The Klenico system
The Klenico system supports professionals in their challenging work of assessing the complaints of their patients to ensure they are given the best possible treatment. This requires an insight into the areas that patients rarely report on themselves and that are therefore easy to lose sight of.
Full range of disorders
The Klenico system covers the full range of mental disorders. 410 symptoms serve as a basis, which are derived directly from the diagnostic criteria of ICD-10 and DSM-5 and are covered by 633 items (I-statements, diagnostic questions, observations or interpretations).
The Klenico system integrates the patient’s perspective with that of the healthcare professional: With the self-report, the patient selects I-statements that correspond to his perception and experience (= internal perspective). If required, the healthcare professional can validate the patient’s statements and supplement them with his observations (= external perspective).
The self-report can be carried out at home by the patient without the presence of a specialist. Adaptive control of the questionnaire results in only those disturbance areas being treated in detail that are perceived as a burden by the respective patient.
In order to determine the markedness of the individual symptoms, the Klenico system employs a custom-developed procedure. The patient places the selected items on a vertical axis in accordance with the order of distress he feels. As a result, the items are placed in relation to each other, which corresponds to his own intuitive perception.
In combination with the diagnostic interview, the symptom maps resulting from the self-report visualise the mental illness, making it accessible to the patient. The specialist can then infer a detailed diagnosis from this. Additionally, the symptom maps facilitate documentation and communication with other specialists.
You can access the Klenico system directly via your web browser. All data transmissions are encrypted. No local installation is needed and the IT infrastructure is fully maintained by Klenico.
Why a new approach to diagnostics?
Clear focus without categorical constriction
The current and planned directories of mental disorders, the DSM-5 and the ICD-10/11, seek a compromise between a categorical understanding of a disease and its individual symptom pattern. The Klenico symptom maps combines the two perspectives: They allow a clear diagnosis without losing sight of the individual symptom constellation.
Single relevant symptoms remain visible
The Klenico system ensures that serious comorbidities as well as individual symptoms with high stress levels for the patient do not escape the specialist’s attention. The individual symptoms of a patient are thus considerably better apprehended than if they had to be forced into categorical disorder categories.
18 internationally renowned experts from the German-speaking field of psychiatry have contributed to carefully determining the individual symptoms from the two diagnostic directories DSM-5 and ICD-10 for their respective specialties. Some of these experts are actively involved in the development of the new ICD-11, thus incorporating the latest concepts into the structure of the symptom map. The final 612 items and the structure of the symptom map were submitted to expert review and adjusted accordingly.
Klenico is currently establishing a multicentre study in several German-speaking clinics to empirically validate the items as well as the symptom structure of the map. In addition to the Klenico items, patients complete additional internationally established questionnaires. By systematically comparing these answers, we want to demonstrate that the Klenico items capture the correct disorder patterns. A second objective of the evaluation is the sensitivity of the screening items underlying the adaptive self-report.
Maximum security through data splitting
Health data is especially worth protecting. Klenico takes special care to ensure that the transmission and storage of the collected data meets the highest security standards. This is technically achieved by splitting the data records (health data and personal data) and storing them in encrypted form in two separate databases. By splitting the data sets, only the expert in charge of the case has the key to drawing conclusions about the mental disorder of a particular person.
Data transmission is carried out exclusively using SSL encryption, which makes the data unreadable in the event of interception. The data is stored at a specialized server hosting company in Switzerland, which is equipped with highly efficient security systems regarding data theft and external hazards. Due to the security architecture, it is likewise not possible for this company to access the encrypted personal data.