Mental Health
ICD-10: F33
Major Depressive Disorder: Track It in Your Records
A mood disorder causing persistent feelings of sadness, hopelessness, and loss of interest in activities. It affects sleep, appetite, energy, concentration, and daily functioning. It's distinct from normal sadness — MDD persists for weeks or months.
Prevalence: 21 million Americans (8.3%)
Key Metrics to Track
These are the numbers that matter most for managing Major Depressive Disorder. Tabula Medica pulls these from all your connected providers and shows trends over time.
| Metric | Target | How Often |
|---|---|---|
| PHQ-9 Score | Below 5 (minimal) | Every visit during treatment |
| GAD-7 (if comorbid anxiety) | Below 5 | Every visit |
| Thyroid Panel (TSH) | 0.4–4.0 mIU/L | At diagnosis to rule out thyroid cause |
| Vitamin D | 30–100 ng/mL | At diagnosis |
Record Types You'll Need
ConditionsMedicationsEncountersClinical Notes
Management Tips from Your Records
- PHQ-9 trend is the most important metric — look for scores decreasing over time with treatment
- Track medication changes (antidepressants often take 4–6 weeks to work; premature switches are common)
- Thyroid issues mimic depression — ensure TSH was checked at diagnosis
- Document therapy visits alongside medication for a complete picture of treatment
Warning Signs to Watch For
Tabula Medica's AI can flag these patterns across your unified records:
⚠ PHQ-9 score above 15 (moderate-severe) without treatment escalation
⚠ Multiple antidepressant switches in under 4 weeks each
⚠ No thyroid panel at initial diagnosis
⚠ Gap in care visits longer than 3 months
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