This page is part of the Argonaut Questionnaire Implementation Guide (v1.0.0: Release) based on FHIR R3. This is the current published version. For a full list of available versions, see the Directory of published versions 
JSON Format: QuestionnaireResponse-questionnaireresponse-example-phq9
Download Raw json
{
"resourceType" : "QuestionnaireResponse",
"id" : "questionnaireresponse-example-phq9",
"meta" : {
"profile" : [
"http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/argo-questionnaireresponse"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <h3>Response Summary</h3>\n <strong>Questionnaire URL:</strong> http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-phq9<br />\n <strong>Date Completed:</strong> 2019-02-13T00:36:41.051113Z<br />\n <hr /> <br /><strong>Over the last 2 weeks, how often have you been bothered by any of the following problems? (Use “X” to indicate your answer)</strong><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.q2) Feeling down, depressed, or hopeless,<br /><strong>Response:</strong> Not at all ( code = LA6568-5, codesystem = http://loinc.org)<br /><br /> <strong>Question:</strong> (linkID=g1.q3) Trouble falling or staying asleep, or sleeping too much<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 /><br /> <strong>Question:</strong> (linkID=g1.q5) Poor appetite or overeating,<br /><strong>Response:</strong> Not at all ( code = LA6568-5, codesystem = http://loinc.org)<br /><br /> <strong>Question:</strong> (linkID=g1.q6) Feeling bad about yourself - or that you are a failure or have let yourself or your family down,<br /><strong>Response:</strong> Not at all ( code = LA6568-5, codesystem = http://loinc.org)<br /><br /> <strong>Question:</strong> (linkID=g1.q7) Trouble concentrating on things, such as reading the newspaper or watching television,<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.q9) Thoughts that you would be better off dead, or of hurting yourself<br /><strong>Response:</strong> Not at all ( code = LA6568-5, codesystem = http://loinc.org)<br /><br /><strong>Scoring: \nAdd up all checked boxes on PHQ-9. \n\nFor every:\nNot at all = 0;\nSeveral days = 1;\nMore than half the days = 2;\nNearly every day = 3\n\nInterpretation of Total Score\nTotal Score Depression Severity\n1-4 Minimal depression\n5-9 Mild depression\n10-14 Moderate depression\n15-19 Moderately severe depression\n20-27 Severe depression (this is hidden text/should not be displayed to the user)</strong><br /><br /> <strong>Question:</strong> (linkID=g2.q1) If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people,<br /><strong>Response:</strong> Not difficult at all ( code = LA6572-7, codesystem = http://loinc.org)<br /> <br /><br />\n </div>"
},
"extension" : [
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-responsePeriod",
"valuePeriod" : {
"start" : "2019-02-13T00:36:07.985403Z",
"end" : "2019-02-13T00:36:41.051113Z"
}
}
],
"identifier" : {
"value" : "questionnaireresponse-example-phq9"
},
"questionnaire" : {
"reference" : "http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-phq9"
},
"status" : "completed",
"subject" : {
"reference" : "Patient/subject1"
},
"context" : {
"reference" : "Encounter/encounter1"
},
"authored" : "2019-02-13T00:36:41.051113Z",
"author" : {
"reference" : "Practitioner/prov-admin1"
},
"source" : {
"reference" : "Patient/subject1"
},
"item" : [
{
"linkId" : "g1",
"item" : [
{
"linkId" : "g1.d",
"text" : "Over the last 2 weeks, how often have you been bothered by any of the following problems? (Use “X” to indicate your answer)"
},
{
"linkId" : "g1.q1",
"text" : "Little interest or pleasure in doing things,",
"answer" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6568-5",
"display" : "Not at all"
}
}
]
},
{
"linkId" : "g1.q2",
"text" : "Feeling down, depressed, or hopeless,",
"answer" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6568-5",
"display" : "Not at all"
}
}
]
},
{
"linkId" : "g1.q3",
"text" : "Trouble falling or staying asleep, or sleeping too much",
"answer" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6568-5",
"display" : "Not at all"
}
}
]
},
{
"linkId" : "g1.q4",
"text" : "Feeling tired or having little energy,",
"answer" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6568-5",
"display" : "Not at all"
}
}
]
},
{
"linkId" : "g1.q5",
"text" : "Poor appetite or overeating,",
"answer" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6568-5",
"display" : "Not at all"
}
}
]
},
{
"linkId" : "g1.q6",
"text" : "Feeling bad about yourself - or that you are a failure or have let yourself or your family down,",
"answer" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6568-5",
"display" : "Not at all"
}
}
]
},
{
"linkId" : "g1.q7",
"text" : "Trouble concentrating on things, such as reading the newspaper or watching television,",
"answer" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6568-5",
"display" : "Not at all"
}
}
]
},
{
"linkId" : "g1.q8",
"text" : "Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual,",
"answer" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6568-5",
"display" : "Not at all"
}
}
]
},
{
"linkId" : "g1.q9",
"text" : "Thoughts that you would be better off dead, or of hurting yourself",
"answer" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6568-5",
"display" : "Not at all"
}
}
]
},
{
"linkId" : "g1.s",
"text" : "Scoring: \nAdd up all checked boxes on PHQ-9. \n\nFor every:\nNot at all = 0;\nSeveral days = 1;\nMore than half the days = 2;\nNearly every day = 3\n\nInterpretation of Total Score\nTotal Score Depression Severity\n1-4 Minimal depression\n5-9 Mild depression\n10-14 Moderate depression\n15-19 Moderately severe depression\n20-27 Severe depression"
}
]
},
{
"linkId" : "g2",
"item" : [
{
"linkId" : "g2.q1",
"text" : "If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people,",
"answer" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6572-7",
"display" : "Not difficult at all"
}
}
]
}
]
}
]
}
