Personal Health Records
1.0.0-ballot2 - STU 1 ballot
Personal Health Records
1.0.0-ballot2 - STU 1 ballot
Personal Health Records, published by HL7 International / Patient Empowerment. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/personal-health-record-format-ig/ and changes regularly. See the Directory of published versions
| Page standards status: Informative |
<Questionnaire xmlns="http://hl7.org/fhir">
<id value="gad7"/>
<meta>
<profile
value="http://hl7.org/fhir/uv/phr/StructureDefinition/pghd-questionnaire"/>
</meta>
<language value="en"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Questionnaire gad7</b></p><a name="gad7"> </a><a name="hcgad7"> </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-pghd-questionnaire.html">PGHD Questionnaire Profile</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 & 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,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" 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"/> GAD7</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">GAD-7 Scored Assessment</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">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/uv/phr/Questionnaire/gad7#1.0.0-ballot2</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.69725-0" 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"/> 69725-0</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">Feeling nervous, anxious or on edge</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.69725-0">5 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.68509-9" 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: white; background-color: inherit" title="coding" class="hierarchy"/> 68509-9</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">Over the past 2 weeks have you not been able to stop or control worrying</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-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.68509-9">5 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.69733-4" 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"/> 69733-4</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">Worrying too much about different 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">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.69733-4">5 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.69734-2" 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"/> 69734-2</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">Trouble relaxing</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-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.69734-2">5 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.69735-9" 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"/> 69735-9</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">Being so restless that it is hard to sit still</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.69735-9">5 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.69689-8" 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"/> 69689-8</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">Becoming easily annoyed or irritable.</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-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.69689-8">5 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_bck00.png)" id="item.69736-7" 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"/> 69736-7</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">Feeling afraid as if something awful might happen</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.69736-7">5 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,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"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name="opt-item.69725-0"> </a><p><b>Answer options for 69725-0 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA6568-5 ("Not at all")</li><li style="font-size: 11px">http://loinc.org#LA6569-3 ("Several days")</li><li style="font-size: 11px">http://loinc.org#LA6570-1 ("More than half the days")</li><li style="font-size: 11px">http://loinc.org#LA6571-9 ("Nearly every day")</li><li style="font-size: 11px">http://terminology.hl7.org/CodeSystem/data-absent-reason#asked-declined ("Asked But Declined")</li></ul><a name="opt-item.68509-9"> </a><p><b>Answer options for 68509-9 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA6568-5 ("Not at all")</li><li style="font-size: 11px">http://loinc.org#LA6569-3 ("Several days")</li><li style="font-size: 11px">http://loinc.org#LA6570-1 ("More than half the days")</li><li style="font-size: 11px">http://loinc.org#LA6571-9 ("Nearly every day")</li><li style="font-size: 11px">http://terminology.hl7.org/CodeSystem/data-absent-reason#asked-declined ("Asked But Declined")</li></ul><a name="opt-item.69733-4"> </a><p><b>Answer options for 69733-4 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA6568-5 ("Not at all")</li><li style="font-size: 11px">http://loinc.org#LA6569-3 ("Several days")</li><li style="font-size: 11px">http://loinc.org#LA6570-1 ("More than half the days")</li><li style="font-size: 11px">http://loinc.org#LA6571-9 ("Nearly every day")</li><li style="font-size: 11px">http://terminology.hl7.org/CodeSystem/data-absent-reason#asked-declined ("Asked But Declined")</li></ul><a name="opt-item.69734-2"> </a><p><b>Answer options for 69734-2 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA6568-5 ("Not at all")</li><li style="font-size: 11px">http://loinc.org#LA6569-3 ("Several days")</li><li style="font-size: 11px">http://loinc.org#LA6570-1 ("More than half the days")</li><li style="font-size: 11px">http://loinc.org#LA6571-9 ("Nearly every day")</li><li style="font-size: 11px">http://terminology.hl7.org/CodeSystem/data-absent-reason#asked-declined ("Asked But Declined")</li></ul><a name="opt-item.69735-9"> </a><p><b>Answer options for 69735-9 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA6568-5 ("Not at all")</li><li style="font-size: 11px">http://loinc.org#LA6569-3 ("Several days")</li><li style="font-size: 11px">http://loinc.org#LA6570-1 ("More than half the days")</li><li style="font-size: 11px">http://loinc.org#LA6571-9 ("Nearly every day")</li><li style="font-size: 11px">http://terminology.hl7.org/CodeSystem/data-absent-reason#asked-declined ("Asked But Declined")</li></ul><a name="opt-item.69689-8"> </a><p><b>Answer options for 69689-8 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA6568-5 ("Not at all")</li><li style="font-size: 11px">http://loinc.org#LA6569-3 ("Several days")</li><li style="font-size: 11px">http://loinc.org#LA6570-1 ("More than half the days")</li><li style="font-size: 11px">http://loinc.org#LA6571-9 ("Nearly every day")</li><li style="font-size: 11px">http://terminology.hl7.org/CodeSystem/data-absent-reason#asked-declined ("Asked But Declined")</li></ul><a name="opt-item.69736-7"> </a><p><b>Answer options for 69736-7 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA6568-5 ("Not at all")</li><li style="font-size: 11px">http://loinc.org#LA6569-3 ("Several days")</li><li style="font-size: 11px">http://loinc.org#LA6570-1 ("More than half the days")</li><li style="font-size: 11px">http://loinc.org#LA6571-9 ("Nearly every day")</li><li style="font-size: 11px">http://terminology.hl7.org/CodeSystem/data-absent-reason#asked-declined ("Asked But Declined")</li></ul></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="pe"/>
</extension>
<url value="http://hl7.org/fhir/uv/phr/Questionnaire/gad7"/>
<version value="1.0.0-ballot2"/>
<name value="GAD7"/>
<title value="GAD-7 assesment"/>
<status value="active"/>
<subjectType value="Patient"/>
<date value="2024-11-01"/>
<publisher value="HL7 International / Patient Empowerment"/>
<contact>
<name value="HL7 International / Patient Empowerment"/>
<telecom>
<system value="url"/>
<value
value="http://www.hl7.org/Special/committees/patientempowerment"/>
</telecom>
</contact>
<description value="GAD-7 Scored Assessment"/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<code>
<system value="http://loinc.org"/>
<code value="69737-5"/>
<display value="Generalized anxiety disorder 7 item (GAD-7)"/>
</code>
<item>
<linkId value="69725-0"/>
<code>
<system value="http://loinc.org"/>
<code value="69725-0"/>
<display value="Feeling nervous, anxious or on edge in last 2 weeks"/>
</code>
<text value="Feeling nervous, anxious or on edge"/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6568-5"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6569-3"/>
<display value="Several days"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6570-1"/>
<display value="More than half the days"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6571-9"/>
<display value="Nearly every day"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/data-absent-reason"/>
<code value="asked-declined"/>
<display value="Asked But Declined"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="68509-9"/>
<code>
<system value="http://loinc.org"/>
<code value="68509-9"/>
<display
value="Not able to stop or control worrying in the last 2 weeks"/>
</code>
<text
value="Over the past 2 weeks have you not been able to stop or control worrying"/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6568-5"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6569-3"/>
<display value="Several days"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6570-1"/>
<display value="More than half the days"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6571-9"/>
<display value="Nearly every day"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/data-absent-reason"/>
<code value="asked-declined"/>
<display value="Asked But Declined"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="69733-4"/>
<code>
<system value="http://loinc.org"/>
<code value="69733-4"/>
<display
value="Worrying too much about different things in last 2 weeks [Reported.PHQ]"/>
</code>
<text value="Worrying too much about different things"/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6568-5"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6569-3"/>
<display value="Several days"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6570-1"/>
<display value="More than half the days"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6571-9"/>
<display value="Nearly every day"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/data-absent-reason"/>
<code value="asked-declined"/>
<display value="Asked But Declined"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="69734-2"/>
<code>
<system value="http://loinc.org"/>
<code value="69734-2"/>
<display value="Trouble relaxing in last 2 weeks [Reported.PHQ]"/>
</code>
<text value="Trouble relaxing"/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6568-5"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6569-3"/>
<display value="Several days"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6570-1"/>
<display value="More than half the days"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6571-9"/>
<display value="Nearly every day"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/data-absent-reason"/>
<code value="asked-declined"/>
<display value="Asked But Declined"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="69735-9"/>
<code>
<system value="http://loinc.org"/>
<code value="69735-9"/>
<display
value="Being so restless that it is hard to sit still in last 2 weeks [Reported.PHQ]"/>
</code>
<text value="Being so restless that it is hard to sit still"/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6568-5"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6569-3"/>
<display value="Several days"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6570-1"/>
<display value="More than half the days"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6571-9"/>
<display value="Nearly every day"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/data-absent-reason"/>
<code value="asked-declined"/>
<display value="Asked But Declined"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="69689-8"/>
<code>
<system value="http://loinc.org"/>
<code value="69689-8"/>
<display
value="Becoming easily annoyed or irritable in last 4 weeks [Reported.PHQ]"/>
</code>
<text value="Becoming easily annoyed or irritable."/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6568-5"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6569-3"/>
<display value="Several days"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6570-1"/>
<display value="More than half the days"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6571-9"/>
<display value="Nearly every day"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/data-absent-reason"/>
<code value="asked-declined"/>
<display value="Asked But Declined"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="69736-7"/>
<code>
<system value="http://loinc.org"/>
<code value="69736-7"/>
<display
value="Feeling afraid as if something awful might happen in last 2 weeks [Reported.PHQ]"/>
</code>
<text value="Feeling afraid as if something awful might happen"/>
<type value="choice"/>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6568-5"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6569-3"/>
<display value="Several days"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6570-1"/>
<display value="More than half the days"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6571-9"/>
<display value="Nearly every day"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/data-absent-reason"/>
<code value="asked-declined"/>
<display value="Asked But Declined"/>
</valueCoding>
</answerOption>
</item>
</Questionnaire>
IG © 2022+ HL7 International / Patient Empowerment.
Package hl7.fhir.uv.phr#1.0.0-ballot2 based on FHIR 4.0.1.
Generated
2025-12-27
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