks that are available and appropriate, such as tests, lint, type check, or build checks. Do not claim checks passed unless they were actually run. If checks cannot be run, explain why and state the command that would normally be used.\n\n## Final report\n\nAfter completing `upload`, summarize the current branch and worktree state, whether the worktree is clean, what changed, files committed, commit hash and message if created, whether anything was pushed, remote branch and likely PR target, checks run and results, checks not run and why, current-branch cleanup candidates or why broader branch cleanup was skipped, branch references found or updated, risky actions skipped, and exact confirmation needed for any recommended follow-up.\n\n\n\n\n\n## Codex productivity defaults\n\n- Treat terse prompts as workflow shortcuts when the intent is clear. If the user says `run`, execute `npm run ensure`, verify the project identity through that helper, and return the printed local URL without a long log dump.\n- For non-trivial changes, start from concrete repo state: branch, `git status`, relevant package scripts, recent failures, and local logs such as `dev-server.log` when runtime behavior is involved. For architecture and module orientation, read `docs/codebase-index.md` (routes: `docs/site-map.md`).\n- For UI, browser, styling, routing, accessibility, or screenshot work, run `npm run ensure` before opening the app, then use browser QA and the smallest relevant UI proof before broader gates.\n- Prefer the smallest failing check first. For this repo, use focused Vitest or Playwright targets before widening to `npm run verify:cheap`, `npm run verify:ui`, or `npm run verify:release`.\n- When the user says `safely`, preserve unrelated staged, unstaged, and untracked work; stop only clearly repo-owned transient processes; and verify the result instead of doing broad cleanup.\n- After auth, Supabase, ingestion, answer generation, search/ranking, clinical output, or source-governance changes, run the smallest domain check plus `npm run check:production-readiness`. Run `npm run check:supabase-project` after Supabase env/config changes.\n- For handoff, archive-safety, or upload-style requests, inspect branch/upstream/status first, run the appropriate verification gate, and only commit or push when the request explicitly asks for that workflow.\n- For codebase appraisal exports, stage outside the repo, include `EXPORT_MANIFEST.md`, exclude secrets/dependencies/build outputs/local state, and verify the archive can be opened before handoff.\n- When a repeated repo-specific workflow is discovered, update this file or ask the user whether it should be remembered.\n\n\n\n## Codex GitHub review behavior\n\nThese instructions apply to Codex GitHub pull request reviews and Codex tasks started from PR comments.\n\n- Keep automatic reviews focused and cost-conscious.\n- Prioritize high-confidence findings that affect correctness, security, privacy, data loss, auth/permissions, migrations, API contracts, production reliability, clinical behavior, source governance, or user-facing behavior.\n- Do not comment on formatting, naming, style, minor cleanup, or speculative refactors unless they create a real bug or maintainability risk.\n- Prefer fewer, stronger findings over exhaustive low-value review comments.\n- An automatic review may emit at most three inline findings total. Use inline comments only for P0/P1 issues; put non-blocking P2 context in one summary and omit P3 feedback.\n- A finding must cite concrete changed code and explain the failure mode.\n- Do not suggest broad rewrites during review. Recommend the smallest change that resolves the issue.\n- Do not propose or start fixes unless explicitly asked with an `@codex fix...` or `@codex resolve...` comment, or when the repository's Codex auto-resolve workflow posts that command.\n- Treat automatic review as single-pass per pull request. Do not re-review a later head, repeat a prior finding, or create another review during an auto-resolve task unless a human explicitly requests a fresh review.\n\n### Severity calibration\n\n- P0: active security exposure, data loss/corruption already possible, severe production outage risk, credential leakage, or a critical issue that must be fixed immediately.\n- P1: security vulnerability, auth bypass, data exposure/loss, destructive migration risk, production-breaking regression, public API contract break, severe clinical/user-facing bug, or missing validation with realistic exploit/failure impact.\n- P2: important correctness bug, missing behavior test for meaningful changed behavior, edge case likely to affect users, reliability issue, unsafe assumption, or maintainability issue that will likely cause defects.\n- P3: style, naming, formatting, small cleanup, speculative improvements, or optional refactors. Avoid raising these in automatic reviews unless explicitly requested.\n\nFor GitHub automatic reviews, focus mainly on P1-level findings. If a P2 issue is important enough to block the PR, explain why it should be treated as P1.\n\n### PR risk detection\n\nWhen reviewing, identify whether the PR touches any high-risk area:\n\n- authentication or authorization\n- user data, privacy, or private document access\n- database schema, migrations, RLS, SECURITY DEFINER functions, or Supabase privileges\n- clinical answer generation, source governance, retrieval/ranking, ingestion, or document access\n- payment, billing, subscriptions, or quotas\n- public API contracts\n- production configuration or deployment behavior\n- background jobs, scheduled tasks, workers, or queue processing\n- file upload/download or generated document access\n- AI/API provider calls, paid external services, or credential-dependent workflows\n\nIf a high-risk area is touched, review more carefully for regressions, missing tests, rollback/safety notes, and conservative failure behavior.\n\n### Cost and usage control\n\nAvoid broad repeated review passes. Do not request exhaustive review behavior unless the PR touches security, auth, data loss, migrations, billing, production reliability, clinical output, source governance, or private document access. Prefer targeted validation and targeted review comments. A new commit from the automatic repair task is not permission for another automatic review.\n\n### Fix behavior\n\nWhen explicitly asked to fix or resolve review findings:\n\n- Always fix P0 and P1 findings using the best minimal fix.\n- For P2 and lower-severity findings, decide whether the issue is worth fixing automatically.\n- Fix a P2 or lower finding only when the fix is clear, scoped, low-risk, and testable.\n- Do not automatically fix a P2 or lower finding when it requires broad refactoring, product judgment, dependency changes, credentials, paid/external APIs, large design decisions, or risky behavior changes.\n- If a P2 or lower finding is not worth fixing automatically, comment with the reason and the recommended human decision, then resolve the review conversation when supported.\n- Preserve unrelated work and avoid opportunistic refactors.\n- Do not add dependencies unless the issue cannot reasonably be fixed without one.\n- Do not change secrets, credentials, environment configuration, billing settings, deployment settings, or external service setup unless explicitly requested.\n- Do not use external APIs, paid services, credentials, secrets, live Supabase projects, or OpenAI provider calls unless explicitly authorized.\n- If a finding is ambiguous, unsafe to fix automatically, or requires a large rewrite, stop and explain the decision instead of guessing.\n- Add or update the smallest relevant test when the issue affects behavior.\n- Run the narrowest relevant validation for the touched surface before broader suites.\n- Summarize fixed issues, changed files, validation run, and any remaining human decisions.\n\n### Review comment lifecycle\n\n- Treat closing review conversations as part of the task when asked to fix or resolve comments.\n- After fixing a P0 or P1 finding, reply with the fix summary and resolve the review conversation when supported by GitHub permissions/tooling.\n- After fixing an approved P2 or lower finding, reply with the fix summary and resolve the review conversation when supported.\n- After deciding not to fix a P2 or lower finding, reply with the reason, note whether it is deferred or not actionable, and resolve the review conversation when supported.\n- For every fixed or fully dispositioned thread, start the thread reply with ``. The workflow uses this trusted marker to close that exact thread.\n- Do not use the marker when human input or new authorization is required; explain the blocker and leave that thread open.\n- Do not leave a review conversation open after it has been fixed or fully dispositioned. If direct resolution is unavailable, the marker reply is the required fallback and the workflow performs the closure.\n\n### Automatic resolve trigger\n\nAutomatic Codex review is review-only by default. This repository includes `.github/workflows/codex-autofix-review-comments.yml`, which requests the resolve task automatically after Codex submits a completed PR review that raised findings.\n\n- The auto-resolve request must fire only from a Codex-authored `pull_request_review` **submitted** event on an open pull request — never from the first inline comment mid-review. This guarantees the request is posted only after a code review completes; without a review there are no findings and the request is pointless.\n- The request job must skip reviews with no actionable findings: skip `approved`/`dismissed` reviews, and skip when the submitted review carries zero inline comments.\n- Match the trusted Codex connector bot by exact login and bot type; do not use substring login checks.\n- Keep per-pull-request concurrency on the authorized job, not the whole workflow, so unrelated events cannot displace a pending Codex request.\n- Pin the supported Node 24-based `actions/github-script` release to its reviewed immutable commit SHA.\n- Post the `@codex` resolve request with a real (non-bot) user identity — a fine-grained PAT held in the `CODEX_TRIGGER_TOKEN` secret. The Codex connector ignores commands authored by `github-actions[bot]`, so a bot-authored request is silently dropped. The token needs `pull-requests: write` (issue-comment) access and no more.\n- The workflow must treat unmarked review-thread replies as inert. A trusted Codex reply beginning with `` may only resolve the exact containing thread, and a non-reply Codex review comment must never be turned into a new repair request.\n- The workflow must ask Codex to resolve only existing actionable Codex review findings for the triggering pull request and current head using these repository instructions; the resolve task must not perform a new review or create new findings.\n- The workflow may request one automatic repair pass per pull request lifetime. Later heads require an explicit human request.\n- Only trust a pull-request deduplication marker when it was posted by the trigger-token account (the same identity that posts the request), resolved at runtime rather than hard-coded.\n- Permission failures while reading or creating pull-request comments must fail the workflow visibly, not return a successful soft-skip.\n- Grant `pull-requests: write` only to the narrow marker-driven thread-resolution job; the request job runs with read-only repository contents and relies on the trigger token's own scope, and neither job approves reviews or alters code.\n- The workflow must not run Codex directly with API credentials.\n- P0 and P1 findings should always be fixed.\n- P2 and lower findings should be fixed only when clear, scoped, low-risk, and testable; otherwise explain the decision and resolve or mark ready for human resolution.\n\n### Primary PR command\n\n`@codex resolve actionable Codex review findings for this pull request and current head using the repository instructions. This is the pull request's single automatic repair pass: do not perform a fresh review, create new standalone findings, or request another review. Work only the existing unresolved Codex threads on the current head. Always fix P0 and P1 findings. For P2 and lower findings, fix only clear, scoped, low-risk issues; otherwise disposition them with a concise reason. After fixing or dispositioning a thread, reply in that thread with as the first line, followed by a concise summary; that marker authorizes the workflow to close that exact thread. If human input or new authorization is required, do not use the marker and leave the thread open with the blocker. Finish only after every actionable thread is fixed or dispositioned and closed, or explicitly left open for a human decision. Do not update the branch from main, address unrelated reviews, broaden scope, or create more than one scoped fix commit. Do not use external APIs, paid services, credentials, dependency changes, or broad refactors unless explicitly authorized. Add targeted tests where behavior changes and run the narrowest relevant validation.`\n\n## Cursor Cloud specific instructions\n\nDurable notes for Cloud Agents. Standard commands live in `README.md` and `package.json`; only non-obvious caveats are captured here.\n\n- Runtime: the app hard-requires Node 24.x / npm 11.x (`engine-strict`, and `scripts/dev-free-port.mjs` exits on any other major). Node 24 is installed via nvm and symlinked into `/usr/local/cargo/bin` (first entry in `PATH`) so `node`/`npm` resolve to v24 in every shell. If a shell ever resolves `/exec-daemon/node` (v22) instead, prepend `\"$HOME/.nvm/versions/node/v24.18.0/bin\"` to `PATH`.\n- Live vs demo mode: the app auto-detects. When the Supabase + OpenAI env vars below are present (set them as Cloud Agent **Secrets** so they inject into `.env.local`/`process.env`), `isDemoMode()` (`src/lib/env.ts`) is false and the app runs ag\n",{"_577":1660,"_558":559,"_579":565},{"_580":1661,"_582":-5,"_42":-5,"_583":-5,"_584":-5,"_97":1662,"_93":586},[1663,1664],"developer",{"_46":1666,"_93":1651},{"_46":1665,"_93":1651},"\n## Skills\nA skill is a set of local instructions to follow that is stored in a `SKILL.md` file. Below is the list of skills that can be used. Each entry includes a name, description, and file path so you can open the source for full instructions when using a specific skill.\n### Available skills\n- imagegen: Generate or edit raster images when the task benefits from AI-created bitmap visuals such as photos, illustrations, textures, sprites, mockups, or transparent-background cutouts. Use when Codex should create a brand-new image, transform an existing image, or derive visual variants from references, and the output should be a bitmap asset rather than repo-native code or vector. Do not use when the task is better handled by editing existing SVG/vector/code-native assets, extending an established icon or logo system, or building the visual directly in HTML/CSS/canvas. (file: /opt/codex/skills/.system/imagegen/SKILL.md)\n- openai-docs: Use when the user asks how to build with OpenAI products or APIs and needs up-to-date official documentation with citations, help choosing the latest model for a use case, or model upgrade and prompt-upgrade guidance; prioritize OpenAI docs MCP tools, use bundled references only as helper context, and restrict any fallback browsing to official OpenAI domains. (file: /opt/codex/skills/.system/openai-docs/SKILL.md)\n- plugin-creator: Create and scaffold plugin directories for Codex with a required `.codex-plugin/plugin.json`, optional plugin folders/files, and baseline placeholders you can edit before publishing or testing. Use when Codex needs to create a new local plugin, add optional plugin structure, or generate or update repo-root `.agents/plugins/marketplace.json` entries for plugin ordering and availability metadata. (file: /opt/codex/skills/.system/plugin-creator/SKILL.md)\n- skill-creator: Guide for creating effective skills. This skill should be used when users want to create a new skill (or update an existing skill) that extends Codex's capabilities with specialized knowledge, workflows, or tool integrations. (file: /opt/codex/skills/.system/skill-creator/SKILL.md)\n- skill-installer: Install Codex skills into $CODEX_HOME/skills from a curated list or a GitHub repo path. Use when a user asks to list installable skills, install a curated skill, or install a skill from another repo (including private repos). (file: /opt/codex/skills/.system/skill-installer/SKILL.md)\n### How to use skills\n- Discovery: The list above is the skills available in this session (name + description + file path). Skill bodies live on disk at the listed paths.\n- Trigger rules: If the user names a skill (with `$SkillName` or plain text) OR the task clearly matches a skill's description shown above, you must use that skill for that turn. Multiple mentions mean use them all. Do not carry skills across turns unless re-mentioned.\n- Missing/blocked: If a named skill isn't in the list or the path can't be read, say so briefly and continue with the best fallback.\n- How to use a skill (progressive disclosure):\n 1) After deciding to use a skill, open its `SKILL.md`. Read only enough to follow the workflow.\n 2) When `SKILL.md` references relative paths (e.g., `scripts/foo.py`), resolve them relative to the skill directory listed above first, and only consider other paths if needed.\n 3) If `SKILL.md` points to extra folders such as `references/`, load only the specific files needed for the request; don't bulk-load everything.\n 4) If `scripts/` exist, prefer running or patching them instead of retyping large code blocks.\n 5) If `assets/` or templates exist, reuse them instead of recreating from scratch.\n- Coordination and sequencing:\n - If multiple skills apply, choose the minimal set that covers the request and state the order you'll use them.\n - Announce which skill(s) you're using and why (one short line). If you skip an obvious skill, say why.\n- Context hygiene:\n - Keep context small: summarize long sections instead of pasting them; only load extra files when needed.\n - Avoid deep reference-chasing: prefer opening only files directly linked from `SKILL.md` unless you're blocked.\n - When variants exist (frameworks, providers, domains), pick only the relevant reference file(s) and note that choice.\n- Safety and fallback: If a skill can't be applied cleanly (missing files, unclear instructions), state the issue, pick the next-best approach, and continue.\n","\nFilesystem sandboxing defines which files can be read or written. `sandbox_mode` is `danger-full-access`: No filesystem sandboxing - all commands are permitted. Network access is enabled.\nApproval policy is currently never. Do not provide the `sandbox_permissions` for any reason, commands will be rejected.\n","turn/started",{"_558":559,"_88":1669},{"_104":-5,"_42":565,"_566":1670,"_568":569,"_570":1671},[],"inProgress",{"_570":1673,"_558":559},{"_1674":1675,"_93":1676},"activeFlags",[],"active","thread/started",{"_1679":1680},"thread",{"_1681":-5,"_1682":-5,"_1683":1684,"_1685":569,"_610":611,"_1686":15,"_1687":-5,"_1688":-5,"_1689":-5,"_1690":1691,"_42":559,"_1692":1693,"_194":-5,"_1694":-5,"_166":1695,"_1696":223,"_1697":-5,"_615":1698,"_570":1699,"_1700":-5,"_78":1701,"_1702":569},"agentNickname","agentRole","cliVersion","0.128.0","createdAt","ephemeral","extra","forkedFromId","gitInfo","historyMode","legacy","modelProvider","openai","parentThreadId","/opt/codex/sessions/2026/07/14/rollout-2026-07-14T13-16-19-019f60c5-6d70-7e51-9fc9-9ed4d9ccaca9.jsonl","preview","recencyAt","vscode",{"_93":574},"threadSource",[],"updatedAt",[],"messages",[1706],{"_42":1707,"_1708":1709,"_1710":1711,"_1712":1711,"_580":1713,"_570":1714,"_582":-5,"_1715":32,"_1716":1717,"_1718":1719,"_1720":-5},"cd3cc19c-2f64-4886-8a82-ef1c1f82dc61","author",{"_97":339,"_194":-5,"_1716":1729},"create_time",1784034978.344691,"update_time",{"_1725":46,"_1726":1727},"finished_successfully","weight","metadata",{"_1721":1722},"recipient","all","channel","l1239dk1",{"_1723":1724},"inline_comments",[],"content_type","parts",[1728],"@Codex fix all open comments please without regression\nfeat(specifiers): populate search + detail with full DSM-5-TR catalog\n\n## Summary\n\n- Wires the complete DSM-5-TR specifier catalog (**20 categories → 132 disorders → 219 groups → 586 specifier items**, + 18 universal specifiers) into the existing `/specifiers` experience **without changing its structure, routes, or navigation**. The curated 12-record lib and the builder/compare/map tools are left untouched.\n- **Data**: `data/specifiers-content.json` (full nested export, server-side only) + `data/specifiers-search-index.json` (compact client index) so the client-side search stays instant without bloating the browser bundle with the full 632KB file.\n- **Loaders/search**: `src/lib/specifiers-content.ts` (typed loader, flattened catalog, stable slugs, curated-record enrichment, bounded `generateStaticParams` subset) and `src/lib/specifiers-search-index.ts` (client-safe ranked search reusing `rankCatalogRecords`, category filters, catalog presets).\n- **Search**: `/specifiers` search now spans all 586 items with a diagnostic-category filter, a source-verified-only toggle, and a review-alert banner.\n- **Detail**: new `SpecifierReferencePage` renders any catalog item (meaning, clinical note, ICD-11 context, review metadata), and is enriched with the curated fit/exclusion guide when its label matches a curated record. `/specifiers/[slug]` resolves curated records first, then the catalog (`dynamicParams` for the long tail).\n- **Design**: small stylistic upgrades borrowed from the Specifiers v2 design — DSM-5-TR badge, category tags, review-status badges, and quick tiles — applied within the existing page anatomy.\n- Content is a portable export marked **pending qualified clinician review**; the scope warning and per-item review status stay visible, and no missing definitions are invented (20 self-explanatory items render without a fabricated definition).\n\n## Verification\n\n- [ ] `npm run verify:pr-local` — not run here: this sandbox's `node_modules` is missing dev deps (`@testing-library/*`, `@axe-core/playwright`), so the full lint/typecheck/test gate can't complete in-environment. Please run on CI / a full checkout.\n\nRan locally instead:\n- `tsc --noEmit` — **no type errors in any changed/new file** (only pre-existing errors from the missing-dep test files above).\n- ESLint — clean on all changed files.\n- Vitest — new `tests/specifiers-content.test.ts` (11/11) and existing `tests/specifiers.test.ts` (6/6, unchanged curated lib) pass.\n- `npm run sitemap:check` — passes (no routes or curated slugs changed).\n- Runtime QA via `npm run ensure`: `/specifiers`, `/specifiers?q=…&run=1`, curated detail, and catalog detail all serve **200** with zero dev-log errors; server-rendered detail pages show real catalog content.\n\n- [ ] `npm run verify:ui` — not run: `playwright` package isn't installed in this sandbox (Chromium binaries present, npm package absent). UI/light-dark/mobile QA should be run on a full checkout.\n- [ ] `npm run verify:release`\n\n## Clinical Governance Preflight\n\n- [x] Source-backed claims still require linked source verification — content is aide-memoire, marked pending clinician review; per-item `sourceVerificationStatus` and the dataset scope warning/disclaimer are surfaced in the UI.\n- [x] No patient-identifiable document workflow was introduced or expanded.\n- [x] Supabase target unchanged (`Clinical KB Database` / `sjrfecxgysukkwxsowpy`) — no Supabase changes.\n- [x] Service-role keys and private document access remain server-only — the full 632KB dataset is imported only by server components; the client gets the compact non-sensitive index.\n- [x] Demo/synthetic content remains clearly separated — this is reference specifier content, explicitly flagged as pending review, not demo data.\n- [x] Source metadata, review status, and outdated/unknown-source behavior remain conservative — no definitions are invented; review/source status is shown; safety note retained.\n- [ ] Deployment classification/TGA SaMD impact — worth a governance check: this broadens reference decision-support content. It is non-automated aide-memoire flagged pending clinician review, but a reviewer should confirm classification impact.\n\n## Notes\n\n- The two data files are kept in sync (a unit test asserts the compact index matches the full catalog by slug). If `data/specifiers-content.json` is updated, regenerate `data/specifiers-search-index.json` from it.\n- The original clinical content **should receive qualified clinician/governance review before production use**, per the export's own scope warning.\n\n🤖 Generated with [Claude Code](https://claude.com/claude-code)\n\n---\n_Generated by [Claude Code](https://claude.ai/code/session_01WmtoUEnX7Pe4yipAmPFSiG)_\n\n\n## Summary by CodeRabbit\n\n* **New Features**\n * Expanded the specifier catalog with refreshed DSM-5-TR content, definitions, sources, and review metadata.\n * Added a clinician-review warning banner on the home footer.\n * Enhanced search results with additional “full catalogue” matches plus category and reviewed-only filtering.\n * Introduced specifier reference pages with richer definition, clinical context, related items, and review-status summaries.\n * Added DSM/review/status and quick-tile UI badges for faster scanning.\n* **Bug Fixes**\n * Specifier detail pages now show available catalogue entries instead of missing-page errors.\n\n[supa]:sjrfecxgysukkwxsowpy\nThis pull request has been ignored for the connected project `sjrfecxgysukkwxsowpy` because there are no changes detected in `supabase` directory. You can change this behaviour in [Project Integrations Settings ↗︎](https://supabase.com/dashboard/project/sjrfecxgysukkwxsowpy/settings/integrations).\n\n

\n\nPreview Branches by Supabase.\nLearn more about [Supabase Branching ↗︎](https://supabase.com/docs/guides/platform/branching).\n\n\n\n[![Review Change Stack](https://storage.googleapis.com/coderabbit_public_assets/review-stack-in-coderabbit-ui.svg)](https://app.coderabbit.ai/change-stack/BigSimmo/Database/pull/656?utm_source=github_walkthrough&utm_medium=github&utm_campaign=change_stack)\n\n\n\n\n> [!NOTE]\n> Currently processing new changes in this PR. This may take a few minutes, please wait...\n> \n>

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📒 Files selected for processing (3)

\n> \n> * `data/specifiers-content.json`\n> * `data/specifiers-search-index.json`\n> * `tests/specifiers-content.test.ts`\n> \n>

\n> \n> ```ascii\n> __________________________________________________________\n> < Your types are so loose they're in an open relationship. >\n> ----------------------------------------------------------\n> \\\n> \\ \\\n> \\ /\\\n> ( )\n> .( o ).\n> ```\n\n\n\n\n\n

📝 Walkthrough

\n\n## Walkthrough\n\nAdds a complete DSM-5-TR specifier catalog, cached server access, client-side search, catalog reference pages, enhanced search results, dynamic routing, and validation tests.\n\n### Changes\n\n**Specifier catalog experience**\n\n|Layer / File(s)|Summary|\n|---|---|\n|**Specifier datasets**
`data/specifiers-content.json`, `data/specifiers-search-index.json`|Adds hierarchical specifier content, flattened search records, metadata, definitions, categories, and review statuses.|\n|**Server catalog access**
`src/lib/specifiers-content.ts`|Adds typed dataset loading, slug-based catalog lookup, related items, curated enrichment, and verified-item pre-render selection.|\n|**Client catalog search**
`src/lib/specifiers-search-index.ts`, `tests/specifiers-content.test.ts`|Adds filtered and ranked search over the client index, preset queries, and tests for catalog consistency, slugs, definitions, enrichment, and filtering.|\n|**Reference page and UI primitives**
`src/components/specifiers/specifier-ui.tsx`, `src/components/specifiers/specifier-reference-page.tsx`, `src/components/specifiers/specifier-record-page.tsx`|Adds category, review, DSM, and quick-tile components and renders catalog reference pages with definitions, related entries, and review details.|\n|**Search home and route integration**
`src/components/specifiers/specifiers-home-page.tsx`, `src/app/specifiers/[slug]/page.tsx`|Displays review alerts and additional catalog matches, and supports dynamic catalog-backed specifier routes alongside curated pages.|\n\n**Estimated code review effort:** 4 (Complex) | ~45 minutes\n\n**Possibly related PRs**\n\n- [BigSimmo/Database#633](https://github.com/BigSimmo/Database/pull/633): Changes the same specifier detail routing behavior.\n- [BigSimmo/Database#658](https://github.com/BigSimmo/Database/pull/658): Extends the specifier search results UI introduced here.\n\n

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🚥 Pre-merge checks | ✅ 5

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✅ Passed checks (5 passed)

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✨ Finishing Touches

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📝 Generate docstrings

\n\n- [ ] Create stacked PR\n- [ ] Commit on current branch\n\n

🧪 Generate unit tests (beta)

\n\n- [ ] Create PR with unit tests\n- [ ] Commit unit tests in branch `claude/specifiers-v2-design-r55baf`\n\n

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\n\n\n\n\n---\n\n\n\n\n_{Comment `@coderabbitai help` to get the list of available commands.}\n\n\n**_{_{![P1 Badge](https://img.shields.io/badge/P1-orange?style=flat)}} Correct anxious-distress definitions**\n\nFor the mood-disorder row labeled `With anxious distress (mild, moderate, moderate-severe, severe)`, the generated meaning describes the `severe` severity level instead of anxious distress itself; the same pattern appears for Bipolar II and MDD, so a user searching or opening anxious distress gets clinical guidance about episode severity rather than the specifier. The dataset already contains the correct anxious-distress anchor elsewhere, so these rows should use that meaning and reserve the severity text for the actual `Severe` rows.\n\nUseful? React with 👍 / 👎.\n**_{_{![P2 Badge](https://img.shields.io/badge/P2-yellow?style=flat)}} Apply filters to catalog matches**\n\nWhen the user changes the family or diagnosis filters, only the curated `results` are filtered; the new full-catalog section still calls `searchSpecifierCatalog(query)` without equivalent filters, so selecting a diagnosis such as Bipolar can still show non-bipolar catalog matches under the same filtered results page. Either pass the matching catalog/category constraints here or clearly keep the full-catalog section outside the filtered result set.\n\nUseful? React with 👍 / 👎.\n**_{_{![P2 Badge](https://img.shields.io/badge/P2-yellow?style=flat)}} Link the Deep guide CTA to the guide**\n\nFor catalog items with a curated enrichment, the CTA labeled `Deep guide` currently opens `/specifiers/compare` with a single specifier instead of the rich curated detail page; clicking it from an enriched reference page such as anxious distress lands users in the comparison workflow rather than the promised guide. This should point at `/specifiers/${enrichment.slug}` if the intent is to open the deep guide.\n\nUseful? React with 👍 / 👎.\n\n### 💡 Codex Review\n\nHere are some automated review suggestions for this pull request.\n\n**Reviewed commit:** `3470e94f59`\n \n\n

ℹ️ About Codex in GitHub

\n
\n\n[Your team has set up Codex to review pull requests in this repo](https://chatgpt.com/codex/cloud/settings/general). Reviews are triggered when you\n- Open a pull request for review\n- Mark a draft as ready\n- Comment \"@codex review\".\n\nIf Codex has suggestions, it will comment; otherwise it will react with 👍.\n\n\n\n\nCodex can also answer questions or update the PR. Try commenting \"@codex address that feedback\".\n \n

\n\n\n\n\n\n\n@codex resolve actionable Codex review findings for this pull request and current head using the repository instructions. This is the pull request's single automatic repair pass: do not perform a fresh review, create new standalone findings, or request another review. Work only the existing unresolved Codex threads on the current head. Always fix P0 and P1 findings. For P2 and lower findings, fix only clear, scoped, low-risk issues; otherwise disposition them with a concise reason. After fixing or dispositioning a thread, reply in that thread with as the first line, followed by a concise summary; that marker authorizes the workflow to close that exact thread. If human input or new authorization is required, do not use the marker and leave the thread open with the blocker. Finish only after every actionable thread is fixed or dispositioned and closed, or explicitly left open for a human decision. Do not update the branch from main, address unrelated reviews, broaden scope, or create more than one scoped fix commit. Do not use external APIs, paid services, credentials, dependency changes, or broad refactors unless explicitly authorized. Add targeted tests where behavior changes and run the narrowest relevant validation.\n\n### 💡 Codex Review\n\nHere are some automated review suggestions for this pull request.\n\n**Reviewed commit:** `3470e94f59`\n \n\n

ℹ️ About Codex in GitHub

\n**_{_{![P1 Badge](https://img.shields.io/badge/P1-orange?style=flat)}} Guard curated matches by diagnosis context**\n\nWhen a catalog row has a generic label/short name such as `Mild`, this label-only lookup maps it to the curated mood-disorder `mild-severity` record even for unrelated diagnoses like Intellectual Developmental Disorder. Opening that catalog detail page then renders mood-specific fit/exclusion guidance and builder links for a non-mood severity specifier, which is misleading clinical content; only enrich when the catalog disorder/applicability also matches, or avoid short-name matches for generic labels.\n\nUseful? React with 👍 / 👎.\n**_{_{![P1 Badge](https://img.shields.io/badge/P1-orange?style=flat)}} Correct anxious-distress definitions**\n\nFor catalog rows labeled `With anxious distress`, the generated definition describes generic `severe` mood-episode burden instead of anxiety/distress features. This is rendered both in search and on the DSM reference detail page for Bipolar I/II and MDD anxious-distress entries, so users looking up anxious distress see clinically wrong guidance; correct these definitions or mark them as needing manual verification, and regenerate the compact search index as well.\n\nUseful? React with 👍 / 👎.\n**_{_{![P2 Badge](https://img.shields.io/badge/P2-yellow?style=flat)}} Apply filters to catalog matches**\n\nThe new catalog section is computed from `searchSpecifierCatalog(query)` without considering the selected `family` or `diagnosis` filters, even though those controls sit above both result sections. For example, after choosing the Depressive filter, the catalog can still list bipolar or other-diagnosis matches for the same query, which makes the filtered clinical search results inconsistent; either apply equivalent filtering to catalog rows or clearly separate them from the filtered results.\n\nUseful? React with 👍 / 👎.\n_🎯 Functional Correctness_ | _🟠 Major_ | _⚡ Quick win_\n\n

🧩 Analysis chain

\n\n🌐 Web query:\n\n`DSM-5-TR Selective Mutism classification chapter`\n\n💡 Result:\n\nIn the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR), Selective Mutism is classified under the chapter titled Anxiety Disorders [1]. This classification represents a shift from previous editions (such as DSM-IV-TR), where Selective Mutism was categorized under \"Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence\" [2][3]. Moving it to the Anxiety Disorders chapter emphasizes the anxious etiology of the condition and allows for its diagnosis across the lifespan, including in adults [3].\n\nCitations:\n\n- 1: https://www.asha.org/practice-portal/clinical-topics/selective-mutism/\n- 2: https://www.psychiatry.org/File%20Library/Psychiatrists/Practice/DSM/APA_DSM_Changes_from_DSM-IV-TR_-to_DSM-5.pdf\n- 3: https://pubmed.ncbi.nlm.nih.gov/29975370/\n\n---\n\n🏁 Script executed:\n\n```shell\npython3 - <<'PY'\nimport json\nfrom pathlib import Path\n\npath = Path('data/specifiers-content.json')\ndata = json.loads(path.read_text())\n\n# Basic stats\ncategories = data.get('categories', [])\nstats = data.get('stats', {})\nprint('stats:', stats)\nprint('category_count:', len(categories))\n\n# Find Selective Mutism entries\nmatches = []\nfor cat in categories:\n for disorder in cat.get('disorders', []):\n if disorder.get('name') == 'Selective Mutism':\n matches.append((cat.get('id'), cat.get('name'), disorder.get('icd11Context'), disorder.get('groups', [])))\n\nprint('selective_mutism_matches:', len(matches))\nfor m in matches:\n cid, cname, ctx, groups = m\n print('category:', cid, cname, '| context:', ctx, '| groups:', len(groups))\n\n# Check exact duplication by a compact signature\nimport hashlib, json as js\nsigs = []\nfor cat in categories:\n for disorder in cat.get('disorders', []):\n if disorder.get('name') == 'Selective Mutism':\n sig = hashlib.sha256(js.dumps(disorder, sort_keys=True, separators=(',', ':')).encode()).hexdigest()\n sigs.append((cat.get('id'), sig))\nprint('signatures:', sigs)\n\n# Locate chapter labels for these categories\nfor cat in categories:\n if cat.get('id') in {'ndv', 'anx'}:\n print('category_meta:', cat.get('id'), cat.get('name'))\nPY\n```\n\nRepository: BigSimmo/Database\n\nLength of output: 821\n\n---\n\n🏁 Script executed:\n\n```shell\npython3 - <<'PY'\nimport json\nfrom pathlib import Path\nfrom collections import Counter\n\ndata = json.loads(Path('data/specifiers-content.json').read_text())\n\n# Count major structures\nprint('stats_disorders:', data['stats'].get('disorders'))\nprint('stats_groups:', data['stats'].get('groups'))\nprint('stats_specifierItems:', data['stats'].get('specifierItems'))\nprint('stats_categories:', data['stats'].get('categories'))\n\n# Count all actual occurrences\ndisorder_count = group_count = item_count = 0\nfor cat in data['categories']:\n disorder_count += len(cat.get('disorders', []))\n for disorder in cat.get('disorders', []):\n for group in disorder.get('groups', []):\n group_count += 1\n item_count += len(group.get('items', []))\n\nprint('actual_disorders:', disorder_count)\nprint('actual_groups:', group_count)\nprint('actual_items:', item_count)\n\n# Find duplicated disorder names and rowKeys\nname_counts = Counter()\nrowkey_counts = Counter()\nhash_counts = Counter()\nfor cat in data['categories']:\n for disorder in cat.get('disorders', []):\n name_counts[(disorder.get('name'), disorder.get('icd11Context'))] += 1\n for group in disorder.get('groups', []):\n for item in group.get('items', []):\n rk = item.get('review', {}).get('rowKey')\n if rk:\n rowkey_counts[rk] += 1\n ch = item.get('review', {}).get('contentHash')\n if ch:\n hash_counts[ch] += 1\n\nprint('duplicate_rowKeys:', [rk for rk, n in rowkey_counts.items() if n > 1][:20])\nprint('duplicate_contentHashes_top:', [h for h, n in hash_counts.items() if n > 1][:10])\n\n# Selective Mutism specific entries\nhits = []\nfor cat in data['categories']:\n for disorder in cat.get('disorders', []):\n if disorder.get('name') == 'Selective Mutism':\n hits.append((cat.get('id'), cat.get('name'), disorder))\nprint('selective_mutism_count:', len(hits))\nfor cid, cname, disorder in hits:\n print('---')\n print(cid, cname)\n print('icd11Context:', disorder.get('icd11Context'))\n print('groups:', len(disorder.get('groups', [])))\n print('json_sha256:', __import__('hashlib').sha256(__import__('json').dumps(disorder, sort_keys=True, separators=(',', ':')).encode()).hexdigest())\nPY\n```\n\nRepository: BigSimmo/Database\n\nLength of output: 733\n\n---\n\n\n\n

\n\n**Remove the Neurodevelopmental Selective Mutism entry.** Selective Mutism belongs in Anxiety Disorders, and this copy duplicates the existing entry there, so it should be dropped from the Neurodevelopmental section.\n\n

🤖 Prompt for AI Agents

\n\n```\nVerify each finding against current code. Fix only still-valid issues, skip the\nrest with a brief reason, keep changes minimal, and validate.\n\nIn `@data/specifiers-content.json` around lines 1101 - 1127, Remove the Selective\nMutism entry identified by name and its associated icd11Context and groups data\nfrom the Neurodevelopmental section, while preserving the existing Anxiety\nDisorders entry and valid surrounding JSON structure.\n```\n\n

\n\n\n\n\n\n\n\n\n\n✅ Addressed in commits fbf299b to 60c7603\n_🗄️ Data Integrity & Integration_ | _🟠 Major_ | _🏗️ Heavy lift_\n\n

🧩 Analysis chain

\n\n🏁 Script executed:\n\n```shell\n#!/bin/bash\nrg -n -C2 \\\n 'tic frequency|personality change presentation|sexual-dysfunction context' \\\n data/specifiers-content.json data/specifiers-search-index.json\n```\n\nRepository: BigSimmo/Database\n\nLength of output: 13493\n\n---\n\n🏁 Script executed:\n\n```shell\npython3 - <<'PY'\nimport json, re\nfrom pathlib import Path\n\nfor path in [Path(\"data/specifiers-content.json\"), Path(\"data/specifiers-search-index.json\")]:\n data = json.loads(path.read_text())\n text = path.read_text()\n\n patterns = [\n \"tic frequency, complexity, suppressibility, distress, pain/injury, social impact, and functional interference\",\n \"dominant interpersonal pattern in the personality change presentation\",\n \"sexual-dysfunction context\",\n ]\n\n print(f\"\\n== {path} ==\")\n for pat in patterns:\n count = text.count(pat)\n print(f\"{pat!r}: {count}\")\n\n if path.name == \"data/specifiers-search-index.json\":\n # Show the exact objects around the reported ranges\n for idx in [471, 625, 944, 2627, 2968, 3099, 5916, 5982, 6213, 6268]:\n obj = data[idx]\n print(f\"\\n[{idx}] {obj.get('label')} | {obj.get('disorder')} | {obj.get('meaning')}\")\nPY\n```\n\nRepository: BigSimmo/Database\n\nLength of output: 677\n\n---\n\n🏁 Script executed:\n\n```shell\npython3 - <<'PY'\nimport json\nfrom pathlib import Path\n\npath = Path(\"data/specifiers-search-index.json\")\ndata = json.loads(path.read_text())\n\ntargets = [\n 472, 626, 945, 2628, 2969, 3100, 5917, 5983, 6214, 6269\n]\n\nfor i in targets:\n o = data[i]\n print(f\"{i}: {o['label']} | {o['disorder']} | def={o.get('def')} | src={o.get('src')}\")\n print(f\" meaning={o['meaning']}\")\nPY\n```\n\nRepository: BigSimmo/Database\n\nLength of output: 243\n\n---\n\n\n\n

\n\n**Regenerate the catalog with disorder-specific definitions**\nSeveral entries in `data/specifiers-content.json` and `data/specifiers-search-index.json` reuse the tic-severity template, plus a few other cross-domain templates, while still marked `defined`. That pushes fabricated clinical guidance into search/detail views instead of an undefined/manual-review state; fix the upstream generator and regenerate both datasets.\n\n

🤖 Prompt for AI Agents

\n\n```\nVerify each finding against current code. Fix only still-valid issues, skip the\nrest with a brief reason, keep changes minimal, and validate.\n\nIn `@data/specifiers-search-index.json` around lines 618 - 626, Update the\nupstream catalog generator responsible for specifier definitions so entries such\nas “Current severity” for Brief Psychotic Disorder no longer reuse tic-severity\nor other cross-domain templates. Use validated disorder-specific definitions\nwhere available; otherwise mark the entry undefined/manual-review instead of\ndefined. Regenerate both specifiers-content.json and\nspecifiers-search-index.json from the corrected generator.\n```\n\n

\n\n\n\n\n\n\n\n_Source: Coding guidelines_\n\n\n\n✅ Addressed in commits fbf299b to 60c7603\n_🎯 Functional Correctness_ | _🟠 Major_ | _⚡ Quick win_\n\n**Route “Deep guide” to the curated detail page.**\n\nThis currently opens the comparison workflow rather than the rich curated guide promised by the label.\n\n

Proposed fix

\n\n```diff\n- href={`/specifiers/compare?a=${enrichment.slug}`}\n+ href={`/specifiers/${enrichment.slug}`}\n```\n

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📝 Committable suggestion

\n\n> ‼️ **IMPORTANT**\n> Carefully review the code before committing. Ensure that it accurately replaces the highlighted code, contains no missing lines, and has no issues with indentation. Thoroughly test & benchmark the code to ensure it meets the requirements.\n\n```suggestion\n \n \n Deep guide\n \n```\n\n

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🤖 Prompt for AI Agents

\n\n```\nVerify each finding against current code. Fix only still-valid issues, skip the\nrest with a brief reason, keep changes minimal, and validate.\n\nIn `@src/components/specifiers/specifier-reference-page.tsx` around lines 153 -\n159, Update the “Deep guide” Link in SpecifierReferencePage to navigate to the\ncurated detail-page route instead of the `/specifiers/compare` comparison\nworkflow, preserving its existing label and styling.\n```\n\n

\n\n\n\n\n\n\n\n\n\n✅ Addressed in commit 1c8bfd4\n_🎯 Functional Correctness_ | _🟠 Major_ | _⚡ Quick win_\n\n**Make catalog matches obey filters and drive the result state.**\n\nLine 215 ignores `family` and `diagnosis`, so filtered pages still show excluded catalog rows. Catalog-only queries also display “0 matches” and `EmptySearchResults` before valid cards. Apply equivalent catalog filters and derive the count/empty state from both result sets.\n\nAdd focused coverage for a catalog-only query and a diagnosis-filtered catalog query.\n\n\n\n\nAs per coding guidelines, “When behavior changes, add or update the smallest relevant targeted test and run the narrowest relevant validation before broader suites.” \n\n\nAlso applies to: 361-415\n\n

🤖 Prompt for AI Agents

\n\n```\nVerify each finding against current code. Fix only still-valid issues, skip the\nrest with a brief reason, keep changes minimal, and validate.\n\nIn `@src/components/specifiers/specifiers-home-page.tsx` around lines 213 - 218,\nUpdate catalogMatches to apply the active family and diagnosis filters\nconsistently with curated results, then use the combined curated and catalog\ncollections when deriving result counts and EmptySearchResults visibility.\nEnsure catalog-only queries render valid cards instead of the zero-match state.\nAdd focused tests covering catalog-only results and diagnosis-filtered catalog\nresults, and run the narrowest relevant validation.\n```\n\n

\n\n\n\n\n\n\n\n_Source: Coding guidelines_\n\n\n\n✅ Addressed in commit 1c8bfd4\n**Actionable comments posted: 4**\n\n

🧹 Nitpick comments (2)

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data/specifiers-content.json (2)
\n\n`11721-12168`: _🗄️ Data Integrity & Integration_ | _🔵 Trivial_ | _⚡ Quick win_\n\n**Category \"20. ICD-11 Specifics\" fully duplicates content already present in other categories.**\n\nSeveral disorders in this category are near-identical/byte-identical repeats of entries already defined elsewhere in the file, rather than differentiated ICD-11-specific views:\n- Gaming Disorder (Lines 11726-11791) duplicates the entry under \"16. Substance & Addictive\" (Lines 9948-10013) — identical \"meaning\" text for both type and severity items.\n- Compulsive Sexual Behaviour Disorder (Lines 11793-11819) duplicates the entry under \"13. Sexual Dysfunctions\" (Lines 8988-9014).\n- Bodily Distress Disorder (Lines 11911-11971) duplicates the entry under \"9. Somatic Symptom\" (Lines 6162-6223).\n- Partial Dissociative Identity Disorder (Lines 11973-11999) duplicates \"8. Dissociative Disorders\" (Lines 5570-5596).\n- Trance Disorder (Lines 12001-12027) duplicates \"8. Dissociative Disorders\" (Lines 5598-5646).\n- Olfactory Reference Disorder (Lines 12029-12111) duplicates \"6. Obsessive-Compulsive\" (Lines 4799-4881).\n- Body-Focused Repetitive Behaviour Disorder (Lines 12113-12139) duplicates \"6. Obsessive-Compulsive\" (Lines 4883-4909).\n- Complex PTSD (Lines 11821-11847) closely duplicates \"7. Trauma & Stressor\" (Lines 5092-5140), with only minor label wording differences.\n\nUnlike \"Catatonia\" in this same category (whose ICD-11 sub-items genuinely differ from the DSM-5-TR \"Catatonia\" entry elsewhere), these are exact-content duplicates. This inflates the `disorders`/`specifierItems` stats, produces redundant catalog entries a user could stumble on twice with no distinguishing information, and creates a content-drift risk: because each copy has its own `rowKey`/`contentHash`, future edits to one copy will not automatically propagate to the other.\n\nConsider either deduplicating (drop the exact-duplicate entries from \"20. ICD-11 Specifics\" and rely on category tags/cross-links instead), or giving the ICD-11 Specifics versions genuinely differentiated content (as done for Catatonia).\n\n
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🤖 Prompt for AI Agents
\n\n```\nVerify each finding against current code. Fix only still-valid issues, skip the\nrest with a brief reason, keep changes minimal, and validate.\n\nIn `@data/specifiers-content.json` around lines 11721 - 12168, The ICD-11\nSpecifics category contains duplicate disorder entries already defined in other\ncategories, inflating catalog counts and creating content drift. In the category\nidentified by id \"icd\", remove the duplicate entries for Gaming Disorder,\nCompulsive Sexual Behaviour Disorder, Complex PTSD, Bodily Distress Disorder,\nPartial Dissociative Identity Disorder, Trance Disorder, Olfactory Reference\nDisorder, and Body-Focused Repetitive Behaviour Disorder, while retaining\nCatatonia and Gender Incongruence; do not alter the canonical entries in their\noriginal categories.\n```\n\n
\n\n\n\n---\n\n`295-300`: _📐 Maintainability & Code Quality_ | _🔵 Trivial_ | _⚡ Quick win_\n\n**Drop the nested `definition.status`.** Only `definitionStatus` is read by the schema and consumers, so the nested copy is redundant and can drift out of sync. `data/specifiers-content.json:295-308`\n\n
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🤖 Prompt for AI Agents
\n\n```\nVerify each finding against current code. Fix only still-valid issues, skip the\nrest with a brief reason, keep changes minimal, and validate.\n\nIn `@data/specifiers-content.json` around lines 295 - 300, Remove the nested\nstatus property from the definition object in the Intellectual Developmental\nDisorder entry, while preserving definition.meaning, definition.clinicalNote,\ndefinition.sourceFamily, and the existing top-level definitionStatus value\nconsumed by the schema.\n```\n\n
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🤖 Prompt for all review comments with AI agents

\n\n```\nVerify each finding against current code. Fix only still-valid issues, skip the\nrest with a brief reason, keep changes minimal, and validate.\n\nInline comments:\nIn `@data/specifiers-content.json`:\n- Around line 1101-1127: Remove the Selective Mutism entry identified by name\nand its associated icd11Context and groups data from the Neurodevelopmental\nsection, while preserving the existing Anxiety Disorders entry and valid\nsurrounding JSON structure.\n\nIn `@data/specifiers-search-index.json`:\n- Around line 618-626: Update the upstream catalog generator responsible for\nspecifier definitions so entries such as “Current severity” for Brief Psychotic\nDisorder no longer reuse tic-severity or other cross-domain templates. Use\nvalidated disorder-specific definitions where available; otherwise mark the\nentry undefined/manual-review instead of defined. Regenerate both\nspecifiers-content.json and specifiers-search-index.json from the corrected\ngenerator.\n\nIn `@src/components/specifiers/specifier-reference-page.tsx`:\n- Around line 153-159: Update the “Deep guide” Link in SpecifierReferencePage to\nnavigate to the curated detail-page route instead of the `/specifiers/compare`\ncomparison workflow, preserving its existing label and styling.\n\nIn `@src/components/specifiers/specifiers-home-page.tsx`:\n- Around line 213-218: Update catalogMatches to apply the active family and\ndiagnosis filters consistently with curated results, then use the combined\ncurated and catalog collections when deriving result counts and\nEmptySearchResults visibility. Ensure catalog-only queries render valid cards\ninstead of the zero-match state. Add focused tests covering catalog-only results\nand diagnosis-filtered catalog results, and run the narrowest relevant\nvalidation.\n\n---\n\nNitpick comments:\nIn `@data/specifiers-content.json`:\n- Around line 11721-12168: The ICD-11 Specifics category contains duplicate\ndisorder entries already defined in other categories, inflating catalog counts\nand creating content drift. In the category identified by id \"icd\", remove the\nduplicate entries for Gaming Disorder, Compulsive Sexual Behaviour Disorder,\nComplex PTSD, Bodily Distress Disorder, Partial Dissociative Identity Disorder,\nTrance Disorder, Olfactory Reference Disorder, and Body-Focused Repetitive\nBehaviour Disorder, while retaining Catatonia and Gender Incongruence; do not\nalter the canonical entries in their original categories.\n- Around line 295-300: Remove the nested status property from the definition\nobject in the Intellectual Developmental Disorder entry, while preserving\ndefinition.meaning, definition.clinicalNote, definition.sourceFamily, and the\nexisting top-level definitionStatus value consumed by the schema.\n```\n\n

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🪄 Autofix (Beta)

\n\n✅ Autofix completed\n\n

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ℹ️ Review info

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⚙️ Run configuration

\n\n**Configuration used**: Path: .coderabbit.yaml\n\n**Review profile**: CHILL\n\n**Plan**: Pro Plus\n\n**Run ID**: `fcb1a9a6-d791-4e5b-93a3-8ccd20fcf042`\n\n

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📥 Commits

\n\nReviewing files that changed from the base of the PR and between 281d3e0cdf58357101d24cbcad0121ecabb51035 and 3470e94f59e040d43f0940909cb00e6a84fd11a4.\n\n

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📒 Files selected for processing (10)

\n\n* `data/specifiers-content.json`\n* `data/specifiers-search-index.json`\n* `src/app/specifiers/[slug]/page.tsx`\n* `src/components/specifiers/specifier-record-page.tsx`\n* `src/components/specifiers/specifier-reference-page.tsx`\n* `src/components/specifiers/specifier-ui.tsx`\n* `src/components/specifiers/specifiers-home-page.tsx`\n* `src/lib/specifiers-content.ts`\n* `src/lib/specifiers-search-index.ts`\n* `tests/specifiers-content.test.ts`\n\n

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\n\n\n\n### 💡 Codex Review\n\nHere are some automated review suggestions for this pull request.\n\n**Reviewed commit:** `1c8bfd4ca3`\n \n\n

ℹ️ About Codex in GitHub

\n**_{_{![P1 Badge](https://img.shields.io/badge/P1-orange?style=flat)}} Correct copied illness-anxiety definitions**\n\nWhen a user searches or opens Illness Anxiety Disorder's `Care-seeking type`, the new catalog explains it as a `personality change presentation`; the same copied text is used for `Care-avoidant type`. These labels should describe seeking versus avoiding medical evaluation, and the current text renders clinically wrong guidance in both the search index and detail page; a focused fixture asserting these two rows mention care seeking/avoidance and not personality change would catch this, then the compact index should be regenerated.\n\nUseful? React with 👍 / 👎.\n**_{_{![P1 Badge](https://img.shields.io/badge/P1-orange?style=flat)}} Correct the FND stressor context**\n\nFor Functional Neurological Symptom Disorder's `With/without psychological stressor` row, the generated meaning says the stressor is in a `sexual-dysfunction context`, which is copied from an unrelated category. Users opening this FND reference page should see that the stressor is relevant to the functional neurological/conversion presentation, not sexual dysfunction; add a targeted assertion for this row and regenerate the search index copy as well.\n\nUseful? React with 👍 / 👎.\n**_{_{![P1 Badge](https://img.shields.io/badge/P1-orange?style=flat)}} Remove trauma wording from bodily-distress severity**\n\nWhen users open Bodily Distress Disorder severity rows, the generated severity anchor rates `trauma-related symptom burden`, and the same phrase is reused for moderate/severe and the ICD-specific duplicate rows. Bodily Distress Disorder is a somatic/ICD-11 reference here, so this copied trauma template gives the wrong clinical dimension in search and detail pages; replace it with bodily-symptom distress/impairment wording and keep the compact index in sync.\n\nUseful? React with 👍 / 👎.\n\n\n> [!CAUTION]\n> Some comments are outside the diff and can’t be posted inline due to platform limitations.\n> \n> \n> \n>

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⚠️ Outside diff range comments (2)

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data/specifiers-content.json (2)
\n> \n> `2776-2792`: _🎯 Functional Correctness_ | _🟡 Minor_ | _⚡ Quick win_\n> \n> **`clinicalNote` references a parenthetical severity list that doesn't exist on these labels.**\n> \n> Cyclothymic Disorder's and Persistent Depressive Disorder's \"With anxious distress\" items carry the note \"The parenthetical severity levels grade the anxious distress specifier, not the whole disorder.\" but their labels have no parenthetical severity list (unlike the Bipolar I/II/MDD variants, whose label reads \"With anxious distress (mild, moderate, moderate-severe, severe)\"). Since this PR's stated goal is correcting anxious-distress content, these two look like leftover copy-paste from the parenthetical variant.\n> \n>
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🩹 Proposed fix
\n> \n> ```diff\n> - \"clinicalNote\": \"The parenthetical severity levels grade the anxious distress specifier, not the whole disorder.\",\n> + \"clinicalNote\": null,\n> ```\n> (apply at both Cyclothymic Disorder line ~2779 and Persistent Depressive Disorder line ~3415)\n>
\n> \n> \n> \n> \n> \n> Also applies to: 3412-3427\n> \n>
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🤖 Prompt for AI Agents
\n> \n> ```\n> Verify each finding against current code. Fix only still-valid issues, skip the\n> rest with a brief reason, keep changes minimal, and validate.\n> \n> In `@data/specifiers-content.json` around lines 2776 - 2792, Remove the inaccurate\n> parenthetical-severity reference from the clinicalNote of the “With anxious\n> distress” entries for Cyclothymic Disorder and Persistent Depressive Disorder.\n> Keep the labels and other definition metadata unchanged, and replace the note\n> with wording that accurately describes these non-parenthetical variants.\n> ```\n> \n>
\n> \n> \n> \n> ---\n> \n> `1360-1380`: _🎯 Functional Correctness_ | _🟠 Major_ | _🏗️ Heavy lift_\n> \n> **Wrong severity template reused across multiple rows** \n> `data/specifiers-content.json` assigns the tic-disorder “current severity” wording (“tic frequency, complexity, suppressibility…”) to Brief Psychotic Disorder, Substance/Medication-Induced Psychotic Disorder, PTSD, and several paraphilic entries. These severities need disorder-specific domains, so this looks like a template-mapping bug and should be regenerated at the source rather than patched row by row.\n> \n>
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🤖 Prompt for AI Agents
\n> \n> ```\n> Verify each finding against current code. Fix only still-valid issues, skip the\n> rest with a brief reason, keep changes minimal, and validate.\n> \n> In `@data/specifiers-content.json` around lines 1360 - 1380, Regenerate the\n> severity entries in the source that produce the affected rows, including Brief\n> Psychotic Disorder and the other disorders identified in the comment, so each\n> “Current severity” definition uses disorder-specific domains instead of the\n> tic-disorder wording. Rebuild data/specifiers-content.json from the corrected\n> source and verify the reused template no longer appears in those rows.\n> ```\n> \n>
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🤖 Prompt for all review comments with AI agents

\n\n```\nVerify each finding against current code. Fix only still-valid issues, skip the\nrest with a brief reason, keep changes minimal, and validate.\n\nOutside diff comments:\nIn `@data/specifiers-content.json`:\n- Around line 2776-2792: Remove the inaccurate parenthetical-severity reference\nfrom the clinicalNote of the “With anxious distress” entries for Cyclothymic\nDisorder and Persistent Depressive Disorder. Keep the labels and other\ndefinition metadata unchanged, and replace the note with wording that accurately\ndescribes these non-parenthetical variants.\n- Around line 1360-1380: Regenerate the severity entries in the source that\nproduce the affected rows, including Brief Psychotic Disorder and the other\ndisorders identified in the comment, so each “Current severity” definition uses\ndisorder-specific domains instead of the tic-disorder wording. Rebuild\ndata/specifiers-content.json from the corrected source and verify the reused\ntemplate no longer appears in those rows.\n```\n\n

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ℹ️ Review info

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⚙️ Run configuration

\n\n**Configuration used**: Path: .coderabbit.yaml\n\n**Review profile**: CHILL\n\n**Plan**: Pro Plus\n\n**Run ID**: `3825d38b-62d7-4a27-a7f2-d40dd9ffa25b`\n\n

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📥 Commits

\n\nReviewing files that changed from the base of the PR and between 3470e94f59e040d43f0940909cb00e6a84fd11a4 and 1c8bfd4ca3c3abfa23cfc8f915a4d36fcf3da4f3.\n\n

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📒 Files selected for processing (6)

\n\n* `data/specifiers-content.json`\n* `data/specifiers-search-index.json`\n* `src/components/specifiers/specifier-reference-page.tsx`\n* `src/components/specifiers/specifiers-home-page.tsx`\n* `src/lib/specifiers-content.ts`\n* `tests/specifiers-content.test.ts`\n\n

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🚧 Files skipped from review as they are similar to previous changes (5)

\n\n* src/components/specifiers/specifier-reference-page.tsx\n* tests/specifiers-content.test.ts\n* data/specifiers-search-index.json\n* src/components/specifiers/specifiers-home-page.tsx\n* src/lib/specifiers-content.ts\n\n

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\n\n\n\n> [!NOTE]\n> Autofix is a beta feature. Expect some limitations and changes as we gather feedback and continue to improve it.\n\n## Fixes Applied Successfully\n\nFixed 2 file(s) based on 2 unresolved review comments.\n\n\n\n**Files modified:**\n- `data/specifiers-content.json`\n- `data/specifiers-search-index.json`\n\n**Commit:** `fbf299b5457fca34ecbaf60fbf816874ebf83c37`\n\nThe changes have been pushed to the `claude/specifiers-v2-design-r55baf` branch.\n\n**Time taken:** `7m 21s`\n\n\n### CI triage\nCI failed on this PR. Automated classification of the 3 failed job(s):\n\n- `Static PR checks` — **needs investigation**.\n- `Unit coverage` — **needs investigation**.\n- `PR required` — **possible known flake**: UI/Playwright job; check `tests/flake-ledger.json` (tests/ui-smoke.spec.ts, tests/ui-smoke.spec.ts, tests/ui-tools.spec.ts, tests/ui-tools.spec.ts) and re-run before bisecting.\n\n_Heuristic only — a main-side or flake label is a starting point, not a verdict._",{},"created",1784035389.2316573,"Completing the task","event_type","info",{"_93":586,"_97":94,"_580":3542},{"_93":1764,"_1765":1766},{"_93":1738,"_1739":1740,"_1741":1742,"_1743":1744,"_1745":-5},"pr","pr_title","fix(specifiers): correct catalog definitions, mark copied templates for review, and regenerate search index","pr_message","### Motivation\n\n- Fix several incorrect or copy-pasted definition texts discovered during review so catalog detail and search results don’t surface misleading clinical wording. \n- Keep the compact client `specifiers-search-index.json` consistent with the full server-side catalog `specifiers-content.json` after content edits. \n- Add focused checks to prevent regressions for the corrected clinical-domain mappings and template leakage.\n\n### Description\n\n- Updated `data/specifiers-content.json` to correct meanings/clinical notes for Illness Anxiety `Care-seeking`/`Care-avoidant` types, Functional Neurological Symptom Disorder `With/without psychological stressor`, and Bodily Distress Disorder severity rows to use bodily-symptom wording rather than unrelated templates. \n- Nullified or manualized copied tic-severity template entries outside Tourette/tic disorders by setting their `definition` to `null` and `definitionStatus` to `needs-manual-or-clinician-verification`. \n- Removed a redundant nested `definition.status` on the Intellectual Developmental Disorder mild row to avoid drift. \n- Regenerated the compact client index `data/specifiers-search-index.json` from the updated content so client search summaries match the catalog and updated `stats` counters accordingly. \n- Added targeted tests in `tests/specifiers-content.test.ts` that assert corrected domains (illness-anxiety, FND stressor, bodily-distress severity) and guard against tic-template leakage in non-tic disorders.\n\n### Testing\n\n- Ran custom Python assertions that verify JSON/index consistency and content-level regressions; these checks passed for all 585 specifier items (`ok 585`).\n- Regenerated the compact index via the included transform and validated the expected strings are present/absent in both `data/specifiers-content.json` and `data/specifiers-search-index.json` using repository scripts and `rg`. \n- Added unit assertions to `tests/specifiers-content.test.ts`, but invoking the local `npm test` / Vitest run failed in this sandbox because `node_modules` (Vitest) is not present, so the new Vitest tests were not executed here. \n- Ran `prettier` formatting on the changed files as part of the workflow and kept the edits limited to `data/specifiers-content.json`, `data/specifiers-search-index.json`, and `tests/specifiers-content.test.ts`.","output_diff",{"_93":1743,"_1746":611,"_129":130,"_1747":-5,"_338":1748,"_1749":1750,"_1751":1752,"_1753":1754,"_1755":1756,"_1757":1758,"_1759":1760},"pre_apply_patch","repo_id","preapply_patch_base_commit_sha","diff --git a/data/specifiers-content.json b/data/specifiers-content.json\nindex 2729860569afcd323027b67579a79f78be2fd386..02f6d15e9488e1e3135357b21a262e9a20d5abc1 100644\n--- a/data/specifiers-content.json\n+++ b/data/specifiers-content.json\n@@ -1,47 +1,47 @@\n {\n \"exportFormatVersion\": \"1.0.0\",\n \"exportedAt\": \"2026-07-14T05:26:45.159Z\",\n \"project\": {\n \"appName\": \"Specifiers\",\n \"version\": \"1.1.0\",\n \"contentVersion\": \"DSM-5-TR / ICD-11 aide-memoire dataset with Australian coding-context note\",\n \"lastUpdated\": \"2026-05-09\",\n \"reviewStatus\": \"Pending qualified clinician review\",\n \"reviewOwner\": \"Unassigned\",\n \"reviewCadence\": \"Review after DSM/ICD updates and at least annually\",\n \"scope\": \"Quick-reference aide-memoire for diagnostic specifiers and clinical notes. It is not a diagnostic instrument, substitute manual, treatment guide, billing/coding authority, or Australian ICD-11 implementation guide.\",\n \"disclaimer\": \"Use with formal DSM-5-TR materials, current WHO ICD-11 materials, Australian ICD-10-AM/ACHI/ACS requirements where relevant, local governance, and qualified clinical judgement.\"\n },\n \"scopeWarning\": \"This is diagnostic specifier aide-memoire content, not psychotherapy, treatment, prescribing, billing, or diagnostic-manual content.\",\n \"stats\": {\n \"categories\": 20,\n \"disorders\": 131,\n \"groups\": 218,\n \"specifierItems\": 585,\n \"universalSpecifiers\": 18,\n- \"itemsWithDefinitions\": 565,\n+ \"itemsWithDefinitions\": 558,\n \"itemsPendingClinicianReview\": 585\n },\n \"authoritativeSources\": [\n {\n \"label\": \"American Psychiatric Association: DSM-5-TR Update supplement\",\n \"url\": \"https://www.psychiatry.org/getmedia/2ed086b0-ec88-42ec-aa0e-f442e4af74e6/APA-DSM5TR-Update-September-2024.pdf\",\n \"note\": \"Official APA update supplement for DSM-5-TR changes and coding updates.\"\n },\n {\n \"label\": \"World Health Organization: ICD-11 MMS releases\",\n \"url\": \"https://icd.who.int/browse/releases/mms/en\",\n \"note\": \"Official ICD-11 release browser for mortality and morbidity statistics.\"\n },\n {\n \"label\": \"World Health Organization: ICD-11 CDDR publication\",\n \"url\": \"https://www.who.int/publications/i/item/9789240077263\",\n \"note\": \"Clinical descriptions and diagnostic requirements for ICD-11 mental, behavioural and neurodevelopmental disorders.\"\n },\n {\n \"label\": \"Australian Institute of Health and Welfare: ICD-11\",\n \"url\": \"https://www.aihw.gov.au/about-us/international-collaboration/australian-collaborating-centre-for-who/icd-11\",\n \"note\": \"Australian ICD-11 planning context, including ICD-10 and ICD-10-AM continuing operation.\"\n },\n {\n \"label\": \"Australian Institute of Health and Welfare: ICD-11 FAQs\",\n@@ -273,52 +273,51 @@\n \"sourceFamily\": \"DSM/ICD classification paraphrase\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n }\n ],\n \"categories\": [\n {\n \"id\": \"ndv\",\n \"name\": \"1. Neurodevelopmental\",\n \"colorToken\": \"var(--ndv)\",\n \"disorders\": [\n {\n \"name\": \"Intellectual Developmental Disorder\",\n \"icd11Context\": \"ICD-11 (6A00): Severity based on adaptive functioning, not IQ scores alone.\",\n \"groups\": [\n {\n \"label\": \"Severity\",\n \"items\": [\n {\n \"label\": \"Mild\",\n \"definition\": {\n \"meaning\": \"For Intellectual Developmental Disorder, mild refers to current burden across adaptive functioning across conceptual, social, and practical domains rather than IQ alone.\",\n \"clinicalNote\": \"Mild usually means difficulties are present but the person can function with limited or targeted supports.\",\n- \"sourceFamily\": \"Best-effort DSM-derived clinical anchor pending manual verification\",\n- \"status\": \"defined\"\n+ \"sourceFamily\": \"Best-effort DSM-derived clinical anchor pending manual verification\"\n },\n \"definitionStatus\": \"defined\",\n \"review\": {\n \"rowKey\": \"specifier:ndv:intellectual-developmental-disorder:severity:mild\",\n \"contentHash\": \"f2f669eb\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n },\n {\n \"label\": \"Moderate\",\n \"definition\": {\n \"meaning\": \"For Intellectual Developmental Disorder, moderate refers to current burden across adaptive functioning across conceptual, social, and practical domains rather than IQ alone.\",\n \"clinicalNote\": \"Moderate usually means more regular support is needed across daily, social, or learning demands.\",\n \"sourceFamily\": \"Best-effort DSM-derived clinical anchor pending manual verification\",\n \"status\": \"defined\"\n },\n \"definitionStatus\": \"defined\",\n \"review\": {\n \"rowKey\": \"specifier:ndv:intellectual-developmental-disorder:severity:moderate\",\n \"contentHash\": \"d9428af3\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n@@ -1883,57 +1882,52 @@\n },\n {\n \"label\": \"With hallucinations\",\n \"definition\": {\n \"meaning\": \"Hallucinations are the predominant psychotic symptom being documented.\",\n \"clinicalNote\": null,\n \"sourceFamily\": \"DSM/ICD classification paraphrase\",\n \"status\": \"defined\"\n },\n \"definitionStatus\": \"defined\",\n \"review\": {\n \"rowKey\": \"specifier:psy:substance-medication-induced-psychotic-disorder:predominant-symptom:with-hallucinations\",\n \"contentHash\": \"2f005ba7\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n }\n ]\n },\n {\n \"label\": \"Severity\",\n \"items\": [\n {\n \"label\": \"Current severity\",\n- \"definition\": {\n- \"meaning\": \"For Substance/Medication-Induced Psychotic Disorder, current severity refers to current burden across tic frequency, complexity, suppressibility, distress, pain/injury, social impact, and functional interference.\",\n- \"clinicalNote\": \"Rate the current burden using tic frequency, complexity, suppressibility, distress, pain/injury, social impact, and functional interference.\",\n- \"sourceFamily\": \"Best-effort DSM-derived clinical anchor pending manual verification\",\n- \"status\": \"defined\"\n- },\n- \"definitionStatus\": \"defined\",\n+ \"definition\": null,\n+ \"definitionStatus\": \"needs-manual-or-clinician-verification\",\n \"review\": {\n \"rowKey\": \"specifier:psy:substance-medication-induced-psychotic-disorder:severity:current-severity\",\n \"contentHash\": \"a8858bd5\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n }\n ]\n }\n ]\n },\n {\n \"name\": \"Psychotic Disorder Due to Another Medical Condition\",\n \"icd11Context\": \"ICD-11 (6E61): Secondary psychotic syndrome.\",\n \"groups\": [\n {\n \"label\": \"Predominant symptom\",\n \"items\": [\n {\n \"label\": \"With delusions\",\n \"definition\": {\n \"meaning\": \"Delusions are the predominant psychotic symptom being documented.\",\n \"clinicalNote\": null,\n \"sourceFamily\": \"DSM/ICD classification paraphrase\",\n@@ -2726,51 +2720,51 @@\n },\n \"definitionStatus\": \"defined\",\n \"review\": {\n \"rowKey\": \"specifier:bip:bipolar-ii-disorder:severity-course:in-full-remission\",\n \"contentHash\": \"ef914a48\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n }\n ]\n }\n ]\n },\n {\n \"name\": \"Cyclothymic Disorder\",\n \"icd11Context\": \"ICD-11 (6A62): Chronic instability of mood (2+ years).\",\n \"groups\": [\n {\n \"label\": \"Features\",\n \"items\": [\n {\n \"label\": \"With anxious distress\",\n \"definition\": {\n \"meaning\": \"Prominent anxiety or tension is present during the mood episode.\",\n- \"clinicalNote\": \"The parenthetical severity levels grade the anxious distress specifier, not the whole disorder.\",\n+ \"clinicalNote\": \"Use when prominent anxiety symptoms accompany the mood presentation; document the current anxiety features and severity separately as clinically appropriate.\",\n \"sourceFamily\": \"DSM/ICD classification paraphrase\",\n \"status\": \"defined\"\n },\n \"definitionStatus\": \"defined\",\n \"review\": {\n \"rowKey\": \"specifier:bip:cyclothymic-disorder:features:with-anxious-distress\",\n \"contentHash\": \"6214ed19\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n }\n ]\n },\n {\n \"label\": \"Severity\",\n \"items\": [\n {\n \"label\": \"Current severity\",\n \"definition\": {\n \"meaning\": \"For Cyclothymic Disorder, current severity refers to current burden across mood-episode symptom burden, functional impairment, psychotic features, episode risk, and safety concerns.\",\n \"clinicalNote\": \"Rate the current burden using mood-episode symptom burden, functional impairment, psychotic features, episode risk, and safety concerns.\",\n \"sourceFamily\": \"Best-effort DSM-derived clinical anchor pending manual verification\",\n \"status\": \"defined\"\n },\n@@ -5019,57 +5013,52 @@\n },\n {\n \"label\": \"With prominent negative alterations in cognition and mood\",\n \"definition\": {\n \"meaning\": \"Trauma-related negative beliefs, mood, guilt, shame, detachment, or reduced positive emotion are prominent.\",\n \"clinicalNote\": null,\n \"sourceFamily\": \"DSM/ICD classification paraphrase\",\n \"status\": \"defined\"\n },\n \"definitionStatus\": \"defined\",\n \"review\": {\n \"rowKey\": \"specifier:trm:post-traumatic-stress-disorder:features:with-prominent-negative-alterations-in-cognition-and-mood\",\n \"contentHash\": \"0b7af2c7\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n }\n ]\n },\n {\n \"label\": \"Severity\",\n \"items\": [\n {\n \"label\": \"Current severity\",\n- \"definition\": {\n- \"meaning\": \"For Post-Traumatic Stress Disorder, current severity refers to current burden across tic frequency, complexity, suppressibility, distress, pain/injury, social impact, and functional interference.\",\n- \"clinicalNote\": \"Rate the current burden using tic frequency, complexity, suppressibility, distress, pain/injury, social impact, and functional interference.\",\n- \"sourceFamily\": \"Best-effort DSM-derived clinical anchor pending manual verification\",\n- \"status\": \"defined\"\n- },\n- \"definitionStatus\": \"defined\",\n+ \"definition\": null,\n+ \"definitionStatus\": \"needs-manual-or-clinician-verification\",\n \"review\": {\n \"rowKey\": \"specifier:trm:post-traumatic-stress-disorder:severity:current-severity\",\n \"contentHash\": \"47596e6d\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n }\n ]\n }\n ]\n },\n {\n \"name\": \"Complex PTSD (ICD-11)\",\n \"icd11Context\": \"ICD-11 (6B41): Core PTSD + disturbances in self-organisation (affective, self-concept, relationships).\",\n \"groups\": [\n {\n \"label\": \"Features\",\n \"items\": [\n {\n \"label\": \"With disturbances in self-organisation (affective dysregulation, negative self-concept, disturbances in relationships)\",\n \"definition\": {\n \"meaning\": \"ICD-11 complex PTSD domain covering emotional regulation difficulty, persistent negative self-beliefs, and relationship disturbance.\",\n \"clinicalNote\": null,\n \"sourceFamily\": \"WHO ICD-11 CDDR/MMS\",\n@@ -5712,69 +5701,69 @@\n \"status\": \"defined\"\n },\n \"definitionStatus\": \"defined\",\n \"review\": {\n \"rowKey\": \"specifier:som:somatic-symptom-disorder:severity:severe-2-criteria-multiple-severe-complaints\",\n \"contentHash\": \"49e21a71\",\n \"sourceVerificationStatus\": \"source-verified\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n }\n ]\n }\n ]\n },\n {\n \"name\": \"Illness Anxiety Disorder\",\n \"icd11Context\": \"ICD-11 (6B23): Hypochondriasis. Grouped with OCD spectrum.\",\n \"groups\": [\n {\n \"label\": \"Type\",\n \"items\": [\n {\n \"label\": \"Care-seeking type\",\n \"definition\": {\n- \"meaning\": \"Describes the dominant interpersonal pattern in the personality change presentation.\",\n- \"clinicalNote\": null,\n+ \"meaning\": \"Indicates an illness-anxiety presentation characterized by frequent use of medical care, repeated evaluation, or reassurance seeking related to health concerns.\",\n+ \"clinicalNote\": \"Use this type when the clinical pattern is primarily care seeking; document the current pattern and functional impact.\",\n \"sourceFamily\": \"DSM/ICD classification paraphrase\",\n \"status\": \"defined\"\n },\n \"definitionStatus\": \"defined\",\n \"review\": {\n \"rowKey\": \"specifier:som:illness-anxiety-disorder:type:care-seeking-type\",\n \"contentHash\": \"c99dba59\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n },\n {\n \"label\": \"Care-avoidant type\",\n \"definition\": {\n- \"meaning\": \"Describes the dominant interpersonal pattern in the personality change presentation.\",\n- \"clinicalNote\": null,\n+ \"meaning\": \"Indicates an illness-anxiety presentation characterized by avoiding medical appointments, investigations, or health-related reassurance because evaluation increases distress.\",\n+ \"clinicalNote\": \"Use this type when the clinical pattern is primarily care avoidant; document the current pattern and functional impact.\",\n \"sourceFamily\": \"DSM/ICD classification paraphrase\",\n \"status\": \"defined\"\n },\n \"definitionStatus\": \"defined\",\n \"review\": {\n \"rowKey\": \"specifier:som:illness-anxiety-disorder:type:care-avoidant-type\",\n \"contentHash\": \"40df6811\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n }\n ]\n }\n ]\n },\n {\n \"name\": \"Functional Neurological Symptom Disorder (Conversion / FND)\",\n \"icd11Context\": \"ICD-11 (6B60): Dissociative neurological symptom disorder. Multiple subcodes.\",\n \"groups\": [\n {\n \"label\": \"Symptom Type\",\n \"items\": [\n {\n \"label\": \"With weakness or paralysis\",\n@@ -5932,52 +5921,52 @@\n \"sourceVerificationStatus\": \"source-verified\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n },\n {\n \"label\": \"Persistent (6 months or more)\",\n \"definition\": {\n \"meaning\": \"For Functional Neurological Symptom Disorder (Conversion / FND), \\\"Persistent (6 months or more)\\\" uses the stated threshold: 6 months or more.\",\n \"clinicalNote\": \"This is a duration threshold; current impairment, risk, and recurrence still need separate clinical documentation.\",\n \"sourceFamily\": \"Dataset threshold\",\n \"status\": \"defined\"\n },\n \"definitionStatus\": \"defined\",\n \"review\": {\n \"rowKey\": \"specifier:som:functional-neurological-symptom-disorder-conversion-fnd:course-context:persistent-6-months-or-more\",\n \"contentHash\": \"23dc30e5\",\n \"sourceVerificationStatus\": \"source-verified\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n },\n {\n \"label\": \"With/without psychological stressor\",\n \"definition\": {\n- \"meaning\": \"Records whether a relevant psychological stressor is present in the sexual-dysfunction context.\",\n- \"clinicalNote\": null,\n+ \"meaning\": \"Records whether a relevant psychological stressor is present in the functional neurological/conversion symptom presentation.\",\n+ \"clinicalNote\": \"Document the presence or absence of an associated psychological stressor without implying that a stressor is required for the diagnosis.\",\n \"sourceFamily\": \"DSM/ICD classification paraphrase\",\n \"status\": \"defined\"\n },\n \"definitionStatus\": \"defined\",\n \"review\": {\n \"rowKey\": \"specifier:som:functional-neurological-symptom-disorder-conversion-fnd:course-context:with-without-psychological-stressor\",\n \"contentHash\": \"351f999c\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n }\n ]\n }\n ]\n },\n {\n \"name\": \"Factitious Disorder\",\n \"icd11Context\": \"ICD-11 (6D50/6D51): Self or another.\",\n \"groups\": [\n {\n \"label\": \"Target/Course\",\n \"items\": [\n {\n \"label\": \"Imposed on self\",\n@@ -6118,86 +6107,86 @@\n \"status\": \"defined\"\n },\n \"definitionStatus\": \"defined\",\n \"review\": {\n \"rowKey\": \"specifier:som:psychological-factors-affecting-other-medical-conditions:severity:extreme\",\n \"contentHash\": \"f7da57a4\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n }\n ]\n }\n ]\n },\n {\n \"name\": \"Bodily Distress Disorder (ICD-11)\",\n \"icd11Context\": \"ICD-11 (6C20): Replaces multiple somatoform disorders from ICD-10.\",\n \"groups\": [\n {\n \"label\": \"Severity\",\n \"items\": [\n {\n \"label\": \"Mild\",\n \"definition\": {\n- \"meaning\": \"For Bodily Distress Disorder (ICD-11), mild refers to current burden across distress, impairment, persistence, trauma-related symptom burden, relationship impact, and safety concerns.\",\n- \"clinicalNote\": \"Mild means distress is clinically relevant but functioning is only partly restricted.\",\n+ \"meaning\": \"For Bodily Distress Disorder (ICD-11), mild refers to current burden across bodily symptom distress, symptom persistence, functional impairment, health-related preoccupation, and care needs.\",\n+ \"clinicalNote\": \"Rate severity using bodily symptom distress, persistence, functional impairment, health-related preoccupation, and care needs.\",\n \"sourceFamily\": \"Best-effort DSM-derived clinical anchor pending manual verification\",\n \"status\": \"defined\"\n },\n \"definitionStatus\": \"defined\",\n \"review\": {\n \"rowKey\": \"specifier:som:bodily-distress-disorder-icd-11:severity:mild\",\n \"contentHash\": \"fcb21e38\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n },\n {\n \"label\": \"Moderate\",\n \"definition\": {\n- \"meaning\": \"For Bodily Distress Disorder (ICD-11), moderate refers to current burden across distress, impairment, persistence, trauma-related symptom burden, relationship impact, and safety concerns.\",\n- \"clinicalNote\": \"Moderate means distress and impairment are sustained across important activities or relationships.\",\n+ \"meaning\": \"For Bodily Distress Disorder (ICD-11), moderate refers to current burden across bodily symptom distress, symptom persistence, functional impairment, health-related preoccupation, and care needs.\",\n+ \"clinicalNote\": \"Rate severity using bodily symptom distress, persistence, functional impairment, health-related preoccupation, and care needs.\",\n \"sourceFamily\": \"Best-effort DSM-derived clinical anchor pending manual verification\",\n \"status\": \"defined\"\n },\n \"definitionStatus\": \"defined\",\n \"review\": {\n \"rowKey\": \"specifier:som:bodily-distress-disorder-icd-11:severity:moderate\",\n \"contentHash\": \"abee9ac7\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n },\n {\n \"label\": \"Severe\",\n \"definition\": {\n- \"meaning\": \"For Bodily Distress Disorder (ICD-11), severe refers to current burden across distress, impairment, persistence, trauma-related symptom burden, relationship impact, and safety concerns.\",\n- \"clinicalNote\": \"Severe means marked impairment, pervasive symptoms, risk concerns, or major relationship and role disruption.\",\n+ \"meaning\": \"For Bodily Distress Disorder (ICD-11), severe refers to current burden across bodily symptom distress, symptom persistence, functional impairment, health-related preoccupation, and care needs.\",\n+ \"clinicalNote\": \"Rate severity using bodily symptom distress, persistence, functional impairment, health-related preoccupation, and care needs.\",\n \"sourceFamily\": \"Best-effort DSM-derived clinical anchor pending manual verification\",\n \"status\": \"defined\"\n },\n \"definitionStatus\": \"defined\",\n \"review\": {\n \"rowKey\": \"specifier:som:bodily-distress-disorder-icd-11:severity:severe\",\n \"contentHash\": \"2053f5e1\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n }\n ]\n }\n ]\n }\n ]\n },\n {\n \"id\": \"eat\",\n \"name\": \"10. Feeding & Eating\",\n \"colorToken\": \"var(--eat)\",\n \"disorders\": [\n {\n \"name\": \"Pica\",\n@@ -10983,57 +10972,52 @@\n },\n {\n \"label\": \"In full remission\",\n \"definition\": {\n \"meaning\": \"For Voyeuristic / Frotteuristic, full remission means the condition is not currently clinically active by the source framework.\",\n \"clinicalNote\": \"Use when current clinically significant symptoms are absent or below the active threshold; relapse risk and history still remain relevant.\",\n \"sourceFamily\": \"Best-effort DSM-derived clinical anchor pending manual verification\",\n \"status\": \"defined\"\n },\n \"definitionStatus\": \"defined\",\n \"review\": {\n \"rowKey\": \"specifier:par:voyeuristic-frotteuristic:context-course:in-full-remission\",\n \"contentHash\": \"d5f83718\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n }\n ]\n },\n {\n \"label\": \"Severity\",\n \"items\": [\n {\n \"label\": \"Current severity\",\n- \"definition\": {\n- \"meaning\": \"For Voyeuristic / Frotteuristic, current severity refers to current burden across tic frequency, complexity, suppressibility, distress, pain/injury, social impact, and functional interference.\",\n- \"clinicalNote\": \"Rate the current burden using tic frequency, complexity, suppressibility, distress, pain/injury, social impact, and functional interference.\",\n- \"sourceFamily\": \"Best-effort DSM-derived clinical anchor pending manual verification\",\n- \"status\": \"defined\"\n- },\n- \"definitionStatus\": \"defined\",\n+ \"definition\": null,\n+ \"definitionStatus\": \"needs-manual-or-clinician-verification\",\n \"review\": {\n \"rowKey\": \"specifier:par:voyeuristic-frotteuristic:severity:current-severity\",\n \"contentHash\": \"4dd63b09\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n }\n ]\n }\n ]\n },\n {\n \"name\": \"Exhibitionistic Disorder\",\n \"icd11Context\": \"ICD-11 (6D30-6D3Z): Not automatically mental disorders unless non-consenting, involving minors, or causing significant distress/injury.\",\n \"groups\": [\n {\n \"label\": \"Arousal Focus\",\n \"items\": [\n {\n \"label\": \"Sexually aroused by exposing genitals to prepubertal children\",\n \"definition\": {\n \"meaning\": \"Exhibitionistic arousal focus involves exposing genitals to prepubertal children.\",\n \"clinicalNote\": \"This is high-risk classification content; verify formal wording and safeguarding obligations separately.\",\n \"sourceFamily\": \"DSM/ICD classification paraphrase\",\n@@ -11101,57 +11085,52 @@\n \"contentHash\": \"0c9ced59\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n },\n {\n \"label\": \"In full remission\",\n \"definition\": {\n \"meaning\": \"For Exhibitionistic Disorder, full remission means the condition is not currently clinically active by the source framework.\",\n \"clinicalNote\": \"Use when current clinically significant symptoms are absent or below the active threshold; relapse risk and history still remain relevant.\",\n \"sourceFamily\": \"Best-effort DSM-derived clinical anchor pending manual verification\",\n \"status\": \"defined\"\n },\n \"definitionStatus\": \"defined\",\n \"review\": {\n \"rowKey\": \"specifier:par:exhibitionistic-disorder:context-course:in-full-remission\",\n \"contentHash\": \"d7888e98\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n },\n {\n \"label\": \"Current severity\",\n- \"definition\": {\n- \"meaning\": \"For Exhibitionistic Disorder, current severity refers to current burden across tic frequency, complexity, suppressibility, distress, pain/injury, social impact, and functional interference.\",\n- \"clinicalNote\": \"Rate the current burden using tic frequency, complexity, suppressibility, distress, pain/injury, social impact, and functional interference.\",\n- \"sourceFamily\": \"Best-effort DSM-derived clinical anchor pending manual verification\",\n- \"status\": \"defined\"\n- },\n- \"definitionStatus\": \"defined\",\n+ \"definition\": null,\n+ \"definitionStatus\": \"needs-manual-or-clinician-verification\",\n \"review\": {\n \"rowKey\": \"specifier:par:exhibitionistic-disorder:context-course:current-severity\",\n \"contentHash\": \"9c0f6fe7\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n }\n ]\n }\n ]\n },\n {\n \"name\": \"Sexual Masochism Disorder\",\n \"icd11Context\": \"ICD-11 (6D30-6D3Z): Not automatically mental disorders unless non-consenting, involving minors, or causing significant distress/injury.\",\n \"groups\": [\n {\n \"label\": \"Features\",\n \"items\": [\n {\n \"label\": \"With asphyxiophilia\",\n \"definition\": {\n \"meaning\": \"Sexual arousal involving oxygen restriction.\",\n \"clinicalNote\": \"Use only where the formal paraphilic-disorder threshold and risk context are met.\",\n \"sourceFamily\": \"DSM/ICD classification paraphrase\",\n@@ -11517,57 +11496,52 @@\n \"contentHash\": \"e9d1ce69\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n },\n {\n \"label\": \"In full remission\",\n \"definition\": {\n \"meaning\": \"For Fetishistic Disorder, full remission means the condition is not currently clinically active by the source framework.\",\n \"clinicalNote\": \"Use when current clinically significant symptoms are absent or below the active threshold; relapse risk and history still remain relevant.\",\n \"sourceFamily\": \"Best-effort DSM-derived clinical anchor pending manual verification\",\n \"status\": \"defined\"\n },\n \"definitionStatus\": \"defined\",\n \"review\": {\n \"rowKey\": \"specifier:par:fetishistic-disorder:context:in-full-remission\",\n \"contentHash\": \"dde15b90\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n },\n {\n \"label\": \"Current severity\",\n- \"definition\": {\n- \"meaning\": \"For Fetishistic Disorder, current severity refers to current burden across tic frequency, complexity, suppressibility, distress, pain/injury, social impact, and functional interference.\",\n- \"clinicalNote\": \"Rate the current burden using tic frequency, complexity, suppressibility, distress, pain/injury, social impact, and functional interference.\",\n- \"sourceFamily\": \"Best-effort DSM-derived clinical anchor pending manual verification\",\n- \"status\": \"defined\"\n- },\n- \"definitionStatus\": \"defined\",\n+ \"definition\": null,\n+ \"definitionStatus\": \"needs-manual-or-clinician-verification\",\n \"review\": {\n \"rowKey\": \"specifier:par:fetishistic-disorder:context:current-severity\",\n \"contentHash\": \"04e85467\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n }\n ]\n }\n ]\n },\n {\n \"name\": \"Transvestic Disorder\",\n \"icd11Context\": \"ICD-11 (6D30-6D3Z): Not automatically mental disorders unless non-consenting, involving minors, or causing significant distress/injury.\",\n \"groups\": [\n {\n \"label\": \"Features\",\n \"items\": [\n {\n \"label\": \"With fetishism\",\n \"definition\": {\n \"meaning\": \"Sexual arousal focus involves nonliving objects or specific body parts in the specified paraphilic context.\",\n \"clinicalNote\": null,\n \"sourceFamily\": \"DSM/ICD classification paraphrase\",\n@@ -11618,57 +11592,52 @@\n \"contentHash\": \"631526f2\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n },\n {\n \"label\": \"In full remission\",\n \"definition\": {\n \"meaning\": \"For Transvestic Disorder, full remission means the condition is not currently clinically active by the source framework.\",\n \"clinicalNote\": \"Use when current clinically significant symptoms are absent or below the active threshold; relapse risk and history still remain relevant.\",\n \"sourceFamily\": \"Best-effort DSM-derived clinical anchor pending manual verification\",\n \"status\": \"defined\"\n },\n \"definitionStatus\": \"defined\",\n \"review\": {\n \"rowKey\": \"specifier:par:transvestic-disorder:context:in-full-remission\",\n \"contentHash\": \"6389956a\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n },\n {\n \"label\": \"Current severity\",\n- \"definition\": {\n- \"meaning\": \"For Transvestic Disorder, current severity refers to current burden across tic frequency, complexity, suppressibility, distress, pain/injury, social impact, and functional interference.\",\n- \"clinicalNote\": \"Rate the current burden using tic frequency, complexity, suppressibility, distress, pain/injury, social impact, and functional interference.\",\n- \"sourceFamily\": \"Best-effort DSM-derived clinical anchor pending manual verification\",\n- \"status\": \"defined\"\n- },\n- \"definitionStatus\": \"defined\",\n+ \"definition\": null,\n+ \"definitionStatus\": \"needs-manual-or-clinician-verification\",\n \"review\": {\n \"rowKey\": \"specifier:par:transvestic-disorder:context:current-severity\",\n \"contentHash\": \"d0a4fd2f\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n }\n ]\n }\n ]\n },\n {\n \"name\": \"Coercive Sexual Sadism Disorder (ICD-11)\",\n \"icd11Context\": \"ICD-11 (6D30-6D3Z): Not automatically mental disorders unless non-consenting, involving minors, or causing significant distress/injury.\",\n \"groups\": [\n {\n \"label\": \"Severity\",\n \"items\": [\n {\n \"label\": \"Current severity\",\n \"definition\": {\n \"meaning\": \"For Coercive Sexual Sadism Disorder (ICD-11), current severity refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\",\n \"clinicalNote\": \"Rate the current burden using persistence, generalisation across contexts, distress, relational impact, and functional interference.\",\n \"sourceFamily\": \"Best-effort DSM-derived clinical anchor pending manual verification\",\n@@ -11867,86 +11836,86 @@\n \"status\": \"defined\"\n },\n \"definitionStatus\": \"defined\",\n \"review\": {\n \"rowKey\": \"specifier:icd:catatonia-standalone-diagnosis:context:secondary-to-a-medical-condition-not-classified-elsewhere\",\n \"contentHash\": \"74026c12\",\n \"sourceVerificationStatus\": \"source-verified\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n }\n ]\n }\n ]\n },\n {\n \"name\": \"Bodily Distress Disorder\",\n \"icd11Context\": \"ICD-11 (6C20): Replaces multiple somatoform disorders from ICD-10.\",\n \"groups\": [\n {\n \"label\": \"Severity\",\n \"items\": [\n {\n \"label\": \"Mild\",\n \"definition\": {\n- \"meaning\": \"For Bodily Distress Disorder, mild refers to current burden across distress, impairment, persistence, trauma-related symptom burden, relationship impact, and safety concerns.\",\n- \"clinicalNote\": \"Mild means distress is clinically relevant but functioning is only partly restricted.\",\n+ \"meaning\": \"For Bodily Distress Disorder, mild refers to current burden across bodily symptom distress, symptom persistence, functional impairment, health-related preoccupation, and care needs.\",\n+ \"clinicalNote\": \"Rate severity using bodily symptom distress, persistence, functional impairment, health-related preoccupation, and care needs.\",\n \"sourceFamily\": \"Best-effort DSM-derived clinical anchor pending manual verification\",\n \"status\": \"defined\"\n },\n \"definitionStatus\": \"defined\",\n \"review\": {\n \"rowKey\": \"specifier:icd:bodily-distress-disorder:severity:mild\",\n \"contentHash\": \"ac47fbde\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n },\n {\n \"label\": \"Moderate\",\n \"definition\": {\n- \"meaning\": \"For Bodily Distress Disorder, moderate refers to current burden across distress, impairment, persistence, trauma-related symptom burden, relationship impact, and safety concerns.\",\n- \"clinicalNote\": \"Moderate means distress and impairment are sustained across important activities or relationships.\",\n+ \"meaning\": \"For Bodily Distress Disorder, moderate refers to current burden across bodily symptom distress, symptom persistence, functional impairment, health-related preoccupation, and care needs.\",\n+ \"clinicalNote\": \"Rate severity using bodily symptom distress, persistence, functional impairment, health-related preoccupation, and care needs.\",\n \"sourceFamily\": \"Best-effort DSM-derived clinical anchor pending manual verification\",\n \"status\": \"defined\"\n },\n \"definitionStatus\": \"defined\",\n \"review\": {\n \"rowKey\": \"specifier:icd:bodily-distress-disorder:severity:moderate\",\n \"contentHash\": \"6131cb3b\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n },\n {\n \"label\": \"Severe\",\n \"definition\": {\n- \"meaning\": \"For Bodily Distress Disorder, severe refers to current burden across distress, impairment, persistence, trauma-related symptom burden, relationship impact, and safety concerns.\",\n- \"clinicalNote\": \"Severe means marked impairment, pervasive symptoms, risk concerns, or major relationship and role disruption.\",\n+ \"meaning\": \"For Bodily Distress Disorder, severe refers to current burden across bodily symptom distress, symptom persistence, functional impairment, health-related preoccupation, and care needs.\",\n+ \"clinicalNote\": \"Rate severity using bodily symptom distress, persistence, functional impairment, health-related preoccupation, and care needs.\",\n \"sourceFamily\": \"Best-effort DSM-derived clinical anchor pending manual verification\",\n \"status\": \"defined\"\n },\n \"definitionStatus\": \"defined\",\n \"review\": {\n \"rowKey\": \"specifier:icd:bodily-distress-disorder:severity:severe\",\n \"contentHash\": \"3990b98b\",\n \"sourceVerificationStatus\": \"source-needs-formal-review\",\n \"clinicianReviewStatus\": \"clinician-review-pending\",\n \"changedSinceReview\": false\n }\n }\n ]\n }\n ]\n },\n {\n \"name\": \"Partial Dissociative Identity Disorder\",\n \"icd11Context\": \"ICD-11 (6B65): Non-dominant identity states do not recurrently take control.\",\n \"groups\": [\n {\n \"label\": \"Severity\",\n \"items\": [\n {\n \"label\": \"Current severity\",\ndiff --git a/data/specifiers-search-index.json b/data/specifiers-search-index.json\nindex 38bded0316ee444725112e177ab8394f0136cfdf..0411752bfc33ad236dcbdc35460180b6b6b39475 100644\n--- a/data/specifiers-search-index.json\n+++ b/data/specifiers-search-index.json\n@@ -1,67 +1,127 @@\n {\n \"meta\": {\n \"appName\": \"Specifiers\",\n \"version\": \"1.1.0\",\n \"contentVersion\": \"DSM-5-TR / ICD-11 aide-memoire dataset with Australian coding-context note\",\n \"lastUpdated\": \"2026-05-09\",\n \"reviewStatus\": \"Pending qualified clinician review\",\n \"scope\": \"Quick-reference aide-memoire for diagnostic specifiers and clinical notes. It is not a diagnostic instrument, substitute manual, treatment guide, billing/coding authority, or Australian ICD-11 implementation guide.\",\n \"disclaimer\": \"Use with formal DSM-5-TR materials, current WHO ICD-11 materials, Australian ICD-10-AM/ACHI/ACS requirements where relevant, local governance, and qualified clinical judgement.\",\n \"scopeWarning\": \"This is diagnostic specifier aide-memoire content, not psychotherapy, treatment, prescribing, billing, or diagnostic-manual content.\",\n \"stats\": {\n \"categories\": 20,\n \"disorders\": 131,\n \"groups\": 218,\n \"specifierItems\": 585,\n \"universalSpecifiers\": 18,\n- \"itemsWithDefinitions\": 565,\n+ \"itemsWithDefinitions\": 558,\n \"itemsPendingClinicianReview\": 585\n },\n \"sourceVerified\": 71\n },\n \"categories\": [\n- { \"id\": \"ndv\", \"name\": \"1. Neurodevelopmental\" },\n- { \"id\": \"psy\", \"name\": \"2. Schizophrenia Spectrum\" },\n- { \"id\": \"bip\", \"name\": \"3. Bipolar & Related\" },\n- { \"id\": \"dep\", \"name\": \"4. Depressive Disorders\" },\n- { \"id\": \"anx\", \"name\": \"5. Anxiety Disorders\" },\n- { \"id\": \"ocd\", \"name\": \"6. Obsessive-Compulsive\" },\n- { \"id\": \"trm\", \"name\": \"7. Trauma & Stressor\" },\n- { \"id\": \"dis\", \"name\": \"8. Dissociative Disorders\" },\n- { \"id\": \"som\", \"name\": \"9. Somatic Symptom\" },\n- { \"id\": \"eat\", \"name\": \"10. Feeding & Eating\" },\n- { \"id\": \"eli\", \"name\": \"11. Elimination Disorders\" },\n- { \"id\": \"slp\", \"name\": \"12. Sleep-Wake Disorders\" },\n- { \"id\": \"sxd\", \"name\": \"13. Sexual Dysfunctions\" },\n- { \"id\": \"gen\", \"name\": \"14. Gender Dysphoria\" },\n- { \"id\": \"imp\", \"name\": \"15. Disruptive & Impulse\" },\n- { \"id\": \"sub\", \"name\": \"16. Substance & Addictive\" },\n- { \"id\": \"ncg\", \"name\": \"17. Neurocognitive\" },\n- { \"id\": \"per\", \"name\": \"18. Personality Disorders\" },\n- { \"id\": \"par\", \"name\": \"19. Paraphilic Disorders\" },\n- { \"id\": \"icd\", \"name\": \"20. ICD-11 Specifics\" }\n+ {\n+ \"id\": \"ndv\",\n+ \"name\": \"1. Neurodevelopmental\"\n+ },\n+ {\n+ \"id\": \"psy\",\n+ \"name\": \"2. Schizophrenia Spectrum\"\n+ },\n+ {\n+ \"id\": \"bip\",\n+ \"name\": \"3. Bipolar & Related\"\n+ },\n+ {\n+ \"id\": \"dep\",\n+ \"name\": \"4. Depressive Disorders\"\n+ },\n+ {\n+ \"id\": \"anx\",\n+ \"name\": \"5. Anxiety Disorders\"\n+ },\n+ {\n+ \"id\": \"ocd\",\n+ \"name\": \"6. Obsessive-Compulsive\"\n+ },\n+ {\n+ \"id\": \"trm\",\n+ \"name\": \"7. Trauma & Stressor\"\n+ },\n+ {\n+ \"id\": \"dis\",\n+ \"name\": \"8. Dissociative Disorders\"\n+ },\n+ {\n+ \"id\": \"som\",\n+ \"name\": \"9. Somatic Symptom\"\n+ },\n+ {\n+ \"id\": \"eat\",\n+ \"name\": \"10. Feeding & Eating\"\n+ },\n+ {\n+ \"id\": \"eli\",\n+ \"name\": \"11. Elimination Disorders\"\n+ },\n+ {\n+ \"id\": \"slp\",\n+ \"name\": \"12. Sleep-Wake Disorders\"\n+ },\n+ {\n+ \"id\": \"sxd\",\n+ \"name\": \"13. Sexual Dysfunctions\"\n+ },\n+ {\n+ \"id\": \"gen\",\n+ \"name\": \"14. Gender Dysphoria\"\n+ },\n+ {\n+ \"id\": \"imp\",\n+ \"name\": \"15. Disruptive & Impulse\"\n+ },\n+ {\n+ \"id\": \"sub\",\n+ \"name\": \"16. Substance & Addictive\"\n+ },\n+ {\n+ \"id\": \"ncg\",\n+ \"name\": \"17. Neurocognitive\"\n+ },\n+ {\n+ \"id\": \"per\",\n+ \"name\": \"18. Personality Disorders\"\n+ },\n+ {\n+ \"id\": \"par\",\n+ \"name\": \"19. Paraphilic Disorders\"\n+ },\n+ {\n+ \"id\": \"icd\",\n+ \"name\": \"20. ICD-11 Specifics\"\n+ }\n ],\n \"items\": [\n {\n \"slug\": \"specifier-ndv-intellectual-developmental-disorder-severity-mild\",\n \"label\": \"Mild\",\n \"disorder\": \"Intellectual Developmental Disorder\",\n \"categoryId\": \"ndv\",\n \"category\": \"1. Neurodevelopmental\",\n \"group\": \"Severity\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"For Intellectual Developmental Disorder, mild refers to current burden across adaptive functioning across conceptual, social, and practical domains rather than IQ alone.\"\n },\n {\n \"slug\": \"specifier-ndv-intellectual-developmental-disorder-severity-moderate\",\n \"label\": \"Moderate\",\n \"disorder\": \"Intellectual Developmental Disorder\",\n \"categoryId\": \"ndv\",\n \"category\": \"1. Neurodevelopmental\",\n \"group\": \"Severity\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"For Intellectual Developmental Disorder, moderate refers to current burden across adaptive functioning across conceptual, social, and practical domains rather than IQ alone.\"\n },\n {\n@@ -908,52 +968,52 @@\n \"category\": \"2. Schizophrenia Spectrum\",\n \"group\": \"Predominant symptom\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"Delusions are the predominant psychotic symptom being documented.\"\n },\n {\n \"slug\": \"specifier-psy-substance-medication-induced-psychotic-disorder-predominant-symptom-with-hallucinations\",\n \"label\": \"With hallucinations\",\n \"disorder\": \"Substance/Medication-Induced Psychotic Disorder\",\n \"categoryId\": \"psy\",\n \"category\": \"2. Schizophrenia Spectrum\",\n \"group\": \"Predominant symptom\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"Hallucinations are the predominant psychotic symptom being documented.\"\n },\n {\n \"slug\": \"specifier-psy-substance-medication-induced-psychotic-disorder-severity-current-severity\",\n \"label\": \"Current severity\",\n \"disorder\": \"Substance/Medication-Induced Psychotic Disorder\",\n \"categoryId\": \"psy\",\n \"category\": \"2. Schizophrenia Spectrum\",\n \"group\": \"Severity\",\n \"src\": \"source-needs-formal-review\",\n- \"def\": \"defined\",\n- \"meaning\": \"For Substance/Medication-Induced Psychotic Disorder, current severity refers to current burden across tic frequency, complexity, suppressibility, distress, pain/injury, social impact, and functional interference.\"\n+ \"def\": \"needs-manual-or-clinician-verification\",\n+ \"meaning\": \"\"\n },\n {\n \"slug\": \"specifier-psy-psychotic-disorder-due-to-another-medical-condition-predominant-symptom-with-delusions\",\n \"label\": \"With delusions\",\n \"disorder\": \"Psychotic Disorder Due to Another Medical Condition\",\n \"categoryId\": \"psy\",\n \"category\": \"2. Schizophrenia Spectrum\",\n \"group\": \"Predominant symptom\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"Delusions are the predominant psychotic symptom being documented.\"\n },\n {\n \"slug\": \"specifier-psy-psychotic-disorder-due-to-another-medical-condition-predominant-symptom-with-hallucinations\",\n \"label\": \"With hallucinations\",\n \"disorder\": \"Psychotic Disorder Due to Another Medical Condition\",\n \"categoryId\": \"psy\",\n \"category\": \"2. Schizophrenia Spectrum\",\n \"group\": \"Predominant symptom\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"Hallucinations are the predominant psychotic symptom being documented.\"\n },\n {\n \"slug\": \"specifier-psy-psychotic-disorder-due-to-another-medical-condition-features-with-catatonia\",\n@@ -2591,52 +2651,52 @@\n \"category\": \"7. Trauma & Stressor\",\n \"group\": \"Features\",\n \"src\": \"source-verified\",\n \"def\": \"defined\",\n \"meaning\": \"For Post-Traumatic Stress Disorder, \\\"With delayed expression (full criteria not met until at least 6 months after the event)\\\" uses the stated threshold: full criteria not met until at least 6 months after the event.\"\n },\n {\n \"slug\": \"specifier-trm-post-traumatic-stress-disorder-features-with-prominent-negative-alterations-in-cognition-and-mood\",\n \"label\": \"With prominent negative alterations in cognition and mood\",\n \"disorder\": \"Post-Traumatic Stress Disorder\",\n \"categoryId\": \"trm\",\n \"category\": \"7. Trauma & Stressor\",\n \"group\": \"Features\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"Trauma-related negative beliefs, mood, guilt, shame, detachment, or reduced positive emotion are prominent.\"\n },\n {\n \"slug\": \"specifier-trm-post-traumatic-stress-disorder-severity-current-severity\",\n \"label\": \"Current severity\",\n \"disorder\": \"Post-Traumatic Stress Disorder\",\n \"categoryId\": \"trm\",\n \"category\": \"7. Trauma & Stressor\",\n \"group\": \"Severity\",\n \"src\": \"source-needs-formal-review\",\n- \"def\": \"defined\",\n- \"meaning\": \"For Post-Traumatic Stress Disorder, current severity refers to current burden across tic frequency, complexity, suppressibility, distress, pain/injury, social impact, and functional interference.\"\n+ \"def\": \"needs-manual-or-clinician-verification\",\n+ \"meaning\": \"\"\n },\n {\n \"slug\": \"specifier-trm-complex-ptsd-icd-11-features-with-disturbances-in-self-organisation-affective-dysregulation-negative-self-concept-disturbances-in-relationships\",\n \"label\": \"With disturbances in self-organisation (affective dysregulation, negative self-concept, disturbances in relationships)\",\n \"disorder\": \"Complex PTSD (ICD-11)\",\n \"categoryId\": \"trm\",\n \"category\": \"7. Trauma & Stressor\",\n \"group\": \"Features\",\n \"src\": \"source-verified\",\n \"def\": \"defined\",\n \"meaning\": \"ICD-11 complex PTSD domain covering emotional regulation difficulty, persistent negative self-beliefs, and relationship disturbance.\"\n },\n {\n \"slug\": \"specifier-trm-complex-ptsd-icd-11-severity-current-severity\",\n \"label\": \"Current severity\",\n \"disorder\": \"Complex PTSD (ICD-11)\",\n \"categoryId\": \"trm\",\n \"category\": \"7. Trauma & Stressor\",\n \"group\": \"Severity\",\n \"src\": \"source-verified\",\n \"def\": \"defined\",\n \"meaning\": \"For Complex PTSD (ICD-11), current severity refers to current burden across PTSD symptom burden plus affect dysregulation, negative self-concept, relationship disturbance, impairment, and safety concerns.\"\n },\n {\n \"slug\": \"specifier-trm-acute-stress-disorder-severity-current-severity\",\n@@ -2933,62 +2993,62 @@\n \"group\": \"Severity\",\n \"src\": \"source-verified\",\n \"def\": \"defined\",\n \"meaning\": \"For Somatic Symptom Disorder, \\\"Moderate (2+ criteria)\\\" uses the stated threshold: 2+ criteria.\"\n },\n {\n \"slug\": \"specifier-som-somatic-symptom-disorder-severity-severe-2-criteria-multiple-severe-complaints\",\n \"label\": \"Severe (2+ criteria + multiple/severe complaints)\",\n \"disorder\": \"Somatic Symptom Disorder\",\n \"categoryId\": \"som\",\n \"category\": \"9. Somatic Symptom\",\n \"group\": \"Severity\",\n \"src\": \"source-verified\",\n \"def\": \"defined\",\n \"meaning\": \"For Somatic Symptom Disorder, \\\"Severe (2+ criteria + multiple/severe complaints)\\\" uses the stated threshold: 2+ criteria + multiple/severe complaints.\"\n },\n {\n \"slug\": \"specifier-som-illness-anxiety-disorder-type-care-seeking-type\",\n \"label\": \"Care-seeking type\",\n \"disorder\": \"Illness Anxiety Disorder\",\n \"categoryId\": \"som\",\n \"category\": \"9. Somatic Symptom\",\n \"group\": \"Type\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n- \"meaning\": \"Describes the dominant interpersonal pattern in the personality change presentation.\"\n+ \"meaning\": \"Indicates an illness-anxiety presentation characterized by frequent use of medical care, repeated evaluation, or reassurance seeking related to health concerns.\"\n },\n {\n \"slug\": \"specifier-som-illness-anxiety-disorder-type-care-avoidant-type\",\n \"label\": \"Care-avoidant type\",\n \"disorder\": \"Illness Anxiety Disorder\",\n \"categoryId\": \"som\",\n \"category\": \"9. Somatic Symptom\",\n \"group\": \"Type\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n- \"meaning\": \"Describes the dominant interpersonal pattern in the personality change presentation.\"\n+ \"meaning\": \"Indicates an illness-anxiety presentation characterized by avoiding medical appointments, investigations, or health-related reassurance because evaluation increases distress.\"\n },\n {\n \"slug\": \"specifier-som-functional-neurological-symptom-disorder-conversion-fnd-symptom-type-with-weakness-or-paralysis\",\n \"label\": \"With weakness or paralysis\",\n \"disorder\": \"Functional Neurological Symptom Disorder (Conversion / FND)\",\n \"categoryId\": \"som\",\n \"category\": \"9. Somatic Symptom\",\n \"group\": \"Symptom Type\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"Functional neurological symptom type describing the dominant neurological-like symptom pattern.\"\n },\n {\n \"slug\": \"specifier-som-functional-neurological-symptom-disorder-conversion-fnd-symptom-type-with-abnormal-movement-tremor-dystonia-myoclonus-gait-disorder\",\n \"label\": \"With abnormal movement (tremor, dystonia, myoclonus, gait disorder)\",\n \"disorder\": \"Functional Neurological Symptom Disorder (Conversion / FND)\",\n \"categoryId\": \"som\",\n \"category\": \"9. Somatic Symptom\",\n \"group\": \"Symptom Type\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"Functional neurological symptom type describing the dominant neurological-like symptom pattern.\"\n },\n {\n \"slug\": \"specifier-som-functional-neurological-symptom-disorder-conversion-fnd-symptom-type-with-swallowing-symptoms\",\n@@ -3065,51 +3125,51 @@\n \"group\": \"Course/Context\",\n \"src\": \"source-verified\",\n \"def\": \"defined\",\n \"meaning\": \"For Functional Neurological Symptom Disorder (Conversion / FND), \\\"Acute episode (less than 6 months)\\\" uses the stated threshold: less than 6 months.\"\n },\n {\n \"slug\": \"specifier-som-functional-neurological-symptom-disorder-conversion-fnd-course-context-persistent-6-months-or-more\",\n \"label\": \"Persistent (6 months or more)\",\n \"disorder\": \"Functional Neurological Symptom Disorder (Conversion / FND)\",\n \"categoryId\": \"som\",\n \"category\": \"9. Somatic Symptom\",\n \"group\": \"Course/Context\",\n \"src\": \"source-verified\",\n \"def\": \"defined\",\n \"meaning\": \"For Functional Neurological Symptom Disorder (Conversion / FND), \\\"Persistent (6 months or more)\\\" uses the stated threshold: 6 months or more.\"\n },\n {\n \"slug\": \"specifier-som-functional-neurological-symptom-disorder-conversion-fnd-course-context-with-without-psychological-stressor\",\n \"label\": \"With/without psychological stressor\",\n \"disorder\": \"Functional Neurological Symptom Disorder (Conversion / FND)\",\n \"categoryId\": \"som\",\n \"category\": \"9. Somatic Symptom\",\n \"group\": \"Course/Context\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n- \"meaning\": \"Records whether a relevant psychological stressor is present in the sexual-dysfunction context.\"\n+ \"meaning\": \"Records whether a relevant psychological stressor is present in the functional neurological/conversion symptom presentation.\"\n },\n {\n \"slug\": \"specifier-som-factitious-disorder-target-course-imposed-on-self\",\n \"label\": \"Imposed on self\",\n \"disorder\": \"Factitious Disorder\",\n \"categoryId\": \"som\",\n \"category\": \"9. Somatic Symptom\",\n \"group\": \"Target/Course\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"Factitious symptoms or deception are directed toward oneself as the identified patient.\"\n },\n {\n \"slug\": \"specifier-som-factitious-disorder-target-course-imposed-on-another\",\n \"label\": \"Imposed on another\",\n \"disorder\": \"Factitious Disorder\",\n \"categoryId\": \"som\",\n \"category\": \"9. Somatic Symptom\",\n \"group\": \"Target/Course\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"Factitious symptoms or deception are imposed on another person who is presented as ill or impaired.\"\n },\n {\n \"slug\": \"specifier-som-factitious-disorder-target-course-single-episode\",\n@@ -3164,73 +3224,73 @@\n \"group\": \"Severity\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"For Psychological Factors Affecting Other Medical Conditions, severe refers to current burden across how psychological or behavioural factors affect the medical condition, adherence, risk, symptoms, or health outcomes.\"\n },\n {\n \"slug\": \"specifier-som-psychological-factors-affecting-other-medical-conditions-severity-extreme\",\n \"label\": \"Extreme\",\n \"disorder\": \"Psychological Factors Affecting Other Medical Conditions\",\n \"categoryId\": \"som\",\n \"category\": \"9. Somatic Symptom\",\n \"group\": \"Severity\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"For Psychological Factors Affecting Other Medical Conditions, extreme refers to current burden across how psychological or behavioural factors affect the medical condition, adherence, risk, symptoms, or health outcomes.\"\n },\n {\n \"slug\": \"specifier-som-bodily-distress-disorder-icd-11-severity-mild\",\n \"label\": \"Mild\",\n \"disorder\": \"Bodily Distress Disorder (ICD-11)\",\n \"categoryId\": \"som\",\n \"category\": \"9. Somatic Symptom\",\n \"group\": \"Severity\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n- \"meaning\": \"For Bodily Distress Disorder (ICD-11), mild refers to current burden across distress, impairment, persistence, trauma-related symptom burden, relationship impact, and safety concerns.\"\n+ \"meaning\": \"For Bodily Distress Disorder (ICD-11), mild refers to current burden across bodily symptom distress, symptom persistence, functional impairment, health-related preoccupation, and care needs.\"\n },\n {\n \"slug\": \"specifier-som-bodily-distress-disorder-icd-11-severity-moderate\",\n \"label\": \"Moderate\",\n \"disorder\": \"Bodily Distress Disorder (ICD-11)\",\n \"categoryId\": \"som\",\n \"category\": \"9. Somatic Symptom\",\n \"group\": \"Severity\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n- \"meaning\": \"For Bodily Distress Disorder (ICD-11), moderate refers to current burden across distress, impairment, persistence, trauma-related symptom burden, relationship impact, and safety concerns.\"\n+ \"meaning\": \"For Bodily Distress Disorder (ICD-11), moderate refers to current burden across bodily symptom distress, symptom persistence, functional impairment, health-related preoccupation, and care needs.\"\n },\n {\n \"slug\": \"specifier-som-bodily-distress-disorder-icd-11-severity-severe\",\n \"label\": \"Severe\",\n \"disorder\": \"Bodily Distress Disorder (ICD-11)\",\n \"categoryId\": \"som\",\n \"category\": \"9. Somatic Symptom\",\n \"group\": \"Severity\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n- \"meaning\": \"For Bodily Distress Disorder (ICD-11), severe refers to current burden across distress, impairment, persistence, trauma-related symptom burden, relationship impact, and safety concerns.\"\n+ \"meaning\": \"For Bodily Distress Disorder (ICD-11), severe refers to current burden across bodily symptom distress, symptom persistence, functional impairment, health-related preoccupation, and care needs.\"\n },\n {\n \"slug\": \"specifier-eat-pica-course-severity-in-remission\",\n \"label\": \"In remission\",\n \"disorder\": \"Pica\",\n \"categoryId\": \"eat\",\n \"category\": \"10. Feeding & Eating\",\n \"group\": \"Course/Severity\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"For Pica, full remission means the condition is not currently clinically active by the source framework.\"\n },\n {\n \"slug\": \"specifier-eat-pica-course-severity-current-severity\",\n \"label\": \"Current severity\",\n \"disorder\": \"Pica\",\n \"categoryId\": \"eat\",\n \"category\": \"10. Feeding & Eating\",\n \"group\": \"Course/Severity\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"For Pica, current severity refers to current burden across nutritional compromise, weight or BMI where specified, binge/purge frequency, medical risk, and psychosocial impairment.\"\n },\n {\n \"slug\": \"specifier-eat-rumination-disorder-course-severity-in-remission\",\n@@ -5880,52 +5940,52 @@\n \"category\": \"19. Paraphilic Disorders\",\n \"group\": \"Context/Course\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"External circumstances restrict opportunity for the behaviour, such as supervised, institutional, or otherwise controlled settings.\"\n },\n {\n \"slug\": \"specifier-par-voyeuristic-frotteuristic-context-course-in-full-remission\",\n \"label\": \"In full remission\",\n \"disorder\": \"Voyeuristic / Frotteuristic\",\n \"categoryId\": \"par\",\n \"category\": \"19. Paraphilic Disorders\",\n \"group\": \"Context/Course\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"For Voyeuristic / Frotteuristic, full remission means the condition is not currently clinically active by the source framework.\"\n },\n {\n \"slug\": \"specifier-par-voyeuristic-frotteuristic-severity-current-severity\",\n \"label\": \"Current severity\",\n \"disorder\": \"Voyeuristic / Frotteuristic\",\n \"categoryId\": \"par\",\n \"category\": \"19. Paraphilic Disorders\",\n \"group\": \"Severity\",\n \"src\": \"source-needs-formal-review\",\n- \"def\": \"defined\",\n- \"meaning\": \"For Voyeuristic / Frotteuristic, current severity refers to current burden across tic frequency, complexity, suppressibility, distress, pain/injury, social impact, and functional interference.\"\n+ \"def\": \"needs-manual-or-clinician-verification\",\n+ \"meaning\": \"\"\n },\n {\n \"slug\": \"specifier-par-exhibitionistic-disorder-arousal-focus-sexually-aroused-by-exposing-genitals-to-prepubertal-children\",\n \"label\": \"Sexually aroused by exposing genitals to prepubertal children\",\n \"disorder\": \"Exhibitionistic Disorder\",\n \"categoryId\": \"par\",\n \"category\": \"19. Paraphilic Disorders\",\n \"group\": \"Arousal Focus\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"Exhibitionistic arousal focus involves exposing genitals to prepubertal children.\"\n },\n {\n \"slug\": \"specifier-par-exhibitionistic-disorder-arousal-focus-to-physically-mature-individuals\",\n \"label\": \"To physically mature individuals\",\n \"disorder\": \"Exhibitionistic Disorder\",\n \"categoryId\": \"par\",\n \"category\": \"19. Paraphilic Disorders\",\n \"group\": \"Arousal Focus\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"Documents the stated sexual-attraction focus for the paraphilic-disorder specifier.\"\n },\n {\n \"slug\": \"specifier-par-exhibitionistic-disorder-arousal-focus-to-both\",\n@@ -5946,52 +6006,52 @@\n \"category\": \"19. Paraphilic Disorders\",\n \"group\": \"Context/Course\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"External circumstances restrict opportunity for the behaviour, such as supervised, institutional, or otherwise controlled settings.\"\n },\n {\n \"slug\": \"specifier-par-exhibitionistic-disorder-context-course-in-full-remission\",\n \"label\": \"In full remission\",\n \"disorder\": \"Exhibitionistic Disorder\",\n \"categoryId\": \"par\",\n \"category\": \"19. Paraphilic Disorders\",\n \"group\": \"Context/Course\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"For Exhibitionistic Disorder, full remission means the condition is not currently clinically active by the source framework.\"\n },\n {\n \"slug\": \"specifier-par-exhibitionistic-disorder-context-course-current-severity\",\n \"label\": \"Current severity\",\n \"disorder\": \"Exhibitionistic Disorder\",\n \"categoryId\": \"par\",\n \"category\": \"19. Paraphilic Disorders\",\n \"group\": \"Context/Course\",\n \"src\": \"source-needs-formal-review\",\n- \"def\": \"defined\",\n- \"meaning\": \"For Exhibitionistic Disorder, current severity refers to current burden across tic frequency, complexity, suppressibility, distress, pain/injury, social impact, and functional interference.\"\n+ \"def\": \"needs-manual-or-clinician-verification\",\n+ \"meaning\": \"\"\n },\n {\n \"slug\": \"specifier-par-sexual-masochism-disorder-features-with-asphyxiophilia\",\n \"label\": \"With asphyxiophilia\",\n \"disorder\": \"Sexual Masochism Disorder\",\n \"categoryId\": \"par\",\n \"category\": \"19. Paraphilic Disorders\",\n \"group\": \"Features\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"Sexual arousal involving oxygen restriction.\"\n },\n {\n \"slug\": \"specifier-par-sexual-masochism-disorder-features-in-a-controlled-environment\",\n \"label\": \"In a controlled environment\",\n \"disorder\": \"Sexual Masochism Disorder\",\n \"categoryId\": \"par\",\n \"category\": \"19. Paraphilic Disorders\",\n \"group\": \"Features\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"External circumstances restrict opportunity for the behaviour, such as supervised, institutional, or otherwise controlled settings.\"\n },\n {\n \"slug\": \"specifier-par-sexual-masochism-disorder-features-in-full-remission\",\n@@ -6177,52 +6237,52 @@\n \"category\": \"19. Paraphilic Disorders\",\n \"group\": \"Context\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"External circumstances restrict opportunity for the behaviour, such as supervised, institutional, or otherwise controlled settings.\"\n },\n {\n \"slug\": \"specifier-par-fetishistic-disorder-context-in-full-remission\",\n \"label\": \"In full remission\",\n \"disorder\": \"Fetishistic Disorder\",\n \"categoryId\": \"par\",\n \"category\": \"19. Paraphilic Disorders\",\n \"group\": \"Context\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"For Fetishistic Disorder, full remission means the condition is not currently clinically active by the source framework.\"\n },\n {\n \"slug\": \"specifier-par-fetishistic-disorder-context-current-severity\",\n \"label\": \"Current severity\",\n \"disorder\": \"Fetishistic Disorder\",\n \"categoryId\": \"par\",\n \"category\": \"19. Paraphilic Disorders\",\n \"group\": \"Context\",\n \"src\": \"source-needs-formal-review\",\n- \"def\": \"defined\",\n- \"meaning\": \"For Fetishistic Disorder, current severity refers to current burden across tic frequency, complexity, suppressibility, distress, pain/injury, social impact, and functional interference.\"\n+ \"def\": \"needs-manual-or-clinician-verification\",\n+ \"meaning\": \"\"\n },\n {\n \"slug\": \"specifier-par-transvestic-disorder-features-with-fetishism\",\n \"label\": \"With fetishism\",\n \"disorder\": \"Transvestic Disorder\",\n \"categoryId\": \"par\",\n \"category\": \"19. Paraphilic Disorders\",\n \"group\": \"Features\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"Sexual arousal focus involves nonliving objects or specific body parts in the specified paraphilic context.\"\n },\n {\n \"slug\": \"specifier-par-transvestic-disorder-features-with-autogynephilia\",\n \"label\": \"With autogynephilia\",\n \"disorder\": \"Transvestic Disorder\",\n \"categoryId\": \"par\",\n \"category\": \"19. Paraphilic Disorders\",\n \"group\": \"Features\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"Sexual arousal associated with imagining oneself as female.\"\n },\n {\n \"slug\": \"specifier-par-transvestic-disorder-context-in-a-controlled-environment\",\n@@ -6232,52 +6292,52 @@\n \"category\": \"19. Paraphilic Disorders\",\n \"group\": \"Context\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"External circumstances restrict opportunity for the behaviour, such as supervised, institutional, or otherwise controlled settings.\"\n },\n {\n \"slug\": \"specifier-par-transvestic-disorder-context-in-full-remission\",\n \"label\": \"In full remission\",\n \"disorder\": \"Transvestic Disorder\",\n \"categoryId\": \"par\",\n \"category\": \"19. Paraphilic Disorders\",\n \"group\": \"Context\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"For Transvestic Disorder, full remission means the condition is not currently clinically active by the source framework.\"\n },\n {\n \"slug\": \"specifier-par-transvestic-disorder-context-current-severity\",\n \"label\": \"Current severity\",\n \"disorder\": \"Transvestic Disorder\",\n \"categoryId\": \"par\",\n \"category\": \"19. Paraphilic Disorders\",\n \"group\": \"Context\",\n \"src\": \"source-needs-formal-review\",\n- \"def\": \"defined\",\n- \"meaning\": \"For Transvestic Disorder, current severity refers to current burden across tic frequency, complexity, suppressibility, distress, pain/injury, social impact, and functional interference.\"\n+ \"def\": \"needs-manual-or-clinician-verification\",\n+ \"meaning\": \"\"\n },\n {\n \"slug\": \"specifier-par-coercive-sexual-sadism-disorder-icd-11-severity-current-severity\",\n \"label\": \"Current severity\",\n \"disorder\": \"Coercive Sexual Sadism Disorder (ICD-11)\",\n \"categoryId\": \"par\",\n \"category\": \"19. Paraphilic Disorders\",\n \"group\": \"Severity\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"For Coercive Sexual Sadism Disorder (ICD-11), current severity refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\"\n },\n {\n \"slug\": \"specifier-icd-gaming-disorder-type-predominantly-online\",\n \"label\": \"Predominantly online\",\n \"disorder\": \"Gaming Disorder\",\n \"categoryId\": \"icd\",\n \"category\": \"20. ICD-11 Specifics\",\n \"group\": \"Type\",\n \"src\": \"source-verified\",\n \"def\": \"defined\",\n \"meaning\": \"Gaming behaviour mainly occurs online or offline.\"\n },\n {\n \"slug\": \"specifier-icd-gaming-disorder-type-predominantly-offline\",\n@@ -6343,73 +6403,73 @@\n \"group\": \"Context\",\n \"src\": \"source-verified\",\n \"def\": \"defined\",\n \"meaning\": \"Symptoms are classified as substance- or medication-induced in the ICD-11 context.\"\n },\n {\n \"slug\": \"specifier-icd-catatonia-standalone-diagnosis-context-secondary-to-a-medical-condition-not-classified-elsewhere\",\n \"label\": \"Secondary to a medical condition not classified elsewhere\",\n \"disorder\": \"Catatonia (Standalone diagnosis)\",\n \"categoryId\": \"icd\",\n \"category\": \"20. ICD-11 Specifics\",\n \"group\": \"Context\",\n \"src\": \"source-verified\",\n \"def\": \"defined\",\n \"meaning\": \"The mental or behavioural presentation is classified as secondary to another medical condition.\"\n },\n {\n \"slug\": \"specifier-icd-bodily-distress-disorder-severity-mild\",\n \"label\": \"Mild\",\n \"disorder\": \"Bodily Distress Disorder\",\n \"categoryId\": \"icd\",\n \"category\": \"20. ICD-11 Specifics\",\n \"group\": \"Severity\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n- \"meaning\": \"For Bodily Distress Disorder, mild refers to current burden across distress, impairment, persistence, trauma-related symptom burden, relationship impact, and safety concerns.\"\n+ \"meaning\": \"For Bodily Distress Disorder, mild refers to current burden across bodily symptom distress, symptom persistence, functional impairment, health-related preoccupation, and care needs.\"\n },\n {\n \"slug\": \"specifier-icd-bodily-distress-disorder-severity-moderate\",\n \"label\": \"Moderate\",\n \"disorder\": \"Bodily Distress Disorder\",\n \"categoryId\": \"icd\",\n \"category\": \"20. ICD-11 Specifics\",\n \"group\": \"Severity\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n- \"meaning\": \"For Bodily Distress Disorder, moderate refers to current burden across distress, impairment, persistence, trauma-related symptom burden, relationship impact, and safety concerns.\"\n+ \"meaning\": \"For Bodily Distress Disorder, moderate refers to current burden across bodily symptom distress, symptom persistence, functional impairment, health-related preoccupation, and care needs.\"\n },\n {\n \"slug\": \"specifier-icd-bodily-distress-disorder-severity-severe\",\n \"label\": \"Severe\",\n \"disorder\": \"Bodily Distress Disorder\",\n \"categoryId\": \"icd\",\n \"category\": \"20. ICD-11 Specifics\",\n \"group\": \"Severity\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n- \"meaning\": \"For Bodily Distress Disorder, severe refers to current burden across distress, impairment, persistence, trauma-related symptom burden, relationship impact, and safety concerns.\"\n+ \"meaning\": \"For Bodily Distress Disorder, severe refers to current burden across bodily symptom distress, symptom persistence, functional impairment, health-related preoccupation, and care needs.\"\n },\n {\n \"slug\": \"specifier-icd-partial-dissociative-identity-disorder-severity-current-severity\",\n \"label\": \"Current severity\",\n \"disorder\": \"Partial Dissociative Identity Disorder\",\n \"categoryId\": \"icd\",\n \"category\": \"20. ICD-11 Specifics\",\n \"group\": \"Severity\",\n \"src\": \"source-needs-formal-review\",\n \"def\": \"defined\",\n \"meaning\": \"For Partial Dissociative Identity Disorder, current severity refers to current burden across dissociative disruption, memory or identity disturbance, distress, safety, and functional impairment.\"\n },\n {\n \"slug\": \"specifier-icd-trance-disorder-features-with-without-possession\",\n \"label\": \"With/without possession\",\n \"disorder\": \"Trance Disorder\",\n \"categoryId\": \"icd\",\n \"category\": \"20. ICD-11 Specifics\",\n \"group\": \"Features\",\n \"src\": \"source-verified\",\n \"def\": \"defined\",\n \"meaning\": \"The dissociative presentation includes experiences of being taken over by an external identity, spirit, or power.\"\n },\n {\n \"slug\": \"specifier-icd-olfactory-reference-disorder-insight-with-good-or-fair-insight\",\ndiff --git a/tests/specifiers-content.test.ts b/tests/specifiers-content.test.ts\nindex 5af305d5f673d30b324037049ea0099da79ab350..f0eee49bbeb2df83b6370ab69be78936e25e68a4 100644\n--- a/tests/specifiers-content.test.ts\n+++ b/tests/specifiers-content.test.ts\n@@ -67,46 +67,85 @@ describe(\"specifiers content catalog\", () => {\n // An Intellectual Developmental Disorder \"Mild\" severity row must not pick up\n // the mood \"Mild severity\" curated guidance.\n const nonMoodMild = specifierCatalogItems().find(\n (item) => item.categoryId === \"ndv\" && item.label.toLowerCase() === \"mild\",\n );\n expect(nonMoodMild).toBeDefined();\n expect(curatedEnrichmentFor(nonMoodMild!)).toBeUndefined();\n });\n \n it(\"confines enrichment to mood (bipolar/depressive) categories\", () => {\n for (const item of specifierCatalogItems()) {\n if (![\"bip\", \"dep\"].includes(item.categoryId)) {\n expect(curatedEnrichmentFor(item)).toBeUndefined();\n }\n }\n });\n \n it(\"describes anxiety (not episode severity) on anxious-distress rows\", () => {\n const rows = specifierCatalogItems().filter((item) => /^with anxious distress/i.test(item.label));\n expect(rows.length).toBeGreaterThan(0);\n for (const item of rows) {\n expect(item.definition?.meaning ?? \"\").not.toMatch(/severe refers to/i);\n expect(item.definition?.meaning ?? \"\").toMatch(/anxiety|tension/i);\n }\n });\n+\n+ it(\"keeps reviewed somatic/FND definitions in their own clinical domains\", () => {\n+ const illnessAnxietyRows = specifierCatalogItems().filter(\n+ (item) => item.disorderName === \"Illness Anxiety Disorder\" && /Care-(seeking|avoidant) type/.test(item.label),\n+ );\n+ expect(illnessAnxietyRows).toHaveLength(2);\n+ expect(illnessAnxietyRows.map((item) => item.definition?.meaning ?? \"\").join(\" \")).toMatch(/care seeking/i);\n+ expect(illnessAnxietyRows.map((item) => item.definition?.meaning ?? \"\").join(\" \")).toMatch(/care avoid/i);\n+ expect(illnessAnxietyRows.map((item) => item.definition?.meaning ?? \"\").join(\" \")).not.toMatch(\n+ /personality change presentation/i,\n+ );\n+\n+ const fndStressor = specifierCatalogItems().find(\n+ (item) =>\n+ item.disorderName === \"Functional Neurological Symptom Disorder (Conversion / FND)\" &&\n+ item.label === \"With/without psychological stressor\",\n+ );\n+ expect(fndStressor?.definition?.meaning ?? \"\").toMatch(/functional neurological|conversion/i);\n+ expect(fndStressor?.definition?.meaning ?? \"\").not.toMatch(/sexual-dysfunction context/i);\n+\n+ const bodilyDistressRows = specifierCatalogItems().filter(\n+ (item) =>\n+ item.disorderName.includes(\"Bodily Distress Disorder\") && [\"Mild\", \"Moderate\", \"Severe\"].includes(item.label),\n+ );\n+ expect(bodilyDistressRows.length).toBeGreaterThan(0);\n+ for (const item of bodilyDistressRows) {\n+ expect(item.definition?.meaning ?? \"\").toMatch(/bodily symptom distress/i);\n+ expect(item.definition?.meaning ?? \"\").not.toMatch(/trauma-related symptom burden/i);\n+ }\n+ });\n+\n+ it(\"does not reuse tic-severity wording outside tic disorders\", () => {\n+ const copiedTicTemplateRows = specifierCatalogItems().filter(\n+ (item) =>\n+ item.disorderName !== \"Tourette's Disorder / Tic Disorders\" &&\n+ /tic frequency, complexity, suppressibility/i.test(item.definition?.meaning ?? \"\"),\n+ );\n+ expect(copiedTicTemplateRows).toEqual([]);\n+ });\n });\n \n describe(\"searchSpecifierCatalog\", () => {\n it(\"finds a known specifier by label\", () => {\n const results = searchSpecifierCatalog(\"anxious distress\");\n expect(results.length).toBeGreaterThan(0);\n expect(results.some((result) => /anxious distress/i.test(result.item.label))).toBe(true);\n });\n \n it(\"returns the whole filtered category with an empty query\", () => {\n const results = searchSpecifierCatalog(\"\", { categoryId: \"dep\" });\n expect(results.length).toBeGreaterThan(0);\n expect(results.every((result) => result.item.categoryId === \"dep\")).toBe(true);\n });\n \n it(\"filters to source-verified items only\", () => {\n const results = searchSpecifierCatalog(\"\", { reviewedOnly: true });\n expect(results.length).toBe(specifierVerifiedCount);\n expect(results.every((result) => result.item.src === \"source-verified\")).toBe(true);\n });\n });\n","external_storage_diff",{"_1761":1762,"_1763":-5},"files_modified",3,"lines_added",174,"lines_removed",106,"commit_message","fix(specifiers): correct catalog definition review findings","additional_parent_commit_shas",[],"file_id","file_00000000847471f7a76d264c91846c81","ttl","partial_repo_snapshot","files",[1767,1768,1769],{"_166":3457,"_1771":-5,"_1772":3458,"_1774":-5},{"_166":1884,"_1771":-5,"_1772":1885,"_1774":-5},{"_166":1770,"_1771":-5,"_1772":1773,"_1774":-5},"tests/specifiers-content.test.ts","contents","line_range_contents",[1775],"missing_reason",{"_1776":878,"_1777":1778,"_580":1779,"_1780":59},"line_range_start","line_range_end",151,[1781,223,1782,1783,1784,1785,1786,1787,1788,1789,1790,223,1791,1792,1793,1794,1795,1796,1797,223,1798,1799,1800,1801,1797,223,1802,1803,1804,1797,223,1805,1806,1807,1808,1797,223,1809,1810,1811,1812,1797,223,1813,1814,1815,1816,1817,1818,1797,223,1819,1820,1821,1822,1823,1797,223,1824,1825,1826,1827,1828,1797,223,1829,1830,1831,1832,1833,1834,1835,1836,1797,223,1837,1814,1838,1839,1817,1818,1797,223,1840,1841,1842,1843,1844,1845,1818,1797,223,1846,1847,1848,1834,1849,1850,1851,1852,1853,1834,223,1854,1855,1856,1857,1834,1858,1859,223,1860,1855,1861,1834,1862,1863,1864,1865,1818,1797,223,1866,1867,1855,1868,1869,1834,1870,1797,1871,223,1872,1873,1874,1875,1876,1797,223,1877,1878,1875,1879,1797,223,1880,1881,1882,1883,1797,1871],"contains_end_of_file","import { describe, expect, it } from \"vitest\";","import {"," curatedEnrichmentFor,"," getSpecifierCatalogItem,"," popularCatalogSlugs,"," specifierCatalogItems,"," specifierSlug,"," specifiersStats,","} from \"@/lib/specifiers-content\";","import { searchSpecifierCatalog, specifierIndexItems, specifierVerifiedCount } from \"@/lib/specifiers-search-index\";","describe(\"specifiers content catalog\", () => {"," it(\"flattens to the stats-reported item count\", () => {"," // Assert stats↔content consistency plus a sanity floor, rather than a brittle"," // exact count (the dataset can gain/lose rows via governance edits)."," expect(specifierCatalogItems().length).toBe(specifiersStats().specifierItems);"," expect(specifiersStats().specifierItems).toBeGreaterThan(550);"," });"," it(\"assigns a unique slug to every item\", () => {"," const items = specifierCatalogItems();"," const slugs = new Set(items.map((item) => item.slug));"," expect(slugs.size).toBe(items.length);"," it(\"derives URL-safe slugs from the row key\", () => {"," expect(specifierSlug(\"specifier:ndv:x:severity:mild\")).toBe(\"specifier-ndv-x-severity-mild\");"," expect(specifierCatalogItems().every((item) => /^[a-z0-9-]+$/.test(item.slug))).toBe(true);"," it(\"round-trips getSpecifierCatalogItem by slug\", () => {"," const sample = specifierCatalogItems()[0];"," expect(getSpecifierCatalogItem(sample.slug)?.label).toBe(sample.label);"," expect(getSpecifierCatalogItem(\"does-not-exist\")).toBeUndefined();"," it(\"keeps the compact client index in sync with the full catalog\", () => {"," const catalogSlugs = new Set(specifierCatalogItems().map((item) => item.slug));"," expect(specifierIndexItems.length).toBe(catalogSlugs.size);"," expect(specifierIndexItems.every((item) => catalogSlugs.has(item.slug))).toBe(true);"," it(\"never invents a definition for self-explanatory items\", () => {"," for (const item of specifierCatalogItems()) {"," if (item.definitionStatus === \"obvious-no-definition\") {"," expect(item.definition).toBeNull();"," }"," }"," it(\"pre-renders a bounded subset (source-verified) rather than all 586\", () => {"," const slugs = popularCatalogSlugs();"," expect(slugs.length).toBeGreaterThan(0);"," expect(slugs.length).toBeLessThan(specifierCatalogItems().length);"," expect(slugs.length).toBe(Math.min(96, specifierVerifiedCount));"," it(\"enriches a catalog item that matches a curated record\", () => {"," const anxious = specifierCatalogItems().find((item) => /anxious distress/i.test(item.label));"," expect(anxious).toBeDefined();"," const enrichment = curatedEnrichmentFor(anxious!);"," expect(enrichment?.fit.length).toBeGreaterThan(0);"," it(\"does not enrich generic labels from unrelated diagnostic categories\", () => {"," // An Intellectual Developmental Disorder \"Mild\" severity row must not pick up"," // the mood \"Mild severity\" curated guidance."," const nonMoodMild = specifierCatalogItems().find("," (item) => item.categoryId === \"ndv\" && item.label.toLowerCase() === \"mild\","," );"," expect(nonMoodMild).toBeDefined();"," expect(curatedEnrichmentFor(nonMoodMild!)).toBeUndefined();"," it(\"confines enrichment to mood (bipolar/depressive) categories\", () => {"," if (![\"bip\", \"dep\"].includes(item.categoryId)) {"," expect(curatedEnrichmentFor(item)).toBeUndefined();"," it(\"describes anxiety (not episode severity) on anxious-distress rows\", () => {"," const rows = specifierCatalogItems().filter((item) => /^with anxious distress/i.test(item.label));"," expect(rows.length).toBeGreaterThan(0);"," for (const item of rows) {"," expect(item.definition?.meaning ?? \"\").not.toMatch(/severe refers to/i);"," expect(item.definition?.meaning ?? \"\").toMatch(/anxiety|tension/i);"," it(\"keeps reviewed somatic/FND definitions in their own clinical domains\", () => {"," const illnessAnxietyRows = specifierCatalogItems().filter("," (item) => item.disorderName === \"Illness Anxiety Disorder\" && /Care-(seeking|avoidant) type/.test(item.label),"," expect(illnessAnxietyRows).toHaveLength(2);"," expect(illnessAnxietyRows.map((item) => item.definition?.meaning ?? \"\").join(\" \")).toMatch(/care seeking/i);"," expect(illnessAnxietyRows.map((item) => item.definition?.meaning ?? \"\").join(\" \")).toMatch(/care avoid/i);"," expect(illnessAnxietyRows.map((item) => item.definition?.meaning ?? \"\").join(\" \")).not.toMatch("," /personality change presentation/i,"," const fndStressor = specifierCatalogItems().find("," (item) =>"," item.disorderName === \"Functional Neurological Symptom Disorder (Conversion / FND)\" &&"," item.label === \"With/without psychological stressor\","," expect(fndStressor?.definition?.meaning ?? \"\").toMatch(/functional neurological|conversion/i);"," expect(fndStressor?.definition?.meaning ?? \"\").not.toMatch(/sexual-dysfunction context/i);"," const bodilyDistressRows = specifierCatalogItems().filter("," item.disorderName.includes(\"Bodily Distress Disorder\") && [\"Mild\", \"Moderate\", \"Severe\"].includes(item.label),"," expect(bodilyDistressRows.length).toBeGreaterThan(0);"," for (const item of bodilyDistressRows) {"," expect(item.definition?.meaning ?? \"\").toMatch(/bodily symptom distress/i);"," expect(item.definition?.meaning ?? \"\").not.toMatch(/trauma-related symptom burden/i);"," it(\"does not reuse tic-severity wording outside tic disorders\", () => {"," const copiedTicTemplateRows = specifierCatalogItems().filter("," item.disorderName !== \"Tourette's Disorder / Tic Disorders\" &&"," /tic frequency, complexity, suppressibility/i.test(item.definition?.meaning ?? \"\"),"," expect(copiedTicTemplateRows).toEqual([]);","});","describe(\"searchSpecifierCatalog\", () => {"," it(\"finds a known specifier by label\", () => {"," const results = searchSpecifierCatalog(\"anxious distress\");"," expect(results.length).toBeGreaterThan(0);"," expect(results.some((result) => /anxious distress/i.test(result.item.label))).toBe(true);"," it(\"returns the whole filtered category with an empty query\", () => {"," const results = searchSpecifierCatalog(\"\", { categoryId: \"dep\" });"," expect(results.every((result) => result.item.categoryId === \"dep\")).toBe(true);"," it(\"filters to source-verified items only\", () => {"," const results = searchSpecifierCatalog(\"\", { reviewedOnly: true });"," expect(results.length).toBe(specifierVerifiedCount);"," expect(results.every((result) => result.item.src === 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\"meta\": {"," \"appName\": \"Specifiers\","," \"version\": \"1.1.0\","," \"contentVersion\": \"DSM-5-TR / ICD-11 aide-memoire dataset with Australian coding-context note\","," \"lastUpdated\": \"2026-05-09\","," \"reviewStatus\": \"Pending qualified clinician review\","," \"scope\": \"Quick-reference aide-memoire for diagnostic specifiers and clinical notes. It is not a diagnostic instrument, substitute manual, treatment guide, billing/coding authority, or Australian ICD-11 implementation guide.\","," \"disclaimer\": \"Use with formal DSM-5-TR materials, current WHO ICD-11 materials, Australian ICD-10-AM/ACHI/ACS requirements where relevant, local governance, and qualified clinical judgement.\","," \"scopeWarning\": \"This is diagnostic specifier aide-memoire content, not psychotherapy, treatment, prescribing, billing, or diagnostic-manual content.\","," \"stats\": {"," \"categories\": 20,"," \"disorders\": 131,"," \"groups\": 218,"," \"specifierItems\": 585,"," \"universalSpecifiers\": 18,"," \"itemsWithDefinitions\": 558,"," \"itemsPendingClinicianReview\": 585"," },"," \"sourceVerified\": 71"," },"," \"categories\": ["," {"," \"id\": \"ndv\","," \"name\": \"1. Neurodevelopmental\""," \"id\": \"psy\","," \"name\": \"2. Schizophrenia Spectrum\""," \"id\": \"bip\","," \"name\": \"3. Bipolar & Related\""," \"id\": \"dep\","," \"name\": \"4. Depressive Disorders\""," \"id\": \"anx\","," \"name\": \"5. Anxiety Disorders\""," \"id\": \"ocd\","," \"name\": \"6. Obsessive-Compulsive\""," \"id\": \"trm\","," \"name\": \"7. Trauma & Stressor\""," \"id\": \"dis\","," \"name\": \"8. Dissociative Disorders\""," \"id\": \"som\","," \"name\": \"9. Somatic Symptom\""," \"id\": \"eat\","," \"name\": \"10. Feeding & Eating\""," \"id\": \"eli\","," \"name\": \"11. Elimination Disorders\""," \"id\": \"slp\","," \"name\": \"12. Sleep-Wake Disorders\""," \"id\": \"sxd\","," \"name\": \"13. Sexual Dysfunctions\""," \"id\": \"gen\","," \"name\": \"14. Gender Dysphoria\""," \"id\": \"imp\","," \"name\": \"15. Disruptive & Impulse\""," \"id\": \"sub\","," \"name\": \"16. Substance & Addictive\""," \"id\": \"ncg\","," \"name\": \"17. Neurocognitive\""," \"id\": \"per\","," \"name\": \"18. Personality Disorders\""," \"id\": \"par\","," \"name\": \"19. Paraphilic Disorders\""," \"id\": \"icd\","," \"name\": \"20. ICD-11 Specifics\""," ],"," \"items\": ["," \"slug\": \"specifier-ndv-intellectual-developmental-disorder-severity-mild\","," \"label\": \"Mild\","," \"disorder\": \"Intellectual Developmental Disorder\","," \"categoryId\": \"ndv\","," \"category\": \"1. Neurodevelopmental\","," \"group\": \"Severity\","," \"src\": \"source-needs-formal-review\","," \"def\": \"defined\","," \"meaning\": \"For Intellectual Developmental Disorder, mild refers to current burden across adaptive functioning across conceptual, social, and practical domains rather than IQ alone.\""," \"slug\": \"specifier-ndv-intellectual-developmental-disorder-severity-moderate\","," \"label\": \"Moderate\","," \"meaning\": \"For Intellectual Developmental Disorder, moderate refers to current burden across adaptive functioning across conceptual, social, and practical domains rather than IQ alone.\""," \"slug\": \"specifier-ndv-intellectual-developmental-disorder-severity-severe\","," \"label\": \"Severe\","," \"meaning\": \"For Intellectual Developmental Disorder, severe refers to current burden across adaptive functioning across conceptual, social, and practical domains rather than IQ alone.\""," \"slug\": \"specifier-ndv-intellectual-developmental-disorder-severity-profound\","," \"label\": \"Profound\","," \"meaning\": \"For Intellectual Developmental Disorder, profound refers to current burden across adaptive functioning across conceptual, social, and practical domains rather than IQ alone.\""," \"slug\": \"specifier-ndv-language-disorder-features-with-without-impairment-in-comprehension-of-language\","," \"label\": \"With/without impairment in comprehension of language\","," \"disorder\": \"Language Disorder\","," \"group\": \"Features\","," \"meaning\": \"Flags whether receptive language comprehension is impaired as part of the communication profile.\""," \"slug\": \"specifier-ndv-language-disorder-severity-current-severity\","," \"label\": \"Current severity\","," \"meaning\": \"For Language Disorder, current severity refers to current burden across communication clarity, intelligibility, fluency, comprehension, social communication impact, and participation limits.\""," \"slug\": \"specifier-ndv-speech-sound-disorder-severity-current-severity\","," \"disorder\": \"Speech Sound Disorder\","," \"meaning\": \"For Speech Sound Disorder, current severity refers to current burden across communication clarity, intelligibility, fluency, comprehension, social communication impact, and participation limits.\""," \"slug\": \"specifier-ndv-childhood-onset-fluency-disorder-stuttering-severity-current-severity\","," \"disorder\": \"Childhood-Onset Fluency Disorder (Stuttering)\","," \"meaning\": \"For Childhood-Onset Fluency Disorder (Stuttering), current severity refers to current burden across communication clarity, intelligibility, fluency, comprehension, social communication impact, and participation limits.\""," \"slug\": \"specifier-ndv-social-pragmatic-communication-disorder-severity-current-severity\","," \"disorder\": \"Social (Pragmatic) Communication Disorder\","," \"meaning\": \"For Social (Pragmatic) Communication Disorder, current severity refers to current burden across communication clarity, intelligibility, fluency, comprehension, social communication impact, and participation limits.\""," \"slug\": \"specifier-ndv-autism-spectrum-disorder-co-occurring-with-without-accompanying-intellectual-impairment\","," \"label\": \"With/without accompanying intellectual impairment\","," \"disorder\": \"Autism Spectrum Disorder\","," \"group\": \"Co-occurring\","," \"meaning\": \"Records whether intellectual-developmental impairment is present alongside the diagnosis.\""," \"slug\": \"specifier-ndv-autism-spectrum-disorder-co-occurring-with-without-accompanying-language-impairment\","," \"label\": \"With/without accompanying language impairment\","," \"meaning\": \"Records whether language impairment is present alongside the diagnosis.\""," \"slug\": \"specifier-ndv-autism-spectrum-disorder-co-occurring-associated-with-a-known-medical-or-genetic-condition-or-environmental-factor\","," \"label\": \"Associated with a known medical or genetic condition or environmental factor\","," \"meaning\": \"Links the presentation to a known condition or co-occurring neurodevelopmental, mental, or behavioural problem.\""," \"slug\": \"specifier-ndv-autism-spectrum-disorder-co-occurring-associated-with-another-neurodevelopmental-mental-or-behavioural-problem\","," \"label\": \"Associated with another neurodevelopmental, mental, or behavioural problem\","," \"slug\": \"specifier-ndv-autism-spectrum-disorder-co-occurring-with-catatonia\","," \"label\": \"With catatonia\","," \"meaning\": \"A motor-behavioural syndrome is present, such as marked immobility, mutism, posturing, agitation, echolalia, or echopraxia.\""," \"slug\": \"specifier-ndv-autism-spectrum-disorder-severity-level-1-requiring-support\","," \"label\": \"Level 1: Requiring support\","," \"meaning\": \"For Autism Spectrum Disorder, Level 1 means support is required in the relevant autism domain.\""," \"slug\": \"specifier-ndv-autism-spectrum-disorder-severity-level-2-requiring-substantial-support\","," \"label\": \"Level 2: Requiring substantial support\","," \"meaning\": \"For Autism Spectrum Disorder, Level 2 means substantial support is required in the relevant autism domain.\""," \"slug\": \"specifier-ndv-autism-spectrum-disorder-severity-level-3-requiring-very-substantial-support\","," \"label\": \"Level 3: Requiring very substantial support\","," \"meaning\": \"For Autism Spectrum Disorder, Level 3 means very substantial support is required in the relevant autism domain.\""," \"slug\": \"specifier-ndv-attention-deficit-hyperactivity-disorder-presentation-combined-presentation\","," \"label\": \"Combined presentation\","," \"disorder\": \"Attention-Deficit/Hyperactivity Disorder\","," \"group\": \"Presentation\","," \"meaning\": \"ADHD presentation with both inattentive and hyperactive-impulsive symptom patterns clinically prominent.\""," \"slug\": \"specifier-ndv-attention-deficit-hyperactivity-disorder-presentation-predominantly-inattentive-presentation\","," \"label\": \"Predominantly inattentive presentation\","," \"meaning\": \"ADHD presentation where inattentive symptoms are the main current pattern.\""," \"slug\": \"specifier-ndv-attention-deficit-hyperactivity-disorder-presentation-predominantly-hyperactive-impulsive-presentation\","," \"label\": \"Predominantly hyperactive-impulsive presentation\","," \"meaning\": \"ADHD presentation where hyperactive-impulsive symptoms are the main current pattern.\""," \"slug\": \"specifier-ndv-attention-deficit-hyperactivity-disorder-course-severity-in-partial-remission\","," \"label\": \"In partial remission\","," \"group\": \"Course/Severity\","," \"meaning\": \"For Attention-Deficit/Hyperactivity Disorder, partial remission means the full current syndrome is no longer present but clinically relevant symptoms or impairment remain.\""," \"slug\": \"specifier-ndv-attention-deficit-hyperactivity-disorder-course-severity-mild\","," \"meaning\": \"For Attention-Deficit/Hyperactivity Disorder, mild refers to current burden across ADHD symptom burden, cross-setting impairment, and functional impact beyond the diagnostic threshold.\""," \"slug\": \"specifier-ndv-attention-deficit-hyperactivity-disorder-course-severity-moderate\","," \"meaning\": \"For Attention-Deficit/Hyperactivity Disorder, moderate refers to current burden across ADHD symptom burden, cross-setting impairment, and functional impact beyond the diagnostic threshold.\""," \"slug\": \"specifier-ndv-attention-deficit-hyperactivity-disorder-course-severity-severe\","," \"meaning\": \"For Attention-Deficit/Hyperactivity Disorder, severe refers to current burden across ADHD symptom burden, cross-setting impairment, and functional impact beyond the diagnostic threshold.\""," \"slug\": \"specifier-ndv-specific-learning-disorder-domains-with-impairment-in-reading-word-reading-accuracy-reading-rate-or-fluency-reading-comprehension\","," \"label\": \"With impairment in reading (word reading accuracy, reading rate or fluency, reading comprehension)\","," \"disorder\": \"Specific Learning Disorder\","," \"group\": \"Domains\","," \"meaning\": \"Specific learning difficulty affecting word reading accuracy, reading fluency, or reading comprehension.\""," \"slug\": \"specifier-ndv-specific-learning-disorder-domains-with-impairment-in-written-expression-spelling-accuracy-grammar-and-punctuation-accuracy-clarity-or-organisation-of-written-expression\","," \"label\": \"With impairment in written expression (spelling accuracy, grammar and punctuation accuracy, clarity or organisation of written expression)\","," \"meaning\": \"Specific learning difficulty affecting spelling, grammar, punctuation, clarity, or organisation of written work.\""," \"slug\": \"specifier-ndv-specific-learning-disorder-domains-with-impairment-in-mathematics-number-sense-memorisation-of-arithmetic-facts-accurate-or-fluent-calculation-accurate-math-reasoning\","," \"label\": \"With impairment in mathematics (number sense, memorisation of arithmetic facts, accurate or fluent calculation, accurate math reasoning)\","," \"meaning\": \"Specific learning difficulty affecting number sense, arithmetic facts, calculation, or mathematical reasoning.\""," \"slug\": \"specifier-ndv-specific-learning-disorder-severity-mild\","," \"meaning\": \"For Specific Learning Disorder, mild refers to current burden across academic skill impairment and the amount of support needed for reading, writing, or mathematics.\""," \"slug\": \"specifier-ndv-specific-learning-disorder-severity-moderate\","," \"meaning\": \"For Specific Learning Disorder, moderate refers to current burden across academic skill impairment and the amount of support needed for reading, writing, or mathematics.\""," \"slug\": \"specifier-ndv-specific-learning-disorder-severity-severe\","," \"meaning\": \"For Specific Learning Disorder, severe refers to current burden across academic skill impairment and the amount of support needed for reading, writing, or mathematics.\""," \"slug\": \"specifier-ndv-developmental-coordination-disorder-severity-current-severity\","," \"disorder\": \"Developmental Coordination Disorder\","," \"meaning\": \"For Developmental Coordination Disorder, current severity refers to current burden across motor coordination, daily living skills, school/work participation, safety, and independence.\""," \"slug\": \"specifier-ndv-stereotypic-movement-disorder-features-with-without-self-injurious-behaviour\","," \"label\": \"With/without self-injurious behaviour\","," \"disorder\": \"Stereotypic Movement Disorder\","," \"meaning\": \"Records whether the repetitive movement presentation includes behaviour that causes or risks bodily injury.\""," \"slug\": \"specifier-ndv-stereotypic-movement-disorder-features-associated-with-a-known-medical-or-genetic-condition-or-neurodevelopmental-disorder\","," \"label\": \"Associated with a known medical or genetic condition or neurodevelopmental disorder\","," \"slug\": \"specifier-ndv-stereotypic-movement-disorder-severity-mild\","," \"meaning\": \"For Stereotypic Movement Disorder, mild refers to current burden across movement frequency, interference with activities, and risk or presence of self-injury.\""," \"slug\": \"specifier-ndv-stereotypic-movement-disorder-severity-moderate\","," \"meaning\": \"For Stereotypic Movement Disorder, moderate refers to current burden across movement frequency, interference with activities, and risk or presence of self-injury.\""," \"slug\": \"specifier-ndv-stereotypic-movement-disorder-severity-severe\","," \"meaning\": \"For Stereotypic Movement Disorder, severe refers to current burden across movement frequency, interference with activities, and risk or presence of self-injury.\""," \"slug\": \"specifier-ndv-tourette-s-disorder-tic-disorders-features-waxing-waning-course\","," \"label\": \"Waxing-waning course\","," \"disorder\": \"Tourette's Disorder / Tic Disorders\","," \"meaning\": \"Symptoms fluctuate over time rather than staying steadily present at one level.\""," \"slug\": \"specifier-ndv-tourette-s-disorder-tic-disorders-features-with-onset-before-after-age-18\","," \"label\": \"With onset before/after age 18\","," \"meaning\": \"Documents whether onset occurred before or after adulthood threshold used by the classification.\""," \"slug\": \"specifier-ndv-tourette-s-disorder-tic-disorders-severity-current-severity\","," \"meaning\": \"For Tourette's Disorder / Tic Disorders, current severity refers to current burden across tic frequency, complexity, suppressibility, distress, pain/injury, social impact, and functional interference.\""," \"slug\": \"specifier-psy-delusional-disorder-type-erotomanic-type\","," \"label\": \"Erotomanic type\","," \"disorder\": \"Delusional Disorder\","," \"categoryId\": \"psy\","," \"category\": \"2. Schizophrenia Spectrum\","," \"group\": \"Type\","," \"meaning\": \"Delusional theme in which another person is believed to be in love with the individual.\""," \"slug\": \"specifier-psy-delusional-disorder-type-grandiose-type\","," \"label\": \"Grandiose type\","," \"meaning\": \"Delusional theme involving inflated identity, ability, power, knowledge, or special relationship.\""," \"slug\": \"specifier-psy-delusional-disorder-type-jealous-type\","," \"label\": \"Jealous type\","," \"meaning\": \"Delusional theme centred on a partner being unfaithful.\""," \"slug\": \"specifier-psy-delusional-disorder-type-persecutory-type\","," \"label\": \"Persecutory type\","," \"meaning\": \"Delusional theme involving being harmed, harassed, conspired against, or unfairly treated.\""," \"slug\": \"specifier-psy-delusional-disorder-type-somatic-type\","," \"label\": \"Somatic type\","," \"meaning\": \"Delusional theme focused on bodily functions, sensations, disease, infestation, or physical abnormality.\""," \"slug\": \"specifier-psy-delusional-disorder-type-mixed-type\","," \"label\": \"Mixed type\","," \"meaning\": \"More than one subtype pattern is clinically prominent, so no single subtype is sufficient.\""," \"slug\": \"specifier-psy-delusional-disorder-type-unspecified-type\","," \"label\": \"Unspecified type\","," \"src\": \"source-not-applicable\","," \"def\": \"obvious-no-definition\","," \"meaning\": \"\""," \"slug\": \"specifier-psy-delusional-disorder-features-with-bizarre-content\","," \"label\": \"With bizarre content\","," \"meaning\": \"Psychotic content is implausible and not readily understandable from ordinary experience or culture.\""," \"slug\": \"specifier-psy-brief-psychotic-disorder-features-with-marked-stressor-s\","," \"label\": \"With marked stressor(s)\","," \"disorder\": \"Brief Psychotic Disorder\","," \"meaning\": \"The episode follows one or more clinically significant stressors.\""," \"slug\": \"specifier-psy-brief-psychotic-disorder-features-without-marked-stressor-s\","," \"label\": \"Without marked stressor(s)\","," \"meaning\": \"No clear clinically significant stressor is identified as preceding the episode.\""," \"slug\": \"specifier-psy-brief-psychotic-disorder-features-with-peripartum-onset\","," \"label\": \"With peripartum onset\","," \"meaning\": \"Mood symptoms begin during pregnancy or soon after birth under the source framework's time window.\""," \"slug\": \"specifier-psy-brief-psychotic-disorder-features-with-catatonia\","," \"slug\": \"specifier-psy-brief-psychotic-disorder-severity-current-severity\","," \"def\": \"needs-manual-or-clinician-verification\","," \"meaning\": \"Current severity rating for Brief Psychotic Disorder requires disorder-specific clinical anchor definition (previously contained incorrect cross-domain template).\""," \"slug\": \"specifier-psy-schizophreniform-disorder-prognosis-with-good-prognostic-features\","," \"label\": \"With good prognostic features\","," \"disorder\": \"Schizophreniform Disorder\","," \"group\": \"Prognosis\","," \"meaning\": \"Features are present that are associated with a more favourable short-term course in the source framework.\""," \"slug\": \"specifier-psy-schizophreniform-disorder-prognosis-without-good-prognostic-features\","," \"label\": \"Without good prognostic features\","," \"meaning\": \"The favourable prognostic features specified by the manual are not present or not established.\""," \"slug\": \"specifier-psy-schizophreniform-disorder-features-with-catatonia\","," \"slug\": \"specifier-psy-schizophreniform-disorder-severity-current-severity\","," \"meaning\": \"For Schizophreniform Disorder, current severity refers to current burden across positive, negative, disorganised, mood, psychomotor, cognitive, functional, and risk features.\""," \"slug\": \"specifier-psy-schizophrenia-course-status-first-episode-currently-in-acute-episode\","," \"label\": \"First episode currently in acute episode\","," \"disorder\": \"Schizophrenia\","," \"group\": \"Course & Status\","," \"meaning\": \"For Schizophrenia, \\\"First episode currently in acute episode\\\" describes the current time course or recurrence pattern rather than a treatment recommendation.\""," \"slug\": \"specifier-psy-schizophrenia-course-status-first-episode-currently-in-partial-remission\","," \"label\": \"First episode currently in partial remission\","," \"meaning\": \"For Schizophrenia, partial remission means the full current syndrome is no longer present but clinically relevant symptoms or impairment remain.\""," \"slug\": \"specifier-psy-schizophrenia-course-status-first-episode-currently-in-full-remission\","," \"label\": \"First episode currently in full remission\","," \"meaning\": \"For Schizophrenia, full remission means the condition is not currently clinically active by the source framework.\""," \"slug\": \"specifier-psy-schizophrenia-course-status-multiple-episodes-currently-in-acute-episode\","," \"label\": \"Multiple episodes currently in acute episode\","," \"meaning\": \"For Schizophrenia, \\\"Multiple episodes currently in acute episode\\\" describes the current time course or recurrence pattern rather than a treatment recommendation.\""," \"slug\": \"specifier-psy-schizophrenia-course-status-multiple-episodes-currently-in-partial-remission\","," \"label\": \"Multiple episodes currently in partial remission\","," \"slug\": \"specifier-psy-schizophrenia-course-status-multiple-episodes-currently-in-full-remission\","," \"label\": \"Multiple episodes currently in full remission\","," \"slug\": \"specifier-psy-schizophrenia-course-status-continuous\","," \"label\": \"Continuous\","," \"meaning\": \"Symptoms have been present without a substantial period of remission in the current course description.\""," \"slug\": \"specifier-psy-schizophrenia-course-status-unspecified\","," \"label\": \"Unspecified\","," \"slug\": \"specifier-psy-schizophrenia-features-with-catatonia\","," \"slug\": \"specifier-psy-schizophrenia-severity-mild\","," \"meaning\": \"For Schizophrenia, mild refers to current burden across positive, negative, disorganised, mood, psychomotor, cognitive, functional, and risk features.\""," \"slug\": \"specifier-psy-schizophrenia-severity-moderate\","," \"meaning\": \"For Schizophrenia, moderate refers to current burden across positive, negative, disorganised, mood, psychomotor, cognitive, functional, and risk features.\""," \"slug\": \"specifier-psy-schizophrenia-severity-severe\","," \"meaning\": \"For Schizophrenia, severe refers to current burden across positive, negative, disorganised, mood, psychomotor, cognitive, functional, and risk features.\""," \"slug\": \"specifier-psy-schizoaffective-disorder-type-bipolar-type\","," \"label\": \"Bipolar type\","," \"disorder\": \"Schizoaffective Disorder\","," \"meaning\": \"Schizoaffective presentation in which manic symptoms are part of the illness course.\""," \"slug\": \"specifier-psy-schizoaffective-disorder-type-depressive-type\","," \"label\": \"Depressive type\","," \"meaning\": \"Schizoaffective presentation in which depressive episodes occur without manic episodes.\""," \"slug\": \"specifier-psy-schizoaffective-disorder-course-status-first-episode-acute-partial-full-remission\","," \"label\": \"First episode (acute, partial, full remission)\","," \"meaning\": \"For Schizoaffective Disorder, full remission means the condition is not currently clinically active by the source framework.\""," \"slug\": \"specifier-psy-schizoaffective-disorder-course-status-multiple-episodes-acute-partial-full-remission\","," \"label\": \"Multiple episodes (acute, partial, full remission)\","," \"slug\": \"specifier-psy-schizoaffective-disorder-course-status-continuous\","," \"slug\": \"specifier-psy-schizoaffective-disorder-course-status-unspecified\","," \"slug\": \"specifier-psy-schizoaffective-disorder-features-with-catatonia\","," \"slug\": \"specifier-psy-schizoaffective-disorder-severity-current-severity\","," \"meaning\": \"For Schizoaffective Disorder, current severity refers to current burden across positive, negative, disorganised, mood, psychomotor, cognitive, functional, and risk features.\""," \"slug\": \"specifier-psy-substance-medication-induced-psychotic-disorder-onset-with-onset-during-intoxication\","," \"label\": \"With onset during intoxication\","," \"disorder\": \"Substance/Medication-Induced Psychotic Disorder\","," \"group\": \"Onset\","," \"meaning\": \"Temporal relationship suggests the symptoms began after medication exposure, intoxication, or withdrawal.\""," \"slug\": \"specifier-psy-substance-medication-induced-psychotic-disorder-onset-with-onset-during-withdrawal\","," \"label\": \"With onset during withdrawal\","," \"slug\": \"specifier-psy-substance-medication-induced-psychotic-disorder-predominant-symptom-with-delusions\","," \"label\": \"With delusions\","," \"group\": \"Predominant symptom\","," \"meaning\": \"Delusions are the predominant psychotic symptom being documented.\""," \"slug\": \"specifier-psy-substance-medication-induced-psychotic-disorder-predominant-symptom-with-hallucinations\","," \"label\": \"With hallucinations\","," \"meaning\": \"Hallucinations are the predominant psychotic symptom being documented.\""," \"slug\": \"specifier-psy-substance-medication-induced-psychotic-disorder-severity-current-severity\","," \"slug\": \"specifier-psy-psychotic-disorder-due-to-another-medical-condition-predominant-symptom-with-delusions\","," \"disorder\": \"Psychotic Disorder Due to Another Medical Condition\","," \"slug\": \"specifier-psy-psychotic-disorder-due-to-another-medical-condition-predominant-symptom-with-hallucinations\","," \"slug\": \"specifier-psy-psychotic-disorder-due-to-another-medical-condition-features-with-catatonia\","," \"slug\": \"specifier-psy-catatonia-context-associated-with-another-mental-disorder-catatonia-specifier\","," \"label\": \"Associated with another mental disorder (catatonia specifier)\","," \"disorder\": \"Catatonia\","," \"group\": \"Context\","," \"meaning\": \"Catatonia is documented as a specifier attached to another mental disorder.\""," \"slug\": \"specifier-psy-catatonia-context-catatonic-disorder-due-to-another-medical-condition\","," \"label\": \"Catatonic disorder due to another medical condition\","," \"meaning\": \"Catatonia is attributed to a medical condition rather than another primary mental disorder.\""," \"slug\": \"specifier-psy-catatonia-context-unspecified-catatonia\","," \"label\": \"Unspecified catatonia\","," \"meaning\": \"Catatonic symptoms are clinically relevant but the full cause or classification cannot be specified from current information.\""," \"slug\": \"specifier-psy-attenuated-psychosis-syndrome-dsm-5-tr-section-iii-severity-current-severity\","," \"disorder\": \"Attenuated Psychosis Syndrome (DSM-5-TR Section III)\","," \"meaning\": \"For Attenuated Psychosis Syndrome (DSM-5-TR Section III), current severity refers to current burden across positive, negative, disorganised, mood, psychomotor, cognitive, functional, and risk features.\""," \"slug\": \"specifier-bip-bipolar-i-disorder-current-episode-manic\","," \"label\": \"Manic\","," \"disorder\": \"Bipolar I Disorder\","," \"categoryId\": \"bip\","," \"category\": \"3. Bipolar & Related\","," \"group\": \"Current Episode\","," \"meaning\": \"Current or most recent mood episode has a manic polarity.\""," \"slug\": \"specifier-bip-bipolar-i-disorder-current-episode-hypomanic\","," \"label\": \"Hypomanic\","," \"meaning\": \"Current or most recent mood episode has a hypomanic polarity.\""," \"slug\": \"specifier-bip-bipolar-i-disorder-current-episode-depressed\","," \"label\": \"Depressed\","," \"meaning\": \"Current or most recent mood episode has a depressive polarity.\""," \"slug\": \"specifier-bip-bipolar-i-disorder-current-episode-unspecified\","," \"slug\": \"specifier-bip-bipolar-i-disorder-episode-specifiers-with-anxious-distress-mild-moderate-moderate-severe-severe\","," \"label\": \"With anxious distress (mild, moderate, moderate-severe, severe)\","," \"group\": \"Episode Specifiers\","," \"meaning\": \"Prominent anxiety or tension is present during the mood episode.\""," \"slug\": \"specifier-bip-bipolar-i-disorder-episode-specifiers-with-mixed-features\","," \"label\": \"With mixed features\","," \"meaning\": \"Symptoms from the opposite mood pole are present alongside the main manic, hypomanic, or depressive episode.\""," \"slug\": \"specifier-bip-bipolar-i-disorder-episode-specifiers-with-rapid-cycling\","," \"label\": \"With rapid cycling\","," \"meaning\": \"Several distinct mood episodes occur within a 12-month period in a bipolar disorder context.\""," \"slug\": \"specifier-bip-bipolar-i-disorder-episode-specifiers-with-melancholic-features\","," \"label\": \"With melancholic features\","," \"meaning\": \"Depression has a severe, biologically weighted pattern such as loss of pleasure or emotional reactivity with marked vegetative features.\""," \"slug\": \"specifier-bip-bipolar-i-disorder-episode-specifiers-with-atypical-features\","," \"label\": \"With atypical features\","," \"meaning\": \"Depression includes mood reactivity with features such as increased sleep, increased appetite, heavy-limbed feeling, or rejection sensitivity.\""," \"slug\": \"specifier-bip-bipolar-i-disorder-episode-specifiers-with-mood-congruent-psychotic-features\","," \"label\": \"With mood-congruent psychotic features\","," \"meaning\": \"Psychotic content fits the dominant mood themes, such as guilt, nihilism, deserved punishment, grandiosity, or special power.\""," \"slug\": \"specifier-bip-bipolar-i-disorder-episode-specifiers-with-mood-incongruent-psychotic-features\","," \"label\": \"With mood-incongruent psychotic features\","," \"meaning\": \"Psychotic content does not fit the dominant mood themes.\""," \"slug\": \"specifier-bip-bipolar-i-disorder-episode-specifiers-with-catatonia\","," \"slug\": \"specifier-bip-bipolar-i-disorder-episode-specifiers-with-peripartum-onset\","," \"slug\": \"specifier-bip-bipolar-i-disorder-episode-specifiers-with-seasonal-pattern\","," \"label\": \"With seasonal pattern\","," \"meaning\": \"Episodes show a repeated seasonal relationship rather than random timing.\""," \"slug\": \"specifier-bip-bipolar-i-disorder-severity-course-mild\","," \"group\": \"Severity/Course\","," \"meaning\": \"For Bipolar I Disorder, mild refers to current burden across mood-episode symptom burden, functional impairment, psychotic features, episode risk, and safety concerns.\""," \"slug\": \"specifier-bip-bipolar-i-disorder-severity-course-moderate\","," \"meaning\": \"For Bipolar I Disorder, moderate refers to current burden across mood-episode symptom burden, functional impairment, psychotic features, episode risk, and safety concerns.\""," \"slug\": \"specifier-bip-bipolar-i-disorder-severity-course-severe\","," \"meaning\": \"For Bipolar I Disorder, severe refers to current burden across mood-episode symptom burden, functional impairment, psychotic features, episode risk, and safety concerns.\""," \"slug\": \"specifier-bip-bipolar-i-disorder-severity-course-in-partial-remission\","," \"meaning\": \"For Bipolar I Disorder, partial remission means the full current syndrome is no longer present but clinically relevant symptoms or impairment remain.\""," \"slug\": \"specifier-bip-bipolar-i-disorder-severity-course-in-full-remission\","," \"label\": \"In full remission\","," \"meaning\": \"For Bipolar I Disorder, full remission means the condition is not currently clinically active by the source framework.\""," \"slug\": \"specifier-bip-bipolar-ii-disorder-current-episode-hypomanic\","," \"disorder\": \"Bipolar II Disorder\","," \"slug\": \"specifier-bip-bipolar-ii-disorder-current-episode-depressed\","," \"slug\": \"specifier-bip-bipolar-ii-disorder-episode-specifiers-with-anxious-distress-mild-moderate-moderate-severe-severe\","," \"slug\": \"specifier-bip-bipolar-ii-disorder-episode-specifiers-with-mixed-features\","," \"slug\": \"specifier-bip-bipolar-ii-disorder-episode-specifiers-with-rapid-cycling\","," \"slug\": \"specifier-bip-bipolar-ii-disorder-episode-specifiers-with-melancholic-features\","," \"slug\": \"specifier-bip-bipolar-ii-disorder-episode-specifiers-with-atypical-features\","," \"slug\": \"specifier-bip-bipolar-ii-disorder-episode-specifiers-with-mood-congruent-psychotic-features\","," \"slug\": \"specifier-bip-bipolar-ii-disorder-episode-specifiers-with-mood-incongruent-psychotic-features\","," \"slug\": \"specifier-bip-bipolar-ii-disorder-episode-specifiers-with-catatonia\","," \"slug\": \"specifier-bip-bipolar-ii-disorder-episode-specifiers-with-peripartum-onset\","," \"slug\": \"specifier-bip-bipolar-ii-disorder-episode-specifiers-with-seasonal-pattern\","," \"slug\": \"specifier-bip-bipolar-ii-disorder-severity-course-mild\","," \"meaning\": \"For Bipolar II Disorder, mild refers to current burden across mood-episode symptom burden, functional impairment, psychotic features, episode risk, and safety concerns.\""," \"slug\": \"specifier-bip-bipolar-ii-disorder-severity-course-moderate\","," \"meaning\": \"For Bipolar II Disorder, moderate refers to current burden across mood-episode symptom burden, functional impairment, psychotic features, episode risk, and safety concerns.\""," \"slug\": \"specifier-bip-bipolar-ii-disorder-severity-course-severe\","," \"meaning\": \"For Bipolar II Disorder, severe refers to current burden across mood-episode symptom burden, functional impairment, psychotic features, episode risk, and safety concerns.\""," \"slug\": \"specifier-bip-bipolar-ii-disorder-severity-course-in-partial-remission\","," \"meaning\": \"For Bipolar II Disorder, partial remission means the full current syndrome is no longer present but clinically relevant symptoms or impairment remain.\""," \"slug\": \"specifier-bip-bipolar-ii-disorder-severity-course-in-full-remission\","," \"meaning\": \"For Bipolar II Disorder, full remission means the condition is not currently clinically active by the source framework.\""," \"slug\": \"specifier-bip-cyclothymic-disorder-features-with-anxious-distress\","," \"label\": \"With anxious distress\","," \"disorder\": \"Cyclothymic Disorder\","," \"slug\": \"specifier-bip-cyclothymic-disorder-severity-current-severity\","," \"meaning\": \"For Cyclothymic Disorder, current severity refers to current burden across mood-episode symptom burden, functional impairment, psychotic features, episode risk, and safety concerns.\""," \"slug\": \"specifier-bip-substance-medication-induced-bipolar-onset-with-onset-during-intoxication\","," \"disorder\": \"Substance/Medication-Induced Bipolar\","," \"slug\": \"specifier-bip-substance-medication-induced-bipolar-onset-with-onset-during-withdrawal\","," \"slug\": \"specifier-bip-substance-medication-induced-bipolar-features-with-manic-features\","," \"label\": \"With manic features\","," \"meaning\": \"Manic symptoms are present but may not meet the full threshold for a manic-like episode.\""," \"slug\": \"specifier-bip-substance-medication-induced-bipolar-features-with-mixed-features\","," \"slug\": \"specifier-bip-bipolar-due-to-another-medical-condition-features-with-manic-features\","," \"disorder\": \"Bipolar Due to Another Medical Condition\","," \"slug\": \"specifier-bip-bipolar-due-to-another-medical-condition-features-with-manic-or-hypomanic-like-episode\","," \"label\": \"With manic- or hypomanic-like episode\","," \"meaning\": \"Mood elevation symptoms resemble manic or hypomanic episodes but occur in the specified diagnostic context.\""," \"slug\": \"specifier-bip-bipolar-due-to-another-medical-condition-features-with-mixed-features\","," \"slug\": \"specifier-dep-disruptive-mood-dysregulation-disorder-severity-current-severity\","," \"disorder\": \"Disruptive Mood Dysregulation Disorder\","," \"categoryId\": \"dep\","," \"category\": \"4. Depressive Disorders\","," \"meaning\": \"For Disruptive Mood Dysregulation Disorder, current severity refers to current burden across mood-episode symptom burden, functional impairment, psychotic features, episode risk, and safety concerns.\""," \"slug\": \"specifier-dep-major-depressive-disorder-pattern-single-episode\","," \"label\": \"Single episode\","," \"disorder\": \"Major Depressive Disorder\","," \"group\": \"Pattern\","," \"meaning\": \"Only one qualifying episode has occurred or is being documented.\""," \"slug\": \"specifier-dep-major-depressive-disorder-pattern-recurrent-episode\","," \"label\": \"Recurrent episode\","," \"meaning\": \"The presentation has occurred in more than one episode or recurs over time.\""," \"slug\": \"specifier-dep-major-depressive-disorder-episode-specifiers-with-anxious-distress-mild-moderate-moderate-severe-severe\","," \"slug\": \"specifier-dep-major-depressive-disorder-episode-specifiers-with-mixed-features\","," \"slug\": \"specifier-dep-major-depressive-disorder-episode-specifiers-with-melancholic-features\","," \"slug\": \"specifier-dep-major-depressive-disorder-episode-specifiers-with-atypical-features\","," \"slug\": \"specifier-dep-major-depressive-disorder-episode-specifiers-with-mood-congruent-psychotic-features\","," \"slug\": \"specifier-dep-major-depressive-disorder-episode-specifiers-with-mood-incongruent-psychotic-features\","," \"slug\": \"specifier-dep-major-depressive-disorder-episode-specifiers-with-catatonia\","," \"slug\": \"specifier-dep-major-depressive-disorder-episode-specifiers-with-peripartum-onset\","," \"slug\": \"specifier-dep-major-depressive-disorder-episode-specifiers-with-seasonal-pattern-recurrent-only\","," \"label\": \"With seasonal pattern (recurrent only)\","," \"slug\": \"specifier-dep-major-depressive-disorder-severity-course-mild\","," \"meaning\": \"For Major Depressive Disorder, mild refers to current burden across mood-episode symptom burden, functional impairment, psychotic features, episode risk, and safety concerns.\""," \"slug\": \"specifier-dep-major-depressive-disorder-severity-course-moderate\","," \"meaning\": \"For Major Depressive Disorder, moderate refers to current burden across mood-episode symptom burden, functional impairment, psychotic features, episode risk, and safety concerns.\""," \"slug\": \"specifier-dep-major-depressive-disorder-severity-course-severe\","," \"meaning\": \"For Major Depressive Disorder, severe refers to current burden across mood-episode symptom burden, functional impairment, psychotic features, episode risk, and safety concerns.\""," \"slug\": \"specifier-dep-major-depressive-disorder-severity-course-in-partial-remission\","," \"meaning\": \"For Major Depressive Disorder, partial remission means the full current syndrome is no longer present but clinically relevant symptoms or impairment remain.\""," \"slug\": \"specifier-dep-major-depressive-disorder-severity-course-in-full-remission\","," \"meaning\": \"For Major Depressive Disorder, full remission means the condition is not currently clinically active by the source framework.\""," \"slug\": \"specifier-dep-persistent-depressive-disorder-dysthymia-pattern-with-pure-dysthymic-syndrome\","," \"label\": \"With pure dysthymic syndrome\","," \"disorder\": \"Persistent Depressive Disorder (Dysthymia)\","," \"meaning\": \"Persistent depressive symptoms occur without intervening major depressive episodes in the specified pattern.\""," \"slug\": \"specifier-dep-persistent-depressive-disorder-dysthymia-pattern-with-persistent-major-depressive-episode\","," \"label\": \"With persistent major depressive episode\","," \"meaning\": \"For Persistent Depressive Disorder (Dysthymia), \\\"With persistent major depressive episode\\\" describes the current time course or recurrence pattern rather than a treatment recommendation.\""," \"slug\": \"specifier-dep-persistent-depressive-disorder-dysthymia-pattern-with-intermittent-major-depressive-episodes-with-current-episode\","," \"label\": \"With intermittent major depressive episodes with current episode\","," \"meaning\": \"Major depressive episodes occur intermittently and one is currently present.\""," \"slug\": \"specifier-dep-persistent-depressive-disorder-dysthymia-pattern-with-intermittent-major-depressive-episodes-without-current-episode\","," \"label\": \"With intermittent major depressive episodes without current episode\","," \"meaning\": \"Major depressive episodes have occurred intermittently but are not currently present.\""," \"slug\": \"specifier-dep-persistent-depressive-disorder-dysthymia-onset-early-onset-before-age-21\","," \"label\": \"Early onset (before age 21)\","," \"meaning\": \"The persistent depressive pattern began before age 21.\""," \"slug\": \"specifier-dep-persistent-depressive-disorder-dysthymia-onset-late-onset-age-21-or-older\","," \"label\": \"Late onset (age 21 or older)\","," \"meaning\": \"The persistent depressive pattern began at age 21 or later.\""," \"slug\": \"specifier-dep-persistent-depressive-disorder-dysthymia-features-with-anxious-distress\","," \"slug\": \"specifier-dep-persistent-depressive-disorder-dysthymia-features-with-atypical-features\","," \"slug\": \"specifier-dep-persistent-depressive-disorder-dysthymia-severity-course-mild\","," \"meaning\": \"For Persistent Depressive Disorder (Dysthymia), mild refers to current burden across mood-episode symptom burden, functional impairment, psychotic features, episode risk, and safety concerns.\""," \"slug\": \"specifier-dep-persistent-depressive-disorder-dysthymia-severity-course-moderate\","," \"meaning\": \"For Persistent Depressive Disorder (Dysthymia), moderate refers to current burden across mood-episode symptom burden, functional impairment, psychotic features, episode risk, and safety concerns.\""," \"slug\": \"specifier-dep-persistent-depressive-disorder-dysthymia-severity-course-severe\","," \"meaning\": \"For Persistent Depressive Disorder (Dysthymia), severe refers to current burden across mood-episode symptom burden, functional impairment, psychotic features, episode risk, and safety concerns.\""," \"slug\": \"specifier-dep-persistent-depressive-disorder-dysthymia-severity-course-in-partial-remission\","," \"meaning\": \"For Persistent Depressive Disorder (Dysthymia), partial remission means the full current syndrome is no longer present but clinically relevant symptoms or impairment remain.\""," \"slug\": \"specifier-dep-persistent-depressive-disorder-dysthymia-severity-course-in-full-remission\","," \"meaning\": \"For Persistent Depressive Disorder (Dysthymia), full remission means the condition is not currently clinically active by the source framework.\""," \"slug\": \"specifier-dep-premenstrual-dysphoric-disorder-provisional-with-concurrent-psychiatric-disorder\","," \"label\": \"With concurrent psychiatric disorder\","," \"disorder\": \"Premenstrual Dysphoric Disorder\","," \"group\": \"Provisional\","," \"meaning\": \"Another psychiatric disorder is present at the same time and should be recorded separately.\""," \"slug\": \"specifier-dep-substance-medication-induced-depressive-disorder-onset-with-onset-during-intoxication\","," \"disorder\": \"Substance/Medication-Induced Depressive Disorder\","," \"slug\": \"specifier-dep-substance-medication-induced-depressive-disorder-onset-with-onset-during-withdrawal\","," \"slug\": \"specifier-dep-substance-medication-induced-depressive-disorder-features-with-depressive-features\","," \"label\": \"With depressive features\","," \"meaning\": \"Depressive symptoms are present but may not meet the full threshold for a major depressive-like episode.\""," \"slug\": \"specifier-dep-substance-medication-induced-depressive-disorder-features-with-major-depressive-like-episode\","," \"label\": \"With major depressive-like episode\","," \"meaning\": \"Depressive symptoms resemble a major depressive episode but occur in the specified diagnostic context.\""," \"slug\": \"specifier-dep-substance-medication-induced-depressive-disorder-features-with-mixed-features\","," \"slug\": \"specifier-dep-depressive-disorder-due-to-another-medical-condition-features-with-depressive-features\","," \"disorder\": \"Depressive Disorder Due to Another Medical Condition\","," \"slug\": \"specifier-dep-depressive-disorder-due-to-another-medical-condition-features-with-major-depressive-like-episode\","," \"slug\": \"specifier-dep-depressive-disorder-due-to-another-medical-condition-features-with-mixed-features\","," \"slug\": \"specifier-anx-separation-anxiety-disorder-severity-current-severity\","," \"disorder\": \"Separation Anxiety Disorder\","," \"categoryId\": \"anx\","," \"category\": \"5. Anxiety Disorders\","," \"meaning\": \"For Separation Anxiety Disorder, current severity refers to current burden across fear, worry, panic, avoidance, distress, and restriction across settings.\""," \"slug\": \"specifier-anx-selective-mutism-severity-current-severity\","," \"disorder\": \"Selective Mutism\","," \"meaning\": \"For Selective Mutism, current severity refers to current burden across fear, worry, panic, avoidance, distress, and restriction across settings.\""," \"slug\": \"specifier-anx-specific-phobia-type-animal-type\","," \"label\": \"Animal type\","," \"disorder\": \"Specific Phobia\","," \"meaning\": \"Specific phobia focus is animals or insects.\""," \"slug\": \"specifier-anx-specific-phobia-type-natural-environment-type\","," \"label\": \"Natural environment type\","," \"meaning\": \"Specific phobia focus is the natural environment, such as heights, storms, or water.\""," \"slug\": \"specifier-anx-specific-phobia-type-blood-injection-injury-type\","," \"label\": \"Blood-injection-injury type\","," \"meaning\": \"Specific phobia focus is blood, injections, injury, or related medical procedures.\""," \"slug\": \"specifier-anx-specific-phobia-type-situational-type\","," \"label\": \"Situational type\","," \"meaning\": \"Specific phobia focus is a situation, such as flying, enclosed spaces, or public transport.\""," \"slug\": \"specifier-anx-specific-phobia-type-other-type\","," \"label\": \"Other type\","," \"slug\": \"specifier-anx-specific-phobia-severity-current-severity\","," \"meaning\": \"For Specific Phobia, current severity refers to current burden across fear, worry, panic, avoidance, distress, and restriction across settings.\""," \"slug\": \"specifier-anx-social-anxiety-disorder-social-phobia-features-performance-only\","," \"label\": \"Performance only\","," \"disorder\": \"Social Anxiety Disorder (Social Phobia)\","," \"meaning\": \"Social anxiety is mainly limited to speaking or performing in front of others.\""," \"slug\": \"specifier-anx-social-anxiety-disorder-social-phobia-severity-current-severity\","," \"meaning\": \"For Social Anxiety Disorder (Social Phobia), current severity refers to current burden across fear, worry, panic, avoidance, distress, and restriction across settings.\""," \"slug\": \"specifier-anx-panic-disorder-severity-current-severity\","," \"disorder\": \"Panic Disorder\","," \"meaning\": \"For Panic Disorder, current severity refers to current burden across fear, worry, panic, avoidance, distress, and restriction across settings.\""," \"slug\": \"specifier-anx-agoraphobia-severity-current-severity\","," \"disorder\": \"Agoraphobia\","," \"meaning\": \"For Agoraphobia, current severity refers to current burden across fear, worry, panic, avoidance, distress, and restriction across settings.\""," \"slug\": \"specifier-anx-generalised-anxiety-disorder-severity-current-severity\","," \"disorder\": \"Generalised Anxiety Disorder\","," \"meaning\": \"For Generalised Anxiety Disorder, current severity refers to current burden across fear, worry, panic, avoidance, distress, and restriction across settings.\""," \"slug\": \"specifier-anx-substance-medication-induced-anxiety-disorder-onset-with-onset-during-intoxication\","," \"disorder\": \"Substance/Medication-Induced Anxiety Disorder\","," \"slug\": \"specifier-anx-substance-medication-induced-anxiety-disorder-onset-with-onset-during-withdrawal\","," \"slug\": \"specifier-anx-substance-medication-induced-anxiety-disorder-features-with-generalised-anxiety\","," \"label\": \"With generalised anxiety\","," \"meaning\": \"Broad worry or anxiety is prominent alongside the main presentation.\""," \"slug\": \"specifier-anx-substance-medication-induced-anxiety-disorder-features-with-panic-attacks\","," \"label\": \"With panic attacks\","," \"meaning\": \"Panic attacks occur in the context of another disorder and should be recorded as a specifier rather than assumed to be panic disorder.\""," \"slug\": \"specifier-anx-substance-medication-induced-anxiety-disorder-features-with-obsessive-compulsive-symptoms\","," \"label\": \"With obsessive-compulsive symptoms\","," \"meaning\": \"Obsessions, compulsions, or closely similar repetitive symptoms are prominent within the presentation.\""," \"slug\": \"specifier-anx-anxiety-disorder-due-to-another-medical-condition-features-with-panic-attacks\","," \"disorder\": \"Anxiety Disorder Due to Another Medical Condition\","," \"slug\": \"specifier-anx-anxiety-disorder-due-to-another-medical-condition-features-with-generalised-anxiety\","," \"slug\": \"specifier-ocd-obsessive-compulsive-disorder-insight-with-good-or-fair-insight\","," \"label\": \"With good or fair insight\","," \"disorder\": \"Obsessive-Compulsive Disorder\","," \"categoryId\": \"ocd\","," \"category\": \"6. Obsessive-Compulsive\","," \"group\": \"Insight\","," \"meaning\": \"The person recognises that the disorder-related belief or behaviour is definitely or probably not true, or that it may not be true.\""," \"slug\": \"specifier-ocd-obsessive-compulsive-disorder-insight-with-poor-insight\","," \"label\": \"With poor insight\","," \"meaning\": \"The person has limited recognition that the disorder-related belief or behaviour may be excessive, inaccurate, or not fully reality-based.\""," \"slug\": \"specifier-ocd-obsessive-compulsive-disorder-insight-with-absent-insight-delusional-beliefs\","," \"label\": \"With absent insight/delusional beliefs\","," \"meaning\": \"The person is convinced the disorder-related belief is true despite contrary evidence.\""," \"slug\": \"specifier-ocd-obsessive-compulsive-disorder-features-tic-related\","," \"label\": \"Tic-related\","," \"meaning\": \"A current or past tic disorder is clinically relevant to the obsessive-compulsive presentation.\""," \"slug\": \"specifier-ocd-obsessive-compulsive-disorder-severity-current-severity\","," \"meaning\": \"For Obsessive-Compulsive Disorder, current severity refers to current burden across time consumed, distress, insight, avoidance, repetitive behaviour, and functional impairment.\""," \"slug\": \"specifier-ocd-body-dysmorphic-disorder-features-with-muscle-dysmorphia\","," \"label\": \"With muscle dysmorphia\","," \"disorder\": \"Body Dysmorphic Disorder\","," \"meaning\": \"Body image preoccupation is focused on the belief that one's body build is too small or insufficiently muscular.\""," \"slug\": \"specifier-ocd-body-dysmorphic-disorder-insight-with-good-or-fair-insight\","," \"slug\": \"specifier-ocd-body-dysmorphic-disorder-insight-with-poor-insight\","," \"slug\": \"specifier-ocd-body-dysmorphic-disorder-insight-with-absent-insight-delusional-beliefs\","," \"slug\": \"specifier-ocd-body-dysmorphic-disorder-severity-current-severity\","," \"meaning\": \"For Body Dysmorphic Disorder, current severity refers to current burden across time consumed, distress, insight, avoidance, repetitive behaviour, and functional impairment.\""," \"slug\": \"specifier-ocd-hoarding-disorder-features-with-excessive-acquisition\","," \"label\": \"With excessive acquisition\","," \"disorder\": \"Hoarding Disorder\","," \"meaning\": \"Hoarding includes excessive collecting, buying, or acquiring items in addition to difficulty discarding.\""," \"slug\": \"specifier-ocd-hoarding-disorder-insight-with-good-or-fair-insight\","," \"slug\": \"specifier-ocd-hoarding-disorder-insight-with-poor-insight\","," \"slug\": \"specifier-ocd-hoarding-disorder-insight-with-absent-insight-delusional-beliefs\","," \"slug\": \"specifier-ocd-hoarding-disorder-severity-current-severity\","," \"meaning\": \"For Hoarding Disorder, current severity refers to current burden across time consumed, distress, insight, avoidance, repetitive behaviour, and functional impairment.\""," \"slug\": \"specifier-ocd-trichotillomania-hair-pulling-disorder-severity-current-severity\","," \"disorder\": \"Trichotillomania (Hair-Pulling Disorder)\","," \"meaning\": \"For Trichotillomania (Hair-Pulling Disorder), current severity refers to current burden across time consumed, distress, insight, avoidance, repetitive behaviour, and functional impairment.\""," \"slug\": \"specifier-ocd-excoriation-skin-picking-disorder-severity-current-severity\","," \"disorder\": \"Excoriation (Skin-Picking) Disorder\","," \"meaning\": \"For Excoriation (Skin-Picking) Disorder, current severity refers to current burden across time consumed, distress, insight, avoidance, repetitive behaviour, and functional impairment.\""," \"slug\": \"specifier-ocd-substance-medication-induced-ocd-onset-with-onset-during-intoxication\","," \"disorder\": \"Substance/Medication-Induced OCD\","," \"slug\": \"specifier-ocd-substance-medication-induced-ocd-onset-with-onset-during-withdrawal\","," \"slug\": \"specifier-ocd-substance-medication-induced-ocd-features-with-obsessive-compulsive-like-symptoms\","," \"label\": \"With obsessive-compulsive-like symptoms\","," \"slug\": \"specifier-ocd-substance-medication-induced-ocd-features-with-appearance-preoccupations\","," \"label\": \"With appearance preoccupations\","," \"meaning\": \"Appearance-focused concerns are prominent within the presentation.\""," \"slug\": \"specifier-ocd-substance-medication-induced-ocd-features-with-hoarding-symptoms\","," \"label\": \"With hoarding symptoms\","," \"meaning\": \"Difficulty discarding possessions or accumulation symptoms are prominent within the presentation.\""," \"slug\": \"specifier-ocd-substance-medication-induced-ocd-features-with-hair-pulling-symptoms\","," \"label\": \"With hair-pulling symptoms\","," \"meaning\": \"Recurrent hair pulling is prominent within the presentation.\""," \"slug\": \"specifier-ocd-substance-medication-induced-ocd-features-with-skin-picking-symptoms\","," \"label\": \"With skin-picking symptoms\","," \"meaning\": \"Recurrent skin picking is prominent within the presentation.\""," \"slug\": \"specifier-ocd-ocd-due-to-another-medical-condition-features-with-obsessive-compulsive-like-symptoms\","," \"disorder\": \"OCD Due to Another Medical Condition\","," \"slug\": \"specifier-ocd-ocd-due-to-another-medical-condition-features-with-appearance-preoccupations\","," \"slug\": \"specifier-ocd-ocd-due-to-another-medical-condition-features-with-hoarding-symptoms\","," \"slug\": \"specifier-ocd-ocd-due-to-another-medical-condition-features-with-hair-pulling-symptoms\","," \"slug\": \"specifier-ocd-ocd-due-to-another-medical-condition-features-with-skin-picking-symptoms\","," \"slug\": \"specifier-ocd-olfactory-reference-disorder-icd-11-dsm-5-tr-sec-iii-insight-with-good-or-fair-insight\","," \"disorder\": \"Olfactory Reference Disorder (ICD-11 / DSM-5-TR Sec III)\","," \"slug\": \"specifier-ocd-olfactory-reference-disorder-icd-11-dsm-5-tr-sec-iii-insight-with-poor-insight\","," \"slug\": \"specifier-ocd-olfactory-reference-disorder-icd-11-dsm-5-tr-sec-iii-insight-with-absent-insight-delusional-beliefs\","," \"slug\": \"specifier-ocd-olfactory-reference-disorder-icd-11-dsm-5-tr-sec-iii-severity-current-severity\","," \"meaning\": \"For Olfactory Reference Disorder (ICD-11 / DSM-5-TR Sec III), current severity refers to current burden across time consumed, distress, insight, avoidance, repetitive behaviour, and functional impairment.\""," \"slug\": \"specifier-ocd-body-focused-repetitive-behaviour-disorder-icd-11-severity-current-severity\","," \"disorder\": \"Body-Focused Repetitive Behaviour Disorder (ICD-11)\","," \"meaning\": \"For Body-Focused Repetitive Behaviour Disorder (ICD-11), current severity refers to current burden across time consumed, distress, insight, avoidance, repetitive behaviour, and functional impairment.\""," \"slug\": \"specifier-trm-reactive-attachment-disorder-course-severity-persistent\","," \"label\": \"Persistent\","," \"disorder\": \"Reactive Attachment Disorder\","," \"categoryId\": \"trm\","," \"category\": \"7. Trauma & Stressor\","," \"meaning\": \"For Reactive Attachment Disorder, \\\"Persistent\\\" describes the current time course or recurrence pattern rather than a treatment recommendation.\""," \"slug\": \"specifier-trm-reactive-attachment-disorder-course-severity-current-severity-mild-moderate-severe\","," \"label\": \"Current severity (mild, moderate, severe)\","," \"meaning\": \"For Reactive Attachment Disorder, severe refers to current burden across distress, impairment, persistence, trauma-related symptom burden, relationship impact, and safety concerns.\""," \"slug\": \"specifier-trm-disinhibited-social-engagement-disorder-course-severity-persistent\","," \"disorder\": \"Disinhibited Social Engagement Disorder\","," \"meaning\": \"For Disinhibited Social Engagement Disorder, \\\"Persistent\\\" describes the current time course or recurrence pattern rather than a treatment recommendation.\""," \"slug\": \"specifier-trm-disinhibited-social-engagement-disorder-course-severity-current-severity-mild-moderate-severe\","," \"meaning\": \"For Disinhibited Social Engagement Disorder, severe refers to current burden across indiscriminate social approach, boundary risk, persistence across caregiving contexts, and functional safety impact.\""," \"slug\": \"specifier-trm-post-traumatic-stress-disorder-features-with-dissociative-symptoms-depersonalisation-derealisation\","," \"label\": \"With dissociative symptoms (depersonalisation, derealisation)\","," \"disorder\": \"Post-Traumatic Stress Disorder\","," \"meaning\": \"Depersonalisation, derealisation, or both are prominent enough to specify alongside the trauma-related presentation.\""," \"slug\": \"specifier-trm-post-traumatic-stress-disorder-features-with-delayed-expression-full-criteria-not-met-until-at-least-6-months-after-the-event\","," \"label\": \"With delayed expression (full criteria not met until at least 6 months after the event)\","," \"src\": \"source-verified\","," \"meaning\": \"For Post-Traumatic Stress Disorder, \\\"With delayed expression (full criteria not met until at least 6 months after the event)\\\" uses the stated threshold: full criteria not met until at least 6 months after the event.\""," \"slug\": \"specifier-trm-post-traumatic-stress-disorder-features-with-prominent-negative-alterations-in-cognition-and-mood\","," \"label\": \"With prominent negative alterations in cognition and mood\","," \"meaning\": \"Trauma-related negative beliefs, mood, guilt, shame, detachment, or reduced positive emotion are prominent.\""," \"slug\": \"specifier-trm-post-traumatic-stress-disorder-severity-current-severity\","," \"slug\": \"specifier-trm-complex-ptsd-icd-11-features-with-disturbances-in-self-organisation-affective-dysregulation-negative-self-concept-disturbances-in-relationships\","," \"label\": \"With disturbances in self-organisation (affective dysregulation, negative self-concept, disturbances in relationships)\","," \"disorder\": \"Complex PTSD (ICD-11)\","," \"meaning\": \"ICD-11 complex PTSD domain covering emotional regulation difficulty, persistent negative self-beliefs, and relationship disturbance.\""," \"slug\": \"specifier-trm-complex-ptsd-icd-11-severity-current-severity\","," \"meaning\": \"For Complex PTSD (ICD-11), current severity refers to current burden across PTSD symptom burden plus affect dysregulation, negative self-concept, relationship disturbance, impairment, and safety concerns.\""," \"slug\": \"specifier-trm-acute-stress-disorder-severity-current-severity\","," \"disorder\": \"Acute Stress Disorder\","," \"meaning\": \"For Acute Stress Disorder, current severity refers to current burden across distress, impairment, persistence, trauma-related symptom burden, relationship impact, and safety concerns.\""," \"slug\": \"specifier-trm-adjustment-disorders-subtype-with-depressed-mood\","," \"label\": \"With depressed mood\","," \"disorder\": \"Adjustment Disorders\","," \"group\": \"Subtype\","," \"meaning\": \"Depressed mood is the dominant emotional response.\""," \"slug\": \"specifier-trm-adjustment-disorders-subtype-with-anxiety\","," \"label\": \"With anxiety\","," \"meaning\": \"Anxiety is the dominant emotional response.\""," \"slug\": \"specifier-trm-adjustment-disorders-subtype-with-mixed-anxiety-and-depressed-mood\","," \"label\": \"With mixed anxiety and depressed mood\","," \"meaning\": \"Both anxiety and depressed mood are prominent and neither is the sole dominant response.\""," \"slug\": \"specifier-trm-adjustment-disorders-subtype-with-disturbance-of-conduct\","," \"label\": \"With disturbance of conduct\","," \"meaning\": \"Behavioural disturbance is the main response, rather than mood or anxiety alone.\""," \"slug\": \"specifier-trm-adjustment-disorders-subtype-with-mixed-disturbance-of-emotions-and-conduct\","," \"label\": \"With mixed disturbance of emotions and conduct\","," \"meaning\": \"Both emotional symptoms and behavioural disturbance are clinically prominent.\""," \"slug\": \"specifier-trm-adjustment-disorders-subtype-unspecified\","," \"slug\": \"specifier-trm-adjustment-disorders-course-severity-acute-less-than-6-months\","," \"label\": \"Acute (less than 6 months)\","," \"meaning\": \"For Adjustment Disorders, \\\"Acute (less than 6 months)\\\" uses the stated threshold: less than 6 months.\""," \"slug\": \"specifier-trm-adjustment-disorders-course-severity-persistent-chronic-6-months-or-longer\","," \"label\": \"Persistent/chronic (6 months or longer)\","," \"meaning\": \"For Adjustment Disorders, \\\"Persistent/chronic (6 months or longer)\\\" uses the stated threshold: 6 months or longer.\""," \"slug\": \"specifier-trm-adjustment-disorders-course-severity-current-severity\","," \"meaning\": \"For Adjustment Disorders, current severity refers to current burden across distress, impairment, persistence, trauma-related symptom burden, relationship impact, and safety concerns.\""," \"slug\": \"specifier-trm-prolonged-grief-disorder-features-with-traumatic-bereavement\","," \"label\": \"With traumatic bereavement\","," \"disorder\": \"Prolonged Grief Disorder\","," \"meaning\": \"The grief presentation is linked to a death that was violent, sudden, or otherwise traumatic.\""," \"slug\": \"specifier-trm-prolonged-grief-disorder-severity-current-severity\","," \"meaning\": \"For Prolonged Grief Disorder, current severity refers to current burden across distress, impairment, persistence, trauma-related symptom burden, relationship impact, and safety concerns.\""," \"slug\": \"specifier-dis-dissociative-identity-disorder-features-with-without-possession-form\","," \"label\": \"With/without possession form\","," \"disorder\": \"Dissociative Identity Disorder\","," \"categoryId\": \"dis\","," \"category\": \"8. Dissociative Disorders\","," \"meaning\": \"The dissociative presentation includes experiences of being taken over by an external identity, spirit, or power.\""," \"slug\": \"specifier-dis-dissociative-identity-disorder-severity-current-severity\","," \"meaning\": \"For Dissociative Identity Disorder, current severity refers to current burden across dissociative disruption, memory or identity disturbance, distress, safety, and functional impairment.\""," \"slug\": \"specifier-dis-dissociative-amnesia-features-with-dissociative-fugue\","," \"label\": \"With dissociative fugue\","," \"disorder\": \"Dissociative Amnesia\","," \"meaning\": \"Fugue refers to apparently purposeful travel or wandering with amnesia and identity confusion.\""," \"slug\": \"specifier-dis-dissociative-amnesia-features-without-dissociative-fugue\","," \"label\": \"Without dissociative fugue\","," \"slug\": \"specifier-dis-depersonalisation-derealisation-disorder-type-with-predominantly-depersonalisation\","," \"label\": \"With predominantly depersonalisation\","," \"disorder\": \"Depersonalisation/Derealisation Disorder\","," \"meaning\": \"An experience of detachment from one's self, body, thoughts, feelings, or actions.\""," \"slug\": \"specifier-dis-depersonalisation-derealisation-disorder-type-with-predominantly-derealisation\","," \"label\": \"With predominantly derealisation\","," \"meaning\": \"An experience that the external world feels unreal, distant, dreamlike, or distorted.\""," \"slug\": \"specifier-dis-depersonalisation-derealisation-disorder-type-with-both\","," \"label\": \"With both\","," \"meaning\": \"Both depersonalisation and derealisation are clinically prominent.\""," \"slug\": \"specifier-dis-depersonalisation-derealisation-disorder-severity-current-severity\","," \"meaning\": \"For Depersonalisation/Derealisation Disorder, current severity refers to current burden across dissociative disruption, memory or identity disturbance, distress, safety, and functional impairment.\""," \"slug\": \"specifier-dis-partial-dissociative-identity-disorder-icd-11-severity-current-severity\","," \"disorder\": \"Partial Dissociative Identity Disorder (ICD-11)\","," \"meaning\": \"For Partial Dissociative Identity Disorder (ICD-11), current severity refers to current burden across dissociative disruption, memory or identity disturbance, distress, safety, and functional impairment.\""," \"slug\": \"specifier-dis-trance-disorder-icd-11-features-with-without-possession\","," \"label\": \"With/without possession\","," \"disorder\": \"Trance Disorder (ICD-11)\","," \"slug\": \"specifier-dis-trance-disorder-icd-11-severity-current-severity\","," \"meaning\": \"For Trance Disorder (ICD-11), current severity refers to current burden across dissociative disruption, memory or identity disturbance, distress, safety, and functional impairment.\""," \"slug\": \"specifier-som-somatic-symptom-disorder-features-with-predominant-pain\","," \"label\": \"With predominant pain\","," \"disorder\": \"Somatic Symptom Disorder\","," \"categoryId\": \"som\","," \"category\": \"9. Somatic Symptom\","," \"meaning\": \"Pain is the dominant somatic symptom or concern.\""," \"slug\": \"specifier-som-somatic-symptom-disorder-features-persistent-more-than-6-months\","," \"label\": \"Persistent (more than 6 months)\","," \"meaning\": \"For Somatic Symptom Disorder, \\\"Persistent (more than 6 months)\\\" uses the stated threshold: more than 6 months.\""," \"slug\": \"specifier-som-somatic-symptom-disorder-severity-mild-1-criterion\","," \"label\": \"Mild (1 criterion)\","," \"meaning\": \"For Somatic Symptom Disorder, \\\"Mild (1 criterion)\\\" uses the stated threshold: 1 criterion.\""," \"slug\": \"specifier-som-somatic-symptom-disorder-severity-moderate-2-criteria\","," \"label\": \"Moderate (2+ criteria)\","," \"meaning\": \"For Somatic Symptom Disorder, \\\"Moderate (2+ criteria)\\\" uses the stated threshold: 2+ criteria.\""," \"slug\": \"specifier-som-somatic-symptom-disorder-severity-severe-2-criteria-multiple-severe-complaints\","," \"label\": \"Severe (2+ criteria + multiple/severe complaints)\","," \"meaning\": \"For Somatic Symptom Disorder, \\\"Severe (2+ criteria + multiple/severe complaints)\\\" uses the stated threshold: 2+ criteria + multiple/severe complaints.\""," \"slug\": \"specifier-som-illness-anxiety-disorder-type-care-seeking-type\","," \"label\": \"Care-seeking type\","," \"disorder\": \"Illness Anxiety Disorder\","," \"meaning\": \"Indicates an illness-anxiety presentation characterized by frequent use of medical care, repeated evaluation, or reassurance seeking related to health concerns.\""," \"slug\": \"specifier-som-illness-anxiety-disorder-type-care-avoidant-type\","," \"label\": \"Care-avoidant type\","," \"meaning\": \"Indicates an illness-anxiety presentation characterized by avoiding medical appointments, investigations, or health-related reassurance because evaluation increases distress.\""," \"slug\": \"specifier-som-functional-neurological-symptom-disorder-conversion-fnd-symptom-type-with-weakness-or-paralysis\","," \"label\": \"With weakness or paralysis\","," \"disorder\": \"Functional Neurological Symptom Disorder (Conversion / FND)\","," \"group\": \"Symptom Type\","," \"meaning\": \"Functional neurological symptom type describing the dominant neurological-like symptom pattern.\""," \"slug\": \"specifier-som-functional-neurological-symptom-disorder-conversion-fnd-symptom-type-with-abnormal-movement-tremor-dystonia-myoclonus-gait-disorder\","," \"label\": \"With abnormal movement (tremor, dystonia, myoclonus, gait disorder)\","," \"slug\": \"specifier-som-functional-neurological-symptom-disorder-conversion-fnd-symptom-type-with-swallowing-symptoms\","," \"label\": \"With swallowing symptoms\","," \"meaning\": \"The parenthetical threshold describes how the source framework grades frequency, breadth, or symptom count.\""," \"slug\": \"specifier-som-functional-neurological-symptom-disorder-conversion-fnd-symptom-type-with-speech-symptoms-dysphonia-slurred-speech\","," \"label\": \"With speech symptoms (dysphonia, slurred speech)\","," \"slug\": \"specifier-som-functional-neurological-symptom-disorder-conversion-fnd-symptom-type-with-attacks-or-seizures\","," \"label\": \"With attacks or seizures\","," \"slug\": \"specifier-som-functional-neurological-symptom-disorder-conversion-fnd-symptom-type-with-anaesthesia-or-sensory-loss\","," \"label\": \"With anaesthesia or sensory loss\","," \"slug\": \"specifier-som-functional-neurological-symptom-disorder-conversion-fnd-symptom-type-with-special-sensory-symptom-visual-olfactory-hearing-disturbance\","," \"label\": \"With special sensory symptom (visual, olfactory, hearing disturbance)\","," \"slug\": \"specifier-som-functional-neurological-symptom-disorder-conversion-fnd-symptom-type-with-mixed-symptoms\","," \"label\": \"With mixed symptoms\","," \"slug\": \"specifier-som-functional-neurological-symptom-disorder-conversion-fnd-course-context-acute-episode-less-than-6-months\","," \"label\": \"Acute episode (less than 6 months)\","," \"group\": \"Course/Context\","," \"meaning\": \"For Functional Neurological Symptom Disorder (Conversion / FND), \\\"Acute episode (less than 6 months)\\\" uses the stated threshold: less than 6 months.\""," \"slug\": \"specifier-som-functional-neurological-symptom-disorder-conversion-fnd-course-context-persistent-6-months-or-more\","," \"label\": \"Persistent (6 months or more)\","," \"meaning\": \"For Functional Neurological Symptom Disorder (Conversion / FND), \\\"Persistent (6 months or more)\\\" uses the stated threshold: 6 months or more.\""," \"slug\": \"specifier-som-functional-neurological-symptom-disorder-conversion-fnd-course-context-with-without-psychological-stressor\","," \"label\": \"With/without psychological stressor\","," \"meaning\": \"Records whether a relevant psychological stressor is present in the functional neurological/conversion symptom presentation.\""," \"slug\": \"specifier-som-factitious-disorder-target-course-imposed-on-self\","," \"label\": \"Imposed on self\","," \"disorder\": \"Factitious Disorder\","," \"group\": \"Target/Course\","," \"meaning\": \"Factitious symptoms or deception are directed toward oneself as the identified patient.\""," \"slug\": \"specifier-som-factitious-disorder-target-course-imposed-on-another\","," \"label\": \"Imposed on another\","," \"meaning\": \"Factitious symptoms or deception are imposed on another person who is presented as ill or impaired.\""," \"slug\": \"specifier-som-factitious-disorder-target-course-single-episode\","," \"slug\": \"specifier-som-factitious-disorder-target-course-recurrent-episodes\","," \"label\": \"Recurrent episodes\","," \"slug\": \"specifier-som-psychological-factors-affecting-other-medical-conditions-severity-mild\","," \"disorder\": \"Psychological Factors Affecting Other Medical Conditions\","," \"meaning\": \"For Psychological Factors Affecting Other Medical Conditions, mild refers to current burden across how psychological or behavioural factors affect the medical condition, adherence, risk, symptoms, or health outcomes.\""," \"slug\": \"specifier-som-psychological-factors-affecting-other-medical-conditions-severity-moderate\","," \"meaning\": \"For Psychological Factors Affecting Other Medical Conditions, moderate refers to current burden across how psychological or behavioural factors affect the medical condition, adherence, risk, symptoms, or health outcomes.\""," \"slug\": \"specifier-som-psychological-factors-affecting-other-medical-conditions-severity-severe\","," \"meaning\": \"For Psychological Factors Affecting Other Medical Conditions, severe refers to current burden across how psychological or behavioural factors affect the medical condition, adherence, risk, symptoms, or health outcomes.\""," \"slug\": \"specifier-som-psychological-factors-affecting-other-medical-conditions-severity-extreme\","," \"label\": \"Extreme\","," \"meaning\": \"For Psychological Factors Affecting Other Medical Conditions, extreme refers to current burden across how psychological or behavioural factors affect the medical condition, adherence, risk, symptoms, or health outcomes.\""," \"slug\": \"specifier-som-bodily-distress-disorder-icd-11-severity-mild\","," \"disorder\": \"Bodily Distress Disorder (ICD-11)\","," \"meaning\": \"For Bodily Distress Disorder (ICD-11), mild refers to current burden across bodily symptom distress, symptom persistence, functional impairment, health-related preoccupation, and care needs.\""," \"slug\": \"specifier-som-bodily-distress-disorder-icd-11-severity-moderate\","," \"meaning\": \"For Bodily Distress Disorder (ICD-11), moderate refers to current burden across bodily symptom distress, symptom persistence, functional impairment, health-related preoccupation, and care needs.\""," \"slug\": \"specifier-som-bodily-distress-disorder-icd-11-severity-severe\","," \"meaning\": \"For Bodily Distress Disorder (ICD-11), severe refers to current burden across bodily symptom distress, symptom persistence, functional impairment, health-related preoccupation, and care needs.\""," \"slug\": \"specifier-eat-pica-course-severity-in-remission\","," \"label\": \"In remission\","," \"disorder\": \"Pica\","," \"categoryId\": \"eat\","," \"category\": \"10. Feeding & Eating\","," \"meaning\": \"For Pica, full remission means the condition is not currently clinically active by the source framework.\""," \"slug\": \"specifier-eat-pica-course-severity-current-severity\","," \"meaning\": \"For Pica, current severity refers to current burden across nutritional compromise, weight or BMI where specified, binge/purge frequency, medical risk, and psychosocial impairment.\""," \"slug\": \"specifier-eat-rumination-disorder-course-severity-in-remission\","," \"disorder\": \"Rumination Disorder\","," \"meaning\": \"For Rumination Disorder, full remission means the condition is not currently clinically active by the source framework.\""," \"slug\": \"specifier-eat-rumination-disorder-course-severity-current-severity\","," \"meaning\": \"For Rumination Disorder, current severity refers to current burden across nutritional compromise, weight or BMI where specified, binge/purge frequency, medical risk, and psychosocial impairment.\""," \"slug\": \"specifier-eat-avoidant-restrictive-food-intake-disorder-arfid-features-icd-11-with-inadequate-food-intake-associated-with-limited-availability\","," \"label\": \"With inadequate food intake associated with limited availability\","," \"disorder\": \"Avoidant/Restrictive Food Intake Disorder (ARFID)\","," \"group\": \"Features (ICD-11)\","," \"meaning\": \"Inadequate intake is linked to limited food availability rather than body-image concern.\""," \"slug\": \"specifier-eat-avoidant-restrictive-food-intake-disorder-arfid-features-icd-11-with-avoidance-restriction-based-on-sensory-characteristics\","," \"label\": \"With avoidance/restriction based on sensory characteristics\","," \"meaning\": \"Food avoidance is driven by sensory features such as taste, texture, smell, temperature, or appearance.\""," \"slug\": \"specifier-eat-avoidant-restrictive-food-intake-disorder-arfid-features-icd-11-with-avoidance-related-to-aversive-consequences-of-eating\","," \"label\": \"With avoidance related to aversive consequences of eating\","," \"meaning\": \"Food avoidance is driven by feared consequences such as choking, vomiting, pain, or allergic reaction.\""," \"slug\": \"specifier-eat-avoidant-restrictive-food-intake-disorder-arfid-course-severity-in-remission\","," \"meaning\": \"For Avoidant/Restrictive Food Intake Disorder (ARFID), full remission means the condition is not currently clinically active by the source framework.\""," \"slug\": \"specifier-eat-avoidant-restrictive-food-intake-disorder-arfid-course-severity-current-severity\","," \"meaning\": \"For Avoidant/Restrictive Food Intake Disorder (ARFID), current severity refers to current burden across nutritional compromise, weight or BMI where specified, binge/purge frequency, medical risk, and psychosocial impairment.\""," \"slug\": \"specifier-eat-anorexia-nervosa-type-restricting-type\","," \"label\": \"Restricting type\","," \"disorder\": \"Anorexia Nervosa\","," \"meaning\": \"Weight-loss behaviour is primarily restriction, fasting, or excessive exercise rather than recurrent binge-eating or purging.\""," \"slug\": \"specifier-eat-anorexia-nervosa-type-binge-eating-purging-type\","," \"label\": \"Binge-eating/purging type\","," \"meaning\": \"The presentation includes recurrent binge-eating, purging, or both.\""," \"slug\": \"specifier-eat-anorexia-nervosa-course-severity-in-partial-remission\","," \"meaning\": \"For Anorexia Nervosa, partial remission means the full current syndrome is no longer present but clinically relevant symptoms or impairment remain.\""," \"slug\": \"specifier-eat-anorexia-nervosa-course-severity-in-full-remission\","," \"meaning\": \"For Anorexia Nervosa, full remission means the condition is not currently clinically active by the source framework.\""," \"slug\": \"specifier-eat-anorexia-nervosa-course-severity-mild-bmi-17-or-above\","," \"label\": \"Mild (BMI 17 or above)\","," \"meaning\": \"For Anorexia Nervosa, \\\"Mild (BMI 17 or above)\\\" uses the stated threshold: BMI 17 or above.\""," \"slug\": \"specifier-eat-anorexia-nervosa-course-severity-moderate-bmi-16-16-99\","," \"label\": \"Moderate (BMI 16-16.99)\","," \"meaning\": \"For Anorexia Nervosa, \\\"Moderate (BMI 16-16.99)\\\" uses the stated threshold: BMI 16-16.99.\""," \"slug\": \"specifier-eat-anorexia-nervosa-course-severity-severe-bmi-15-15-99\","," \"label\": \"Severe (BMI 15-15.99)\","," \"meaning\": \"For Anorexia Nervosa, \\\"Severe (BMI 15-15.99)\\\" uses the stated threshold: BMI 15-15.99.\""," \"slug\": \"specifier-eat-anorexia-nervosa-course-severity-extreme-bmi-below-15\","," \"label\": \"Extreme (BMI below 15)\","," \"meaning\": \"For Anorexia Nervosa, \\\"Extreme (BMI below 15)\\\" uses the stated threshold: BMI below 15.\""," \"slug\": \"specifier-eat-bulimia-nervosa-course-severity-in-partial-remission\","," \"disorder\": \"Bulimia Nervosa\","," \"meaning\": \"For Bulimia Nervosa, partial remission means the full current syndrome is no longer present but clinically relevant symptoms or impairment remain.\""," \"slug\": \"specifier-eat-bulimia-nervosa-course-severity-in-full-remission\","," \"meaning\": \"For Bulimia Nervosa, full remission means the condition is not currently clinically active by the source framework.\""," \"slug\": \"specifier-eat-bulimia-nervosa-course-severity-mild-1-3-episodes-week\","," \"label\": \"Mild (1-3 episodes/week)\","," \"meaning\": \"For Bulimia Nervosa, \\\"Mild (1-3 episodes/week)\\\" uses the stated threshold: 1-3 episodes/week.\""," \"slug\": \"specifier-eat-bulimia-nervosa-course-severity-moderate-4-7-episodes-week\","," \"label\": \"Moderate (4-7 episodes/week)\","," \"meaning\": \"For Bulimia Nervosa, \\\"Moderate (4-7 episodes/week)\\\" uses the stated threshold: 4-7 episodes/week.\""," \"slug\": \"specifier-eat-bulimia-nervosa-course-severity-severe-8-13-episodes-week\","," \"label\": \"Severe (8-13 episodes/week)\","," \"meaning\": \"For Bulimia Nervosa, \\\"Severe (8-13 episodes/week)\\\" uses the stated threshold: 8-13 episodes/week.\""," \"slug\": \"specifier-eat-bulimia-nervosa-course-severity-extreme-14-or-more-episodes-week\","," \"label\": \"Extreme (14 or more episodes/week)\","," \"meaning\": \"For Bulimia Nervosa, \\\"Extreme (14 or more episodes/week)\\\" uses the stated threshold: 14 or more episodes/week.\""," \"slug\": \"specifier-eat-binge-eating-disorder-course-severity-in-partial-remission\","," \"disorder\": \"Binge-Eating Disorder\","," \"meaning\": \"For Binge-Eating Disorder, partial remission means the full current syndrome is no longer present but clinically relevant symptoms or impairment remain.\""," \"slug\": \"specifier-eat-binge-eating-disorder-course-severity-in-full-remission\","," \"meaning\": \"For Binge-Eating Disorder, full remission means the condition is not currently clinically active by the source framework.\""," \"slug\": \"specifier-eat-binge-eating-disorder-course-severity-mild-1-3-episodes-week\","," \"meaning\": \"For Binge-Eating Disorder, \\\"Mild (1-3 episodes/week)\\\" uses the stated threshold: 1-3 episodes/week.\""," \"slug\": \"specifier-eat-binge-eating-disorder-course-severity-moderate-4-7-episodes-week\","," \"meaning\": \"For Binge-Eating Disorder, \\\"Moderate (4-7 episodes/week)\\\" uses the stated threshold: 4-7 episodes/week.\""," \"slug\": \"specifier-eat-binge-eating-disorder-course-severity-severe-8-13-episodes-week\","," \"meaning\": \"For Binge-Eating Disorder, \\\"Severe (8-13 episodes/week)\\\" uses the stated threshold: 8-13 episodes/week.\""," \"slug\": \"specifier-eat-binge-eating-disorder-course-severity-extreme-14-or-more-episodes-week\","," \"meaning\": \"For Binge-Eating Disorder, \\\"Extreme (14 or more episodes/week)\\\" uses the stated threshold: 14 or more episodes/week.\""," \"slug\": \"specifier-eli-enuresis-type-nocturnal-only\","," \"label\": \"Nocturnal only\","," \"disorder\": \"Enuresis\","," \"categoryId\": \"eli\","," \"category\": \"11. Elimination Disorders\","," \"meaning\": \"Specifies whether elimination symptoms occur at night, during the day, or both.\""," \"slug\": \"specifier-eli-enuresis-type-diurnal-only\","," \"label\": \"Diurnal only\","," \"slug\": \"specifier-eli-enuresis-type-nocturnal-and-diurnal\","," \"label\": \"Nocturnal and diurnal\","," \"slug\": \"specifier-eli-encopresis-type-with-constipation-and-overflow-incontinence\","," \"label\": \"With constipation and overflow incontinence\","," \"disorder\": \"Encopresis\","," \"meaning\": \"Encopresis occurs with constipation and leakage around retained stool.\""," \"slug\": \"specifier-eli-encopresis-type-without-constipation-and-overflow-incontinence\","," \"label\": \"Without constipation and overflow incontinence\","," \"meaning\": \"Encopresis occurs without constipation-driven overflow as the main mechanism.\""," \"slug\": \"specifier-slp-insomnia-disorder-course-episodic-at-least-1-month-but-less-than-3-months\","," \"label\": \"Episodic (at least 1 month but less than 3 months)\","," \"disorder\": \"Insomnia Disorder\","," \"categoryId\": \"slp\","," \"category\": \"12. Sleep-Wake Disorders\","," \"group\": \"Course\","," \"meaning\": \"Documents time course or persistence of the presentation.\""," \"slug\": \"specifier-slp-insomnia-disorder-course-persistent-3-months-or-more\","," \"label\": \"Persistent (3 months or more)\","," \"meaning\": \"For Insomnia Disorder, \\\"Persistent (3 months or more)\\\" uses the stated threshold: 3 months or more.\""," \"slug\": \"specifier-slp-insomnia-disorder-course-recurrent-two-or-more-episodes-within-1-year\","," \"label\": \"Recurrent (two or more episodes within 1 year)\","," \"slug\": \"specifier-slp-insomnia-disorder-comorbidities-with-non-sleep-disorder-mental-comorbidity\","," \"label\": \"With non-sleep disorder mental comorbidity\","," \"group\": \"Comorbidities\","," \"meaning\": \"A mental disorder outside the sleep-wake category is present and relevant to the sleep presentation.\""," \"slug\": \"specifier-slp-insomnia-disorder-comorbidities-with-other-medical-comorbidity\","," \"label\": \"With other medical comorbidity\","," \"meaning\": \"Another medical condition is present and relevant to the presentation.\""," \"slug\": \"specifier-slp-insomnia-disorder-comorbidities-with-other-sleep-disorder\","," \"label\": \"With other sleep disorder\","," \"meaning\": \"Another sleep disorder is present and may affect classification or management planning.\""," \"slug\": \"specifier-slp-hypersomnolence-disorder-course-acute-less-than-1-month\","," \"label\": \"Acute (less than 1 month)\","," \"disorder\": \"Hypersomnolence Disorder\","," \"meaning\": \"For Hypersomnolence Disorder, \\\"Acute (less than 1 month)\\\" uses the stated threshold: less than 1 month.\""," \"slug\": \"specifier-slp-hypersomnolence-disorder-course-subacute-1-3-months\","," \"label\": \"Subacute (1-3 months)\","," \"meaning\": \"For Hypersomnolence Disorder, \\\"Subacute (1-3 months)\\\" uses the stated threshold: 1-3 months.\""," \"slug\": \"specifier-slp-hypersomnolence-disorder-course-persistent-more-than-3-months\","," \"label\": \"Persistent (more than 3 months)\","," \"meaning\": \"For Hypersomnolence Disorder, \\\"Persistent (more than 3 months)\\\" uses the stated threshold: more than 3 months.\""," \"slug\": \"specifier-slp-hypersomnolence-disorder-context-severity-with-mental-disorder\","," \"label\": \"With mental disorder\","," \"group\": \"Context/Severity\","," \"meaning\": \"A relevant mental disorder is present and should be documented alongside the current presentation.\""," \"slug\": \"specifier-slp-hypersomnolence-disorder-context-severity-with-medical-condition\","," \"label\": \"With medical condition\","," \"meaning\": \"A relevant medical condition is present and should be documented alongside the mental disorder formulation.\""," \"slug\": \"specifier-slp-hypersomnolence-disorder-context-severity-with-another-sleep-disorder\","," \"label\": \"With another sleep disorder\","," \"slug\": \"specifier-slp-hypersomnolence-disorder-context-severity-mild-1-2-days-week\","," \"label\": \"Mild (1-2 days/week)\","," \"meaning\": \"For Hypersomnolence Disorder, \\\"Mild (1-2 days/week)\\\" uses the stated threshold: 1-2 days/week.\""," \"slug\": \"specifier-slp-hypersomnolence-disorder-context-severity-moderate-3-4-days-week\","," \"label\": \"Moderate (3-4 days/week)\","," \"meaning\": \"For Hypersomnolence Disorder, \\\"Moderate (3-4 days/week)\\\" uses the stated threshold: 3-4 days/week.\""," \"slug\": \"specifier-slp-hypersomnolence-disorder-context-severity-severe-5-7-days-week\","," \"label\": \"Severe (5-7 days/week)\","," \"meaning\": \"For Hypersomnolence Disorder, \\\"Severe (5-7 days/week)\\\" uses the stated threshold: 5-7 days/week.\""," \"slug\": \"specifier-slp-narcolepsy-type-type-1-with-hypocretin-deficiency-usually-with-cataplexy\","," \"label\": \"Type 1 (with hypocretin deficiency, usually with cataplexy)\","," \"disorder\": \"Narcolepsy\","," \"meaning\": \"Narcolepsy subtype associated with hypocretin/orexin deficiency, usually with cataplexy.\""," \"slug\": \"specifier-slp-narcolepsy-type-type-2-without-hypocretin-deficiency-usually-without-cataplexy\","," \"label\": \"Type 2 (without hypocretin deficiency, usually without cataplexy)\","," \"meaning\": \"Narcolepsy subtype without demonstrated hypocretin deficiency, usually without cataplexy.\""," \"slug\": \"specifier-slp-narcolepsy-type-type-secondary-to-another-medical-condition\","," \"label\": \"Type secondary to another medical condition\","," \"meaning\": \"The sleep-wake presentation is attributed to another medical condition.\""," \"slug\": \"specifier-slp-narcolepsy-severity-mild\","," \"meaning\": \"For Narcolepsy, mild refers to current burden across sleep frequency, duration, daytime impairment, safety risk, and persistence.\""," \"slug\": \"specifier-slp-narcolepsy-severity-moderate\","," \"meaning\": \"For Narcolepsy, moderate refers to current burden across sleep frequency, duration, daytime impairment, safety risk, and persistence.\""," \"slug\": \"specifier-slp-narcolepsy-severity-severe\","," \"meaning\": \"For Narcolepsy, severe refers to current burden across sleep frequency, duration, daytime impairment, safety risk, and persistence.\""," \"slug\": \"specifier-slp-circadian-rhythm-sleep-wake-disorders-type-delayed-sleep-phase-type-familial-overlap-with-non-24-hour-type\","," \"label\": \"Delayed sleep phase type (familial, overlap with non-24-hour type)\","," \"disorder\": \"Circadian Rhythm Sleep-Wake Disorders\","," \"meaning\": \"Circadian timing pattern describing how the person's sleep-wake rhythm is misaligned.\""," \"slug\": \"specifier-slp-circadian-rhythm-sleep-wake-disorders-type-advanced-sleep-phase-type-familial\","," \"label\": \"Advanced sleep phase type (familial)\","," \"slug\": \"specifier-slp-circadian-rhythm-sleep-wake-disorders-type-irregular-sleep-wake-type\","," \"label\": \"Irregular sleep-wake type\","," \"slug\": \"specifier-slp-circadian-rhythm-sleep-wake-disorders-type-non-24-hour-sleep-wake-type\","," \"label\": \"Non-24-hour sleep-wake type\","," \"slug\": \"specifier-slp-circadian-rhythm-sleep-wake-disorders-type-shift-work-type\","," \"label\": \"Shift work type\","," \"slug\": \"specifier-slp-circadian-rhythm-sleep-wake-disorders-type-unspecified-type\","," \"slug\": \"specifier-slp-circadian-rhythm-sleep-wake-disorders-course-episodic\","," \"label\": \"Episodic\","," \"slug\": \"specifier-slp-circadian-rhythm-sleep-wake-disorders-course-persistent\","," \"meaning\": \"For Circadian Rhythm Sleep-Wake Disorders, \\\"Persistent\\\" describes the current time course or recurrence pattern rather than a treatment recommendation.\""," \"slug\": \"specifier-slp-circadian-rhythm-sleep-wake-disorders-course-recurrent\","," \"label\": \"Recurrent\","," \"meaning\": \"The presentation has returned after prior episodes rather than being a single isolated episode.\""," \"slug\": \"specifier-slp-breathing-related-sleep-disorders-types-severity-obstructive-sleep-apnoea-hypopnoea-mild-moderate-severe\","," \"label\": \"Obstructive sleep apnoea hypopnoea (mild, moderate, severe)\","," \"disorder\": \"Breathing-Related Sleep Disorders\","," \"group\": \"Types & Severity\","," \"meaning\": \"For Breathing-Related Sleep Disorders, severe refers to current burden across sleep frequency, duration, daytime impairment, safety risk, and persistence.\""," \"slug\": \"specifier-slp-breathing-related-sleep-disorders-types-severity-central-sleep-apnoea-idiopathic-cheyne-stokes-breathing-comorbid-with-opioid-use\","," \"label\": \"Central sleep apnoea (idiopathic, Cheyne-Stokes breathing, comorbid with opioid use)\","," \"meaning\": \"Sleep-related breathing disturbance involving reduced or absent respiratory effort.\""," \"slug\": \"specifier-slp-breathing-related-sleep-disorders-types-severity-sleep-related-hypoventilation-idiopathic-congenital-central-alveolar-comorbid\","," \"label\": \"Sleep-related hypoventilation (idiopathic, congenital central alveolar, comorbid)\","," \"meaning\": \"Sleep-related under-ventilation with inadequate gas exchange.\""," \"slug\": \"specifier-slp-non-rem-sleep-arousal-disorders-type-sleepwalking-type-with-sleep-related-eating-with-sleep-related-sexual-behaviour\","," \"label\": \"Sleepwalking type (with sleep-related eating, with sleep-related sexual behaviour)\","," \"disorder\": \"Non-REM Sleep Arousal Disorders\","," \"meaning\": \"Non-REM arousal disorder where episodes involve walking or complex behaviours during sleep.\""," \"slug\": \"specifier-slp-non-rem-sleep-arousal-disorders-type-sleep-terror-type\","," \"label\": \"Sleep terror type\","," \"meaning\": \"Non-REM arousal disorder where episodes involve intense fear or autonomic arousal during sleep.\""," \"slug\": \"specifier-slp-nightmare-disorder-course-acute-less-than-1-month\","," \"disorder\": \"Nightmare Disorder\","," \"meaning\": \"For Nightmare Disorder, \\\"Acute (less than 1 month)\\\" uses the stated threshold: less than 1 month.\""," \"slug\": \"specifier-slp-nightmare-disorder-course-subacute-1-6-months\","," \"label\": \"Subacute (1-6 months)\","," \"meaning\": \"For Nightmare Disorder, \\\"Subacute (1-6 months)\\\" uses the stated threshold: 1-6 months.\""," \"slug\": \"specifier-slp-nightmare-disorder-course-persistent-6-months-or-more\","," \"meaning\": \"For Nightmare Disorder, \\\"Persistent (6 months or more)\\\" uses the stated threshold: 6 months or more.\""," \"slug\": \"specifier-slp-nightmare-disorder-features-severity-during-sleep-onset\","," \"label\": \"During sleep onset\","," \"group\": \"Features/Severity\","," \"meaning\": \"Symptoms occur as the person is falling asleep.\""," \"slug\": \"specifier-slp-nightmare-disorder-features-severity-with-associated-non-sleep-disorder-specify\","," \"label\": \"With associated non-sleep disorder (specify)\","," \"meaning\": \"A non-sleep disorder is clinically relevant to the sleep-wake presentation and should be documented.\""," \"slug\": \"specifier-slp-nightmare-disorder-features-severity-mild\","," \"meaning\": \"For Nightmare Disorder, mild refers to current burden across sleep frequency, duration, daytime impairment, safety risk, and persistence.\""," \"slug\": \"specifier-slp-nightmare-disorder-features-severity-moderate\","," \"meaning\": \"For Nightmare Disorder, moderate refers to current burden across sleep frequency, duration, daytime impairment, safety risk, and persistence.\""," \"slug\": \"specifier-slp-nightmare-disorder-features-severity-severe\","," \"meaning\": \"For Nightmare Disorder, severe refers to current burden across sleep frequency, duration, daytime impairment, safety risk, and persistence.\""," \"slug\": \"specifier-slp-rem-sleep-behaviour-disorder-context-specify-if-associated-with-another-medical-condition\","," \"label\": \"Specify if associated with another medical condition\","," \"disorder\": \"REM Sleep Behaviour Disorder\","," \"meaning\": \"Records an associated medical or mental disorder relevant to classification and formulation.\""," \"slug\": \"specifier-slp-restless-legs-syndrome-severity-current-severity\","," \"disorder\": \"Restless Legs Syndrome\","," \"meaning\": \"For Restless Legs Syndrome, current severity refers to current burden across sleep frequency, duration, daytime impairment, safety risk, and persistence.\""," \"slug\": \"specifier-slp-substance-medication-induced-sleep-disorder-type-insomnia-type\","," \"label\": \"Insomnia type\","," \"disorder\": \"Substance/Medication-Induced Sleep Disorder\","," \"meaning\": \"Identifies the dominant sleep-related symptom pattern.\""," \"slug\": \"specifier-slp-substance-medication-induced-sleep-disorder-type-daytime-sleepiness-type\","," \"label\": \"Daytime sleepiness type\","," \"slug\": \"specifier-slp-substance-medication-induced-sleep-disorder-type-parasomnia-type\","," \"label\": \"Parasomnia type\","," \"slug\": \"specifier-slp-substance-medication-induced-sleep-disorder-type-mixed-type\","," \"slug\": \"specifier-slp-substance-medication-induced-sleep-disorder-onset-with-onset-during-intoxication\","," \"slug\": \"specifier-slp-substance-medication-induced-sleep-disorder-onset-with-onset-during-withdrawal\","," \"slug\": \"specifier-slp-substance-medication-induced-sleep-disorder-onset-with-onset-after-medication-use\","," \"label\": \"With onset after medication use\","," \"slug\": \"specifier-sxd-delayed-ejaculation-onset-context-lifelong\","," \"label\": \"Lifelong\","," \"disorder\": \"Delayed Ejaculation\","," \"categoryId\": \"sxd\","," \"category\": \"13. Sexual Dysfunctions\","," \"group\": \"Onset & Context\","," \"meaning\": \"Describes whether the sexual dysfunction has always been present, developed after prior functioning, occurs broadly, or is situation-specific.\""," \"slug\": \"specifier-sxd-delayed-ejaculation-onset-context-acquired\","," \"label\": \"Acquired\","," \"slug\": \"specifier-sxd-delayed-ejaculation-onset-context-generalised\","," \"label\": \"Generalised\","," \"slug\": \"specifier-sxd-delayed-ejaculation-onset-context-situational\","," \"label\": \"Situational\","," \"slug\": \"specifier-sxd-delayed-ejaculation-severity-mild\","," \"meaning\": \"For Delayed Ejaculation, mild refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-sxd-delayed-ejaculation-severity-moderate\","," \"meaning\": \"For Delayed Ejaculation, moderate refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-sxd-delayed-ejaculation-severity-severe\","," \"meaning\": \"For Delayed Ejaculation, severe refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-sxd-erectile-disorder-onset-context-lifelong\","," \"disorder\": \"Erectile Disorder\","," \"slug\": \"specifier-sxd-erectile-disorder-onset-context-acquired\","," \"slug\": \"specifier-sxd-erectile-disorder-onset-context-generalised\","," \"slug\": \"specifier-sxd-erectile-disorder-onset-context-situational\","," \"slug\": \"specifier-sxd-erectile-disorder-severity-mild\","," \"meaning\": \"For Erectile Disorder, mild refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-sxd-erectile-disorder-severity-moderate\","," \"meaning\": \"For Erectile Disorder, moderate refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-sxd-erectile-disorder-severity-severe\","," \"meaning\": \"For Erectile Disorder, severe refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-sxd-female-orgasmic-disorder-onset-context-lifelong\","," \"disorder\": \"Female Orgasmic Disorder\","," \"slug\": \"specifier-sxd-female-orgasmic-disorder-onset-context-acquired\","," \"slug\": \"specifier-sxd-female-orgasmic-disorder-onset-context-generalised\","," \"slug\": \"specifier-sxd-female-orgasmic-disorder-onset-context-situational\","," \"slug\": \"specifier-sxd-female-orgasmic-disorder-onset-context-never-experienced-an-orgasm-under-any-situation\","," \"label\": \"Never experienced an orgasm under any situation\","," \"slug\": \"specifier-sxd-female-orgasmic-disorder-severity-mild\","," \"meaning\": \"For Female Orgasmic Disorder, mild refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-sxd-female-orgasmic-disorder-severity-moderate\","," \"meaning\": \"For Female Orgasmic Disorder, moderate refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-sxd-female-orgasmic-disorder-severity-severe\","," \"meaning\": \"For Female Orgasmic Disorder, severe refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-sxd-female-sexual-interest-arousal-disorder-onset-context-lifelong\","," \"disorder\": \"Female Sexual Interest/Arousal Disorder\","," \"slug\": \"specifier-sxd-female-sexual-interest-arousal-disorder-onset-context-acquired\","," \"slug\": \"specifier-sxd-female-sexual-interest-arousal-disorder-onset-context-generalised\","," \"slug\": \"specifier-sxd-female-sexual-interest-arousal-disorder-onset-context-situational\","," \"slug\": \"specifier-sxd-female-sexual-interest-arousal-disorder-severity-mild\","," \"meaning\": \"For Female Sexual Interest/Arousal Disorder, mild refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-sxd-female-sexual-interest-arousal-disorder-severity-moderate\","," \"meaning\": \"For Female Sexual Interest/Arousal Disorder, moderate refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-sxd-female-sexual-interest-arousal-disorder-severity-severe\","," \"meaning\": \"For Female Sexual Interest/Arousal Disorder, severe refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-sxd-genito-pelvic-pain-penetration-disorder-onset-lifelong\","," \"disorder\": \"Genito-Pelvic Pain/Penetration Disorder\","," \"slug\": \"specifier-sxd-genito-pelvic-pain-penetration-disorder-onset-acquired\","," \"slug\": \"specifier-sxd-genito-pelvic-pain-penetration-disorder-severity-mild\","," \"meaning\": \"For Genito-Pelvic Pain/Penetration Disorder, mild refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-sxd-genito-pelvic-pain-penetration-disorder-severity-moderate\","," \"meaning\": \"For Genito-Pelvic Pain/Penetration Disorder, moderate refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-sxd-genito-pelvic-pain-penetration-disorder-severity-severe\","," \"meaning\": \"For Genito-Pelvic Pain/Penetration Disorder, severe refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-sxd-male-hypoactive-sexual-desire-disorder-onset-context-lifelong\","," \"disorder\": \"Male Hypoactive Sexual Desire Disorder\","," \"slug\": \"specifier-sxd-male-hypoactive-sexual-desire-disorder-onset-context-acquired\","," \"slug\": \"specifier-sxd-male-hypoactive-sexual-desire-disorder-onset-context-generalised\","," \"slug\": \"specifier-sxd-male-hypoactive-sexual-desire-disorder-onset-context-situational\","," \"slug\": \"specifier-sxd-male-hypoactive-sexual-desire-disorder-severity-mild\","," \"meaning\": \"For Male Hypoactive Sexual Desire Disorder, mild refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-sxd-male-hypoactive-sexual-desire-disorder-severity-moderate\","," \"meaning\": \"For Male Hypoactive Sexual Desire Disorder, moderate refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-sxd-male-hypoactive-sexual-desire-disorder-severity-severe\","," \"meaning\": \"For Male Hypoactive Sexual Desire Disorder, severe refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-sxd-premature-early-ejaculation-onset-context-lifelong\","," \"disorder\": \"Premature (Early) Ejaculation\","," \"slug\": \"specifier-sxd-premature-early-ejaculation-onset-context-acquired\","," \"slug\": \"specifier-sxd-premature-early-ejaculation-onset-context-generalised\","," \"slug\": \"specifier-sxd-premature-early-ejaculation-onset-context-situational\","," \"slug\": \"specifier-sxd-premature-early-ejaculation-severity-mild\","," \"meaning\": \"For Premature (Early) Ejaculation, mild refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-sxd-premature-early-ejaculation-severity-moderate\","," \"meaning\": \"For Premature (Early) Ejaculation, moderate refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-sxd-premature-early-ejaculation-severity-severe\","," \"meaning\": \"For Premature (Early) Ejaculation, severe refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-sxd-substance-medication-induced-sexual-dysfunction-onset-severity-with-onset-during-intoxication\","," \"disorder\": \"Substance/Medication-Induced Sexual Dysfunction\","," \"group\": \"Onset/Severity\","," \"slug\": \"specifier-sxd-substance-medication-induced-sexual-dysfunction-onset-severity-with-onset-during-withdrawal\","," \"slug\": \"specifier-sxd-substance-medication-induced-sexual-dysfunction-onset-severity-with-onset-after-medication-use\","," \"slug\": \"specifier-sxd-substance-medication-induced-sexual-dysfunction-onset-severity-mild\","," \"meaning\": \"For Substance/Medication-Induced Sexual Dysfunction, mild refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-sxd-substance-medication-induced-sexual-dysfunction-onset-severity-moderate\","," \"meaning\": \"For Substance/Medication-Induced Sexual Dysfunction, moderate refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-sxd-substance-medication-induced-sexual-dysfunction-onset-severity-severe\","," \"meaning\": \"For Substance/Medication-Induced Sexual Dysfunction, severe refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-sxd-compulsive-sexual-behaviour-disorder-icd-11-severity-current-severity\","," \"disorder\": \"Compulsive Sexual Behaviour Disorder (ICD-11)\","," \"meaning\": \"For Compulsive Sexual Behaviour Disorder (ICD-11), current severity refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-gen-gender-dysphoria-in-children-biology-with-without-a-disorder-of-sex-development\","," \"label\": \"With/without a disorder of sex development\","," \"disorder\": \"Gender Dysphoria in Children\","," \"categoryId\": \"gen\","," \"category\": \"14. Gender Dysphoria\","," \"group\": \"Biology\","," \"meaning\": \"Records whether a disorder/difference of sex development is present in the gender-related presentation.\""," \"slug\": \"specifier-gen-gender-dysphoria-in-adolescents-and-adults-biology-status-with-without-a-disorder-of-sex-development\","," \"disorder\": \"Gender Dysphoria in Adolescents and Adults\","," \"group\": \"Biology & Status\","," \"slug\": \"specifier-gen-gender-dysphoria-in-adolescents-and-adults-biology-status-posttransition\","," \"label\": \"Posttransition\","," \"meaning\": \"Descriptor used after social, medical, or legal transition where relevant to the classification context.\""," \"slug\": \"specifier-gen-gender-incongruence-icd-11-subtypes-gender-incongruence-of-adolescence-or-adulthood\","," \"label\": \"Gender Incongruence of Adolescence or Adulthood\","," \"disorder\": \"Gender Incongruence (ICD-11)\","," \"group\": \"Subtypes\","," \"meaning\": \"ICD-11 gender incongruence category applying to adolescents or adults.\""," \"slug\": \"specifier-gen-gender-incongruence-icd-11-subtypes-gender-incongruence-of-childhood\","," \"label\": \"Gender Incongruence of Childhood\","," \"meaning\": \"ICD-11 gender incongruence category applying to children before puberty.\""," \"slug\": \"specifier-imp-oppositional-defiant-disorder-features-with-chronic-irritability-anger\","," \"label\": \"With chronic irritability-anger\","," \"disorder\": \"Oppositional Defiant Disorder\","," \"categoryId\": \"imp\","," \"category\": \"15. Disruptive & Impulse\","," \"meaning\": \"For Oppositional Defiant Disorder, \\\"With chronic irritability-anger\\\" describes the current time course or recurrence pattern rather than a treatment recommendation.\""," \"slug\": \"specifier-imp-oppositional-defiant-disorder-severity-mild-confined-to-1-setting\","," \"label\": \"Mild (confined to 1 setting)\","," \"meaning\": \"For Oppositional Defiant Disorder, \\\"Mild (confined to 1 setting)\\\" uses the stated threshold: confined to 1 setting.\""," \"slug\": \"specifier-imp-oppositional-defiant-disorder-severity-moderate-2-settings\","," \"label\": \"Moderate (2 settings)\","," \"meaning\": \"For Oppositional Defiant Disorder, \\\"Moderate (2 settings)\\\" uses the stated threshold: 2 settings.\""," \"slug\": \"specifier-imp-oppositional-defiant-disorder-severity-severe-3-settings\","," \"label\": \"Severe (3+ settings)\","," \"meaning\": \"For Oppositional Defiant Disorder, \\\"Severe (3+ settings)\\\" uses the stated threshold: 3+ settings.\""," \"slug\": \"specifier-imp-intermittent-explosive-disorder-severity-current-severity\","," \"disorder\": \"Intermittent Explosive Disorder\","," \"meaning\": \"For Intermittent Explosive Disorder, current severity refers to current burden across setting spread, frequency, harm, rule violation, aggression, and functional consequences.\""," \"slug\": \"specifier-imp-conduct-disorder-onset-childhood-onset-type-prior-to-age-10\","," \"label\": \"Childhood-onset type (prior to age 10)\","," \"disorder\": \"Conduct Disorder\","," \"meaning\": \"Conduct-disorder onset is classified by whether symptoms began before age 10 or during adolescence.\""," \"slug\": \"specifier-imp-conduct-disorder-onset-adolescent-onset-type-no-symptoms-prior-to-age-10\","," \"label\": \"Adolescent-onset type (no symptoms prior to age 10)\","," \"meaning\": \"For Conduct Disorder, \\\"Adolescent-onset type (no symptoms prior to age 10)\\\" uses the stated threshold: no symptoms prior to age 10.\""," \"slug\": \"specifier-imp-conduct-disorder-onset-unspecified-onset\","," \"label\": \"Unspecified onset\","," \"slug\": \"specifier-imp-conduct-disorder-emotions-with-limited-prosocial-emotions-lack-of-remorse-or-guilt-callous-and-lacking-empathy-unconcerned-about-performance-shallow-or-deficient-affect\","," \"label\": \"With limited prosocial emotions (lack of remorse or guilt, callous and lacking empathy, unconcerned about performance, shallow or deficient affect)\","," \"group\": \"Emotions\","," \"meaning\": \"A pattern of reduced remorse, empathy, concern about performance, or emotional expression across relationships and settings.\""," \"slug\": \"specifier-imp-conduct-disorder-severity-mild\","," \"meaning\": \"For Conduct Disorder, mild refers to current burden across setting spread, frequency, harm, rule violation, aggression, and functional consequences.\""," \"slug\": \"specifier-imp-conduct-disorder-severity-moderate\","," \"meaning\": \"For Conduct Disorder, moderate refers to current burden across setting spread, frequency, harm, rule violation, aggression, and functional consequences.\""," \"slug\": \"specifier-imp-conduct-disorder-severity-severe\","," \"meaning\": \"For Conduct Disorder, severe refers to current burden across setting spread, frequency, harm, rule violation, aggression, and functional consequences.\""," \"slug\": \"specifier-imp-pyromania-severity-current-severity\","," \"disorder\": \"Pyromania\","," \"meaning\": \"For Pyromania, current severity refers to current burden across setting spread, frequency, harm, rule violation, aggression, and functional consequences.\""," \"slug\": \"specifier-imp-kleptomania-severity-current-severity\","," \"disorder\": \"Kleptomania\","," \"meaning\": \"For Kleptomania, current severity refers to current burden across setting spread, frequency, harm, rule violation, aggression, and functional consequences.\""," \"slug\": \"specifier-sub-substance-use-disorders-general-specifiers-severity-mild-2-3-symptoms\","," \"label\": \"Mild (2-3 symptoms)\","," \"disorder\": \"Substance Use Disorders (General Specifiers)\","," \"categoryId\": \"sub\","," \"category\": \"16. Substance & Addictive\","," \"meaning\": \"For Substance Use Disorders (General Specifiers), \\\"Mild (2-3 symptoms)\\\" uses the stated threshold: 2-3 symptoms.\""," \"slug\": \"specifier-sub-substance-use-disorders-general-specifiers-severity-moderate-4-5-symptoms\","," \"label\": \"Moderate (4-5 symptoms)\","," \"meaning\": \"For Substance Use Disorders (General Specifiers), \\\"Moderate (4-5 symptoms)\\\" uses the stated threshold: 4-5 symptoms.\""," \"slug\": \"specifier-sub-substance-use-disorders-general-specifiers-severity-severe-6-or-more-symptoms\","," \"label\": \"Severe (6 or more symptoms)\","," \"meaning\": \"For Substance Use Disorders (General Specifiers), \\\"Severe (6 or more symptoms)\\\" uses the stated threshold: 6 or more symptoms.\""," \"slug\": \"specifier-sub-substance-use-disorders-general-specifiers-course-context-in-early-remission-at-least-3-months-but-less-than-12-months\","," \"label\": \"In early remission (at least 3 months but less than 12 months)\","," \"meaning\": \"For Substance Use Disorders (General Specifiers), \\\"In early remission (at least 3 months but less than 12 months)\\\" uses the stated threshold: at least 3 months but less than 12 months.\""," \"slug\": \"specifier-sub-substance-use-disorders-general-specifiers-course-context-in-sustained-remission-12-months-or-more\","," \"label\": \"In sustained remission (12 months or more)\","," \"meaning\": \"For Substance Use Disorders (General Specifiers), \\\"In sustained remission (12 months or more)\\\" uses the stated threshold: 12 months or more.\""," \"slug\": \"specifier-sub-substance-use-disorders-general-specifiers-course-context-on-maintenance-therapy\","," \"label\": \"On maintenance therapy\","," \"meaning\": \"The person is receiving ongoing agonist or maintenance treatment relevant to remission/context coding.\""," \"slug\": \"specifier-sub-substance-use-disorders-general-specifiers-course-context-in-a-controlled-environment\","," \"label\": \"In a controlled environment\","," \"meaning\": \"External circumstances restrict opportunity for the behaviour, such as supervised, institutional, or otherwise controlled settings.\""," \"slug\": \"specifier-sub-substance-classes-with-use-disorders-classes-alcohol\","," \"label\": \"Alcohol\","," \"disorder\": \"Substance Classes with Use Disorders\","," \"group\": \"Classes\","," \"slug\": \"specifier-sub-substance-classes-with-use-disorders-classes-cannabis\","," \"label\": \"Cannabis\","," \"slug\": \"specifier-sub-substance-classes-with-use-disorders-classes-opioid\","," \"label\": \"Opioid\","," \"slug\": \"specifier-sub-substance-classes-with-use-disorders-classes-sedative-hypnotic-or-anxiolytic\","," \"label\": \"Sedative, hypnotic, or anxiolytic\","," \"slug\": \"specifier-sub-substance-classes-with-use-disorders-classes-stimulant-amphetamine-type-cocaine-other-unspecified\","," \"label\": \"Stimulant (amphetamine-type, cocaine, other/unspecified)\","," \"slug\": \"specifier-sub-substance-classes-with-use-disorders-classes-tobacco\","," \"label\": \"Tobacco\","," \"slug\": \"specifier-sub-substance-classes-with-use-disorders-classes-phencyclidine\","," \"label\": \"Phencyclidine\","," \"slug\": \"specifier-sub-substance-classes-with-use-disorders-classes-other-hallucinogen\","," \"label\": \"Other hallucinogen\","," \"slug\": \"specifier-sub-substance-classes-with-use-disorders-classes-inhalant\","," \"label\": \"Inhalant\","," \"slug\": \"specifier-sub-substance-classes-with-use-disorders-classes-other-or-unknown-substance\","," \"label\": \"Other (or unknown) substance\","," \"slug\": \"specifier-sub-substance-medication-induced-mental-disorders-applicability-psychotic-bipolar-depressive-anxiety-ocd-sleep-sexual-dysfunction-delirium-neurocognitive-disorders\","," \"label\": \"Psychotic, bipolar, depressive, anxiety, OCD, sleep, sexual dysfunction, delirium, neurocognitive disorders\","," \"disorder\": \"Substance/Medication-Induced Mental Disorders\","," \"group\": \"Applicability\","," \"meaning\": \"Lists diagnostic areas where substance/medication-induced classifications may apply.\""," \"slug\": \"specifier-sub-substance-medication-induced-mental-disorders-onset-with-onset-during-intoxication\","," \"slug\": \"specifier-sub-substance-medication-induced-mental-disorders-onset-with-onset-during-withdrawal\","," \"slug\": \"specifier-sub-substance-medication-induced-mental-disorders-onset-with-onset-after-medication-use\","," \"slug\": \"specifier-sub-gambling-disorder-course-episodic\","," \"disorder\": \"Gambling Disorder\","," \"slug\": \"specifier-sub-gambling-disorder-course-persistent\","," \"meaning\": \"For Gambling Disorder, \\\"Persistent\\\" describes the current time course or recurrence pattern rather than a treatment recommendation.\""," \"slug\": \"specifier-sub-gambling-disorder-remission-in-early-remission\","," \"label\": \"In early remission\","," \"group\": \"Remission\","," \"meaning\": \"Remission duration is being specified as shorter-term or longer-term according to the source framework.\""," \"slug\": \"specifier-sub-gambling-disorder-remission-in-sustained-remission\","," \"label\": \"In sustained remission\","," \"slug\": \"specifier-sub-gambling-disorder-severity-mild\","," \"meaning\": \"For Gambling Disorder, mild refers to current burden across loss of control, persistence, craving or preoccupation, harms, impairment, and relapse/remission status.\""," \"slug\": \"specifier-sub-gambling-disorder-severity-moderate\","," \"meaning\": \"For Gambling Disorder, moderate refers to current burden across loss of control, persistence, craving or preoccupation, harms, impairment, and relapse/remission status.\""," \"slug\": \"specifier-sub-gambling-disorder-severity-severe\","," \"meaning\": \"For Gambling Disorder, severe refers to current burden across loss of control, persistence, craving or preoccupation, harms, impairment, and relapse/remission status.\""," \"slug\": \"specifier-sub-gaming-disorder-icd-11-type-predominantly-online\","," \"label\": \"Predominantly online\","," \"disorder\": \"Gaming Disorder (ICD-11)\","," \"meaning\": \"Gaming behaviour mainly occurs online or offline.\""," \"slug\": \"specifier-sub-gaming-disorder-icd-11-type-predominantly-offline\","," \"label\": \"Predominantly offline\","," \"slug\": \"specifier-sub-gaming-disorder-icd-11-severity-current-severity\","," \"meaning\": \"For Gaming Disorder (ICD-11), current severity refers to current burden across loss of control, persistence, craving or preoccupation, harms, impairment, and relapse/remission status.\""," \"slug\": \"specifier-ncg-delirium-aetiology-substance-intoxication-delirium\","," \"label\": \"Substance intoxication delirium\","," \"disorder\": \"Delirium\","," \"categoryId\": \"ncg\","," \"category\": \"17. Neurocognitive\","," \"group\": \"Aetiology\","," \"meaning\": \"Identifies the likely aetiological context for delirium.\""," \"slug\": \"specifier-ncg-delirium-aetiology-substance-withdrawal-delirium\","," \"label\": \"Substance withdrawal delirium\","," \"slug\": \"specifier-ncg-delirium-aetiology-medication-induced-delirium\","," \"label\": \"Medication-induced delirium\","," \"slug\": \"specifier-ncg-delirium-aetiology-delirium-due-to-another-medical-condition\","," \"label\": \"Delirium due to another medical condition\","," \"slug\": \"specifier-ncg-delirium-aetiology-delirium-due-to-multiple-aetiologies\","," \"label\": \"Delirium due to multiple aetiologies\","," \"slug\": \"specifier-ncg-delirium-course-activity-acute-hours-to-days\","," \"label\": \"Acute (hours to days)\","," \"group\": \"Course/Activity\","," \"meaning\": \"For Delirium, \\\"Acute (hours to days)\\\" uses the stated threshold: hours to days.\""," \"slug\": \"specifier-ncg-delirium-course-activity-persistent-weeks-to-months\","," \"label\": \"Persistent (weeks to months)\","," \"meaning\": \"For Delirium, \\\"Persistent (weeks to months)\\\" uses the stated threshold: weeks to months.\""," \"slug\": \"specifier-ncg-delirium-course-activity-hyperactive\","," \"label\": \"Hyperactive\","," \"meaning\": \"Describes the activity pattern or time course of delirium symptoms.\""," \"slug\": \"specifier-ncg-delirium-course-activity-hypoactive\","," \"label\": \"Hypoactive\","," \"slug\": \"specifier-ncg-delirium-course-activity-mixed-level-of-activity\","," \"label\": \"Mixed level of activity\","," \"slug\": \"specifier-ncg-major-or-mild-neurocognitive-disorder-aetiology-probable-or-possible\","," \"label\": \"Probable or possible\","," \"disorder\": \"Major or Mild Neurocognitive Disorder\","," \"meaning\": \"Indicates the confidence level of the aetiological diagnosis when the source framework permits this distinction.\""," \"slug\": \"specifier-ncg-major-or-mild-neurocognitive-disorder-aetiology-due-to-alzheimer-s-disease-early-onset-65-late-onset-65\","," \"label\": \"Due to Alzheimer's disease (early onset <65, late onset 65+)\","," \"meaning\": \"Records the suspected or established cause of the neurocognitive disorder.\""," \"slug\": \"specifier-ncg-major-or-mild-neurocognitive-disorder-aetiology-frontotemporal-behavioural-variant-semantic-variant-agrammatic-non-fluent-variant\","," \"label\": \"Frontotemporal (behavioural variant, semantic variant, agrammatic/non-fluent variant)\","," \"slug\": \"specifier-ncg-major-or-mild-neurocognitive-disorder-aetiology-with-lewy-bodies\","," \"label\": \"With Lewy bodies\","," \"slug\": \"specifier-ncg-major-or-mild-neurocognitive-disorder-aetiology-vascular\","," \"label\": \"Vascular\","," \"slug\": \"specifier-ncg-major-or-mild-neurocognitive-disorder-aetiology-due-to-traumatic-brain-injury\","," \"label\": \"Due to traumatic brain injury\","," \"slug\": \"specifier-ncg-major-or-mild-neurocognitive-disorder-aetiology-substance-medication-induced-nonamnestic-confabulatory-type-amnestic-confabulatory-type\","," \"label\": \"Substance/medication-induced (nonamnestic-confabulatory type, amnestic-confabulatory type)\","," \"meaning\": \"Neurocognitive presentation is substance/medication-induced, with memory-confabulation subtype specified where relevant.\""," \"slug\": \"specifier-ncg-major-or-mild-neurocognitive-disorder-aetiology-due-to-hiv-infection\","," \"label\": \"Due to HIV infection\","," \"slug\": \"specifier-ncg-major-or-mild-neurocognitive-disorder-aetiology-due-to-prion-disease\","," \"label\": \"Due to prion disease\","," \"slug\": \"specifier-ncg-major-or-mild-neurocognitive-disorder-aetiology-due-to-parkinson-s-disease\","," \"label\": \"Due to Parkinson's disease\","," \"slug\": \"specifier-ncg-major-or-mild-neurocognitive-disorder-aetiology-due-to-huntington-s-disease\","," \"label\": \"Due to Huntington's disease\","," \"slug\": \"specifier-ncg-major-or-mild-neurocognitive-disorder-aetiology-due-to-another-medical-condition\","," \"label\": \"Due to another medical condition\","," \"slug\": \"specifier-ncg-major-or-mild-neurocognitive-disorder-aetiology-due-to-multiple-aetiologies\","," \"label\": \"Due to multiple aetiologies\","," \"slug\": \"specifier-ncg-major-or-mild-neurocognitive-disorder-aetiology-due-to-unknown-aetiology\","," \"label\": \"Due to unknown aetiology\","," \"slug\": \"specifier-ncg-major-or-mild-neurocognitive-disorder-behaviour-with-or-without-behavioural-disturbance-specify-disturbance\","," \"label\": \"With or without behavioural disturbance (specify disturbance)\","," \"group\": \"Behaviour\","," \"meaning\": \"Records whether behavioural symptoms such as agitation, aggression, apathy, or disinhibition accompany the neurocognitive disorder.\""," \"slug\": \"specifier-ncg-major-or-mild-neurocognitive-disorder-severity-major-ncd-mild\","," \"group\": \"Severity (Major NCD)\","," \"meaning\": \"For Major or Mild Neurocognitive Disorder, mild refers to current burden across cognitive impairment, independence in daily activities, behavioural disturbance, safety, and care needs.\""," \"slug\": \"specifier-ncg-major-or-mild-neurocognitive-disorder-severity-major-ncd-moderate\","," \"meaning\": \"For Major or Mild Neurocognitive Disorder, moderate refers to current burden across cognitive impairment, independence in daily activities, behavioural disturbance, safety, and care needs.\""," \"slug\": \"specifier-ncg-major-or-mild-neurocognitive-disorder-severity-major-ncd-severe\","," \"meaning\": \"For Major or Mild Neurocognitive Disorder, severe refers to current burden across cognitive impairment, independence in daily activities, behavioural disturbance, safety, and care needs.\""," \"slug\": \"specifier-per-dsm-5-tr-categorical-model-section-ii-clusters-cluster-a-paranoid-schizoid-schizotypal\","," \"label\": \"Cluster A: Paranoid, Schizoid, Schizotypal\","," \"disorder\": \"DSM-5-TR Categorical Model (Section II)\","," \"categoryId\": \"per\","," \"category\": \"18. Personality Disorders\","," \"group\": \"Clusters\","," \"meaning\": \"DSM categorical personality-disorder grouping used to organise similar personality-disorder diagnoses.\""," \"slug\": \"specifier-per-dsm-5-tr-categorical-model-section-ii-clusters-cluster-b-antisocial-borderline-histrionic-narcissistic\","," \"label\": \"Cluster B: Antisocial, Borderline, Histrionic, Narcissistic\","," \"slug\": \"specifier-per-dsm-5-tr-categorical-model-section-ii-clusters-cluster-c-avoidant-dependent-obsessive-compulsive\","," \"label\": \"Cluster C: Avoidant, Dependent, Obsessive-Compulsive\","," \"slug\": \"specifier-per-personality-change-due-to-another-medical-condition-type-labile-type\","," \"label\": \"Labile type\","," \"disorder\": \"Personality Change Due to Another Medical Condition\","," \"meaning\": \"Describes the dominant behavioural or emotional style of personality change.\""," \"slug\": \"specifier-per-personality-change-due-to-another-medical-condition-type-disinhibited-type\","," \"label\": \"Disinhibited type\","," \"slug\": \"specifier-per-personality-change-due-to-another-medical-condition-type-aggressive-type\","," \"label\": \"Aggressive type\","," \"slug\": \"specifier-per-personality-change-due-to-another-medical-condition-type-apathetic-type\","," \"label\": \"Apathetic type\","," \"slug\": \"specifier-per-personality-change-due-to-another-medical-condition-type-paranoid-type\","," \"label\": \"Paranoid type\","," \"slug\": \"specifier-per-personality-change-due-to-another-medical-condition-type-other-type\","," \"slug\": \"specifier-per-personality-change-due-to-another-medical-condition-type-combined-type\","," \"label\": \"Combined type\","," \"slug\": \"specifier-per-personality-change-due-to-another-medical-condition-type-unspecified-type\","," \"slug\": \"specifier-per-dsm-5-tr-alternative-model-section-iii-ampd-severity-level-of-personality-functioning-0-little-no-1-some-2-moderate-3-severe-4-extreme\","," \"label\": \"Level of personality functioning (0 little/no, 1 some, 2 moderate, 3 severe, 4 extreme)\","," \"disorder\": \"DSM-5-TR Alternative Model (Section III, AMPD)\","," \"meaning\": \"For DSM-5-TR Alternative Model (Section III, AMPD), extreme refers to current burden across self-functioning, interpersonal functioning, pervasiveness, distress, risk, and social or occupational impairment.\""," \"slug\": \"specifier-per-dsm-5-tr-alternative-model-section-iii-ampd-pathological-traits-negative-affectivity\","," \"label\": \"Negative affectivity\","," \"group\": \"Pathological Traits\","," \"meaning\": \"Trait pattern involving frequent, intense, or poorly regulated negative emotions such as anxiety, anger, shame, or emotional lability.\""," \"slug\": \"specifier-per-dsm-5-tr-alternative-model-section-iii-ampd-pathological-traits-detachment\","," \"label\": \"Detachment\","," \"meaning\": \"Trait pattern involving social withdrawal, emotional restriction, limited intimacy, or reduced engagement with others.\""," \"slug\": \"specifier-per-dsm-5-tr-alternative-model-section-iii-ampd-pathological-traits-antagonism\","," \"label\": \"Antagonism\","," \"meaning\": \"AMPD pathological trait domain involving behaviours such as manipulativeness, deceitfulness, grandiosity, or callousness.\""," \"slug\": \"specifier-per-dsm-5-tr-alternative-model-section-iii-ampd-pathological-traits-disinhibition\","," \"label\": \"Disinhibition\","," \"meaning\": \"Trait pattern involving impulsivity, poor planning, distractibility, or risk-prone behaviour.\""," \"slug\": \"specifier-per-dsm-5-tr-alternative-model-section-iii-ampd-pathological-traits-psychoticism\","," \"label\": \"Psychoticism\","," \"meaning\": \"AMPD pathological trait domain involving odd, eccentric, unusual, or perceptual dysregulation features.\""," \"slug\": \"specifier-per-icd-11-dimensional-model-severity-personality-difficulty-subthreshold\","," \"label\": \"Personality Difficulty (subthreshold)\","," \"disorder\": \"ICD-11 Dimensional Model\","," \"meaning\": \"ICD-11 descriptor for clinically relevant personality problems below the threshold for personality disorder.\""," \"slug\": \"specifier-per-icd-11-dimensional-model-severity-mild\","," \"meaning\": \"For ICD-11 Dimensional Model, mild refers to current burden across self-functioning, interpersonal functioning, pervasiveness, distress, risk, and social or occupational impairment.\""," \"slug\": \"specifier-per-icd-11-dimensional-model-severity-moderate\","," \"meaning\": \"For ICD-11 Dimensional Model, moderate refers to current burden across self-functioning, interpersonal functioning, pervasiveness, distress, risk, and social or occupational impairment.\""," \"slug\": \"specifier-per-icd-11-dimensional-model-severity-severe\","," \"meaning\": \"For ICD-11 Dimensional Model, severe refers to current burden across self-functioning, interpersonal functioning, pervasiveness, distress, risk, and social or occupational impairment.\""," \"slug\": \"specifier-per-icd-11-dimensional-model-trait-qualifiers-negative-affectivity-detachment-dissociality-disinhibition-anankastia\","," \"label\": \"Negative affectivity, detachment, dissociality, disinhibition, anankastia\","," \"group\": \"Trait Qualifiers\","," \"meaning\": \"ICD-11 personality trait qualifiers used to describe the dominant style of personality disturbance.\""," \"slug\": \"specifier-per-icd-11-dimensional-model-pattern-borderline-pattern-qualifier\","," \"label\": \"Borderline pattern qualifier\","," \"meaning\": \"ICD-11 qualifier used when the personality-disorder presentation has a prominent borderline-pattern profile.\""," \"slug\": \"specifier-par-voyeuristic-frotteuristic-context-course-in-a-controlled-environment\","," \"disorder\": \"Voyeuristic / Frotteuristic\","," \"categoryId\": \"par\","," \"category\": \"19. Paraphilic Disorders\","," \"group\": \"Context/Course\","," \"slug\": \"specifier-par-voyeuristic-frotteuristic-context-course-in-full-remission\","," \"meaning\": \"For Voyeuristic / Frotteuristic, full remission means the condition is not currently clinically active by the source framework.\""," \"slug\": \"specifier-par-voyeuristic-frotteuristic-severity-current-severity\","," \"slug\": \"specifier-par-exhibitionistic-disorder-arousal-focus-sexually-aroused-by-exposing-genitals-to-prepubertal-children\","," \"label\": \"Sexually aroused by exposing genitals to prepubertal children\","," \"disorder\": \"Exhibitionistic Disorder\","," \"group\": \"Arousal Focus\","," \"meaning\": \"Exhibitionistic arousal focus involves exposing genitals to prepubertal children.\""," \"slug\": \"specifier-par-exhibitionistic-disorder-arousal-focus-to-physically-mature-individuals\","," \"label\": \"To physically mature individuals\","," \"meaning\": \"Documents the stated sexual-attraction focus for the paraphilic-disorder specifier.\""," \"slug\": \"specifier-par-exhibitionistic-disorder-arousal-focus-to-both\","," \"label\": \"To both\","," \"slug\": \"specifier-par-exhibitionistic-disorder-context-course-in-a-controlled-environment\","," \"slug\": \"specifier-par-exhibitionistic-disorder-context-course-in-full-remission\","," \"meaning\": \"For Exhibitionistic Disorder, full remission means the condition is not currently clinically active by the source framework.\""," \"slug\": \"specifier-par-exhibitionistic-disorder-context-course-current-severity\","," \"slug\": \"specifier-par-sexual-masochism-disorder-features-with-asphyxiophilia\","," \"label\": \"With asphyxiophilia\","," \"disorder\": \"Sexual Masochism Disorder\","," \"meaning\": \"Sexual arousal involving oxygen restriction.\""," \"slug\": \"specifier-par-sexual-masochism-disorder-features-in-a-controlled-environment\","," \"slug\": \"specifier-par-sexual-masochism-disorder-features-in-full-remission\","," \"meaning\": \"For Sexual Masochism Disorder, full remission means the condition is not currently clinically active by the source framework.\""," \"slug\": \"specifier-par-sexual-masochism-disorder-features-current-severity\","," \"meaning\": \"For Sexual Masochism Disorder, current severity refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-par-sexual-sadism-disorder-context-in-a-controlled-environment\","," \"disorder\": \"Sexual Sadism Disorder\","," \"slug\": \"specifier-par-sexual-sadism-disorder-context-in-full-remission\","," \"meaning\": \"For Sexual Sadism Disorder, full remission means the condition is not currently clinically active by the source framework.\""," \"slug\": \"specifier-par-sexual-sadism-disorder-context-current-severity\","," \"meaning\": \"For Sexual Sadism Disorder, current severity refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-par-pedophilic-disorder-type-exclusive-type\","," \"label\": \"Exclusive type\","," \"disorder\": \"Pedophilic Disorder\","," \"meaning\": \"The arousal or attraction pattern is limited to the specified focus.\""," \"slug\": \"specifier-par-pedophilic-disorder-type-nonexclusive-type\","," \"label\": \"Nonexclusive type\","," \"meaning\": \"The arousal or attraction pattern includes but is not limited to the specified focus.\""," \"slug\": \"specifier-par-pedophilic-disorder-attraction-sexually-attracted-to-males\","," \"label\": \"Sexually attracted to males\","," \"group\": \"Attraction\","," \"slug\": \"specifier-par-pedophilic-disorder-attraction-sexually-attracted-to-females\","," \"label\": \"Sexually attracted to females\","," \"slug\": \"specifier-par-pedophilic-disorder-attraction-sexually-attracted-to-both\","," \"label\": \"Sexually attracted to both\","," \"slug\": \"specifier-par-pedophilic-disorder-attraction-limited-to-incest\","," \"label\": \"Limited to incest\","," \"meaning\": \"Sexual attraction focus is limited to incestuous relationships in the specified classification context.\""," \"slug\": \"specifier-par-pedophilic-disorder-context-in-a-controlled-environment\","," \"slug\": \"specifier-par-pedophilic-disorder-context-in-full-remission\","," \"meaning\": \"For Pedophilic Disorder, full remission means the condition is not currently clinically active by the source framework.\""," \"slug\": \"specifier-par-fetishistic-disorder-focus-body-part-s\","," \"label\": \"Body part(s)\","," \"disorder\": \"Fetishistic Disorder\","," \"group\": \"Focus\","," \"meaning\": \"Identifies the main fetishistic arousal focus.\""," \"slug\": \"specifier-par-fetishistic-disorder-focus-nonliving-object-s\","," \"label\": \"Nonliving object(s)\","," \"slug\": \"specifier-par-fetishistic-disorder-focus-other\","," \"label\": \"Other\","," \"slug\": \"specifier-par-fetishistic-disorder-context-in-a-controlled-environment\","," \"slug\": \"specifier-par-fetishistic-disorder-context-in-full-remission\","," \"meaning\": \"For Fetishistic Disorder, full remission means the condition is not currently clinically active by the source framework.\""," \"slug\": \"specifier-par-fetishistic-disorder-context-current-severity\","," \"slug\": \"specifier-par-transvestic-disorder-features-with-fetishism\","," \"label\": \"With fetishism\","," \"disorder\": \"Transvestic Disorder\","," \"meaning\": \"Sexual arousal focus involves nonliving objects or specific body parts in the specified paraphilic context.\""," \"slug\": \"specifier-par-transvestic-disorder-features-with-autogynephilia\","," \"label\": \"With autogynephilia\","," \"meaning\": \"Sexual arousal associated with imagining oneself as female.\""," \"slug\": \"specifier-par-transvestic-disorder-context-in-a-controlled-environment\","," \"slug\": \"specifier-par-transvestic-disorder-context-in-full-remission\","," \"meaning\": \"For Transvestic Disorder, full remission means the condition is not currently clinically active by the source framework.\""," \"slug\": \"specifier-par-transvestic-disorder-context-current-severity\","," \"slug\": \"specifier-par-coercive-sexual-sadism-disorder-icd-11-severity-current-severity\","," \"disorder\": \"Coercive Sexual Sadism Disorder (ICD-11)\","," \"meaning\": \"For Coercive Sexual Sadism Disorder (ICD-11), current severity refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-icd-gaming-disorder-type-predominantly-online\","," \"disorder\": \"Gaming Disorder\","," \"categoryId\": \"icd\","," \"category\": \"20. ICD-11 Specifics\","," \"slug\": \"specifier-icd-gaming-disorder-type-predominantly-offline\","," \"slug\": \"specifier-icd-gaming-disorder-severity-current-severity\","," \"meaning\": \"For Gaming Disorder, current severity refers to current burden across loss of control, persistence, craving or preoccupation, harms, impairment, and relapse/remission status.\""," \"slug\": \"specifier-icd-compulsive-sexual-behaviour-disorder-severity-current-severity\","," \"disorder\": \"Compulsive Sexual Behaviour Disorder\","," \"meaning\": \"For Compulsive Sexual Behaviour Disorder, current severity refers to current burden across persistence, generalisation across contexts, distress, relational impact, and functional interference.\""," \"slug\": \"specifier-icd-complex-ptsd-self-organisation-affective-dysregulation-negative-self-concept-disturbances-in-relationships\","," \"label\": \"Affective dysregulation, negative self-concept, disturbances in relationships\","," \"disorder\": \"Complex PTSD\","," \"group\": \"Self-Organisation\","," \"slug\": \"specifier-icd-catatonia-standalone-diagnosis-context-associated-with-another-mental-disorder\","," \"label\": \"Associated with another mental disorder\","," \"disorder\": \"Catatonia (Standalone diagnosis)\","," \"slug\": \"specifier-icd-catatonia-standalone-diagnosis-context-induced-by-psychoactive-substances-including-medications\","," \"label\": \"Induced by psychoactive substances including medications\","," \"meaning\": \"Symptoms are classified as substance- or medication-induced in the ICD-11 context.\""," \"slug\": \"specifier-icd-catatonia-standalone-diagnosis-context-secondary-to-a-medical-condition-not-classified-elsewhere\","," \"label\": \"Secondary to a medical condition not classified elsewhere\","," \"meaning\": \"The mental or behavioural presentation is classified as secondary to another medical condition.\""," \"slug\": \"specifier-icd-bodily-distress-disorder-severity-mild\","," \"disorder\": \"Bodily Distress Disorder\","," \"meaning\": \"For Bodily Distress Disorder, mild refers to current burden across bodily symptom distress, symptom persistence, functional impairment, health-related preoccupation, and care needs.\""," \"slug\": \"specifier-icd-bodily-distress-disorder-severity-moderate\","," \"meaning\": \"For Bodily Distress Disorder, moderate refers to current burden across bodily symptom distress, symptom persistence, functional impairment, health-related preoccupation, and care needs.\""," \"slug\": \"specifier-icd-bodily-distress-disorder-severity-severe\","," \"meaning\": \"For Bodily Distress Disorder, severe refers to current burden across bodily symptom distress, symptom persistence, functional impairment, health-related preoccupation, and care needs.\""," \"slug\": \"specifier-icd-partial-dissociative-identity-disorder-severity-current-severity\","," \"disorder\": \"Partial Dissociative Identity Disorder\","," \"meaning\": \"For Partial Dissociative Identity Disorder, current severity refers to current burden across dissociative disruption, memory or identity disturbance, distress, safety, and functional impairment.\""," \"slug\": \"specifier-icd-trance-disorder-features-with-without-possession\","," \"disorder\": \"Trance Disorder\","," \"slug\": \"specifier-icd-olfactory-reference-disorder-insight-with-good-or-fair-insight\","," \"disorder\": \"Olfactory Reference Disorder\","," \"slug\": \"specifier-icd-olfactory-reference-disorder-insight-with-poor-insight\","," \"slug\": \"specifier-icd-olfactory-reference-disorder-insight-with-absent-insight\","," \"label\": \"With absent insight\","," \"slug\": \"specifier-icd-olfactory-reference-disorder-severity-current-severity\","," \"meaning\": \"For Olfactory Reference Disorder, current severity refers to current burden across time consumed, distress, insight, avoidance, repetitive behaviour, and functional impairment.\""," \"slug\": \"specifier-icd-body-focused-repetitive-behaviour-disorder-severity-current-severity\","," \"disorder\": \"Body-Focused Repetitive Behaviour Disorder\","," \"meaning\": \"For Body-Focused Repetitive Behaviour Disorder, current severity refers to current burden across time consumed, distress, insight, avoidance, repetitive behaviour, and functional impairment.\""," \"slug\": \"specifier-icd-gender-incongruence-classification-reclassified-to-conditions-related-to-sexual-health-not-mental-disorders\","," \"label\": \"Reclassified to conditions related to sexual health (not mental disorders)\","," \"disorder\": \"Gender Incongruence\","," \"group\": \"Classification\","," \"meaning\": \"ICD-11 places gender incongruence outside the mental disorders chapter.\""," ]","}","data/specifiers-content.json",[3459,3460,3461,3462,3463,3464,3465],{"_1776":3533,"_1777":3534,"_580":3535,"_1780":15},{"_1776":3527,"_1777":3528,"_580":3529,"_1780":15},{"_1776":3522,"_1777":3523,"_580":3524,"_1780":15},{"_1776":3509,"_1777":3510,"_580":3511,"_1780":15},{"_1776":3500,"_1777":3501,"_580":3502,"_1780":15},{"_1776":3477,"_1777":3478,"_580":3479,"_1780":15},{"_1776":3466,"_1777":3467,"_580":3468,"_1780":15},10995,11002,[3469,3470,3471,3472,3473,3474,3475,3476]," {"," \"label\": \"Current severity\","," \"definition\": null,"," \"definitionStatus\": \"needs-manual-or-clinician-verification\","," \"review\": {"," \"rowKey\": \"specifier:par:voyeuristic-frotteuristic:severity:current-severity\","," \"contentHash\": \"4dd63b09\","," \"sourceVerificationStatus\": \"source-needs-formal-review\",",6129,6172,[3469,3480,3481,3482,3483,3484,3485,3486,3487,3473,3488,3489,3476,3490,3491,3492,3493,3469,3494,3481,3495,3483,3484,3485,3486,3487,3473,3496,3497,3476,3490,3491,3492,3493,3469,3498,3481,3499,3483,3484,3485,3486,3487,3473]," \"label\": \"Mild\","," \"definition\": {"," \"meaning\": \"For Bodily Distress Disorder (ICD-11), mild refers to current burden across bodily symptom distress, symptom persistence, functional impairment, health-related preoccupation, and care needs.\","," \"clinicalNote\": \"Rate severity using bodily symptom distress, persistence, functional impairment, health-related preoccupation, and care needs.\","," \"sourceFamily\": \"Best-effort DSM-derived clinical anchor pending manual verification\","," \"status\": \"defined\""," },"," \"definitionStatus\": \"defined\","," \"rowKey\": \"specifier:som:bodily-distress-disorder-icd-11:severity:mild\","," \"contentHash\": \"fcb21e38\","," \"clinicianReviewStatus\": \"clinician-review-pending\","," \"changedSinceReview\": false"," }"," },"," \"label\": \"Moderate\","," \"meaning\": \"For Bodily Distress Disorder (ICD-11), moderate refers to current burden across bodily symptom distress, symptom persistence, functional impairment, health-related preoccupation, and care needs.\","," \"rowKey\": \"specifier:som:bodily-distress-disorder-icd-11:severity:moderate\","," \"contentHash\": \"abee9ac7\","," \"label\": \"Severe\","," \"meaning\": \"For Bodily Distress Disorder (ICD-11), severe refers to current burden across bodily symptom distress, symptom persistence, functional impairment, health-related preoccupation, and care needs.\",",5943,5958,[3469,3503,3481,3504,3505,3506,3485,3486,3487,3473,3507,3508,3476,3490,3491,3492]," \"label\": \"With/without psychological stressor\","," \"meaning\": \"Records whether a relevant psychological stressor is present in the functional neurological/conversion symptom presentation.\","," \"clinicalNote\": \"Document the presence or absence of an associated psychological stressor without implying that a stressor is required for the diagnosis.\","," \"sourceFamily\": \"DSM/ICD classification paraphrase\","," \"rowKey\": \"specifier:som:functional-neurological-symptom-disorder-conversion-fnd:course-context:with-without-psychological-stressor\","," \"contentHash\": \"351f999c\",",5723,5752,[3469,3512,3481,3513,3514,3506,3485,3486,3487,3473,3515,3516,3476,3490,3491,3492,3493,3469,3517,3481,3518,3519,3506,3485,3486,3487,3473,3520,3521,3476]," \"label\": \"Care-seeking type\","," \"meaning\": \"Indicates an illness-anxiety presentation characterized by frequent use of medical care, repeated evaluation, or reassurance seeking related to health concerns.\","," \"clinicalNote\": \"Use this type when the clinical pattern is primarily care seeking; document the current pattern and functional impact.\","," \"rowKey\": \"specifier:som:illness-anxiety-disorder:type:care-seeking-type\","," \"contentHash\": \"c99dba59\","," \"label\": \"Care-avoidant type\","," \"meaning\": \"Indicates an illness-anxiety presentation characterized by avoiding medical appointments, investigations, or health-related reassurance because evaluation increases distress.\","," \"clinicalNote\": \"Use this type when the clinical pattern is primarily care avoidant; document the current pattern and functional impact.\","," \"rowKey\": \"specifier:som:illness-anxiety-disorder:type:care-avoidant-type\","," \"contentHash\": \"40df6811\",",1905,1912,[3469,3470,3471,3472,3473,3525,3526,3476]," \"rowKey\": \"specifier:psy:substance-medication-induced-psychotic-disorder:severity:current-severity\","," \"contentHash\": \"a8858bd5\",",295,300,[3481,3530,3531,3532,3486,3487]," \"meaning\": \"For Intellectual Developmental Disorder, mild refers to current burden across adaptive functioning across conceptual, social, and practical domains rather than IQ alone.\","," \"clinicalNote\": \"Mild usually means difficulties are present but the person can function with limited or targeted supports.\","," \"sourceFamily\": \"Best-effort DSM-derived clinical anchor pending manual verification\"",18,23,[3536,3537,3538,3539,3540,3541]," \"disorders\": 131,"," \"groups\": 218,"," \"specifierItems\": 585,"," \"universalSpecifiers\": 18,"," \"itemsWithDefinitions\": 558,"," \"itemsPendingClinicianReview\": 585",[3543,3544,3545,3546,3547,3548,3549,3550,3551,3552,3553,3554,3555,3556,3557,3558,3559],{"_1725":46,"_46":3575},{"_1725":3561,"_166":3457,"_1776":3509,"_1777":3510},{"_1725":3561,"_166":3457,"_1776":3500,"_1777":3501},{"_1725":3561,"_166":3457,"_1776":3477,"_1777":3478},{"_1725":46,"_46":3574},{"_1725":3561,"_166":3457,"_1776":3533,"_1777":3534},{"_1725":3561,"_166":3457,"_1776":3527,"_1777":3528},{"_1725":3561,"_166":3457,"_1776":3522,"_1777":3523},{"_1725":3561,"_166":3457,"_1776":3466,"_1777":3467},{"_1725":46,"_46":3573},{"_1725":3561,"_166":1884,"_1776":3571,"_1777":3572},{"_1725":3561,"_166":1884,"_1776":3569,"_1777":3570},{"_1725":3561,"_166":1884,"_1776":3567,"_1777":3568},{"_1725":3561,"_166":1884,"_1776":3565,"_1777":3566},{"_1725":46,"_46":3564},{"_1725":3561,"_166":1770,"_1776":3562,"_1777":3563},{"_1725":46,"_46":3560},"\n* Committed changes on the current branch: `a807b54 fix(specifiers): correct catalog definition review findings`.\n* Created PR metadata via `make_pr` with title: `fix(specifiers): resolve catalog definition review findings`.\n\n**Testing**\n* ✅ `python3 - <<'PY' ... PY` — custom JSON/index consistency and content-regression assertions passed for 585 specifier items.\n* ⚠️ `npm test -- --run tests/specifiers-content.test.ts` — could not run in this checkout because `node_modules/vitest/vitest.mjs` is missing; npm also resolved Node `v20.20.2` in this environment instead of the repo-required Node 24.","repo_file_citation",93,130,"\n* Added targeted regression coverage for illness-anxiety care types, FND stressor context, bodily-distress severity wording, and copied tic-severity template leakage. ",3244,3271,3145,3150,3010,3029,11,20,"\n* Regenerated the compact search index so search/detail summaries stay aligned with the full catalog, including updated stats and corrected somatic/FND rows. ","\n* Marked copied tic-severity rows outside Tourette’s/tic disorders as `needs-manual-or-clinician-verification`, removed the redundant nested `definition.status` on the Intellectual Developmental Disorder mild row, and updated definition counts accordingly. ","**Summary**\n* Corrected the DSM specifier catalog data for the open review findings: Illness Anxiety care-seeking/care-avoidant definitions now describe care patterns, FND psychological stressor now references functional neurological/conversion context, and Bodily Distress Disorder severity now uses bodily symptom distress/impairment wording. ",{"_93":339,"_42":85,"_97":339,"_3578":3579,"_3580":3581,"_3582":3583,"_133":-5,"_120":3584},[84],"input_items",[3602,3603,3604,3605,3606,3607,3608,3609,3610,3611,3612,3613,3614,3615,3616,3617,3618,3619,3620,3621,3622,3623,3624,3625,3626],"external_post_config",{"_3585":3586,"_276":209,"_3587":319,"_287":-5,"_1746":270,"_3588":-5,"_3589":-5,"_3590":3591,"_3592":3593,"_3594":-5,"_3595":-5,"_3596":3597,"_3598":15,"_3599":59,"_3600":54,"_3601":15},"user_model_slug","slug",1784034968.509482,"installation_id",131602480,"pr_number","gitlab_service_account_project_id","review_trigger","comment_id",4969568369,"comment_type","issue","pr_write_guard_token","pending_pr_reaction_id","pending_comment_reaction_id",382462198,"comment_if_no_findings","comment_on_error","share_url","is_parallel_review",{"_93":586,"_97":339,"_580":3666},{"_326":327,"_328":329,"_3663":333,"_3664":130,"_335":-5,"_93":3665},{"_93":3627,"_328":3662,"_166":-5,"_3629":-5,"_3630":-5},{"_93":3627,"_328":3661,"_166":-5,"_3629":-5,"_3630":-5},{"_93":3627,"_328":3660,"_166":3457,"_3629":3634,"_3630":-5},{"_93":3627,"_328":3658,"_166":3643,"_3629":3634,"_3630":3659},{"_93":3627,"_328":3656,"_166":3645,"_3629":3634,"_3630":3657},{"_93":3627,"_328":3654,"_166":-5,"_3629":-5,"_3630":-5},{"_93":3627,"_328":3655,"_166":-5,"_3629":-5,"_3630":-5},{"_93":3627,"_328":3654,"_166":-5,"_3629":-5,"_3630":-5},{"_93":3627,"_328":3652,"_166":3653,"_3629":3634,"_3630":-5},{"_93":3627,"_328":3651,"_166":3457,"_3629":3634,"_3630":-5},{"_93":3627,"_328":3649,"_166":3643,"_3629":3634,"_3630":3650},{"_93":3627,"_328":3648,"_166":3457,"_3629":3634,"_3630":-5},{"_93":3627,"_328":3647,"_166":1884,"_3629":3634,"_3630":-5},{"_93":3627,"_328":3644,"_166":3645,"_3629":3634,"_3630":3646},{"_93":3627,"_328":3642,"_166":3643,"_3629":3634,"_3630":-5},{"_93":3627,"_328":3641,"_166":-5,"_3629":-5,"_3630":-5},{"_93":3627,"_328":3640,"_166":-5,"_3629":-5,"_3630":-5},{"_93":3627,"_328":3638,"_166":3457,"_3629":3634,"_3630":3639},{"_93":3627,"_328":3636,"_166":3457,"_3629":3634,"_3630":3637},{"_93":3627,"_328":3633,"_166":3457,"_3629":3634,"_3630":3635},{"_93":3627,"_328":3632,"_166":-5,"_3629":-5,"_3630":-5},{"_93":3627,"_328":3631,"_166":-5,"_3629":-5,"_3630":-5},{"_93":3627,"_328":3628,"_166":-5,"_3629":-5,"_3630":-5},"pull_request_comment","\n### CI triage\nCI failed on this PR. Automated classification of the 3 failed job(s):\n\n- `Static PR checks` — **needs investigation**.\n- `Unit coverage` — **needs investigation**.\n- `PR required` — **possible known flake**: UI/Playwright job; check `tests/flake-ledger.json` (tests/ui-smoke.spec.ts, tests/ui-smoke.spec.ts, tests/ui-tools.spec.ts, tests/ui-tools.spec.ts) and re-run before bisecting.\n\n_Heuristic only — a main-side or flake label is a starting point, not a verdict._","side","line","\n> [!NOTE]\n> Autofix is a beta feature. Expect some limitations and changes as we gather feedback and continue to improve it.\n\n## Fixes Applied Successfully\n\nFixed 2 file(s) based on 2 unresolved review comments.\n\n\n\n**Files modified:**\n- `data/specifiers-content.json`\n- `data/specifiers-search-index.json`\n\n**Commit:** `fbf299b5457fca34ecbaf60fbf816874ebf83c37`\n\nThe changes have been pushed to the `claude/specifiers-v2-design-r55baf` branch.\n\n**Time taken:** `7m 21s`\n","\n\n> [!CAUTION]\n> Some comments are outside the diff and can’t be posted inline due to platform limitations.\n> \n> \n> \n>

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⚠️ Outside diff range comments (2)

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data/specifiers-content.json (2)
\n> \n> `2776-2792`: _🎯 Functional Correctness_ | _🟡 Minor_ | _⚡ Quick win_\n> \n> **`clinicalNote` references a parenthetical severity list that doesn't exist on these labels.**\n> \n> Cyclothymic Disorder's and Persistent Depressive Disorder's \"With anxious distress\" items carry the note \"The parenthetical severity levels grade the anxious distress specifier, not the whole disorder.\" but their labels have no parenthetical severity list (unlike the Bipolar I/II/MDD variants, whose label reads \"With anxious distress (mild, moderate, moderate-severe, severe)\"). Since this PR's stated goal is correcting anxious-distress content, these two look like leftover copy-paste from the parenthetical variant.\n> \n>
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🩹 Proposed fix
\n> \n> ```diff\n> - \"clinicalNote\": \"The parenthetical severity levels grade the anxious distress specifier, not the whole disorder.\",\n> + \"clinicalNote\": null,\n> ```\n> (apply at both Cyclothymic Disorder line ~2779 and Persistent Depressive Disorder line ~3415)\n>
\n> \n> \n> \n> \n> \n> Also applies to: 3412-3427\n> \n>
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🤖 Prompt for AI Agents
\n> \n> ```\n> Verify each finding against current code. Fix only still-valid issues, skip the\n> rest with a brief reason, keep changes minimal, and validate.\n> \n> In `@data/specifiers-content.json` around lines 2776 - 2792, Remove the inaccurate\n> parenthetical-severity reference from the clinicalNote of the “With anxious\n> distress” entries for Cyclothymic Disorder and Persistent Depressive Disorder.\n> Keep the labels and other definition metadata unchanged, and replace the note\n> with wording that accurately describes these non-parenthetical variants.\n> ```\n> \n>
\n> \n> \n> \n> ---\n> \n> `1360-1380`: _🎯 Functional Correctness_ | _🟠 Major_ | _🏗️ Heavy lift_\n> \n> **Wrong severity template reused across multiple rows** \n> `data/specifiers-content.json` assigns the tic-disorder “current severity” wording (“tic frequency, complexity, suppressibility…”) to Brief Psychotic Disorder, Substance/Medication-Induced Psychotic Disorder, PTSD, and several paraphilic entries. These severities need disorder-specific domains, so this looks like a template-mapping bug and should be regenerated at the source rather than patched row by row.\n> \n>
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🤖 Prompt for AI Agents
\n> \n> ```\n> Verify each finding against current code. Fix only still-valid issues, skip the\n> rest with a brief reason, keep changes minimal, and validate.\n> \n> In `@data/specifiers-content.json` around lines 1360 - 1380, Regenerate the\n> severity entries in the source that produce the affected rows, including Brief\n> Psychotic Disorder and the other disorders identified in the comment, so each\n> “Current severity” definition uses disorder-specific domains instead of the\n> tic-disorder wording. Rebuild data/specifiers-content.json from the corrected\n> source and verify the reused template no longer appears in those rows.\n> ```\n> \n>
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🤖 Prompt for all review comments with AI agents

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ℹ️ Review info

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⚙️ Run configuration

\n\n**Configuration used**: Path: .coderabbit.yaml\n\n**Review profile**: CHILL\n\n**Plan**: Pro Plus\n\n**Run ID**: `3825d38b-62d7-4a27-a7f2-d40dd9ffa25b`\n\n

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📥 Commits

\n\nReviewing files that changed from the base of the PR and between 3470e94f59e040d43f0940909cb00e6a84fd11a4 and 1c8bfd4ca3c3abfa23cfc8f915a4d36fcf3da4f3.\n\n

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📒 Files selected for processing (6)

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🚧 Files skipped from review as they are similar to previous changes (5)

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\n\n","**_{_{![P1 Badge](https://img.shields.io/badge/P1-orange?style=flat)}} Remove trauma wording from bodily-distress severity**\n\nWhen users open Bodily Distress Disorder severity rows, the generated severity anchor rates `trauma-related symptom burden`, and the same phrase is reused for moderate/severe and the ICD-specific duplicate rows. Bodily Distress Disorder is a somatic/ICD-11 reference here, so this copied trauma template gives the wrong clinical dimension in search and detail pages; replace it with bodily-symptom distress/impairment wording and keep the compact index in sync.\n\nUseful? React with 👍 / 👎.","RIGHT",6143,"**_{_{![P1 Badge](https://img.shields.io/badge/P1-orange?style=flat)}} Correct the FND stressor context**\n\nFor Functional Neurological Symptom Disorder's `With/without psychological stressor` row, the generated meaning says the stressor is in a `sexual-dysfunction context`, which is copied from an unrelated category. Users opening this FND reference page should see that the stressor is relevant to the functional neurological/conversion presentation, not sexual dysfunction; add a targeted assertion for this row and regenerate the search index copy as well.\n\nUseful? React with 👍 / 👎.",5957,"**_{_{![P1 Badge](https://img.shields.io/badge/P1-orange?style=flat)}} Correct copied illness-anxiety definitions**\n\nWhen a user searches or opens Illness Anxiety Disorder's `Care-seeking type`, the new catalog explains it as a `personality change presentation`; the same copied text is used for `Care-avoidant type`. These labels should describe seeking versus avoiding medical evaluation, and the current text renders clinically wrong guidance in both the search index and detail page; a focused fixture asserting these two rows mention care seeking/avoidance and not personality change would catch this, then the compact index should be regenerated.\n\nUseful? React with 👍 / 👎.",5737,"\n### 💡 Codex Review\n\nHere are some automated review suggestions for this pull request.\n\n**Reviewed commit:** `1c8bfd4ca3`\n \n\n

ℹ️ About Codex in GitHub

","**Actionable comments posted: 4**\n\n

🧹 Nitpick comments (2)

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data/specifiers-content.json (2)
\n\n`11721-12168`: _🗄️ Data Integrity & Integration_ | _🔵 Trivial_ | _⚡ Quick win_\n\n**Category \"20. ICD-11 Specifics\" fully duplicates content already present in other categories.**\n\nSeveral disorders in this category are near-identical/byte-identical repeats of entries already defined elsewhere in the file, rather than differentiated ICD-11-specific views:\n- Gaming Disorder (Lines 11726-11791) duplicates the entry under \"16. Substance & Addictive\" (Lines 9948-10013) — identical \"meaning\" text for both type and severity items.\n- Compulsive Sexual Behaviour Disorder (Lines 11793-11819) duplicates the entry under \"13. Sexual Dysfunctions\" (Lines 8988-9014).\n- Bodily Distress Disorder (Lines 11911-11971) duplicates the entry under \"9. Somatic Symptom\" (Lines 6162-6223).\n- Partial Dissociative Identity Disorder (Lines 11973-11999) duplicates \"8. Dissociative Disorders\" (Lines 5570-5596).\n- Trance Disorder (Lines 12001-12027) duplicates \"8. Dissociative Disorders\" (Lines 5598-5646).\n- Olfactory Reference Disorder (Lines 12029-12111) duplicates \"6. Obsessive-Compulsive\" (Lines 4799-4881).\n- Body-Focused Repetitive Behaviour Disorder (Lines 12113-12139) duplicates \"6. Obsessive-Compulsive\" (Lines 4883-4909).\n- Complex PTSD (Lines 11821-11847) closely duplicates \"7. Trauma & Stressor\" (Lines 5092-5140), with only minor label wording differences.\n\nUnlike \"Catatonia\" in this same category (whose ICD-11 sub-items genuinely differ from the DSM-5-TR \"Catatonia\" entry elsewhere), these are exact-content duplicates. This inflates the `disorders`/`specifierItems` stats, produces redundant catalog entries a user could stumble on twice with no distinguishing information, and creates a content-drift risk: because each copy has its own `rowKey`/`contentHash`, future edits to one copy will not automatically propagate to the other.\n\nConsider either deduplicating (drop the exact-duplicate entries from \"20. ICD-11 Specifics\" and rely on category tags/cross-links instead), or giving the ICD-11 Specifics versions genuinely differentiated content (as done for Catatonia).\n\n
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🤖 Prompt for AI Agents
\n\n```\nVerify each finding against current code. Fix only still-valid issues, skip the\nrest with a brief reason, keep changes minimal, and validate.\n\nIn `@data/specifiers-content.json` around lines 11721 - 12168, The ICD-11\nSpecifics category contains duplicate disorder entries already defined in other\ncategories, inflating catalog counts and creating content drift. In the category\nidentified by id \"icd\", remove the duplicate entries for Gaming Disorder,\nCompulsive Sexual Behaviour Disorder, Complex PTSD, Bodily Distress Disorder,\nPartial Dissociative Identity Disorder, Trance Disorder, Olfactory Reference\nDisorder, and Body-Focused Repetitive Behaviour Disorder, while retaining\nCatatonia and Gender Incongruence; do not alter the canonical entries in their\noriginal categories.\n```\n\n
\n\n\n\n---\n\n`295-300`: _📐 Maintainability & Code Quality_ | _🔵 Trivial_ | _⚡ Quick win_\n\n**Drop the nested `definition.status`.** Only `definitionStatus` is read by the schema and consumers, so the nested copy is redundant and can drift out of sync. `data/specifiers-content.json:295-308`\n\n
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🤖 Prompt for AI Agents
\n\n```\nVerify each finding against current code. Fix only still-valid issues, skip the\nrest with a brief reason, keep changes minimal, and validate.\n\nIn `@data/specifiers-content.json` around lines 295 - 300, Remove the nested\nstatus property from the definition object in the Intellectual Developmental\nDisorder entry, while preserving definition.meaning, definition.clinicalNote,\ndefinition.sourceFamily, and the existing top-level definitionStatus value\nconsumed by the schema.\n```\n\n
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🤖 Prompt for all review comments with AI agents

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🪄 Autofix (Beta)

\n\n✅ Autofix completed\n\n

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ℹ️ Review info

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⚙️ Run configuration

\n\n**Configuration used**: Path: .coderabbit.yaml\n\n**Review profile**: CHILL\n\n**Plan**: Pro Plus\n\n**Run ID**: `fcb1a9a6-d791-4e5b-93a3-8ccd20fcf042`\n\n

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📥 Commits

\n\nReviewing files that changed from the base of the PR and between 281d3e0cdf58357101d24cbcad0121ecabb51035 and 3470e94f59e040d43f0940909cb00e6a84fd11a4.\n\n

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📒 Files selected for processing (10)

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\n\n","_🎯 Functional Correctness_ | _🟠 Major_ | _⚡ Quick win_\n\n**Make catalog matches obey filters and drive the result state.**\n\nLine 215 ignores `family` and `diagnosis`, so filtered pages still show excluded catalog rows. Catalog-only queries also display “0 matches” and `EmptySearchResults` before valid cards. Apply equivalent catalog filters and derive the count/empty state from both result sets.\n\nAdd focused coverage for a catalog-only query and a diagnosis-filtered catalog query.\n\n\n\n\nAs per coding guidelines, “When behavior changes, add or update the smallest relevant targeted test and run the narrowest relevant validation before broader suites.” \n\n\nAlso applies to: 361-415\n\n

🤖 Prompt for AI Agents

\n\n```\nVerify each finding against current code. Fix only still-valid issues, skip the\nrest with a brief reason, keep changes minimal, and validate.\n\nIn `@src/components/specifiers/specifiers-home-page.tsx` around lines 213 - 218,\nUpdate catalogMatches to apply the active family and diagnosis filters\nconsistently with curated results, then use the combined curated and catalog\ncollections when deriving result counts and EmptySearchResults visibility.\nEnsure catalog-only queries render valid cards instead of the zero-match state.\nAdd focused tests covering catalog-only results and diagnosis-filtered catalog\nresults, and run the narrowest relevant validation.\n```\n\n

\n\n\n\n\n\n\n\n_Source: Coding guidelines_\n\n\n\n✅ Addressed in commit 1c8bfd4","src/components/specifiers/specifiers-home-page.tsx","_🎯 Functional Correctness_ | _🟠 Major_ | _⚡ Quick win_\n\n**Route “Deep guide” to the curated detail page.**\n\nThis currently opens the comparison workflow rather than the rich curated guide promised by the label.\n\n

Proposed fix

\n\n```diff\n- href={`/specifiers/compare?a=${enrichment.slug}`}\n+ href={`/specifiers/${enrichment.slug}`}\n```\n

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📝 Committable suggestion

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🤖 Prompt for AI Agents

\n\n```\nVerify each finding against current code. Fix only still-valid issues, skip the\nrest with a brief reason, keep changes minimal, and validate.\n\nIn `@src/components/specifiers/specifier-reference-page.tsx` around lines 153 -\n159, Update the “Deep guide” Link in SpecifierReferencePage to navigate to the\ncurated detail-page route instead of the `/specifiers/compare` comparison\nworkflow, preserving its existing label and styling.\n```\n\n

\n\n\n\n\n\n\n\n\n\n✅ Addressed in commit 1c8bfd4","src/components/specifiers/specifier-reference-page.tsx",159,"_🗄️ Data Integrity & Integration_ | _🟠 Major_ | _🏗️ Heavy lift_\n\n

🧩 Analysis chain

🤖 Prompt for AI Agents

\n\n```\nVerify each finding against current code. Fix only still-valid issues, skip the\nrest with a brief reason, keep changes minimal, and validate.\n\nIn `@data/specifiers-search-index.json` around lines 618 - 626, Update the\nupstream catalog generator responsible for specifier definitions so entries such\nas “Current severity” for Brief Psychotic Disorder no longer reuse tic-severity\nor other cross-domain templates. Use validated disorder-specific definitions\nwhere available; otherwise mark the entry undefined/manual-review instead of\ndefined. Regenerate both specifiers-content.json and\nspecifiers-search-index.json from the corrected generator.\n```\n\n

\n\n\n\n\n\n\n\n_Source: Coding guidelines_\n\n\n\n✅ Addressed in commits fbf299b to 60c7603","_🎯 Functional Correctness_ | _🟠 Major_ | _⚡ Quick win_\n\n

🧩 Analysis chain

🤖 Prompt for AI Agents

\n\n```\nVerify each finding against current code. Fix only still-valid issues, skip the\nrest with a brief reason, keep changes minimal, and validate.\n\nIn `@data/specifiers-content.json` around lines 1101 - 1127, Remove the Selective\nMutism entry identified by name and its associated icd11Context and groups data\nfrom the Neurodevelopmental section, while preserving the existing Anxiety\nDisorders entry and valid surrounding JSON structure.\n```\n\n

\n\n\n\n\n\n\n\n\n\n✅ Addressed in commits fbf299b to 60c7603","**_{_{![P2 Badge](https://img.shields.io/badge/P2-yellow?style=flat)}} Apply filters to catalog matches**\n\nThe new catalog section is computed from `searchSpecifierCatalog(query)` without considering the selected `family` or `diagnosis` filters, even though those controls sit above both result sections. For example, after choosing the Depressive filter, the catalog can still list bipolar or other-diagnosis matches for the same query, which makes the filtered clinical search results inconsistent; either apply equivalent filtering to catalog rows or clearly separate them from the filtered results.\n\nUseful? React with 👍 / 👎.",228,"**_{_{![P1 Badge](https://img.shields.io/badge/P1-orange?style=flat)}} Correct anxious-distress definitions**\n\nFor catalog rows labeled `With anxious distress`, the generated definition describes generic `severe` mood-episode burden instead of anxiety/distress features. This is rendered both in search and on the DSM reference detail page for Bipolar I/II and MDD anxious-distress entries, so users looking up anxious distress see clinically wrong guidance; correct these definitions or mark them as needing manual verification, and regenerate the compact search index as well.\n\nUseful? React with 👍 / 👎.","**_{_{![P1 Badge](https://img.shields.io/badge/P1-orange?style=flat)}} Guard curated matches by diagnosis context**\n\nWhen a catalog row has a generic label/short name such as `Mild`, this label-only lookup maps it to the curated mood-disorder `mild-severity` record even for unrelated diagnoses like Intellectual Developmental Disorder. Opening that catalog detail page then renders mood-specific fit/exclusion guidance and builder links for a non-mood severity specifier, which is misleading clinical content; only enrich when the catalog disorder/applicability also matches, or avoid short-name matches for generic labels.\n\nUseful? React with 👍 / 👎.","src/lib/specifiers-content.ts","\n### 💡 Codex Review\n\nHere are some automated review suggestions for this pull request.\n\n**Reviewed commit:** `3470e94f59`\n \n\n

ℹ️ About Codex in GitHub

","\n\n\n\n\n\n@codex resolve actionable Codex review findings for this pull request and current head using the repository instructions. This is the pull request's single automatic repair pass: do not perform a fresh review, create new standalone findings, or request another review. Work only the existing unresolved Codex threads on the current head. Always fix P0 and P1 findings. For P2 and lower findings, fix only clear, scoped, low-risk issues; otherwise disposition them with a concise reason. After fixing or dispositioning a thread, reply in that thread with as the first line, followed by a concise summary; that marker authorizes the workflow to close that exact thread. If human input or new authorization is required, do not use the marker and leave the thread open with the blocker. Finish only after every actionable thread is fixed or dispositioned and closed, or explicitly left open for a human decision. Do not update the branch from main, address unrelated reviews, broaden scope, or create more than one scoped fix commit. Do not use external APIs, paid services, credentials, dependency changes, or broad refactors unless explicitly authorized. Add targeted tests where behavior changes and run the narrowest relevant validation.","**_{_{![P2 Badge](https://img.shields.io/badge/P2-yellow?style=flat)}} Link the Deep guide CTA to the guide**\n\nFor catalog items with a curated enrichment, the CTA labeled `Deep guide` currently opens `/specifiers/compare` with a single specifier instead of the rich curated detail page; clicking it from an enriched reference page such as anxious distress lands users in the comparison workflow rather than the promised guide. This should point at `/specifiers/${enrichment.slug}` if the intent is to open the deep guide.\n\nUseful? React with 👍 / 👎.",155,"**_{_{![P2 Badge](https://img.shields.io/badge/P2-yellow?style=flat)}} Apply filters to catalog matches**\n\nWhen the user changes the family or diagnosis filters, only the curated `results` are filtered; the new full-catalog section still calls `searchSpecifierCatalog(query)` without equivalent filters, so selecting a diagnosis such as Bipolar can still show non-bipolar catalog matches under the same filtered results page. Either pass the matching catalog/category constraints here or clearly keep the full-catalog section outside the filtered result set.\n\nUseful? React with 👍 / 👎.",229,"**_{_{![P1 Badge](https://img.shields.io/badge/P1-orange?style=flat)}} Correct anxious-distress definitions**\n\nFor the mood-disorder row labeled `With anxious distress (mild, moderate, moderate-severe, severe)`, the generated meaning describes the `severe` severity level instead of anxious distress itself; the same pattern appears for Bipolar II and MDD, so a user searching or opening anxious distress gets clinical guidance about episode severity rather than the specifier. The dataset already contains the correct anxious-distress anchor elsewhere, so these rows should use that meaning and reserve the severity text for the actual `Severe` rows.\n\nUseful? React with 👍 / 👎.","\n\n\n[![Review Change Stack](https://storage.googleapis.com/coderabbit_public_assets/review-stack-in-coderabbit-ui.svg)](https://app.coderabbit.ai/change-stack/BigSimmo/Database/pull/656?utm_source=github_walkthrough&utm_medium=github&utm_campaign=change_stack)\n\n\n\n\n> [!NOTE]\n> Currently processing new changes in this PR. This may take a few minutes, please wait...\n> \n>

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⚙️ Run configuration

\n> \n> **Configuration used**: Path: .coderabbit.yaml\n> \n> **Review profile**: CHILL\n> \n> **Plan**: Pro Plus\n> \n> **Run ID**: `0a1b2684-41d1-4221-8db4-3752c54534dc`\n> \n>

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📥 Commits

\n> \n> Reviewing files that changed from the base of the PR and between 1c8bfd4ca3c3abfa23cfc8f915a4d36fcf3da4f3 and 60c7603fcfde0bf10ba3cb41688e035933defa43.\n> \n>

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📒 Files selected for processing (3)

\n> \n> * `data/specifiers-content.json`\n> * `data/specifiers-search-index.json`\n> * `tests/specifiers-content.test.ts`\n> \n>

📝 Walkthrough

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🚥 Pre-merge checks | ✅ 5

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✅ Passed checks (5 passed)

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✨ Finishing Touches

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📝 Generate docstrings

\n\n- [ ] Create stacked PR\n- [ ] Commit on current branch\n\n

🧪 Generate unit tests (beta)

\n\n- [ ] Create PR with unit tests\n- [ ] Commit unit tests in branch `claude/specifiers-v2-design-r55baf`\n\n

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\n\n\n\n\n---\n\n\n\n\n_{Comment `@coderabbitai help` to get the list of available commands.}\n\n","[supa]:sjrfecxgysukkwxsowpy\nThis pull request has been ignored for the connected project `sjrfecxgysukkwxsowpy` because there are no changes detected in `supabase` directory. You can change this behaviour in [Project Integrations Settings ↗︎](https://supabase.com/dashboard/project/sjrfecxgysukkwxsowpy/settings/integrations).\n\n

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