PACIO Personal Functioning and Engagement Implementation Guide
3.0.0-ballot - STU 3 Ballot United States of America flag

PACIO Personal Functioning and Engagement Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 3.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-pacio-pfe/ and changes regularly. See the Directory of published versions

: LOINC to ICF Mapping - PHQ-9

Page standards status: Trial-use Maturity Level: 3

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<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="LOINCtoICFPHQ9"/>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap LOINCtoICFPHQ9</b></p><a name="LOINCtoICFPHQ9"> </a><a name="hcLOINCtoICFPHQ9"> </a><p>This mapping does not specify any particular context of use.</p><br/><p>Mapping from <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-loinc.html">Logical Observation Identifiers, Names and Codes (LOINC)</a> to <a href="http://terminology.hl7.org/6.5.0/CodeSystem-ICF.html">International Classification of Functioning, Disability and Health</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>44250-9 (1. Over the last 2 weeks, how often have you been bothered by: Little interest or pleasure in doing things)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>b130 (Energy and drive functions)</td></tr><tr><td>44255-8 (2. Over the last 2 weeks, how often have you been bothered by: Feeling down, depressed, or hopeless)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>b152 (Emotional functions)</td></tr><tr><td>44259-0 (3. Over the last 2 weeks, how often have you been bothered by: Trouble falling or staying asleep, or sleeping too much)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>b134 (Sleep functions)</td></tr><tr><td>44254-1 (4. Over the last 2 weeks, how often have you been bothered by: Feeling tired or having little energy)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>b130 (Energy and drive functions)</td></tr><tr><td>44251-7 (5. Over the last 2 weeks, how often have you been bothered by: Poor appetite or overeating)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td>b130 (Energy and drive functions)</td></tr><tr><td>44258-2 (6. Over the last 2 weeks, how often have you been bothered by: Feeling bad about yourself-or that you are a failure or have let yourself or your family down)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>b180 (Experience of self and time functions)</td></tr><tr><td>44252-5 (7. Over the last 2 weeks, how often have you been bothered by: Trouble concentrating on things, such as reading the newspaper or watching television)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>b140 (Attention functions)</td></tr><tr><td>44253-3 (8. Over the last 2 weeks, how often have you been bothered by: 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)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>b167 (Mental functions of language)</td></tr><tr><td>44260-8 (9. Over the last 2 weeks, how often have you been bothered by: Thoughts that you would be better off dead, or of hurting yourself in some way)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>b160 (Thought functions)</td></tr><tr><td>44261-6 (Patient health questionnaire 9 item total score)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>b1 (Mental functions)</td></tr><tr><td>69722-7 (If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>d (Activities and participation)</td></tr></table></div>
  </text>
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             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="pc"/>
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             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
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      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/us/pacio-pfe/ImplementationGuide/hl7.fhir.us.pacio-pfe"/>
      </extension>
    </valueInteger>
  </extension>
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             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
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      <extension
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        <valueCanonical
                        value="http://hl7.org/fhir/us/pacio-pfe/ImplementationGuide/hl7.fhir.us.pacio-pfe"/>
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    </valueCode>
  </extension>
  <url value="http://hl7.org/fhir/us/pacio-pfe/ConceptMap/LOINCtoICFPHQ9"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.40.67.18.8"/>
  </identifier>
  <version value="3.0.0-ballot"/>
  <name value="LOINCtoICFPHQ9"/>
  <title value="LOINC to ICF Mapping - PHQ-9"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-07-06"/>
  <publisher value="HL7 International / Patient Care"/>
  <contact>
    <name value="HL7 International / Patient Care"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/patientcare"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="patientcare@lists.HL7.org"/>
    </telecom>
  </contact>
  <contact>
    <name value="PACIO project"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/patientcare"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="info@pacioproject.org"/>
    </telecom>
  </contact>
  <description
               value="Mapping LOINC codes to ICF codes for the PHQ-9 Personal Functioning and Engagement measure."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
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  <group>
    <source value="http://loinc.org"/>
    <target value="http://hl7.org/fhir/sid/icf"/>
    <element>
      <code value="44250-9"/>
      <display
               value="1. Over the last 2 weeks, how often have you been bothered by: Little interest or pleasure in doing things"/>
      <target>
        <code value="b130"/>
        <display value="Energy and drive functions"/>
        <equivalence value="wider"/>
      </target>
    </element>
    <element>
      <code value="44255-8"/>
      <display
               value="2. Over the last 2 weeks, how often have you been bothered by: Feeling down, depressed, or hopeless"/>
      <target>
        <code value="b152"/>
        <display value="Emotional functions"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="44259-0"/>
      <display
               value="3. Over the last 2 weeks, how often have you been bothered by: Trouble falling or staying asleep, or sleeping too much"/>
      <target>
        <code value="b134"/>
        <display value="Sleep functions"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="44254-1"/>
      <display
               value="4. Over the last 2 weeks, how often have you been bothered by: Feeling tired or having little energy"/>
      <target>
        <code value="b130"/>
        <display value="Energy and drive functions"/>
        <equivalence value="wider"/>
      </target>
    </element>
    <element>
      <code value="44251-7"/>
      <display
               value="5. Over the last 2 weeks, how often have you been bothered by: Poor appetite or overeating"/>
      <target>
        <code value="b130"/>
        <display value="Energy and drive functions"/>
        <equivalence value="wider"/>
      </target>
    </element>
    <element>
      <code value="44258-2"/>
      <display
               value="6. Over the last 2 weeks, how often have you been bothered by: Feeling bad about yourself-or that you are a failure or have let yourself or your family down"/>
      <target>
        <code value="b180"/>
        <display value="Experience of self and time functions"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="44252-5"/>
      <display
               value="7. Over the last 2 weeks, how often have you been bothered by: Trouble concentrating on things, such as reading the newspaper or watching television"/>
      <target>
        <code value="b140"/>
        <display value="Attention functions"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="44253-3"/>
      <display
               value="8. Over the last 2 weeks, how often have you been bothered by: 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"/>
      <target>
        <code value="b167"/>
        <display value="Mental functions of language"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="44260-8"/>
      <display
               value="9. Over the last 2 weeks, how often have you been bothered by: Thoughts that you would be better off dead, or of hurting yourself in some way"/>
      <target>
        <code value="b160"/>
        <display value="Thought functions"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="44261-6"/>
      <display value="Patient health questionnaire 9 item total score"/>
      <target>
        <code value="b1"/>
        <display value="Mental functions"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="69722-7"/>
      <display
               value="If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?"/>
      <target>
        <code value="d"/>
        <display value="Activities and participation"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
  </group>
</ConceptMap>