Cqif\questionnaire-cqif-example.json

Questionnaire used to define the questions involved in the PHQ-9 health questionnaire

{
  "resourceType": "Questionnaire",
  "id": "questionnaire-cqif-example",
  "_id": {
    "fhir_comments": [
      "  This example demonstrates the CQIF-Questionnaire profile of Questionnaire to represent dynamic logic in a Questionnaire  "
    ]
  },
  "meta": {
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/cqif-questionnaire"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<div>PHQ-9 Questionnaire with dynamic logic</div>"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/cqif-basic-content",
      "valueAttachment": {
        "contentType": "application/x-elm+xml",
        "url": "http://elmrepository.org/PHQ-9Logic.elm"
      }
    }
  ],
  "identifier": [
    {
      "fhir_comments": [
        "  Identifier  "
      ],
      "use": "official",
      "value": "phq-9"
    }
  ],
  "version": "1.0.0",
  "status": "draft",
  "subjectType": [
    "Patient"
  ],
  "group": {
    "title": "Patient Health Questionnaire (PHQ-9)",
    "concept": [
      {
        "system": "http://loinc.org",
        "code": "44249-1",
        "display": "PHQ-9 quick depression assessment panel:-:Pt:^Patient:-:Report.PHQ-9"
      }
    ],
    "text": "Your responses to this questionnaire will help your doctor diagnose and manage your mental health. In responding to the question, please consider how often have you been bothered by any of the following problems over the last 2 weeks?",
    "required": true,
    "question": [
      {
        "linkId": "LittleInterest",
        "concept": [
          {
            "system": "http://loinc.org",
            "code": "44250-9"
          }
        ],
        "text": "Little interest or pleasure in doing things",
        "type": "integer",
        "required": true,
        "options": {
          "reference": "ValueSet/LOINCDepressionAnswersList"
        }
      },
      {
        "linkId": "FeelingDown",
        "concept": [
          {
            "system": "http://loinc.org",
            "code": "44255-8"
          }
        ],
        "text": "Feeling down, depressed, or hopeless",
        "type": "integer",
        "required": true,
        "options": {
          "reference": "ValueSet/LOINCDepressionAnswersList"
        }
      },
      {
        "linkId": "TroubleSleeping",
        "concept": [
          {
            "system": "http://loinc.org",
            "code": "44259-0"
          }
        ],
        "text": "Trouble falling or staying asleep",
        "type": "integer",
        "required": true,
        "options": {
          "reference": "ValueSet/LOINCDepressionAnswersList"
        }
      },
      {
        "linkId": "FeelingTired",
        "concept": [
          {
            "system": "http://loinc.org",
            "code": "44254-1"
          }
        ],
        "text": "Feeling tired or having little energy",
        "type": "integer",
        "required": true,
        "options": {
          "reference": "ValueSet/LOINCDepressionAnswersList"
        }
      },
      {
        "linkId": "BadAppetite",
        "concept": [
          {
            "system": "http://loinc.org",
            "code": "44251-7"
          }
        ],
        "text": "Poor appetite or overeating",
        "type": "integer",
        "required": true,
        "options": {
          "reference": "ValueSet/LOINCDepressionAnswersList"
        }
      },
      {
        "linkId": "FeelingBadAboutSelf",
        "concept": [
          {
            "system": "http://loinc.org",
            "code": "44258-2"
          }
        ],
        "text": "Feeling bad about yourself - or that you are a failure or have let yourself or your family down",
        "type": "integer",
        "required": true,
        "options": {
          "reference": "ValueSet/LOINCDepressionAnswersList"
        }
      },
      {
        "linkId": "TroubleConcentrating",
        "concept": [
          {
            "system": "http://loinc.org",
            "code": "44252-5"
          }
        ],
        "text": "Trouble concentrating on things, such as reading the newspaper or watching television",
        "type": "integer",
        "required": true,
        "options": {
          "reference": "ValueSet/LOINCDepressionAnswersList"
        }
      },
      {
        "linkId": "MovingSpeaking",
        "concept": [
          {
            "system": "http://loinc.org",
            "code": "44253-3"
          }
        ],
        "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": "integer",
        "required": true,
        "options": {
          "reference": "ValueSet/LOINCDepressionAnswersList"
        }
      },
      {
        "fhir_comments": [
          "  ValidationFailure: Unknown LOINC code 44250-8\n\t\t<question>\n\t\t\t<linkId value=\"ThoughtsOfHurting\"/>\n\t\t\t<concept>\n\t\t\t\t<system value=\"http://loinc.org\"/>\n\t\t\t\t<code value=\"44250-8\"/>\n\t\t\t</concept>\n\t\t\t<text value=\"Thoughts that you would be better off dead, or of hurting yourself\"/>\n\t\t\t<type value=\"integer\"/>\n\t\t\t<required value=\"true\"/>\n\t\t\t<options>\n\t\t\t\t<reference value=\"ValueSet/LOINCDepressionAnswersList\"/>\n\t\t\t</options>\n\t\t</question>\n\t\t "
        ],
        "linkId": "TotalScore",
        "_linkId": {
          "fhir_comments": [
            "  ValidationFailure: Element matches more than one source\n\t\t\t<extension url=\"http://hl7.org/fhir/StructureDefinition/cqif-basic-expression\">\n\t\t\t\t<valueString value=\"CalculateTotalScore\"/>\n\t\t\t</extension>\n\t\t\t "
          ]
        },
        "concept": [
          {
            "system": "http://loinc.org",
            "code": "44261-6"
          }
        ],
        "text": "Total score",
        "type": "integer",
        "required": true,
        "options": {
          "reference": "ValueSet/LOINCDepressionAnswersList"
        }
      },
      {
        "linkId": "Difficulty",
        "concept": [
          {
            "system": "http://loinc.org",
            "code": "44256-6"
          }
        ],
        "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": "string",
        "required": true,
        "options": {
          "reference": "ValueSet/LOINCDifficultyAnswersList"
        }
      }
    ]
  }
}