PACIO Sample Data Depot, published by MITRE. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/paciowg/sample-data-fsh/ and changes regularly. See the Directory of published versions

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: PHQ-9 QuestionnaireResponse - May 2026 - XML Representation

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<QuestionnaireResponse xmlns="http://hl7.org/fhir">
  <id value="PHQ9Example5"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en"><p>PHQ-9 - May 2026. Total score: 3 (Minimal depression).</p></div>
  </text>
  <questionnaire
                 value="http://example.org/fhir/Questionnaire/PHQ9Questionnaire"/>
  <status value="completed"/>
  <subject>🔗 
    <reference value="Patient/patient-john-doe-01"/>
  </subject>
  <authored value="2026-05-15T10:30:00Z"/>
  <author>🔗 
    <reference value="Patient/patient-john-doe-01"/>
  </author>
  <item>
    <linkId value="phq9-1"/>
    <text value="Little interest or pleasure in doing things"/>
    <answer>
      <valueCoding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="0"/>
        </extension>
        <system value="http://loinc.org"/>
        <code value="LA6568-5"/>
        <display value="Not at all"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="phq9-2"/>
    <text value="Feeling down, depressed, or hopeless"/>
    <answer>
      <valueCoding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="0"/>
        </extension>
        <system value="http://loinc.org"/>
        <code value="LA6568-5"/>
        <display value="Not at all"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="phq9-3"/>
    <text value="Trouble falling or staying asleep, or sleeping too much"/>
    <answer>
      <valueCoding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="1"/>
        </extension>
        <system value="http://loinc.org"/>
        <code value="LA6569-3"/>
        <display value="Several days"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="phq9-4"/>
    <text value="Feeling tired or having little energy"/>
    <answer>
      <valueCoding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="1"/>
        </extension>
        <system value="http://loinc.org"/>
        <code value="LA6569-3"/>
        <display value="Several days"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="phq9-5"/>
    <text value="Poor appetite or overeating"/>
    <answer>
      <valueCoding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="0"/>
        </extension>
        <system value="http://loinc.org"/>
        <code value="LA6568-5"/>
        <display value="Not at all"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="phq9-6"/>
    <text
          value="Feeling bad about yourself — or that you are a failure or have let yourself or your family down"/>
    <answer>
      <valueCoding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="0"/>
        </extension>
        <system value="http://loinc.org"/>
        <code value="LA6568-5"/>
        <display value="Not at all"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="phq9-7"/>
    <text
          value="Trouble concentrating on things, such as reading the newspaper or watching television"/>
    <answer>
      <valueCoding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="1"/>
        </extension>
        <system value="http://loinc.org"/>
        <code value="LA6569-3"/>
        <display value="Several days"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="phq9-8"/>
    <text
          value="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"/>
    <answer>
      <valueCoding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="0"/>
        </extension>
        <system value="http://loinc.org"/>
        <code value="LA6568-5"/>
        <display value="Not at all"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="phq9-9"/>
    <text
          value="Thoughts that you would be better off dead, or of hurting yourself in some way"/>
    <answer>
      <valueCoding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="0"/>
        </extension>
        <system value="http://loinc.org"/>
        <code value="LA6568-5"/>
        <display value="Not at all"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="phq9-10"/>
    <text
          value="How difficult have these made it for you to do your work, take care of things at home, or get along with other people?"/>
    <answer>
      <valueCoding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="1"/>
        </extension>
        <system value="http://loinc.org"/>
        <code value="LA6573-5"/>
        <display value="Somewhat difficult"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="total-score"/>
    <answer>
      <valueDecimal value="3"/>
    </answer>
  </item>
  <item>
    <linkId value="severity-category"/>
    <answer>
      <valueString value="Minimal depression"/>
    </answer>
  </item>
</QuestionnaireResponse>