US Core Implementation Guide
​9.0.0-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 9.0.0-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

Questionnaire: PHQ-9 Example (Experimental)

Official URL: http://hl7.org/fhir/us/core/Questionnaire/phq-9-example Version: 9.0.0-ballot
Standards status: Informative Active as of 2023-03-31 Computable Name: PHQ9Example
Other Identifiers: OID:2.16.840.1.113883.4.642.40.2.35.5

Copyright/Legal: 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/).

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. PHQ9Example Questionnaire http://hl7.org/fhir/us/core/Questionnaire/phq-9-example#9.0.0-ballot
... /44250-9 Little interest or pleasure in doing things? 1..1 choice Options: 4 options
... /44255-8 Feeling down, depressed, or hopeless? 1..1 choice Options: 4 options
... /44259-0 Trouble falling or staying asleep, or sleeping too much in last 2 weeks [Reported.PHQ] 1..1 choice Options: 4 options
... /44254-1 Feeling tired or having little energy in last 2 weeks [Reported.PHQ] 1..1 choice Options: 4 options
... /44251-7 Poor appetite or overeating in last 2 weeks [Reported.PHQ] 1..1 choice Options: 4 options
... /44258-2 Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2 weeks [Reported.PHQ] 1..1 choice Options: 4 options
... /44252-5 Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks [Reported.PHQ] 1..1 choice Options: 4 options
... /44253-3 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] 1..1 choice Options: 4 options
... /44260-8 Thoughts that you would be better off dead, or of hurting yourself in some way in last 2 weeks [Reported.PHQ] 0..1 choice Options: 4 options
... /44261-6 Patient health questionnaire 9 item total score 0..1 decimal
... /69722-7 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] 0..1 choice Options: 4 options

doco Documentation for this format

Options Sets

Answer options for /44250-9

  • http://loinc.org#LA6568-5 ("Not at all")
  • http://loinc.org#LA6569-3 ("Several days")
  • http://loinc.org#LA6570-1 ("More than half the days")
  • http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for /44255-8

  • http://loinc.org#LA6568-5 ("Not at all")
  • http://loinc.org#LA6569-3 ("Several days")
  • http://loinc.org#LA6570-1 ("More than half the days")
  • http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for /44259-0

  • http://loinc.org#LA6568-5 ("Not at all")
  • http://loinc.org#LA6569-3 ("Several days")
  • http://loinc.org#LA6570-1 ("More than half the days")
  • http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for /44254-1

  • http://loinc.org#LA6568-5 ("Not at all")
  • http://loinc.org#LA6569-3 ("Several days")
  • http://loinc.org#LA6570-1 ("More than half the days")
  • http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for /44251-7

  • http://loinc.org#LA6568-5 ("Not at all")
  • http://loinc.org#LA6569-3 ("Several days")
  • http://loinc.org#LA6570-1 ("More than half the days")
  • http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for /44258-2

  • http://loinc.org#LA6568-5 ("Not at all")
  • http://loinc.org#LA6569-3 ("Several days")
  • http://loinc.org#LA6570-1 ("More than half the days")
  • http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for /44252-5

  • http://loinc.org#LA6568-5 ("Not at all")
  • http://loinc.org#LA6569-3 ("Several days")
  • http://loinc.org#LA6570-1 ("More than half the days")
  • http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for /44253-3

  • http://loinc.org#LA6568-5 ("Not at all")
  • http://loinc.org#LA6569-3 ("Several days")
  • http://loinc.org#LA6570-1 ("More than half the days")
  • http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for /44260-8

  • http://loinc.org#LA6568-5 ("Not at all")
  • http://loinc.org#LA6569-3 ("Several days")
  • http://loinc.org#LA6570-1 ("More than half the days")
  • http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for /69722-7

  • http://loinc.org#LA6572-7 ("Not difficult at all")
  • http://loinc.org#LA6573-5 ("Somewhat difficult")
  • http://loinc.org#LA6575-0 ("Very difficult")
  • http://loinc.org#LA6574-3 ("Extremely difficult")

Little interest or pleasure in doing things?*

Feeling down, depressed, or hopeless?*

Trouble falling or staying asleep, or sleeping too much in last 2 weeks [Reported.PHQ]*

Feeling tired or having little energy in last 2 weeks [Reported.PHQ]*

Poor appetite or overeating in last 2 weeks [Reported.PHQ]*

Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2 weeks [Reported.PHQ]*

Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks [Reported.PHQ]*

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]*

Thoughts that you would be better off dead, or of hurting yourself in some way in last 2 weeks [Reported.PHQ]

Patient health questionnaire 9 item total score

  • linkId: /44261-6

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]

LinkIDDescription & Constraintsdoco
.. /44250-9 Options: 4 options
.. /44255-8 Options: 4 options
.. /44259-0 Options: 4 options
.. /44254-1 Options: 4 options
.. /44251-7 Options: 4 options
.. /44258-2 Options: 4 options
.. /44252-5 Options: 4 options
.. /44253-3 Options: 4 options
.. /44260-8 Options: 4 options
.. /44261-6
.. /69722-7 Options: 4 options

doco Documentation for this format

Test this Questionnaire

Try this questionnaire out:

    Responses for this Questionnaire