PACIO Cognitive Status Implementation Guide
1.0.0 - STU 1

PACIO Cognitive Status Implementation Guide, published by HL7 Patient Care Work Group. This is not an authorized publication; it is the continuous build for version 1.0.0). This version is based on the current content of https://github.com/HL7/fhir-pacio-cognitive-status/ and changes regularly. See the Directory of published versions

: QResponse-SNF-PHQ9-1 - JSON Representation

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{
  "resourceType" : "QuestionnaireResponse",
  "id" : "QResponse-SNF-PHQ9-1",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>questionnaire</b>: <a href=\"http://example.org/Questionnaire/MDS3.0-NC-1.17\">http://example.org/Questionnaire/MDS3.0-NC-1.17</a></p><p><b>status</b>: completed</p><p><b>subject</b>: <a href=\"Patient-patientBSJ1.html\">Generated Summary: Betsy Smith-Johnson</a></p><p><b>authored</b>: Jul 11, 2020, 4:30:00 PM</p><p><b>author</b>: <a href=\"PractitionerRole-Role-SLP-LunaBaskins.html\">Generated Summary: active: true; <span title=\"Codes: {http://snomed.info/sct 159026005}\">Speech and language therapist</span></a></p><blockquote><p><b>item</b></p><p><b>linkId</b>: Section-4</p><p><b>text</b>: MDS v3.0 - RAI v1.18.1 - Mood - OSA [CMS Assessment]</p><blockquote><p><b>item</b></p><p><b>linkId</b>: Section-4/D0200</p><p><b>text</b>: Resident mood interview (PHQ-9) [Reported PHQ-9 CMS]</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: Section-4/D0300</p><p><b>text</b>: PHQ-9 Total Score</p></blockquote></blockquote></div>"
  },
  "questionnaire" : "http://example.org/Questionnaire/MDS3.0-NC-1.17",
  "_questionnaire" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/display",
        "valueString" : "Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.17.1 [CMS Assessment]"
      }
    ]
  },
  "status" : "completed",
  "subject" : {
    "reference" : "Patient/patientBSJ1"
  },
  "authored" : "2020-07-11T11:30:00-05:00",
  "author" : {
    "reference" : "PractitionerRole/Role-SLP-LunaBaskins"
  },
  "item" : [
    {
      "linkId" : "Section-4",
      "text" : "MDS v3.0 - RAI v1.18.1 - Mood - OSA [CMS Assessment]",
      "item" : [
        {
          "linkId" : "Section-4/D0200",
          "text" : "Resident mood interview (PHQ-9) [Reported PHQ-9 CMS]",
          "item" : [
            {
              "linkId" : "Section-4/D0200_1",
              "text" : "Resident mood interview (PHQ-9) - symptom presence in the last 2 weeks [CMS Assessment]",
              "item" : [
                {
                  "linkId" : "Section-4/D0200A1",
                  "text" : "Little interest or pleasure in doing things",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "system" : "http://loinc.org",
                        "code" : "LA33-6",
                        "display" : "Yes"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "Section-4/D0200B1",
                  "text" : "Feeling down",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "system" : "http://loinc.org",
                        "code" : "LA33-6",
                        "display" : "Yes"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "Section-4/D0200C1",
                  "text" : "Trouble falling or staying asleep",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "system" : "http://loinc.org",
                        "code" : "LA33-6",
                        "display" : "Yes"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "Section-4/D0200D1",
                  "text" : "Feeling tired or having little energy",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "system" : "http://loinc.org",
                        "code" : "LA32-8",
                        "display" : "No"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "Section-4/D0200E1",
                  "text" : "Poor appetite or overeating",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "system" : "http://loinc.org",
                        "code" : "LA32-8",
                        "display" : "No"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "Section-4/D0200F1",
                  "text" : "Feeling bad about yourself - or that you are a failure or have let yourself or your family down",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "system" : "http://loinc.org",
                        "code" : "LA32-8",
                        "display" : "No"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "Section-4/D0200G1",
                  "text" : "Trouble concentrating on things",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "system" : "http://loinc.org",
                        "code" : "LA32-8",
                        "display" : "No"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "Section-4/D0200H1",
                  "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",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "system" : "http://loinc.org",
                        "code" : "LA32-8",
                        "display" : "No"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "Section-4/D0200I1",
                  "text" : "Thoughts that you would be better off dead",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "system" : "http://loinc.org",
                        "code" : "LA10996-9",
                        "display" : "No response"
                      }
                    }
                  ]
                }
              ]
            },
            {
              "linkId" : "Section-4/D0200_2",
              "text" : "Resident mood interview (PHQ-9) - symptom frequency in the last 2 weeks [CMS Assessment]",
              "item" : [
                {
                  "linkId" : "Section-4/D0200A2",
                  "text" : "Little interest or pleasure in doing things",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "system" : "http://loinc.org",
                        "code" : "LA10998-5",
                        "display" : "2-6 days (several days)"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "Section-4/D0200B2",
                  "text" : "Feeling down",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "system" : "http://loinc.org",
                        "code" : "LA10998-5",
                        "display" : "2-6 days (several days)"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "Section-4/D0200C2",
                  "text" : "Trouble falling or staying asleep",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "system" : "http://loinc.org",
                        "code" : "LA10998-5",
                        "display" : "2-6 days (several days)"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "Section-4/D0200D2",
                  "text" : "Feeling tired or having little energy",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "system" : "http://loinc.org",
                        "code" : "LA10997-7",
                        "display" : "Never or 1 day"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "Section-4/D0200E2",
                  "text" : "Poor appetite or overeating",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "system" : "http://loinc.org",
                        "code" : "LA10997-7",
                        "display" : "Never or 1 day"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "Section-4/D0200F2",
                  "text" : "Feeling bad about yourself - or that you are a failure or have let yourself or your family down",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "system" : "http://loinc.org",
                        "code" : "LA10997-7",
                        "display" : "Never or 1 day"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "Section-4/D0200G2",
                  "text" : "Trouble concentrating on things",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "system" : "http://loinc.org",
                        "code" : "LA10997-7",
                        "display" : "Never or 1 day"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "Section-4/D0200H2",
                  "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",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "system" : "http://loinc.org",
                        "code" : "LA10997-7",
                        "display" : "Never or 1 day"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "Section-4/D0200I2",
                  "text" : "Thoughts that you would be better off dead"
                }
              ]
            }
          ]
        },
        {
          "linkId" : "Section-4/D0300",
          "text" : "PHQ-9 Total Score",
          "answer" : [
            {
              "valueQuantity" : {
                "value" : 3,
                "system" : "http://unitsofmeasure.org",
                "code" : "{score}"
              }
            }
          ]
        }
      ]
    }
  ]
}