Argonaut Questionnaire Implementation Guide (Release 1.0.0 )

This page is part of the Argonaut Questionnaire Implementation Guide (v1.0.0: Release) based on FHIR R3. This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

XML Format: QuestionnaireResponse-adaptive-questionnaireresponse-example-phq9

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<QuestionnaireResponse xmlns="http://hl7.org/fhir">
  <id value="adaptive-questionnaireresponse-example-phq9"/>
  <meta>
    <profile
             value="http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/argo-adap-questionnaireresponse"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
    <h3>Patient Health Questionnaire (PHQ-9) Adaptive View</h3>
    <p><em>NOTE: These examples are for educational and testing purposes,
     see the form copyright statement and do not redistribute without expressed
     permission from the form author.</em></p>
    <p>This simulates is a simple adaptive questionnaire implementation.
     After answering and submitting the first question another question is randomly
     returned from the selected questionnaire. This is repeated two more times and
     then the adaptive questionnaire will finish by changing the status to completed
     and returning a score. Note that although these questionnaires are designed as forms and
     are not really appropriate for the adaptive questionnaire use case,  they are used here to
      demonstrate a proof of concept implementation.<br />
    <strong>Questionnaire URL:</strong> http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-phq9<br />
    <strong>Date Completed:</strong> 2018-07-26<br /><br />
    <em>Copyright: 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.</em></p>
    <hr /><hr /><br /> <strong>Question:</strong> (linkID=score) Cumulative Score is ... (this is hidden text/should not be displayed to the user)<br /><strong>Response:</strong> 0<br /><br /> <strong>Question:</strong> (linkID=std_dev) Standard Deviation is ... (this is hidden text/should not be displayed to the user)<br /><strong>Response:</strong> 0.0<br /><br /> <strong>Question:</strong> (linkID=g1.q1) Little interest or pleasure in doing things,<br /><strong>Response:</strong>  Not at all ( code = LA6568-5, codesystem = http://loinc.org)<br /><br /> <strong>Question:</strong> (linkID=g1.q8) 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,<br /><strong>Response:</strong>  Not at all ( code = LA6568-5, codesystem = http://loinc.org)<br /><br /> <strong>Question:</strong> (linkID=g1.q4) Feeling tired or having little energy,<br /><strong>Response:</strong>  Not at all ( code = LA6568-5, codesystem = http://loinc.org)<br /></div>
  </text>
  <contained>
    <Questionnaire>
      <id value="contained-adaptive-questionnaire-example-phq9"/>
      <meta>
        <profile
                 value="http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/argo-questionnaire"/>
      </meta>
      <extension
                 url="http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-timeLimit">
        <valueDuration>
          <value value="1"/>
          <unit value="week"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="wk"/>
        </valueDuration>
      </extension>
      <url
           value="http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-phq9"/>
      <title value="Contained Adaptive Patient Health Questionnaire (PHQ-9)"/>
      <status value="active"/>
      <date value="2019-02-13T00:36:54.253025Z"/>
      <copyright
                 value="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."/>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
          <valueBoolean value="true"/>
        </extension>
        <extension
                   url="http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder">
          <valueInteger value="1"/>
        </extension>
        <linkId value="score"/>
        <text value="Cumulative Score is ..."/>
        <type value="integer"/>
        <repeats value="false"/>
        <readOnly value="true"/>
      </item>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
          <valueBoolean value="true"/>
        </extension>
        <extension
                   url="http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder">
          <valueInteger value="2"/>
        </extension>
        <linkId value="std_dev"/>
        <text value="Standard Deviation is ..."/>
        <type value="decimal"/>
        <repeats value="false"/>
        <readOnly value="true"/>
      </item>
      <item>
        <extension
                   url="http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder">
          <valueInteger value="3"/>
        </extension>
        <linkId value="g1.q1"/>
        <definition
                    value="http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-phq9-g1.q1"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="44250-9"/>
        </code>
        <prefix value="1."/>
        <text value="Little interest or pleasure in doing things,"/>
        <type value="choice"/>
        <required value="true"/>
        <repeats value="false"/>
        <option>
          <valueCoding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
              <valueInteger value="1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue">
              <valueDecimal value="0"/>
            </extension>
            <system value="http://loinc.org"/>
            <code value="LA6568-5"/>
            <display value="Not at all"/>
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
              <valueInteger value="2"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue">
              <valueDecimal value="1"/>
            </extension>
            <system value="http://loinc.org"/>
            <code value="LA6569-3"/>
            <display value="Several days"/>
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
              <valueInteger value="3"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue">
              <valueDecimal value="2"/>
            </extension>
            <system value="http://loinc.org"/>
            <code value="LA6570-1"/>
            <display value="More than half the days"/>
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
              <valueInteger value="4"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue">
              <valueDecimal value="3"/>
            </extension>
            <system value="http://loinc.org"/>
            <code value="LA6571-9"/>
            <display value="Nearly every day"/>
          </valueCoding>
        </option>
      </item>
      <item>
        <extension
                   url="http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder">
          <valueInteger value="4"/>
        </extension>
        <linkId value="g1.q8"/>
        <definition
                    value="http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-phq9-g1.q8"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="44253-3"/>
        </code>
        <prefix value="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,"/>
        <type value="choice"/>
        <required value="true"/>
        <repeats value="false"/>
        <option>
          <valueCoding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
              <valueInteger value="1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue">
              <valueDecimal value="0"/>
            </extension>
            <system value="http://loinc.org"/>
            <code value="LA6568-5"/>
            <display value="Not at all"/>
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
              <valueInteger value="2"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue">
              <valueDecimal value="1"/>
            </extension>
            <system value="http://loinc.org"/>
            <code value="LA6569-3"/>
            <display value="Several days"/>
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
              <valueInteger value="3"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue">
              <valueDecimal value="2"/>
            </extension>
            <system value="http://loinc.org"/>
            <code value="LA6570-1"/>
            <display value="More than half the days"/>
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
              <valueInteger value="4"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue">
              <valueDecimal value="3"/>
            </extension>
            <system value="http://loinc.org"/>
            <code value="LA6571-9"/>
            <display value="Nearly every day"/>
          </valueCoding>
        </option>
      </item>
      <item>
        <extension
                   url="http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder">
          <valueInteger value="5"/>
        </extension>
        <linkId value="g1.q4"/>
        <definition
                    value="http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-phq9-g1.q4"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="44254-1"/>
        </code>
        <prefix value="4."/>
        <text value="Feeling tired or having little energy,"/>
        <type value="choice"/>
        <required value="true"/>
        <repeats value="false"/>
        <option>
          <valueCoding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
              <valueInteger value="1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue">
              <valueDecimal value="0"/>
            </extension>
            <system value="http://loinc.org"/>
            <code value="LA6568-5"/>
            <display value="Not at all"/>
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
              <valueInteger value="2"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue">
              <valueDecimal value="1"/>
            </extension>
            <system value="http://loinc.org"/>
            <code value="LA6569-3"/>
            <display value="Several days"/>
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
              <valueInteger value="3"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue">
              <valueDecimal value="2"/>
            </extension>
            <system value="http://loinc.org"/>
            <code value="LA6570-1"/>
            <display value="More than half the days"/>
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
              <valueInteger value="4"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue">
              <valueDecimal value="3"/>
            </extension>
            <system value="http://loinc.org"/>
            <code value="LA6571-9"/>
            <display value="Nearly every day"/>
          </valueCoding>
        </option>
      </item>
    </Questionnaire>
  </contained>
  <extension
             url="http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-responsePeriod">
    <valuePeriod>
      <start value="2019-02-13T00:36:52.736153Z"/>
      <end value="2019-02-13T00:37:17.386325Z"/>
    </valuePeriod>
  </extension>
  <identifier>
    <value value="adaptive-questionnaireresponse-example-phq9"/>
  </identifier>
  <questionnaire>
    <reference value="#contained-adaptive-questionnaire-example-phq9"/>
  </questionnaire>
  <status value="completed"/>
  <subject>
    <reference value="Patient/subject1"/>
  </subject>
  <context>
    <reference value="Encounter/encounter1"/>
  </context>
  <authored value="2019-02-13T00:36:52.736153Z"/>
  <author>
    <reference value="Practitioner/prov-admin1"/>
  </author>
  <source>
    <reference value="Patient/subject1"/>
  </source>
  <item>
    <linkId value="score"/>
    <text value="Cumulative Score is ..."/>
    <answer>
      <valueInteger value="0"/>
    </answer>
  </item>
  <item>
    <linkId value="std_dev"/>
    <text value="Standard Deviation is ..."/>
    <answer>
      <valueDecimal value="0.0"/>
    </answer>
  </item>
  <item>
    <linkId value="g1.q1"/>
    <definition
                value="http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-phq9-g1.q1"/>
    <text value="Little interest or pleasure in doing things,"/>
    <answer>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6568-5"/>
        <display value="Not at all"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="g1.q8"/>
    <definition
                value="http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-phq9-g1.q8"/>
    <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>
        <system value="http://loinc.org"/>
        <code value="LA6568-5"/>
        <display value="Not at all"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="g1.q4"/>
    <definition
                value="http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-phq9-g1.q4"/>
    <text value="Feeling tired or having little energy,"/>
    <answer>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6568-5"/>
        <display value="Not at all"/>
      </valueCoding>
    </answer>
  </item>
</QuestionnaireResponse>