Structured Data Capture
4.0.0 - International flag

Structured Data Capture, published by HL7 International / FHIR Infrastructure. This guide is not an authorized publication; it is the continuous build for version 4.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/sdc/ and changes regularly. See the Directory of published versions

Questionnaire: Patient Health Questionnaire (PHQ-9)

Official URL: http://build.fhir.org/ig/HL7/sdc/questionnaire-sdc-profile-example-cqf-PHQ9 Version: 4.0.0
Standards status: Informative Active as of 2025-10-22 Computable Name: PatientHealthQuestionnairePHQ9
Other Identifiers: phq-9 (use: official, ), OID:2.16.840.1.113883.4.642.40.17.35.8

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. PatientHealthQuestionnairePHQ9 Questionnaire http://build.fhir.org/ig/HL7/sdc/questionnaire-sdc-profile-example-cqf-PHQ9#4.0.0
... LittleInterest Little interest or pleasure in doing things 1..1 choice Value Set: LOINC Answer Codes for LL358-3
... FeelingDown Feeling down, depressed, or hopeless 1..1 choice Value Set: LOINC Answer Codes for LL358-3
... TroubleSleeping Trouble falling or staying asleep 1..1 choice Value Set: LOINC Answer Codes for LL358-3
... BadAppetite Poor appetite or overeating 1..1 choice Value Set: LOINC Answer Codes for LL358-3
... FeelingBadAboutSelf Feeling bad about yourself - or that you are a failure or have let yourself or your family down 1..1 choice Value Set: LOINC Answer Codes for LL358-3
... TroubleConcentrating Trouble concentrating on things, such as reading the newspaper or watching television 1..1 choice Value Set: LOINC Answer Codes for LL358-3
... MovingSpeaking 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 1..1 choice Value Set: LOINC Answer Codes for LL358-3
... TotalScore Total score 1..1 integer
... Difficulty 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 1..1 choice Value Set: LOINC Answer Codes for LL358-3

doco Documentation for this format

Little interest or pleasure in doing things*

Feeling down, depressed, or hopeless*

Trouble falling or staying asleep*

Feeling tired or having little energy*

Poor appetite or overeating*

Feeling bad about yourself - or that you are a failure or have let yourself or your family down*

Trouble concentrating on things, such as reading the newspaper or watching television*

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*

Total score*

  • linkId: TotalScore

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*

LinkIDDescription & Constraintsdoco
.. LittleInterest Value Set: LOINC Answer Codes for LL358-3
.. FeelingDown Value Set: LOINC Answer Codes for LL358-3
.. TroubleSleeping Value Set: LOINC Answer Codes for LL358-3
.. FeelingTired Value Set: LOINC Answer Codes for LL358-3
.. BadAppetite Value Set: LOINC Answer Codes for LL358-3
.. FeelingBadAboutSelf Value Set: LOINC Answer Codes for LL358-3
.. TroubleConcentrating Value Set: LOINC Answer Codes for LL358-3
.. MovingSpeaking Value Set: LOINC Answer Codes for LL358-3
.. TotalScore
.. Difficulty Value Set: LOINC Answer Codes for LL358-3

doco Documentation for this format

Test this Questionnaire

Try this questionnaire out:

    Responses for this Questionnaire