US Core Implementation Guide
10.0.0-ballot - STU 10 Ballot United States of America flag

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 10.0.0-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

: QuestionnaireResponse PHQ-9 Example - XML Representation

Page standards status: Informative

Raw xml | Download


<QuestionnaireResponse xmlns="http://hl7.org/fhir">
  <id value="phq-9-example"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|10.0.0-ballot"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: QuestionnaireResponse phq-9-example</b></p><a name="phq-9-example"> </a><a name="hcphq-9-example"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-us-core-questionnaireresponse.html">US Core QuestionnaireResponse Profile</a> version: 10.0.0-ballot</p></div><table border="1" cellpadding="0" cellspacing="0" class="xhtTableBorder1"><tr class="xhtRowBorder2"><th scope="col" style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th scope="col" style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th scope="col" style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the item can appear in the instance">Definition</a></th><th scope="col" style="" class="hierarchy xhtCellBorder1"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Answer</a><span style="float: right"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck1.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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="QuestionnaireResponseRoot" class="hierarchy"/> phq-9-example</td><td style="" class="hierarchy xhtCellBorder1"></td><td style="" class="hierarchy xhtCellBorder1"></td><td style="" class="hierarchy xhtCellBorder1">Questionnaire:<a href="Questionnaire-phq-9-example.html">PHQ-9 Example</a></td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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-string.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">phq-9-example / </span>/44250-9</td><td style="" class="hierarchy xhtCellBorder1">Little interest or pleasure in doing things?</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="https://loinc.org/LA6570-1">LOINC: LA6570-1</a> (More than half the days)</span></span></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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-string.png" alt="" style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">phq-9-example / </span>/44255-8</td><td style="" class="hierarchy xhtCellBorder1">Feeling down, depressed, or hopeless?</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="https://loinc.org/LA6570-1">LOINC: LA6570-1</a> (More than half the days)</span></span></td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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-string.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">phq-9-example / </span>/44259-0</td><td style="" class="hierarchy xhtCellBorder1">Trouble falling or staying asleep, or sleeping too much in last 2 weeks [Reported.PHQ]</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="https://loinc.org/LA6570-1">LOINC: LA6570-1</a> (More than half the days)</span></span></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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-string.png" alt="" style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">phq-9-example / </span>/44254-1</td><td style="" class="hierarchy xhtCellBorder1">Feeling tired or having little energy in last 2 weeks [Reported.PHQ]</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="https://loinc.org/LA6570-1">LOINC: LA6570-1</a> (More than half the days)</span></span></td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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-string.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">phq-9-example / </span>/44251-7</td><td style="" class="hierarchy xhtCellBorder1">Poor appetite or overeating in last 2 weeks [Reported.PHQ]</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="https://loinc.org/LA6569-3">LOINC: LA6569-3</a> (Several days)</span></span></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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-string.png" alt="" style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">phq-9-example / </span>/44258-2</td><td style="" class="hierarchy xhtCellBorder1">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="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="https://loinc.org/LA6569-3">LOINC: LA6569-3</a> (Several days)</span></span></td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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-string.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">phq-9-example / </span>/44252-5</td><td style="" class="hierarchy xhtCellBorder1">Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks [Reported.PHQ]</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="https://loinc.org/LA6570-1">LOINC: LA6570-1</a> (More than half the days)</span></span></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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-string.png" alt="" style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">phq-9-example / </span>/44253-3</td><td style="" class="hierarchy xhtCellBorder1">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="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="https://loinc.org/LA6568-5">LOINC: LA6568-5</a> (Not at all)</span></span></td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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-string.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">phq-9-example / </span>/44260-8</td><td style="" class="hierarchy xhtCellBorder1">Thoughts that you would be better off dead, or of hurting yourself in some way in last 2 weeks [Reported.PHQ]</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="https://loinc.org/LA6568-5">LOINC: LA6568-5</a> (Not at all)</span></span></td></tr>
<tr class="xhtRowBorder1 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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-string.png" alt="" style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">phq-9-example / </span>/44261-6</td><td style="" class="hierarchy xhtCellBorder1">Patient health questionnaire 9 item total score</td><td style="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1">12</td></tr>
<tr class="xhtRowBorder1 xhtRowOdd"><td style="background-image: url(tbl_bck00.png)" class="hierarchy xhtCellBorder1 xhtCellNoWrap"><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-string.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">phq-9-example / </span>/69722-7</td><td style="" class="hierarchy xhtCellBorder1">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="" class="hierarchy xhtCellBorder1"/><td style="" class="hierarchy xhtCellBorder1"><span><span><a href="https://loinc.org/LA6573-5">LOINC: LA6573-5</a> (Somewhat difficult)</span></span></td></tr>
<tr><td colspan="4" class="hierarchy"><br/><a href="https://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></div>
  </text>
  <questionnaire
                 value="http://hl7.org/fhir/us/core/Questionnaire/phq-9-example"/>
  <status value="completed"/>
  <subject>🔗 
    <reference value="Patient/example"/>
  </subject>
  <authored value="2022-11-29T20:50:32.718Z"/>
  <author>🔗 
    <reference value="Practitioner/practitioner-1"/>
  </author>
  <item>
    <linkId value="/44250-9"/>
    <text value="Little interest or pleasure in doing things?"/>
    <answer>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6570-1"/>
        <display value="More than half the days"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="/44255-8"/>
    <text value="Feeling down, depressed, or hopeless?"/>
    <answer>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6570-1"/>
        <display value="More than half the days"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="/44259-0"/>
    <text
          value="Trouble falling or staying asleep, or sleeping too much in last 2 weeks [Reported.PHQ]"/>
    <answer>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6570-1"/>
        <display value="More than half the days"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="/44254-1"/>
    <text
          value="Feeling tired or having little energy in last 2 weeks [Reported.PHQ]"/>
    <answer>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6570-1"/>
        <display value="More than half the days"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="/44251-7"/>
    <text value="Poor appetite or overeating in last 2 weeks [Reported.PHQ]"/>
    <answer>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6569-3"/>
        <display value="Several days"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="/44258-2"/>
    <text
          value="Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2 weeks [Reported.PHQ]"/>
    <answer>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6569-3"/>
        <display value="Several days"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="/44252-5"/>
    <text
          value="Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks [Reported.PHQ]"/>
    <answer>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6570-1"/>
        <display value="More than half the days"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="/44253-3"/>
    <text
          value="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]"/>
    <answer>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6568-5"/>
        <display value="Not at all"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="/44260-8"/>
    <text
          value="Thoughts that you would be better off dead, or of hurting yourself in some way in last 2 weeks [Reported.PHQ]"/>
    <answer>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6568-5"/>
        <display value="Not at all"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="/44261-6"/>
    <text value="Patient health questionnaire 9 item total score"/>
    <answer>
      <valueDecimal value="12"/>
    </answer>
  </item>
  <item>
    <linkId value="/69722-7"/>
    <text
          value="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]"/>
    <answer>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6573-5"/>
        <display value="Somewhat difficult"/>
      </valueCoding>
    </answer>
  </item>
</QuestionnaireResponse>