Table 1

Symptom instance definitions

SMI conceptKeyword stringsModifier stringsLax or strict modifiersSNOMED-CT (SCTID)†
Aggressionaggress*61372001
Agitationagitat*106126000
Anhedoniaanhedon*28669007
Apathyapath*20602000
Arousalarous*(none)
Blunted or flat affectAffectblunt*, flat*, restrict*Optional6140007/932006/39370001
Catalepsycatalep*247917007
Catatonic syndromecatatoni*247917007
Circumstantial speechcircumstan*18343006
Deficient abstract thinkingConcrete71573006
Delusionsdelusion*2073000
Derailment of speechderail*65135009
Diminished eye contacteye contact412786000
Disturbed sleepSleepnot, poor*, interrupt*, nightmare*, disturb*, inadequat*, disorder*, prevent*, stop*, problem*, difficult*, reduced*, less*, impair*, erratic*, unable*, worse*, depriv*Optional26677001
EcholaliaEcholalia64712007
EchopraxiaEchopraxia33184005
Elationelat*34822003
Elevated moodMoodelevat*Mandatory81548002
Emotional withdrawalwithdraw*247755007
Euphoriaeuphor*85949006
Flight of ideasflight of idea28810003
Formal thought disorderFtd
thought disorder
41591006
Grandiositygrandios*247783009
Hallucinationshallucinate*audit*, visual*, olfact*, tactil*, third person, first person, 3rd person, 1st person,Optional45150006/64269007/39672001/66609003/277533007/
Hostilityhostil*79351003
Immobilityimmobil*404975000
Insomniainsom*193462001
Irritabilityirritabl*55929007
Loosening of associationsassociat*55346003
Loss of coherencecoheren*284596004
Low moodMood366979004
MannerismsMannerism*248026005
MutismMute
Mutism
88052002
Negative syndromenegative symptom*(none)
Paranoiaparanoi*191667009
Persecutory ideationpersecu*216004
Perseverancepersever*44515000
Poor motivationmotivat*26413003
Poor rapportRapport710497003
Posturingpostur*271694000
Poverty of speechspeech*poverty*, impoverish*Mandatory72123004
Poverty of thoughtpoverty of thought56435009
Pressured speechspeech*pressure*Mandatory53890003
Rigidityrigid*311535006
Social withdrawalwithdraw*social*Mandatory105411000
Stereotypystereotyp*84328007
Stuporstupor*89458003
Tangential speechtangent*74396008
Thought blockthough* block2899008
Waxy flexibilityWaxy13052006
  • †Best matches in SNOMED-CT, UK-edition v20160401.

  • SMI, severe mental illness; SNOMED, Systematized Nomenclature of Medicine; SNOMED-CT (SCTID), Systematized Nomenclature of Medicine—Clinical Terms Identifier.