Structured Data Capture
4.0.0-ballot - STU 4 ballot
Structured Data Capture
4.0.0-ballot - STU 4 ballot
This page is part of the Structured Data Capture FHIR IG (v4.0.0-ballot: STU 4 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions
| Page standards status: Informative |
{
"resourceType" : "QuestionnaireResponse",
"id" : "adaptive-questionnaireresponse-sdc-example-phq9",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse-adapt"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: QuestionnaireResponse adaptive-questionnaireresponse-sdc-example-phq9</b></p><a name=\"adaptive-questionnaireresponse-sdc-example-phq9\"> </a><a name=\"hcadaptive-questionnaireresponse-sdc-example-phq9\"> </a><a name=\"adaptive-questionnaireresponse-sdc-example-phq9-en-US\"> </a><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 item can appear in the instance\">Definition</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\">Answer</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=\"QuestionnaireResponseRoot\" class=\"hierarchy\"/> adaptive-questionnaireresponse-sdc-example-phq9</td><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\"></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire:#contained-adaptive-questionnaire-example-phq9</td></tr>\r\n<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_bck01.png)\" 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-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> H1/T1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Over the last two weeks, how often have you been bothered by any of the following problems?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<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_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> H1/T1/Q1</td><td style=\"vertical-align: top; text-align : left; background-color: white; 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: 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\"><span><span>CSPHQ9 Not-at-all: Not at all</span></span></td></tr>\r\n<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_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> H1/T1/Q2</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; 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: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span><span>CSPHQ9 Not-at-all: Not at all</span></span></td></tr>\r\n<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_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> H1/T1/Q3</td><td style=\"vertical-align: top; text-align : left; background-color: white; 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: 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\"><span><span>CSPHQ9 Not-at-all: Not at all</span></span></td></tr>\r\n<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_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> H1/T1/Q4</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; 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: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span><span>CSPHQ9 Several-days: Several days</span></span></td></tr>\r\n<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_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> H1/T1/Q5</td><td style=\"vertical-align: top; text-align : left; background-color: white; 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: 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\"><span><span>CSPHQ9 More than half the days: More than half the days</span></span></td></tr>\r\n<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_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> H1/T1/Q6</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; 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: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span><span>CSPHQ9 Several-days: Several days</span></span></td></tr>\r\n<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_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> H1/T1/Q7</td><td style=\"vertical-align: top; text-align : left; background-color: white; 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: 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\"><span><span>CSPHQ9 Nearly every day: Nearly every day</span></span></td></tr>\r\n<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_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> H1/T1/Q8</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Moving or speaking so slowly that other people could gave noticed? Or so fidgety or restless that you have been moving a lot more than usual?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span><span>CSPHQ9 More than half the days: More than half the days</span></span></td></tr>\r\n<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_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> H1/T1/Q9</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Thoughts that you would be better off dead, or thoughts of hurting yourself in some way?</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\"><span><span>CSPHQ9 Several-days: Several days</span></span></td></tr>\r\n<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_bck000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.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-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Item\" class=\"hierarchy\"/> H1/TS</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; 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: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span><span>13 score</span></span></td></tr>\r\n<tr><td colspan=\"4\" 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></div>"
},
"contained" : [
{
"resourceType" : "Questionnaire",
"id" : "contained-adaptive-questionnaire-example-phq9",
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-questionnaireAdaptive",
"valueBoolean" : true
},
{
"url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Questionnaire.versionAlgorithm[x]",
"valueCoding" : {
"system" : "http://hl7.org/fhir/version-algorithm",
"code" : "semver"
}
}
],
"version" : "0.0.1",
"name" : "SDCPHQ9",
"title" : "Patient Health Questionnaire - 9 Item",
"derivedFrom" : [
🔗 "http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-PHQ9"
],
"_derivedFrom" : [
{
🔗 "extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-derivationType",
"valueCoding" : {
"system" : "http://hl7.org/fhir/questionnaire-derivationType",
"code" : "compliesWith"
}
}
]
}
],
"status" : "active",
"experimental" : true,
"subjectType" : [
"Patient"
],
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean" : true
}
],
"linkId" : "H1/T1",
"code" : [
{
"system" : "http://loinc.org",
"code" : "44261-6",
"display" : "Patient Health Questionnaire 9 item (PHQ-9) total score [Reported]"
}
],
"text" : "Over the last two weeks, how often have you been bothered by any of the following problems?",
"type" : "group",
"item" : [
{
"linkId" : "H1/T1/Q1",
"text" : "Little interest or pleasure in doing things?",
"type" : "choice",
"required" : true,
"repeats" : false,
"answerValueSet" : "#VSPHQ9"
},
{
"linkId" : "H1/T1/Q2",
"text" : "Feeling down, depressed, or hopeless?",
"type" : "choice",
"required" : true,
"repeats" : false,
"answerValueSet" : "#VSPHQ9"
},
{
"linkId" : "H1/T1/Q3",
"text" : "Trouble falling or staying asleep, or sleeping too much?",
"type" : "choice",
"required" : true,
"repeats" : false,
"answerValueSet" : "#VSPHQ9"
},
{
"linkId" : "H1/T1/Q4",
"text" : "Feeling tired or having little energy?",
"type" : "choice",
"required" : true,
"repeats" : false,
"answerValueSet" : "#VSPHQ9"
},
{
"linkId" : "H1/T1/Q5",
"text" : "Poor appetite or overeating?",
"type" : "choice",
"required" : true,
"repeats" : false,
"answerValueSet" : "#VSPHQ9"
},
{
"linkId" : "H1/T1/Q6",
"text" : "Feeling bad about yourself - or that you are a failure or have let yourself or your family down?",
"type" : "choice",
"required" : true,
"repeats" : false,
"answerValueSet" : "#VSPHQ9"
},
{
"linkId" : "H1/T1/Q7",
"text" : "Trouble concentrating on things, such as reading the newspaper or watching television?",
"type" : "choice",
"required" : true,
"repeats" : false,
"answerValueSet" : "#VSPHQ9"
},
{
"linkId" : "H1/T1/Q8",
"text" : "Moving or speaking so slowly that other people could gave noticed? Or so fidgety or restless that you have been moving a lot more than usual?",
"type" : "choice",
"required" : true,
"repeats" : false,
"answerValueSet" : "#VSPHQ9"
},
{
"linkId" : "H1/T1/Q9",
"text" : "Thoughts that you would be better off dead, or thoughts of hurting yourself in some way?",
"type" : "choice",
"required" : true,
"repeats" : false,
"answerValueSet" : "#VSPHQ9"
},
{
"linkId" : "H1/TS",
"text" : "Patient health questionnaire 9 item total score",
"type" : "quantity",
"repeats" : false,
"readOnly" : true
}
]
}
]
},
{
"resourceType" : "ValueSet",
"id" : "VSPHQ9",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-valueset"
]
},
"url" : "http://hl7.org/fhir/uv/sdc/ValueSet/VSPHQ9",
"name" : "VSPHQ9",
"status" : "active",
"description" : "The answer list for questions addressing the frequency in which patient reports experiencing behaviors that are assessed in the PHQ-9 Questionnaire.",
"immutable" : true,
"compose" : {
"include" : [
{
"system" : "http://example.org/CodeSystem/CSPHQ9",
"concept" : [
{
"code" : "Not-at-all",
"display" : "Not at all"
},
{
"code" : "Several-days",
"display" : "Several days"
},
{
"code" : "More than half the days",
"display" : "More than half the days"
},
{
"code" : "Nearly every day",
"display" : "Nearly every day"
}
]
}
]
},
"expansion" : {
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "itemWeight"
},
{
"url" : "uri",
"valueUri" : "http://hl7.org/fhir/concept-properties#itemWeight"
}
],
"url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ValueSet.expansion.property"
}
],
"timestamp" : "2024-12-06T22:52:00-07:00",
"contains" : [
{
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "itemWeight"
},
{
"url" : "value[x]",
"valueDecimal" : 0
}
],
"url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ValueSet.expansion.contains.property"
}
],
"system" : "http://example.org/CodeSystem/CSPHQ9",
"code" : "not-at-all",
"display" : "Not at all"
},
{
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "itemWeight"
},
{
"url" : "value[x]",
"valueDecimal" : 1
}
],
"url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ValueSet.expansion.contains.property"
}
],
"system" : "http://example.org/CodeSystem/CSPHQ9",
"code" : "Several-days",
"display" : "Several days"
},
{
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "itemWeight"
},
{
"url" : "value[x]",
"valueDecimal" : 2
}
],
"url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ValueSet.expansion.contains.property"
}
],
"system" : "http://example.org/CodeSystem/CSPHQ9",
"code" : "More than half the days",
"display" : "More than half the days"
},
{
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "itemWeight"
},
{
"url" : "value[x]",
"valueDecimal" : 4
}
],
"url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ValueSet.expansion.contains.property"
}
],
"system" : "http://example.org/CodeSystem/CSPHQ9",
"code" : "Nearly every day",
"display" : "Nearly every day"
}
]
}
}
],
"identifier" : {
"value" : "adaptive-questionnaireresponse-example-phq9"
},
"questionnaire" : "#contained-adaptive-questionnaire-example-phq9",
"status" : "completed",
"subject" : {
"reference" : "http://hl7.org/fhir/Patient/proband"
},
"authored" : "2019-08-21T20:36:57.544Z",
"author" : {
"reference" : "http://hl7.org/fhir/Patient/proband"
},
"item" : [
{
"linkId" : "H1/T1",
"text" : "Over the last two weeks, how often have you been bothered by any of the following problems?",
"item" : [
{
"linkId" : "H1/T1/Q1",
"text" : "Little interest or pleasure in doing things?",
"answer" : [
{
"valueCoding" : {
"system" : "http://example.org/CodeSystem/CSPHQ9",
"code" : "Not-at-all",
"display" : "Not at all"
}
}
]
},
{
"linkId" : "H1/T1/Q2",
"text" : "Feeling down, depressed, or hopeless?",
"answer" : [
{
"valueCoding" : {
"system" : "http://example.org/CodeSystem/CSPHQ9",
"code" : "Not-at-all",
"display" : "Not at all"
}
}
]
},
{
"linkId" : "H1/T1/Q3",
"text" : "Trouble falling or staying asleep, or sleeping too much?",
"answer" : [
{
"valueCoding" : {
"system" : "http://example.org/CodeSystem/CSPHQ9",
"code" : "Not-at-all",
"display" : "Not at all"
}
}
]
},
{
"linkId" : "H1/T1/Q4",
"text" : "Feeling tired or having little energy?",
"answer" : [
{
"valueCoding" : {
"system" : "http://example.org/CodeSystem/CSPHQ9",
"code" : "Several-days",
"display" : "Several days"
}
}
]
},
{
"linkId" : "H1/T1/Q5",
"text" : "Poor appetite or overeating?",
"answer" : [
{
"valueCoding" : {
"system" : "http://example.org/CodeSystem/CSPHQ9",
"code" : "More than half the days",
"display" : "More than half the days"
}
}
]
},
{
"linkId" : "H1/T1/Q6",
"text" : "Feeling bad about yourself - or that you are a failure or have let yourself or your family down?",
"answer" : [
{
"valueCoding" : {
"system" : "http://example.org/CodeSystem/CSPHQ9",
"code" : "Several-days",
"display" : "Several days"
}
}
]
},
{
"linkId" : "H1/T1/Q7",
"text" : "Trouble concentrating on things, such as reading the newspaper or watching television?",
"answer" : [
{
"valueCoding" : {
"system" : "http://example.org/CodeSystem/CSPHQ9",
"code" : "Nearly every day",
"display" : "Nearly every day"
}
}
]
},
{
"linkId" : "H1/T1/Q8",
"text" : "Moving or speaking so slowly that other people could gave noticed? Or so fidgety or restless that you have been moving a lot more than usual?",
"answer" : [
{
"valueCoding" : {
"system" : "http://example.org/CodeSystem/CSPHQ9",
"code" : "More than half the days",
"display" : "More than half the days"
}
}
]
},
{
"linkId" : "H1/T1/Q9",
"text" : "Thoughts that you would be better off dead, or thoughts of hurting yourself in some way?",
"answer" : [
{
"valueCoding" : {
"system" : "http://example.org/CodeSystem/CSPHQ9",
"code" : "Several-days",
"display" : "Several days"
}
}
]
},
{
"linkId" : "H1/TS",
"text" : "Patient health questionnaire 9 item total score",
"answer" : [
{
"valueQuantity" : {
"value" : 13,
"unit" : "score"
}
}
]
}
]
}
]
}
IG © 2022+ HL7 International / FHIR Infrastructure. Package hl7.fhir.uv.sdc#4.0.0-ballot based on FHIR 4.0.1. Generated 2024-12-17
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