Reference

Guide | Reference

93  Course and Time Pattern

Purpose. Capture time-course patterns that change risk, interpretation, and monitoring. Make trajectory explicit rather than implied.

93.1 Core Elements

• Onset: sudden / gradual.
• Duration: brief / persistent / recurrent.
• Pattern: acute, episodic, chronic, fluctuating.
• Remission: partial / full / none.
• Triggers: identifiable / none.

93.2 Common Course Specifiers

• Acute onset
• Episodic / recurrent
• Chronic / persistent
• Seasonal pattern
• Perinatal or postpartum onset
• Late onset
• Rapid cycling / high variability
• Trigger-linked vs autonomous

Documentation Output. Course specifier phrase. Onset and duration in plain language. Trajectory (improving / stable / worsening / fluctuating).