{
  "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.r4b",
  "subjectType": [ "Patient" ],
  "date": "2022-03-08T18:37:19+00:00",
  "meta": {
    "profile": [ "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire|3.0.0" ]
  },
  "publisher": "HL7 International - FHIR Infrastructure Work Group",
  "approvalDate": "2019-08-20",
  "jurisdiction": [ {
    "coding": [ {
      "code": "001",
      "system": "http://unstats.un.org/unsd/methods/m49/m49.htm"
    } ]
  } ],
  "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.answers().value.ordinal().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": "3.0.0",
  "extension": [ {
    "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://hl7.org/fhir/uv/sdc/CodeSystem/CSPHQ9",
        "concept": [ {
          "code": "Not-at-all",
          "display": "Not at all",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal": 0
          } ]
        }, {
          "code": "Several-days",
          "display": "Several days",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal": 1
          } ]
        }, {
          "code": "More than half the days",
          "display": "More than half the days",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal": 2
          } ]
        }, {
          "code": "Nearly every day",
          "display": "Nearly every day",
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal": 3
          } ]
        } ]
      } ]
    },
    "meta": {
      "profile": [ "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-valueset" ]
    },
    "name": "VSPHQ9",
    "resourceType": "ValueSet",
    "status": "draft",
    "id": "VSPHQ9",
    "url": "http://hl7.org/fhir/uv/sdc/ValueSet/VSPHQ9",
    "immutable": true
  } ],
  "status": "draft",
  "id": "a1268ade-294f-419c-af36-cf78daeb82b5",
  "kind": null,
  "url": "http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-PHQ9",
  "version": "3.0.0",
  "contact": [ {
    "telecom": [ {
      "value": "http://hl7.org/Special/committees/fiwg",
      "system": "url"
    } ]
  } ],
  "effectivePeriod": {
    "end": "2020-08-20T04:00:00.000Z",
    "start": "2018-08-20T04:00:00.000Z"
  }
}