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# Multiaxial Diagnostic Expert System
Last-checked: 2026-06-12
Canonical repository: https://github.com/um-bruch/multiaxial-diagnostic-system
Legacy redirect: https://github.com/research-line/multiaxial-diagnostic-system should resolve to the canonical Um:bruch repository.
Primary DOI: https://doi.org/10.5281/zenodo.18736725
License: MIT for software code; CC-BY 4.0 for papers; diagnostic instruments keep their original licenses.
## Purpose
This repository contains a research-use-only software prototype for structured psychiatric documentation and coding across a 6-axis model. It combines DSM-5-TR, ICD-11, ICF, WHODAS 2.0, PID-5-BF, HiTOP-oriented spectra, evidence matrices, CAVE pattern notifications, and longitudinal symptom tracking.
The repository also contains a standalone Flask-based Diagnostic Testcenter with bilingual test definitions, scoring logic, token-based assessment sessions, print-friendly output, and a JSON API.
## Safety Boundary
This project is not a medical device, not clinically validated, not certified by BfArM or any Notified Body, and not intended to diagnose, treat, prevent, monitor, predict, or alleviate disease. Outputs are structured coding proposals, screening results, and documentation aids, not clinical diagnoses or therapy recommendations. Diagnosis and treatment decisions remain reserved for qualified professionals.
## Important Files
- `README.md`: human-facing overview, quick start, model summary, and legal boundary.
- `NOTICE`: legal and license boundary, including not-a-medical-device language.
- `CITATION.cff`: citation metadata for GitHub, Zenodo, and reference managers.
- `paper/Review_Multiaxiale_Diagnostik_v4_en.pdf`: English preprint.
- `paper/Review_Multiaxiale_Diagnostik_v4_ger.pdf`: German preprint.
- `paper/Review_Multiaxiale_Diagnostik_v4_kombi.pdf`: combined bilingual preprint.
- `_data/multiaxial_diagnostic_system.py`: main Streamlit prototype.
- `_data/testcenter/app.py`: standalone Flask Testcenter.
- `_data/testcenter/tests/`: JSON definitions for 26 screening instruments.
- `_data/testcenter/NOTICE.md`: instrument licensing notes.
- `tests/test_disclaimer_core.py`: tests for the first-start disclaimer and acknowledgement logic.
## Search Phrases
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- DSM-5-TR ICD-11 ICF integration
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- Streamlit psychiatric documentation prototype
- Flask diagnostic screening Testcenter
- not a medical device psychiatric research software
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