US Core Implementation Guide
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: Questionnaire PHQ-9 Example - XML Representation

Active as of 2023-03-31

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<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="phq-9-example"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><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 : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="The linkId for the item">LinkId</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the the itemcan appear in the instance">Cardinality</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Additional information about the item">Description &amp; Constraints</a><span style="float: right"><a href="http://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 : 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"/> PHQ9Example</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">http://hl7.org/fhir/us/core/Questionnaire/phq-9-example#6.1.0</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item./44250-9" 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"/> /44250-9</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Little interest or pleasure in doing things?</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item./44250-9">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item./44255-8" 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"/> /44255-8</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Feeling down, depressed, or hopeless?</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item./44255-8">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item./44259-0" 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"/> /44259-0</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Trouble falling or staying asleep, or sleeping too much</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item./44259-0">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item./44254-1" 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"/> /44254-1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Feeling tired or having little energy</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item./44254-1">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item./44251-7" 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"/> /44251-7</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Poor appetite or overeating</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item./44251-7">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item./44258-2" 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"/> /44258-2</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">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 : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item./44258-2">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item./44252-5" 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"/> /44252-5</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Trouble concentrating on things, such as reading the newspaper or watching television</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item./44252-5">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item./44253-3" 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"/> /44253-3</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">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 : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item./44253-3">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item./44260-8" 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"/> /44260-8</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Thoughts that you would be better off dead, or of hurting yourself in some way</td><td style="vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item./44260-8">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item./44261-6" 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: white; background-color: inherit" title="Decimal" class="hierarchy"/> /44261-6</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Patient health questionnaire 9 item total score</td><td style="vertical-align: top; text-align : 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 : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" id="item./69722-7" 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-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> /69722-7</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">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 : 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 : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item./69722-7">4 options</a></td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="http://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>Option Sets</b></p><a name="opt-item./44250-9"> </a><p><b>Answer options for /44250-9</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="opt-item./44255-8"> </a><p><b>Answer options for /44255-8</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="opt-item./44259-0"> </a><p><b>Answer options for /44259-0</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="opt-item./44254-1"> </a><p><b>Answer options for /44254-1</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="opt-item./44251-7"> </a><p><b>Answer options for /44251-7</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="opt-item./44258-2"> </a><p><b>Answer options for /44258-2</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="opt-item./44252-5"> </a><p><b>Answer options for /44252-5</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="opt-item./44253-3"> </a><p><b>Answer options for /44253-3</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="opt-item./44260-8"> </a><p><b>Answer options for /44260-8</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="opt-item./69722-7"> </a><p><b>Answer options for /69722-7</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>
  </text>
  <url value="http://hl7.org/fhir/us/core/Questionnaire/phq-9-example"/>
  <version value="6.1.0"/>
  <name value="PHQ9Example"/>
  <title value="PHQ-9 Example"/>
  <status value="active"/>
  <experimental value="true"/>
  <subjectType value="Patient"/>
  <date value="2023-03-31"/>
  <publisher value="HL7 International - Cross-Group Projects"/>
  <contact>
    <name value="HL7 International - Cross-Group Projects"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cgp"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="cgp@lists.HL7.org"/>
    </telecom>
  </contact>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <copyright
             value="Used by permission of HL7 International, all rights reserved Creative Commons License"/>
  <code>
    <system value="http://loinc.org"/>
    <code value="44249-1"/>
    <display value="PHQ-9 quick depression assessment panel [Reported.PHQ]"/>
  </code>
  <item>
    <linkId value="/44250-9"/>
    <code>
      <system value="http://loinc.org"/>
      <code value="44250-9"/>
      <display
               value="Little interest or pleasure in doing things in last 2 weeks"/>
    </code>
    <text value="Little interest or pleasure in doing things?"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="0"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6568-5"/>
        <display value="Not at all"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="1"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6569-3"/>
        <display value="Several days"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="2"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6570-1"/>
        <display value="More than half the days"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="3"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6571-9"/>
        <display value="Nearly every day"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="/44255-8"/>
    <code>
      <system value="http://loinc.org"/>
      <code value="44255-8"/>
      <display value="Feeling down, depressed, or hopeless in last 2 weeks"/>
    </code>
    <text value="Feeling down, depressed, or hopeless?"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="0"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6568-5"/>
        <display value="Not at all"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="1"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6569-3"/>
        <display value="Several days"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="2"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6570-1"/>
        <display value="More than half the days"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="3"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6571-9"/>
        <display value="Nearly every day"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="/44259-0"/>
    <code>
      <system value="http://loinc.org"/>
      <code value="44259-0"/>
      <display
               value="Trouble falling or staying asleep, or sleeping too much"/>
    </code>
    <text value="Trouble falling or staying asleep, or sleeping too much"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="0"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6568-5"/>
        <display value="Not at all"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="1"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6569-3"/>
        <display value="Several days"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="2"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6570-1"/>
        <display value="More than half the days"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="3"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6571-9"/>
        <display value="Nearly every day"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="/44254-1"/>
    <code>
      <system value="http://loinc.org"/>
      <code value="44254-1"/>
      <display value="Feeling tired or having little energy"/>
    </code>
    <text value="Feeling tired or having little energy"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="0"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6568-5"/>
        <display value="Not at all"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="1"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6569-3"/>
        <display value="Several days"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="2"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6570-1"/>
        <display value="More than half the days"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="3"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6571-9"/>
        <display value="Nearly every day"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="/44251-7"/>
    <code>
      <system value="http://loinc.org"/>
      <code value="44251-7"/>
      <display value="Poor appetite or overeating"/>
    </code>
    <text value="Poor appetite or overeating"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="0"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6568-5"/>
        <display value="Not at all"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="1"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6569-3"/>
        <display value="Several days"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="2"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6570-1"/>
        <display value="More than half the days"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="3"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6571-9"/>
        <display value="Nearly every day"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="/44258-2"/>
    <code>
      <system value="http://loinc.org"/>
      <code value="44258-2"/>
      <display
               value="Feeling bad about yourself-or that you are a failure or have let yourself or your family down"/>
    </code>
    <text
          value="Feeling bad about yourself-or that you are a failure or have let yourself or your family down"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="0"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6568-5"/>
        <display value="Not at all"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="1"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6569-3"/>
        <display value="Several days"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="2"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6570-1"/>
        <display value="More than half the days"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="3"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6571-9"/>
        <display value="Nearly every day"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="/44252-5"/>
    <code>
      <system value="http://loinc.org"/>
      <code value="44252-5"/>
      <display
               value="Trouble concentrating on things, such as reading the newspaper or watching television"/>
    </code>
    <text
          value="Trouble concentrating on things, such as reading the newspaper or watching television"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="0"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6568-5"/>
        <display value="Not at all"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="1"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6569-3"/>
        <display value="Several days"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="2"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6570-1"/>
        <display value="More than half the days"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="3"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6571-9"/>
        <display value="Nearly every day"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="/44253-3"/>
    <code>
      <system value="http://loinc.org"/>
      <code value="44253-3"/>
      <display
               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"/>
    </code>
    <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"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="0"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6568-5"/>
        <display value="Not at all"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="1"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6569-3"/>
        <display value="Several days"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="2"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6570-1"/>
        <display value="More than half the days"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="3"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6571-9"/>
        <display value="Nearly every day"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="/44260-8"/>
    <code>
      <system value="http://loinc.org"/>
      <code value="44260-8"/>
      <display
               value="Thoughts that you would be better off dead, or of hurting yourself in some way"/>
    </code>
    <text
          value="Thoughts that you would be better off dead, or of hurting yourself in some way"/>
    <type value="choice"/>
    <required value="false"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="0"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6568-5"/>
        <display value="Not at all"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="1"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6569-3"/>
        <display value="Several days"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="2"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6570-1"/>
        <display value="More than half the days"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="3"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6571-9"/>
        <display value="Nearly every day"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="/44261-6"/>
    <code>
      <system value="http://loinc.org"/>
      <code value="44261-6"/>
      <display
               value="Patient Health Questionnaire 9 item (PHQ-9) total score [Reported]"/>
    </code>
    <text value="Patient health questionnaire 9 item total score"/>
    <type value="decimal"/>
    <required value="false"/>
  </item>
  <item>
    <linkId value="/69722-7"/>
    <code>
      <system value="http://loinc.org"/>
      <code value="69722-7"/>
      <display
               value="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?"/>
    </code>
    <text
          value="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 value="choice"/>
    <required value="false"/>
    <answerOption>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6572-7"/>
        <display value="Not difficult at all"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6573-5"/>
        <display value="Somewhat difficult"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6575-0"/>
        <display value="Very difficult"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6574-3"/>
        <display value="Extremely difficult"/>
      </valueCoding>
    </answerOption>
  </item>
</Questionnaire>