FHIR IG analytics| Package | fhir.paciosampledata |
| Resource Type | QuestionnaireResponse |
| Id | QuestionnaireResponse-PHQ9Example1.json |
| FHIR Version | R4 |
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Note: links and images are rebased to the (stated) source
PHQ-9 QuestionnaireResponse for John Doe. Total score: 7.
{
"resourceType": "QuestionnaireResponse",
"id": "PHQ9Example1",
"meta": {
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"
]
},
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"questionnaire": "http://example.org/fhir/Questionnaire/PHQ9Questionnaire",
"status": "completed",
"subject": {
"reference": "Patient/patient-john-doe-01"
},
"authored": "2026-01-15T10:30:00Z",
"author": {
"reference": "Patient/patient-john-doe-01"
},
"item": [
{
"linkId": "phq9-1",
"text": "Little interest or pleasure in doing things",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"system": "http://loinc.org",
"code": "LA6569-3",
"display": "Several days"
}
}
]
},
{
"linkId": "phq9-2",
"text": "Feeling down, depressed, or hopeless",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"system": "http://loinc.org",
"code": "LA6569-3",
"display": "Several days"
}
}
]
},
{
"linkId": "phq9-3",
"text": "Trouble falling or staying asleep, or sleeping too much",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"system": "http://loinc.org",
"code": "LA6570-1",
"display": "More than half the days"
}
}
]
},
{
"linkId": "phq9-4",
"text": "Feeling tired or having little energy",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"system": "http://loinc.org",
"code": "LA6569-3",
"display": "Several days"
}
}
]
},
{
"linkId": "phq9-5",
"text": "Poor appetite or overeating",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"system": "http://loinc.org",
"code": "LA6568-5",
"display": "Not at all"
}
}
]
},
{
"linkId": "phq9-6",
"text": "Feeling bad about yourself — or that you are a failure or have let yourself or your family down",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"system": "http://loinc.org",
"code": "LA6569-3",
"display": "Several days"
}
}
]
},
{
"linkId": "phq9-7",
"text": "Trouble concentrating on things, such as reading the newspaper or watching television",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"system": "http://loinc.org",
"code": "LA6569-3",
"display": "Several days"
}
}
]
},
{
"linkId": "phq9-8",
"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": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"system": "http://loinc.org",
"code": "LA6568-5",
"display": "Not at all"
}
}
]
},
{
"linkId": "phq9-9",
"text": "Thoughts that you would be better off dead, or of hurting yourself in some way",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"system": "http://loinc.org",
"code": "LA6568-5",
"display": "Not at all"
}
}
]
},
{
"linkId": "phq9-10",
"text": "How difficult have these made it for you to do your work, take care of things at home, or get along with other people?",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"system": "http://loinc.org",
"code": "LA6573-5",
"display": "Somewhat difficult"
}
}
]
},
{
"linkId": "total-score",
"answer": [
{
"valueDecimal": 7
}
]
},
{
"linkId": "severity-category",
"answer": [
{
"valueString": "Mild depression"
}
]
}
]
}