{
"description": "This is a Questionnaire example of how the PHQ-9 Questionnaire could be rendered as a FHIR Questionnaire Resource according to the Structured Data Capture SDC Base Questionnaire Profile. This example also portrays how FHIRpaths can be used to perform total score calculations using answer values.",
"_filename": "example/Questionnaire-questionnaire-sdc-profile-example-PHQ9.json",
"package_name": "hl7.fhir.uv.sdc",
"subjectType": [ "Patient" ],
"date": "2024-12-17T01:55:34+00:00",
"meta": {
"profile": [ "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire|4.0.0-ballot" ]
},
"publisher": "HL7 International / FHIR Infrastructure",
"approvalDate": "2019-08-20",
"jurisdiction": [ {
"coding": [ {
"code": "001",
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"display": "World"
} ]
} ],
"purpose": "This Questionnaire example was generated to ensure a non-proprietary, publicly available questionnaire that is available to test the Structured Data Capture profiles",
"name": "SDCPHQ9",
"item": [ {
"item": [ {
"text": "Little interest or pleasure in doing things?",
"type": "choice",
"linkId": "H1/T1/Q1",
"answerValueSet": "#VSPHQ9"
}, {
"text": "Feeling down, depressed, or hopeless?",
"type": "choice",
"linkId": "H1/T1/Q2",
"answerValueSet": "#VSPHQ9"
}, {
"text": "Trouble falling or staying asleep, or sleeping too much?",
"type": "choice",
"linkId": "H1/T1/Q3",
"answerValueSet": "#VSPHQ9"
}, {
"text": "Feeling tired or having little energy?",
"type": "choice",
"linkId": "H1/T1/Q4",
"answerValueSet": "#VSPHQ9"
}, {
"text": "Poor appetite or overeating?",
"type": "choice",
"linkId": "H1/T1/Q5",
"answerValueSet": "#VSPHQ9"
}, {
"text": "Feeling bad about yourself - or that you are a failure or have let yourself or your family down?",
"type": "choice",
"linkId": "H1/T1/Q6",
"answerValueSet": "#VSPHQ9"
}, {
"text": "Trouble concentrating on things, such as reading the newspaper or watching television?",
"type": "choice",
"linkId": "H1/T1/Q7",
"answerValueSet": "#VSPHQ9"
}, {
"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",
"linkId": "H1/T1/Q8",
"answerValueSet": "#VSPHQ9"
}, {
"text": "Thoughts that you would be better off dead, or thoughts of hurting yourself in some way?",
"type": "choice",
"linkId": "H1/T1/Q9",
"answerValueSet": "#VSPHQ9"
}, {
"code": [ {
"code": "44261-6",
"system": "http://loinc.org",
"display": "Patient Health Questionnaire 9 item (PHQ-9) total score [Reported]"
} ],
"text": "Patient health questionnaire 9 item total score",
"type": "quantity",
"linkId": "H1/TS",
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"name": "score",
"language": "text/fhirpath",
"expression": "%resource.item.where(linkId!='H1/TS').answer.value.weight().sum()",
"description": "Score (0-4: None-minimal; 5-9: Mild; 19-14: Moderate; 15-19: Moderately severe; 20-27: Severe)"
}
} ]
} ],
"text": "Over the last two weeks, how often have you been bothered by any of the following problems?",
"type": "group",
"linkId": "H1/T1"
} ],
"copyright": "This content is an unaltered digital reproduction of the PHQ-9 which is copyrighted by Pfizer Inc., which states that no permission is required to reproduce, translate, display or distribute the PHQ-9.",
"type": null,
"experimental": "true",
"resourceType": "Questionnaire",
"title": "Patient Health Questionnaire - 9 Item",
"package_version": "4.0.0-ballot",
"extension": [ {
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Questionnaire.versionAlgorithm[x]",
"valueCoding": {
"code": "semver",
"system": "http://hl7.org/fhir/version-algorithm"
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/rendering-styleSensitive",
"valueBoolean": true
} ],
"contained": [ {
"description": "The answer list for questions addressing the frequency in which patient reports experiencing behaviors that are assessed in the PHQ-9 Questionnaire.",
"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"
} ]
} ]
},
"meta": {
"profile": [ "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-valueset" ]
},
"name": "VSPHQ9",
"resourceType": "ValueSet",
"expansion": {
"contains": [ {
"code": "not-at-all",
"system": "http://example.org/CodeSystem/CSPHQ9",
"display": "Not at all",
"extension": [ {
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ValueSet.expansion.contains.property",
"extension": [ {
"url": "code",
"valueCode": "itemWeight"
}, {
"url": "value[x]",
"valueDecimal": 0
} ]
} ]
}, {
"code": "Several-days",
"system": "http://example.org/CodeSystem/CSPHQ9",
"display": "Several days",
"extension": [ {
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ValueSet.expansion.contains.property",
"extension": [ {
"url": "code",
"valueCode": "itemWeight"
}, {
"url": "value[x]",
"valueDecimal": 1
} ]
} ]
}, {
"code": "More than half the days",
"system": "http://example.org/CodeSystem/CSPHQ9",
"display": "More than half the days",
"extension": [ {
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ValueSet.expansion.contains.property",
"extension": [ {
"url": "code",
"valueCode": "itemWeight"
}, {
"url": "value[x]",
"valueDecimal": 2
} ]
} ]
}, {
"code": "Nearly every day",
"system": "http://example.org/CodeSystem/CSPHQ9",
"display": "Nearly every day",
"extension": [ {
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ValueSet.expansion.contains.property",
"extension": [ {
"url": "code",
"valueCode": "itemWeight"
}, {
"url": "value[x]",
"valueDecimal": 4
} ]
} ]
} ],
"extension": [ {
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-ValueSet.expansion.property",
"extension": [ {
"url": "code",
"valueCode": "itemWeight"
}, {
"url": "uri",
"valueUri": "http://hl7.org/fhir/concept-properties#itemWeight"
} ]
} ],
"timestamp": "2024-12-06T22:52:00-07:00"
},
"status": "active",
"id": "VSPHQ9",
"url": "http://hl7.org/fhir/uv/sdc/ValueSet/VSPHQ9",
"immutable": true
} ],
"status": "active",
"id": "7fb3df79-6a0c-4f78-acfc-95ee1ed84c81",
"kind": null,
"url": "http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-PHQ9",
"identifier": [ {
"value": "urn:oid:2.16.840.1.113883.4.642.40.17.35.5",
"system": "urn:ietf:rfc:3986"
} ],
"version": "4.0.0-ballot",
"contact": [ {
"name": "HL7 International / FHIR Infrastructure",
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/fiwg",
"system": "url"
} ]
}, {
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/fiwg",
"system": "url"
} ]
} ],
"effectivePeriod": {
"end": "2020-08-20T04:00:00.000Z",
"start": "2018-08-20T04:00:00.000Z"
}
}