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Packagehl7.fhir.us.pacio-cs
Resource TypeQuestionnaireResponse
IdQuestionnaireResponse-QResponse-SNF-PHQ9-1.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: QuestionnaireResponse QResponse-SNF-PHQ9-1

LinkIDTextDefinitionAnswerdoco
.. QResponse-SNF-PHQ9-1Questionnaire:http://example.org/Questionnaire/MDS3.0-NC-1.17
... Section-4MDS v3.0 - RAI v1.18.1 - Mood - OSA [CMS Assessment]
.... Section-4/D0200Resident mood interview (PHQ-9) [Reported PHQ-9 CMS]
..... Section-4/D0200_1Resident mood interview (PHQ-9) - symptom presence in the last 2 weeks [CMS Assessment]
...... Section-4/D0200A1Little interest or pleasure in doing thingsLOINC LA33-6: Yes
...... Section-4/D0200B1Feeling downLOINC LA33-6: Yes
...... Section-4/D0200C1Trouble falling or staying asleepLOINC LA33-6: Yes
...... Section-4/D0200D1Feeling tired or having little energyLOINC LA32-8: No
...... Section-4/D0200E1Poor appetite or overeatingLOINC LA32-8: No
...... Section-4/D0200F1Feeling bad about yourself - or that you are a failure or have let yourself or your family downLOINC LA32-8: No
...... Section-4/D0200G1Trouble concentrating on thingsLOINC LA32-8: No
...... Section-4/D0200H1Moving 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 usualLOINC LA32-8: No
...... Section-4/D0200I1Thoughts that you would be better off deadLOINC LA10996-9: No response
..... Section-4/D0200_2Resident mood interview (PHQ-9) - symptom frequency in the last 2 weeks [CMS Assessment]
...... Section-4/D0200A2Little interest or pleasure in doing thingsLOINC LA10998-5: 2-6 days (several days)
...... Section-4/D0200B2Feeling downLOINC LA10998-5: 2-6 days (several days)
...... Section-4/D0200C2Trouble falling or staying asleepLOINC LA10998-5: 2-6 days (several days)
...... Section-4/D0200D2Feeling tired or having little energyLOINC LA10997-7: Never or 1 day
...... Section-4/D0200E2Poor appetite or overeatingLOINC LA10997-7: Never or 1 day
...... Section-4/D0200F2Feeling bad about yourself - or that you are a failure or have let yourself or your family downLOINC LA10997-7: Never or 1 day
...... Section-4/D0200G2Trouble concentrating on thingsLOINC LA10997-7: Never or 1 day
...... Section-4/D0200H2Moving 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 usualLOINC LA10997-7: Never or 1 day
...... Section-4/D0200I2Thoughts that you would be better off dead
.... Section-4/D0300PHQ-9 Total Score3 {score} (Details: UCUM code{score} = '{score}')

doco Documentation for this format

Source1

{
  "resourceType": "QuestionnaireResponse",
  "id": "QResponse-SNF-PHQ9-1",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "questionnaire": "http://example.org/Questionnaire/MDS3.0-NC-1.17",
  "_questionnaire": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/StructureDefinition/display",
        "valueString": "Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.17.1 [CMS Assessment]"
      }
    ]
  },
  "status": "completed",
  "subject": {
    "reference": "Patient/patientBSJ1"
  },
  "authored": "2020-07-11T11:30:00-05:00",
  "author": {
    "reference": "PractitionerRole/Role-SLP-LunaBaskins"
  },
  "item": [
    {
      "linkId": "Section-4",
      "text": "MDS v3.0 - RAI v1.18.1 - Mood - OSA [CMS Assessment]",
      "item": [
        {
          "linkId": "Section-4/D0200",
          "text": "Resident mood interview (PHQ-9) [Reported PHQ-9 CMS]",
          "item": [
            {
              "linkId": "Section-4/D0200_1",
              "text": "Resident mood interview (PHQ-9) - symptom presence in the last 2 weeks [CMS Assessment]",
              "item": [
                {
                  "linkId": "Section-4/D0200A1",
                  "text": "Little interest or pleasure in doing things",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA33-6",
                        "display": "Yes"
                      }
                    }
                  ]
                },
                {
                  "linkId": "Section-4/D0200B1",
                  "text": "Feeling down",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA33-6",
                        "display": "Yes"
                      }
                    }
                  ]
                },
                {
                  "linkId": "Section-4/D0200C1",
                  "text": "Trouble falling or staying asleep",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA33-6",
                        "display": "Yes"
                      }
                    }
                  ]
                },
                {
                  "linkId": "Section-4/D0200D1",
                  "text": "Feeling tired or having little energy",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA32-8",
                        "display": "No"
                      }
                    }
                  ]
                },
                {
                  "linkId": "Section-4/D0200E1",
                  "text": "Poor appetite or overeating",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA32-8",
                        "display": "No"
                      }
                    }
                  ]
                },
                {
                  "linkId": "Section-4/D0200F1",
                  "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": "LA32-8",
                        "display": "No"
                      }
                    }
                  ]
                },
                {
                  "linkId": "Section-4/D0200G1",
                  "text": "Trouble concentrating on things",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA32-8",
                        "display": "No"
                      }
                    }
                  ]
                },
                {
                  "linkId": "Section-4/D0200H1",
                  "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": "LA32-8",
                        "display": "No"
                      }
                    }
                  ]
                },
                {
                  "linkId": "Section-4/D0200I1",
                  "text": "Thoughts that you would be better off dead",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA10996-9",
                        "display": "No response"
                      }
                    }
                  ]
                }
              ]
            },
            {
              "linkId": "Section-4/D0200_2",
              "text": "Resident mood interview (PHQ-9) - symptom frequency in the last 2 weeks [CMS Assessment]",
              "item": [
                {
                  "linkId": "Section-4/D0200A2",
                  "text": "Little interest or pleasure in doing things",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA10998-5",
                        "display": "2-6 days (several days)"
                      }
                    }
                  ]
                },
                {
                  "linkId": "Section-4/D0200B2",
                  "text": "Feeling down",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA10998-5",
                        "display": "2-6 days (several days)"
                      }
                    }
                  ]
                },
                {
                  "linkId": "Section-4/D0200C2",
                  "text": "Trouble falling or staying asleep",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA10998-5",
                        "display": "2-6 days (several days)"
                      }
                    }
                  ]
                },
                {
                  "linkId": "Section-4/D0200D2",
                  "text": "Feeling tired or having little energy",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA10997-7",
                        "display": "Never or 1 day"
                      }
                    }
                  ]
                },
                {
                  "linkId": "Section-4/D0200E2",
                  "text": "Poor appetite or overeating",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA10997-7",
                        "display": "Never or 1 day"
                      }
                    }
                  ]
                },
                {
                  "linkId": "Section-4/D0200F2",
                  "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": "LA10997-7",
                        "display": "Never or 1 day"
                      }
                    }
                  ]
                },
                {
                  "linkId": "Section-4/D0200G2",
                  "text": "Trouble concentrating on things",
                  "answer": [
                    {
                      "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA10997-7",
                        "display": "Never or 1 day"
                      }
                    }
                  ]
                },
                {
                  "linkId": "Section-4/D0200H2",
                  "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": "LA10997-7",
                        "display": "Never or 1 day"
                      }
                    }
                  ]
                },
                {
                  "linkId": "Section-4/D0200I2",
                  "text": "Thoughts that you would be better off dead"
                }
              ]
            }
          ]
        },
        {
          "linkId": "Section-4/D0300",
          "text": "PHQ-9 Total Score",
          "answer": [
            {
              "valueQuantity": {
                "value": 3,
                "system": "http://unitsofmeasure.org",
                "code": "{score}"
              }
            }
          ]
        }
      ]
    }
  ]
}