US Core Implementation Guide, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 8.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/US-Core/ and changes regularly. See the Directory of published versions

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: Questionnaire PHQ-9 Example - JSON Representation

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{
  "resourceType" : "Questionnaire",
  "id" : "phq-9-example",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire phq-9-example</b></p><a name=\"phq-9-example\"> </a><a name=\"hcphq-9-example\"> </a><a name=\"phq-9-example-en-US\"> </a><b>Structure</b><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Cardinality</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireRoot\" class=\"hierarchy\"/> PHQ9Example</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">http://hl7.org/fhir/us/core/Questionnaire/phq-9-example#8.0.0-ballot</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item./44250-9\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> /44250-9</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Little interest or pleasure in doing things?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item./44250-9\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item./44255-8\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> /44255-8</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Feeling down, depressed, or hopeless?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item./44255-8\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item./44259-0\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> /44259-0</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Trouble falling or staying asleep, or sleeping too much in last 2 weeks [Reported.PHQ]</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item./44259-0\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item./44254-1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> /44254-1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Feeling tired or having little energy in last 2 weeks [Reported.PHQ]</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item./44254-1\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item./44251-7\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> /44251-7</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Poor appetite or overeating in last 2 weeks [Reported.PHQ]</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item./44251-7\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item./44258-2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> /44258-2</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2 weeks [Reported.PHQ]</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item./44258-2\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item./44252-5\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> /44252-5</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks [Reported.PHQ]</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item./44252-5\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item./44253-3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> /44253-3</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual in last 2 weeks [Reported.PHQ]</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item./44253-3\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item./44260-8\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> /44260-8</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Thoughts that you would be better off dead, or of hurting yourself in some way in last 2 weeks [Reported.PHQ]</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item./44260-8\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item./44261-6\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> /44261-6</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Patient health questionnaire 9 item total score</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" id=\"item./69722-7\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> /69722-7</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">How difficult have these made it for you to do your work, take care of things at home, or get along with other people [Reported.PHQ]</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item./69722-7\">4 options</a></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name=\"opt-item./44250-9\"> </a><p><b>Answer options for /44250-9 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name=\"opt-item./44255-8\"> </a><p><b>Answer options for /44255-8 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name=\"opt-item./44259-0\"> </a><p><b>Answer options for /44259-0 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name=\"opt-item./44254-1\"> </a><p><b>Answer options for /44254-1 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name=\"opt-item./44251-7\"> </a><p><b>Answer options for /44251-7 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name=\"opt-item./44258-2\"> </a><p><b>Answer options for /44258-2 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name=\"opt-item./44252-5\"> </a><p><b>Answer options for /44252-5 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name=\"opt-item./44253-3\"> </a><p><b>Answer options for /44253-3 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name=\"opt-item./44260-8\"> </a><p><b>Answer options for /44260-8 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name=\"opt-item./69722-7\"> </a><p><b>Answer options for /69722-7 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6572-7 (&quot;Not difficult at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6573-5 (&quot;Somewhat difficult&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6575-0 (&quot;Very difficult&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6574-3 (&quot;Extremely difficult&quot;)</li></ul></div>"
  },
  "url" : "http://hl7.org/fhir/us/core/Questionnaire/phq-9-example",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.4.642.40.2.35.5"
    }
  ],
  "version" : "8.0.0-ballot",
  "name" : "PHQ9Example",
  "title" : "PHQ-9 Example",
  "status" : "active",
  "experimental" : true,
  "subjectType" : [
    "Patient"
  ],
  "date" : "2023-03-31",
  "publisher" : "HL7 International / Cross-Group Projects",
  "contact" : [
    {
      "name" : "HL7 International / Cross-Group Projects",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/cgp"
        },
        {
          "system" : "email",
          "value" : "cgp@lists.HL7.org"
        }
      ]
    }
  ],
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "copyright" : "Used by permission of HL7 International, all rights reserved Creative Commons License",
  "code" : [
    {
      "system" : "http://loinc.org",
      "code" : "44249-1",
      "display" : "PHQ-9 quick depression assessment panel [Reported.PHQ]"
    }
  ],
  "item" : [
    {
      "linkId" : "/44250-9",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44250-9",
          "display" : "Little interest or pleasure in doing things in last 2 weeks"
        }
      ],
      "text" : "Little interest or pleasure in doing things?",
      "type" : "choice",
      "required" : true,
      "answerOption" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "0"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 0
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6568-5",
            "display" : "Not at all"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "1"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 1
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6569-3",
            "display" : "Several days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "2"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 2
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6570-1",
            "display" : "More than half the days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "3"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 3
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }
      ]
    },
    {
      "linkId" : "/44255-8",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44255-8",
          "display" : "Feeling down, depressed, or hopeless in last 2 weeks"
        }
      ],
      "text" : "Feeling down, depressed, or hopeless?",
      "type" : "choice",
      "required" : true,
      "answerOption" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "0"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 0
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6568-5",
            "display" : "Not at all"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "1"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 1
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6569-3",
            "display" : "Several days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "2"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 2
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6570-1",
            "display" : "More than half the days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "3"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 3
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }
      ]
    },
    {
      "linkId" : "/44259-0",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44259-0",
          "display" : "Trouble falling or staying asleep, or sleeping too much in last 2 weeks [Reported.PHQ]"
        }
      ],
      "text" : "Trouble falling or staying asleep, or sleeping too much in last 2 weeks [Reported.PHQ]",
      "type" : "choice",
      "required" : true,
      "answerOption" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "0"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 0
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6568-5",
            "display" : "Not at all"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "1"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 1
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6569-3",
            "display" : "Several days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "2"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 2
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6570-1",
            "display" : "More than half the days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "3"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 3
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }
      ]
    },
    {
      "linkId" : "/44254-1",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44254-1",
          "display" : "Feeling tired or having little energy in last 2 weeks [Reported.PHQ]"
        }
      ],
      "text" : "Feeling tired or having little energy in last 2 weeks [Reported.PHQ]",
      "type" : "choice",
      "required" : true,
      "answerOption" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "0"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 0
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6568-5",
            "display" : "Not at all"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "1"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 1
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6569-3",
            "display" : "Several days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "2"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 2
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6570-1",
            "display" : "More than half the days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "3"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 3
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }
      ]
    },
    {
      "linkId" : "/44251-7",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44251-7",
          "display" : "Poor appetite or overeating in last 2 weeks [Reported.PHQ]"
        }
      ],
      "text" : "Poor appetite or overeating in last 2 weeks [Reported.PHQ]",
      "type" : "choice",
      "required" : true,
      "answerOption" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "0"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 0
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6568-5",
            "display" : "Not at all"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "1"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 1
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6569-3",
            "display" : "Several days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "2"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 2
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6570-1",
            "display" : "More than half the days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "3"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 3
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }
      ]
    },
    {
      "linkId" : "/44258-2",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44258-2",
          "display" : "Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2 weeks [Reported.PHQ]"
        }
      ],
      "text" : "Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2 weeks [Reported.PHQ]",
      "type" : "choice",
      "required" : true,
      "answerOption" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "0"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 0
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6568-5",
            "display" : "Not at all"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "1"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 1
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6569-3",
            "display" : "Several days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "2"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 2
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6570-1",
            "display" : "More than half the days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "3"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 3
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }
      ]
    },
    {
      "linkId" : "/44252-5",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44252-5",
          "display" : "Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks [Reported.PHQ]"
        }
      ],
      "text" : "Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks [Reported.PHQ]",
      "type" : "choice",
      "required" : true,
      "answerOption" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "0"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 0
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6568-5",
            "display" : "Not at all"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "1"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 1
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6569-3",
            "display" : "Several days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "2"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 2
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6570-1",
            "display" : "More than half the days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "3"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 3
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }
      ]
    },
    {
      "linkId" : "/44253-3",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44253-3",
          "display" : "Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual in last 2 weeks [Reported.PHQ]"
        }
      ],
      "text" : "Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual in last 2 weeks [Reported.PHQ]",
      "type" : "choice",
      "required" : true,
      "answerOption" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "0"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 0
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6568-5",
            "display" : "Not at all"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "1"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 1
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6569-3",
            "display" : "Several days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "2"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 2
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6570-1",
            "display" : "More than half the days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "3"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 3
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }
      ]
    },
    {
      "linkId" : "/44260-8",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44260-8",
          "display" : "Thoughts that you would be better off dead, or of hurting yourself in some way in last 2 weeks [Reported.PHQ]"
        }
      ],
      "text" : "Thoughts that you would be better off dead, or of hurting yourself in some way in last 2 weeks [Reported.PHQ]",
      "type" : "choice",
      "required" : false,
      "answerOption" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "0"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 0
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6568-5",
            "display" : "Not at all"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "1"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 1
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6569-3",
            "display" : "Several days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "2"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 2
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6570-1",
            "display" : "More than half the days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString" : "3"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 3
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }
      ]
    },
    {
      "linkId" : "/44261-6",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44261-6",
          "display" : "Patient Health Questionnaire 9 item (PHQ-9) total score [Reported]"
        }
      ],
      "text" : "Patient health questionnaire 9 item total score",
      "type" : "decimal",
      "required" : false
    },
    {
      "linkId" : "/69722-7",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "69722-7",
          "display" : "How difficult have these made it for you to do your work, take care of things at home, or get along with other people [Reported.PHQ]"
        }
      ],
      "text" : "How difficult have these made it for you to do your work, take care of things at home, or get along with other people [Reported.PHQ]",
      "type" : "choice",
      "required" : false,
      "answerOption" : [
        {
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6572-7",
            "display" : "Not difficult at all"
          }
        },
        {
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6573-5",
            "display" : "Somewhat difficult"
          }
        },
        {
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6575-0",
            "display" : "Very difficult"
          }
        },
        {
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6574-3",
            "display" : "Extremely difficult"
          }
        }
      ]
    }
  ]
}