US Core Implementation Guide
9.0.0 - STU 9 US

US Core Implementation Guide - Downloaded Version 9.0.0 See the Directory of published versions

## Questionnaire: Questionnaire PHQ-9 Example (Experimental)

Official URL: http://hl7.org/fhir/us/core/Questionnaire/phq-9-example | Version: 9.0.0
Standards status: Informative | Computable Name: PHQ9Example
Other Identifiers: OID:2.16.840.1.113883.4.642.40.2.35.5
Copyright/Legal: This material contains content from LOINC® (http://loinc.org). LOINC is copyright © 1995-2024, Regenstrief Institute, Inc. and the LOINC Committee, and is available at no cost under the license at http://loinc.org/license. Copyright © Pfizer Inc. All rights reserved. Developed by Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke and colleagues, with an educational grant from Pfizer Inc. No permission required to reproduce, translate, display or distribute (https://www.phqscreeners.com/).

Profile: SDC Base Questionnaire

Structure

LinkID | Text | Cardinality | Type | Description & Constraints
--- | --- | --- | --- | ---
PHQ9Example |  |  | Questionnaire | http://hl7.org/fhir/us/core/Questionnaire/phq-9-example#9.0.0
/44250-9 | Little interest or pleasure in doing things? | 1..1 | choice | Value Set: Options: 4 options
/44255-8 | Feeling down, depressed, or hopeless? | 1..1 | choice | Value Set: Options: 4 options
/44259-0 | Trouble falling or staying asleep, or sleeping too much in last 2 weeks [Reported.PHQ] | 1..1 | choice | Value Set: Options: 4 options
/44254-1 | Feeling tired or having little energy in last 2 weeks [Reported.PHQ] | 1..1 | choice | Value Set: Options: 4 options
/44251-7 | Poor appetite or overeating in last 2 weeks [Reported.PHQ] | 1..1 | choice | Value Set: Options: 4 options
/44258-2 | Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2 weeks [Reported.PHQ] | 1..1 | choice | Value Set: Options: 4 options
/44252-5 | Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks [Reported.PHQ] | 1..1 | choice | Value Set: Options: 4 options
/44253-3 | 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] | 1..1 | choice | Value Set: Options: 4 options
/44260-8 | Thoughts that you would be better off dead, or of hurting yourself in some way in last 2 weeks [Reported.PHQ] | 0..1 | choice | Value Set: Options: 4 options
/44261-6 | Patient health questionnaire 9 item total score | 0..1 | decimal | Value Set:
/69722-7 | How difficult have these made it for you to do your work, take care of things at home, or get along with other people [Reported.PHQ] | 0..1 | choice | Value Set: Options: 4 options
Documentation for this format

Options Sets

Answer options for /44250-9

- http://loinc.org#LA6568-5 ("Not at all")
- http://loinc.org#LA6569-3 ("Several days")
- http://loinc.org#LA6570-1 ("More than half the days")
- http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for /44255-8

- http://loinc.org#LA6568-5 ("Not at all")
- http://loinc.org#LA6569-3 ("Several days")
- http://loinc.org#LA6570-1 ("More than half the days")
- http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for /44259-0

- http://loinc.org#LA6568-5 ("Not at all")
- http://loinc.org#LA6569-3 ("Several days")
- http://loinc.org#LA6570-1 ("More than half the days")
- http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for /44254-1

- http://loinc.org#LA6568-5 ("Not at all")
- http://loinc.org#LA6569-3 ("Several days")
- http://loinc.org#LA6570-1 ("More than half the days")
- http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for /44251-7

- http://loinc.org#LA6568-5 ("Not at all")
- http://loinc.org#LA6569-3 ("Several days")
- http://loinc.org#LA6570-1 ("More than half the days")
- http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for /44258-2

- http://loinc.org#LA6568-5 ("Not at all")
- http://loinc.org#LA6569-3 ("Several days")
- http://loinc.org#LA6570-1 ("More than half the days")
- http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for /44252-5

- http://loinc.org#LA6568-5 ("Not at all")
- http://loinc.org#LA6569-3 ("Several days")
- http://loinc.org#LA6570-1 ("More than half the days")
- http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for /44253-3

- http://loinc.org#LA6568-5 ("Not at all")
- http://loinc.org#LA6569-3 ("Several days")
- http://loinc.org#LA6570-1 ("More than half the days")
- http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for /44260-8

- http://loinc.org#LA6568-5 ("Not at all")
- http://loinc.org#LA6569-3 ("Several days")
- http://loinc.org#LA6570-1 ("More than half the days")
- http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for /69722-7

- http://loinc.org#LA6572-7 ("Not difficult at all")
- http://loinc.org#LA6573-5 ("Somewhat difficult")
- http://loinc.org#LA6575-0 ("Very difficult")
- http://loinc.org#LA6574-3 ("Extremely difficult")