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Diagnosis information
Key features, specifiers, differential considerations, and documentation support in one open, scan-friendly view. Full DSM-5-TR criteria are not included in this record.
The full DSM-5-TR criteria are not included in this record. Everything the record does hold is shown below. Check DSM-5-TR before recording the diagnosis.
Key feature A
Deficits in intellectual functions (reasoning, problem-solving, planning, abstract thinking, judgement, academic learning, experiential learning) confirmed by clinical assessment and standardised testing
Key feature B
Deficits in adaptive functioning in ≥1 of: conceptual, social, or practical domains — resulting in failure to meet developmental/sociocultural standards for personal independence/social responsibility
Key feature C
Onset of intellectual and adaptive deficits during the developmental period
Record each key feature against your assessment. The note is built from what you mark, and anything you leave alone is written out as not assessed. This record does not include the full DSM-5-TR criteria, so the note states that it was built from a key feature summary.
Tick only those you actively considered and ruled out.
Mark at least one key feature to build the note.
Plain characters only, so the text pastes cleanly into a record. This is a documentation aid and not a substitute for diagnostic reasoning or local documentation requirements.
Clinical reference aid only. Confirm the full assessment, exclusions, cultural context, and current diagnostic standard.
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