US Core Implementation Guide
8.0.1 - STU 8 US

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 8.0.1 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

## : Questionnaire PHQ-9 Example - XML Representation

Page standards status: Informative

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    <Questionnaire xmlns="http://hl7.org/fhir">
      <id value="phq-9-example"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire"/>
      </meta>
      <text>
        <status value="extensions"/>
        <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><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="http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaire.html">SDCBaseQuestionnaire</a></p></div><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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Additional information about the item">Description &amp; Constraints</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, " 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 : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire</td><td style="vertical-align: top; text-align : var(--ig-left,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#8.0.1</td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,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>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,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>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,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>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,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>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,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>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,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>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,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>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,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>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,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>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,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 : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,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>
    <tr><td colspan="5" class="hierarchy"><br/><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64, " 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>
      </text>
      <url value="http://hl7.org/fhir/us/core/Questionnaire/phq-9-example"/>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value value="urn:oid:2.16.840.1.113883.4.642.40.2.35.5"/>
      </identifier>
      <version value="8.0.1"/>
      <name value="PHQ9Example"/>
      <title value="PHQ-9 Example"/>
      <status value="active"/>
      <experimental value="true"/>
      <subjectType value="Patient"/>
      <date value="2023-03-31"/>
      <publisher value="HL7 International / Cross-Group Projects"/>
      <contact>
        <name value="HL7 International / Cross-Group Projects"/>
        <telecom>
          <system value="url"/>
          <value value="http://www.hl7.org/Special/committees/cgp"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="cgp@lists.HL7.org"/>
        </telecom>
      </contact>
      <jurisdiction>
        <coding>
          <system value="urn:iso:std:iso:3166"/>
          <code value="US"/>
        </coding>
      </jurisdiction>
      <copyright
                 value="This material contains content from LOINC® (http://loinc.org). LOINC is copyright © 1995-2024, Regenstrief Institute, Inc. and the LOINC Committee, and is available at no cost under the license at http://loinc.org/license. Copyright © Pfizer Inc. All rights reserved. Developed by Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke and colleagues, with an educational grant from Pfizer Inc. No permission required to reproduce, translate, display or distribute (https://www.phqscreeners.com/)."/>
      <code>
        <system value="http://loinc.org"/>
        <code value="44249-1"/>
        <display value="PHQ-9 quick depression assessment panel [Reported.PHQ]"/>
      </code>
      <item>
        <linkId value="/44250-9"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="44250-9"/>
          <display
                   value="Little interest or pleasure in doing things in last 2 weeks"/>
        </code>
        <text value="Little interest or pleasure in doing things?"/>
        <type value="choice"/>
        <required value="true"/>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="0"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="0"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6568-5"/>
            <display value="Not at all"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="1"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="1"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6569-3"/>
            <display value="Several days"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="2"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="2"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6570-1"/>
            <display value="More than half the days"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="3"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="3"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6571-9"/>
            <display value="Nearly every day"/>
          </valueCoding>
        </answerOption>
      </item>
      <item>
        <linkId value="/44255-8"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="44255-8"/>
          <display value="Feeling down, depressed, or hopeless in last 2 weeks"/>
        </code>
        <text value="Feeling down, depressed, or hopeless?"/>
        <type value="choice"/>
        <required value="true"/>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="0"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="0"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6568-5"/>
            <display value="Not at all"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="1"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="1"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6569-3"/>
            <display value="Several days"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="2"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="2"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6570-1"/>
            <display value="More than half the days"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="3"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="3"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6571-9"/>
            <display value="Nearly every day"/>
          </valueCoding>
        </answerOption>
      </item>
      <item>
        <linkId value="/44259-0"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="44259-0"/>
          <display
                   value="Trouble falling or staying asleep, or sleeping too much in last 2 weeks [Reported.PHQ]"/>
        </code>
        <text
              value="Trouble falling or staying asleep, or sleeping too much in last 2 weeks [Reported.PHQ]"/>
        <type value="choice"/>
        <required value="true"/>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="0"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="0"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6568-5"/>
            <display value="Not at all"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="1"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="1"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6569-3"/>
            <display value="Several days"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="2"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="2"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6570-1"/>
            <display value="More than half the days"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="3"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="3"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6571-9"/>
            <display value="Nearly every day"/>
          </valueCoding>
        </answerOption>
      </item>
      <item>
        <linkId value="/44254-1"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="44254-1"/>
          <display
                   value="Feeling tired or having little energy in last 2 weeks [Reported.PHQ]"/>
        </code>
        <text
              value="Feeling tired or having little energy in last 2 weeks [Reported.PHQ]"/>
        <type value="choice"/>
        <required value="true"/>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="0"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="0"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6568-5"/>
            <display value="Not at all"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="1"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="1"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6569-3"/>
            <display value="Several days"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="2"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="2"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6570-1"/>
            <display value="More than half the days"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="3"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="3"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6571-9"/>
            <display value="Nearly every day"/>
          </valueCoding>
        </answerOption>
      </item>
      <item>
        <linkId value="/44251-7"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="44251-7"/>
          <display
                   value="Poor appetite or overeating in last 2 weeks [Reported.PHQ]"/>
        </code>
        <text value="Poor appetite or overeating in last 2 weeks [Reported.PHQ]"/>
        <type value="choice"/>
        <required value="true"/>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="0"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="0"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6568-5"/>
            <display value="Not at all"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="1"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="1"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6569-3"/>
            <display value="Several days"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="2"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="2"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6570-1"/>
            <display value="More than half the days"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="3"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="3"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6571-9"/>
            <display value="Nearly every day"/>
          </valueCoding>
        </answerOption>
      </item>
      <item>
        <linkId value="/44258-2"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="44258-2"/>
          <display
                   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]"/>
        </code>
        <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]"/>
        <type value="choice"/>
        <required value="true"/>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="0"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="0"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6568-5"/>
            <display value="Not at all"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="1"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="1"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6569-3"/>
            <display value="Several days"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="2"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="2"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6570-1"/>
            <display value="More than half the days"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="3"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="3"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6571-9"/>
            <display value="Nearly every day"/>
          </valueCoding>
        </answerOption>
      </item>
      <item>
        <linkId value="/44252-5"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="44252-5"/>
          <display
                   value="Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks [Reported.PHQ]"/>
        </code>
        <text
              value="Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks [Reported.PHQ]"/>
        <type value="choice"/>
        <required value="true"/>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="0"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="0"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6568-5"/>
            <display value="Not at all"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="1"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="1"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6569-3"/>
            <display value="Several days"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="2"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="2"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6570-1"/>
            <display value="More than half the days"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="3"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="3"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6571-9"/>
            <display value="Nearly every day"/>
          </valueCoding>
        </answerOption>
      </item>
      <item>
        <linkId value="/44253-3"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="44253-3"/>
          <display
                   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]"/>
        </code>
        <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]"/>
        <type value="choice"/>
        <required value="true"/>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="0"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="0"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6568-5"/>
            <display value="Not at all"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="1"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="1"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6569-3"/>
            <display value="Several days"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="2"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="2"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6570-1"/>
            <display value="More than half the days"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="3"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="3"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6571-9"/>
            <display value="Nearly every day"/>
          </valueCoding>
        </answerOption>
      </item>
      <item>
        <linkId value="/44260-8"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="44260-8"/>
          <display
                   value="Thoughts that you would be better off dead, or of hurting yourself in some way in last 2 weeks [Reported.PHQ]"/>
        </code>
        <text
              value="Thoughts that you would be better off dead, or of hurting yourself in some way in last 2 weeks [Reported.PHQ]"/>
        <type value="choice"/>
        <required value="false"/>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="0"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="0"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6568-5"/>
            <display value="Not at all"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="1"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="1"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6569-3"/>
            <display value="Several days"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="2"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="2"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6570-1"/>
            <display value="More than half the days"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="3"/>
          </extension>
          <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="3"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6571-9"/>
            <display value="Nearly every day"/>
          </valueCoding>
        </answerOption>
      </item>
      <item>
        <linkId value="/44261-6"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="44261-6"/>
          <display
                   value="Patient Health Questionnaire 9 item (PHQ-9) total score [Reported]"/>
        </code>
        <text value="Patient health questionnaire 9 item total score"/>
        <type value="decimal"/>
        <required value="false"/>
      </item>
      <item>
        <linkId value="/69722-7"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="69722-7"/>
          <display
                   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]"/>
        </code>
        <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]"/>
        <type value="choice"/>
        <required value="false"/>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6572-7"/>
            <display value="Not difficult at all"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6573-5"/>
            <display value="Somewhat difficult"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6575-0"/>
            <display value="Very difficult"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6574-3"/>
            <display value="Extremely difficult"/>
          </valueCoding>
        </answerOption>
      </item>
    </Questionnaire>