<?xml version="1.0" encoding="UTF-8"?>

<Observation xmlns="http://hl7.org/fhir">
  <id value="wilmamarina01-qr-phq9-snf-discharge-01-c650aa67"/>
  <meta>
    <profile value="http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-collection"/>
  </meta>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation wilmamarina01-qr-phq9-snf-discharge-01-c650aa67</b></p><a name="wilmamarina01-qr-phq9-snf-discharge-01-c650aa67"> </a><a name="hcwilmamarina01-qr-phq9-snf-discharge-01-c650aa67"> </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="https://build.fhir.org/ig/HL7/fhir-pacio-pfe/StructureDefinition-pfe-collection.html">Personal Functioning and Engagement Collection</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category survey}">Survey</span>, <span title="Codes:{http://hl7.org/fhir/us/core/CodeSystem/us-core-category cognitive-status}">Cognitive Status</span>, <span title="Codes:{http://hl7.org/fhir/sid/icf b152}">Emotional functions</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 44249-1}">PHQ-9 quick depression assessment panel [Reported.PHQ]</span></p><p><b>subject</b>: <a href="Patient-patient-wilmamarina01.html">Marina, Wilma Female, DoB: 1950-11-15 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1PA3D58WH17)</a></p><p><b>effective</b>: 2026-02-20 16:30:00+0000</p><p><b>performer</b>: <a href="PractitionerRole-PractitionerRole-RN-TreyvorClark.html">PractitionerRole Registered Nurse</a></p><p><b>hasMember</b>: </p><ul><li><a href="Observation-wilmamarina01-qr-phq9-snf-discharge-01-44250-9.html">Observation Little interest or pleasure in doing things in last 2 weeks</a></li><li><a href="Observation-wilmamarina01-qr-phq9-snf-discharge-01-44255-8.html">Observation Feeling down, depressed, or hopeless in last 2 weeks</a></li><li><a href="Observation-wilmamarina01-qr-phq9-snf-discharge-01-44259-0.html">Observation Trouble falling or staying asleep, or sleeping too much in last 2 weeks [Reported.PHQ]</a></li><li><a href="Observation-wilmamarina01-qr-phq9-snf-discharge-01-44254-1.html">Observation Feeling tired or having little energy in last 2 weeks [Reported.PHQ]</a></li><li><a href="Observation-wilmamarina01-qr-phq9-snf-discharge-01-44251-7.html">Observation Poor appetite or overeating in last 2 weeks [Reported.PHQ]</a></li><li><a href="Observation-wilmamarina01-qr-phq9-snf-discharge-01-44258-2.html">Observation Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2 weeks [Reported.PHQ]</a></li><li><a href="Observation-wilmamarina01-qr-phq9-snf-discharge-01-44252-5.html">Observation Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks [Reported.PHQ]</a></li><li><a href="Observation-wilmamarina01-qr-phq9-snf-discharge-01-44253-3.html">Observation 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 in last 2 weeks [Reported.PHQ]</a></li><li><a href="Observation-wilmamarina01-qr-phq9-snf-discharge-01-44260-8.html">Observation Thoughts that you would be better off dead, or of hurting yourself in some way in last 2 weeks [Reported.PHQ]</a></li><li><a href="Observation-wilmamarina01-qr-phq9-snf-discharge-01-44261-6.html">Observation Patient Health Questionnaire 9 item (PHQ-9) total score [Reported]</a></li></ul><p><b>derivedFrom</b>: <a href="QuestionnaireResponse-wilmamarina01-qr-phq9-snf-discharge-01.html">Response to Questionnaire '-&gt;Patient Health Questionnaire-9 (PHQ-9)' about '-&gt;Marina, Wilma Female, DoB: 1950-11-15 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1PA3D58WH17)'</a></p></div>
  </text>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="survey"/>
    </coding>
  </category>
  <category>
    <coding>
      <system value="http://hl7.org/fhir/us/core/CodeSystem/us-core-category"/>
      <code value="cognitive-status"/>
      <display value="Cognitive Status"/>
    </coding>
  </category>
  <category>
    <coding>
      <system value="http://hl7.org/fhir/sid/icf"/>
      <code value="b152"/>
      <display value="Emotional functions"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="44249-1"/>
      <display value="PHQ-9 quick depression assessment panel [Reported.PHQ]"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/patient-wilmamarina01"/>
  </subject>
  <effectiveDateTime value="2026-02-20T16:30:00.000Z"/>
  <performer>
    <reference value="PractitionerRole/PractitionerRole-RN-TreyvorClark"/>
  </performer>
  <hasMember>
    <reference value="Observation/wilmamarina01-qr-phq9-snf-discharge-01-44250-9"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/wilmamarina01-qr-phq9-snf-discharge-01-44255-8"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/wilmamarina01-qr-phq9-snf-discharge-01-44259-0"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/wilmamarina01-qr-phq9-snf-discharge-01-44254-1"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/wilmamarina01-qr-phq9-snf-discharge-01-44251-7"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/wilmamarina01-qr-phq9-snf-discharge-01-44258-2"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/wilmamarina01-qr-phq9-snf-discharge-01-44252-5"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/wilmamarina01-qr-phq9-snf-discharge-01-44253-3"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/wilmamarina01-qr-phq9-snf-discharge-01-44260-8"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/wilmamarina01-qr-phq9-snf-discharge-01-44261-6"/>
  </hasMember>
  <derivedFrom>
    <reference value="QuestionnaireResponse/wilmamarina01-qr-phq9-snf-discharge-01"/>
  </derivedFrom>
</Observation>