MII IG PRO
2026.2.0 - ci-build Unknown region code '276'

MII IG PRO, published by Medizininformatik-Initiative. This guide is not an authorized publication; it is the continuous build for version 2026.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/medizininformatik-initiative/kerndatensatzmodul-proms/ and changes regularly. See the Directory of published versions

: MII QST PRO PHQ-9

Active as of 2026-04-29

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{
  "resourceType" : "Questionnaire",
  "id" : "mii-qst-pro-phq-9",
  "meta" : {
    "profile" : [
      🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire|2026.2.0"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire mii-qst-pro-phq-9</b></p><a name=\"en-mii-qst-pro-phq-9\"> </a><a name=\"en-hcmii-qst-pro-phq-9\"> </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\">Language: en</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-pro-questionnaire.html\">MII PR PRO Questionnaire</a> version: 2026.2.0</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=\"Other attributes of the item\">Flags</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 &amp; 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\"/> </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\">Patient Health Questionnaire (PHQ-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\"/><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\"/><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\">https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-phq-9#2026.2.0</td></tr>\r\n<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=\"en-item.PHQ-9.Description\" 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-display.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"display\" class=\"hierarchy\"/> PHQ-9.Description</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\">Over the last two weeks, how often have you been bothered by any of the following problems?</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-display\">display</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\"/><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\"/></tr>\r\n<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=\"en-item.phq-phq9-q01\" 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\"/> phq-phq9-q01</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\">1. Little interest or pleasure in doing things</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\"/><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=\"#en-opt-item.phq-phq9-q01\">4 options</a></td></tr>\r\n<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=\"en-item.phq-phq9-q02\" 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\"/> phq-phq9-q02</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\">2. Feeling down, depressed, or hopeless</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\"/><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=\"#en-opt-item.phq-phq9-q02\">4 options</a></td></tr>\r\n<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=\"en-item.phq-phq9-q03\" 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\"/> phq-phq9-q03</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\">3. Trouble falling or staying asleep, or sleeping too much</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\"/><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=\"#en-opt-item.phq-phq9-q03\">4 options</a></td></tr>\r\n<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=\"en-item.phq-phq9-q04\" 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\"/> phq-phq9-q04</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\">4. Feeling tired or having little energy</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\"/><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=\"#en-opt-item.phq-phq9-q04\">4 options</a></td></tr>\r\n<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=\"en-item.phq-phq9-q05\" 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\"/> phq-phq9-q05</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\">5. Poor appetite or overeating</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\"/><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=\"#en-opt-item.phq-phq9-q05\">4 options</a></td></tr>\r\n<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=\"en-item.phq-phq9-q06\" 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\"/> phq-phq9-q06</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\">6. Feeling bad about yourself - or that you are a failure or have let yourself or your family down</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\"/><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=\"#en-opt-item.phq-phq9-q06\">4 options</a></td></tr>\r\n<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=\"en-item.phq-phq9-q07\" 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\"/> phq-phq9-q07</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\">7. Trouble concentrating on things, such as reading the newspaper or watching television</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\"/><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=\"#en-opt-item.phq-phq9-q07\">4 options</a></td></tr>\r\n<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=\"en-item.phq-phq9-q08\" 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\"/> phq-phq9-q08</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\">8. 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 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\"/><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=\"#en-opt-item.phq-phq9-q08\">4 options</a></td></tr>\r\n<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=\"en-item.phq-phq9-q09\" 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\"/> phq-phq9-q09</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\">9. Thoughts that you would be better off dead or of hurting yourself in some way</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\"/><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=\"#en-opt-item.phq-phq9-q09\">4 options</a></td></tr>\r\n<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=\"en-item.phq-phq9-score-total\" 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-decimal.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> phq-phq9-score-total</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\">Auswertung. PHQ-9 Total Score</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-decimal\">decimal</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\"><a href=\"https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly\" title=\"Is Read Only\"><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></a><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></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\"/></tr>\r\n<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=\"en-item.phq-phq9-q10\" 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\"/> phq-phq9-q10</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\">10. 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 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\"/><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=\"#en-opt-item.phq-phq9-q10\">4 options</a></td></tr>\r\n<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=\"en-item.phq-phq9-promis-tscore\" 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-decimal.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> phq-phq9-promis-tscore</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\">T-Score. PROMIS Depression T-Score (derived from PHQ-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\">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-decimal\">decimal</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\"><a href=\"https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly\" title=\"Is Read Only\"><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></a><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></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\"/></tr>\r\n<tr><td colspan=\"6\" class=\"hierarchy\"><br/><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\"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name=\"en-opt-item.phq-phq9-q01\"> </a><p><b>Answer options for phq-phq9-q01 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name=\"en-opt-item.phq-phq9-q02\"> </a><p><b>Answer options for phq-phq9-q02 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name=\"en-opt-item.phq-phq9-q03\"> </a><p><b>Answer options for phq-phq9-q03 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name=\"en-opt-item.phq-phq9-q04\"> </a><p><b>Answer options for phq-phq9-q04 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name=\"en-opt-item.phq-phq9-q05\"> </a><p><b>Answer options for phq-phq9-q05 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name=\"en-opt-item.phq-phq9-q06\"> </a><p><b>Answer options for phq-phq9-q06 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name=\"en-opt-item.phq-phq9-q07\"> </a><p><b>Answer options for phq-phq9-q07 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name=\"en-opt-item.phq-phq9-q08\"> </a><p><b>Answer options for phq-phq9-q08 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name=\"en-opt-item.phq-phq9-q09\"> </a><p><b>Answer options for phq-phq9-q09 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name=\"en-opt-item.phq-phq9-q10\"> </a><p><b>Answer options for phq-phq9-q10 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6572-7 (&quot;Not difficult at all&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6573-5 (&quot;Somewhat difficult&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6575-0 (&quot;Very difficult&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6574-3 (&quot;Extremely difficult&quot;)</li></ul></div>"
  },
  "extension" : [
    {
      "extension" : [
        {
          "url" : "displayable",
          "valueBoolean" : true
        },
        {
          "url" : "collectable",
          "valueBoolean" : true
        },
        {
          "url" : "populatable",
          "valueBoolean" : true
        },
        {
          "url" : "calculatable",
          "valueBoolean" : true
        },
        {
          "url" : "extractable",
          "valueBoolean" : true
        },
        {
          "url" : "domainAligned",
          "valueBoolean" : true
        }
      ],
      "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-ex-pro-questionnaire-capabilities"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/variable",
      "valueExpression" : {
        "name" : "rawScore",
        "language" : "text/fhirpath",
        "expression" : "%resource.item.where(linkId.matches('^phq-phq9-q0[1-9]$')).answer.value.ordinal().sum()"
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/variable",
      "valueExpression" : {
        "name" : "phq9Score",
        "language" : "text/fhirpath",
        "expression" : "%resource.item.where(linkId.matches('^phq-phq9-q0[1-9]$')).answer.value.ordinal().sum()"
      }
    }
  ],
  "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-phq-9",
  "version" : "2026.2.0",
  "title" : "MII QST PRO PHQ-9",
  "status" : "active",
  "experimental" : true,
  "date" : "2026-04-29T08:51:52+00:00",
  "publisher" : "Medizininformatik-Initiative",
  "contact" : [
    {
      "name" : "Medizininformatik-Initiative",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.medizininformatik-initiative.de"
        },
        {
          "system" : "email",
          "value" : "office@medizininformatik-initiative.de"
        }
      ]
    }
  ],
  "description" : "Patient Health Questionnaire (PHQ-9)",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "276"
        }
      ]
    }
  ],
  "code" : [
    {
      "system" : "http://loinc.org",
      "code" : "44249-1",
      "display" : "PHQ-9 quick depression assessment panel [Reported.PHQ]"
    },
    {
      "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-questionnaire-catalogue",
      "code" : "phq-phq9",
      "display" : "PHQ-9 Questionnaire"
    }
  ],
  "item" : [
    {
      "linkId" : "PHQ-9.Description",
      "text" : "Over the last two weeks, how often have you been bothered by any of the following problems?",
      "type" : "display"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
          "valueExpression" : {
            "language" : "text/fhirpath",
            "expression" : "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q01').answer.value, {})"
          }
        }
      ],
      "linkId" : "phq-phq9-q01",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44250-9"
        }
      ],
      "prefix" : "1",
      "text" : "Little interest or pleasure in doing things",
      "type" : "choice",
      "answerOption" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 0
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6568-5",
            "display" : "Not at all"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 1
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6569-3",
            "display" : "Several days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 2
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6570-1",
            "display" : "More than half the days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 3
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }
      ]
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
          "valueExpression" : {
            "language" : "text/fhirpath",
            "expression" : "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q02').answer.value, {})"
          }
        }
      ],
      "linkId" : "phq-phq9-q02",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44255-8"
        }
      ],
      "prefix" : "2",
      "text" : "Feeling down, depressed, or hopeless",
      "type" : "choice",
      "answerOption" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 0
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6568-5",
            "display" : "Not at all"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 1
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6569-3",
            "display" : "Several days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 2
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6570-1",
            "display" : "More than half the days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 3
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }
      ]
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
          "valueExpression" : {
            "language" : "text/fhirpath",
            "expression" : "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q03').answer.value, {})"
          }
        }
      ],
      "linkId" : "phq-phq9-q03",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44259-0"
        }
      ],
      "prefix" : "3",
      "text" : "Trouble falling or staying asleep, or sleeping too much",
      "type" : "choice",
      "answerOption" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 0
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6568-5",
            "display" : "Not at all"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 1
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6569-3",
            "display" : "Several days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 2
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6570-1",
            "display" : "More than half the days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 3
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }
      ]
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
          "valueExpression" : {
            "language" : "text/fhirpath",
            "expression" : "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q04').answer.value, {})"
          }
        }
      ],
      "linkId" : "phq-phq9-q04",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44254-1"
        }
      ],
      "prefix" : "4",
      "text" : "Feeling tired or having little energy",
      "type" : "choice",
      "answerOption" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 0
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6568-5",
            "display" : "Not at all"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 1
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6569-3",
            "display" : "Several days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 2
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6570-1",
            "display" : "More than half the days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 3
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }
      ]
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
          "valueExpression" : {
            "language" : "text/fhirpath",
            "expression" : "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q05').answer.value, {})"
          }
        }
      ],
      "linkId" : "phq-phq9-q05",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44251-7"
        }
      ],
      "prefix" : "5",
      "text" : "Poor appetite or overeating",
      "type" : "choice",
      "answerOption" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 0
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6568-5",
            "display" : "Not at all"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 1
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6569-3",
            "display" : "Several days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 2
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6570-1",
            "display" : "More than half the days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 3
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }
      ]
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
          "valueExpression" : {
            "language" : "text/fhirpath",
            "expression" : "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q06').answer.value, {})"
          }
        }
      ],
      "linkId" : "phq-phq9-q06",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44258-2"
        }
      ],
      "prefix" : "6",
      "text" : "Feeling bad about yourself - or that you are a failure or have let yourself or your family down",
      "type" : "choice",
      "answerOption" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 0
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6568-5",
            "display" : "Not at all"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 1
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6569-3",
            "display" : "Several days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 2
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6570-1",
            "display" : "More than half the days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 3
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }
      ]
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
          "valueExpression" : {
            "language" : "text/fhirpath",
            "expression" : "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q07').answer.value, {})"
          }
        }
      ],
      "linkId" : "phq-phq9-q07",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44252-5"
        }
      ],
      "prefix" : "7",
      "text" : "Trouble concentrating on things, such as reading the newspaper or watching television",
      "type" : "choice",
      "answerOption" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 0
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6568-5",
            "display" : "Not at all"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 1
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6569-3",
            "display" : "Several days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 2
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6570-1",
            "display" : "More than half the days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 3
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }
      ]
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
          "valueExpression" : {
            "language" : "text/fhirpath",
            "expression" : "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q08').answer.value, {})"
          }
        }
      ],
      "linkId" : "phq-phq9-q08",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44253-3"
        }
      ],
      "prefix" : "8",
      "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",
      "type" : "choice",
      "answerOption" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 0
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6568-5",
            "display" : "Not at all"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 1
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6569-3",
            "display" : "Several days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 2
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6570-1",
            "display" : "More than half the days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 3
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }
      ]
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
          "valueExpression" : {
            "language" : "text/fhirpath",
            "expression" : "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q09').answer.value, {})"
          }
        }
      ],
      "linkId" : "phq-phq9-q09",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44260-8"
        }
      ],
      "prefix" : "9",
      "text" : "Thoughts that you would be better off dead or of hurting yourself in some way",
      "type" : "choice",
      "answerOption" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 0
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6568-5",
            "display" : "Not at all"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 1
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6569-3",
            "display" : "Several days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 2
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6570-1",
            "display" : "More than half the days"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal" : 3
            }
          ],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }
      ]
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
          "valueExpression" : {
            "name" : "Scoreberechnung",
            "language" : "text/fhirpath",
            "expression" : "%phq9Score"
          }
        },
        {
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
          "valueBoolean" : true
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
          "valueCoding" : {
            "system" : "http://unitsofmeasure.org",
            "code" : "{score}"
          }
        },
        {
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observation-extract-category",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "survey"
              }
            ]
          }
        }
      ],
      "linkId" : "phq-phq9-score-total",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "44261-6",
          "display" : "Patient Health Questionnaire 9 item (PHQ-9) total score [Reported]"
        }
      ],
      "prefix" : "Auswertung",
      "text" : "PHQ-9 Total Score",
      "type" : "decimal",
      "readOnly" : true
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
          "valueExpression" : {
            "language" : "text/fhirpath",
            "expression" : "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q10').answer.value, {})"
          }
        }
      ],
      "linkId" : "phq-phq9-q10",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "69722-7"
        }
      ],
      "prefix" : "10",
      "text" : "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?",
      "type" : "choice",
      "answerOption" : [
        {
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6572-7",
            "display" : "Not difficult at all"
          }
        },
        {
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6573-5",
            "display" : "Somewhat difficult"
          }
        },
        {
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6575-0",
            "display" : "Very difficult"
          }
        },
        {
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6574-3",
            "display" : "Extremely difficult"
          }
        }
      ]
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
          "valueExpression" : {
            "name" : "promis-tscore-mapping",
            "language" : "text/fhirpath",
            "expression" : "iif(%phq9Score = 0, 37.4, iif(%phq9Score = 1, 42.7, iif(%phq9Score = 2, 45.9, iif(%phq9Score = 3, 48.3, iif(%phq9Score = 4, 50.5, iif(%phq9Score = 5, 52.5, iif(%phq9Score = 6, 54.2, iif(%phq9Score = 7, 55.8, iif(%phq9Score = 8, 57.2, iif(%phq9Score = 9, 58.6, iif(%phq9Score = 10, 59.9, iif(%phq9Score = 11, 61.1, iif(%phq9Score = 12, 62.3, iif(%phq9Score = 13, 63.5, iif(%phq9Score = 14, 64.7, iif(%phq9Score = 15, 65.8, iif(%phq9Score = 16, 66.9, iif(%phq9Score = 17, 68.0, iif(%phq9Score = 18, 69.2, iif(%phq9Score = 19, 70.3, iif(%phq9Score = 20, 71.5, iif(%phq9Score = 21, 72.7, iif(%phq9Score = 22, 74.0, iif(%phq9Score = 23, 75.3, iif(%phq9Score = 24, 76.7, iif(%phq9Score = 25, 78.3, iif(%phq9Score = 26, 80.0, iif(%phq9Score = 27, 82.3, 82.3))))))))))))))))))))))))))))"
          }
        },
        {
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
          "valueBoolean" : true
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
          "valueCoding" : {
            "system" : "http://unitsofmeasure.org",
            "code" : "{score}"
          }
        },
        {
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observation-extract-category",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "survey"
              }
            ]
          }
        }
      ],
      "linkId" : "phq-phq9-promis-tscore",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "77861-3",
          "display" : "PROMIS emotional distress - depression - version 1.0 Tscore"
        }
      ],
      "prefix" : "T-Score",
      "text" : "PROMIS Depression T-Score (derived from PHQ-9)",
      "type" : "decimal",
      "readOnly" : true
    }
  ]
}