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Packagemyhie.v4
Resource TypeQuestionnaire
Idq-phq-9.json
FHIR VersionR4

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Source1

{
  "resourceType": "Questionnaire",
  "id": "q-phq-9",
  "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-phq-9",
  "title": "PHQ-9 quick depression assessment panel",
  "status": "active",
  "date": "2024-02-12T04:04:09.5621857+00:00",
  "description": "The Patient Health Questionnaire is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders. The PHQ-9 is the depression module, which scores each of the 9 DSM-IV criteria as \"0\" (not at all) to \"3\" (nearly every day).",
  "useContext": [
    {
      "code": {
        "system": "http://hl7.org/fhir/CodeSystem/usage-context-type",
        "code": "workflow",
        "display": "Workflow Setting"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "self-assessment",
            "display": "Self-Assessment"
          }
        ]
      }
    }
  ],
  "purpose": "To monitor severity over time for newly diagnosed patients or patients in current treatment for depression",
  "code": [
    {
      "system": "http://loinc.org",
      "code": "44249-1"
    }
  ],
  "item": [
    {
      "linkId": "01",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "44250-9"
        }
      ],
      "prefix": "1",
      "text": "Little interest or pleasure in doing things",
      "type": "choice",
      "required": true,
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6568-5",
            "display": "Not at all"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6569-3",
            "display": "Several days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6570-1",
            "display": "More than half the days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6571-9",
            "display": "Nearly every day"
          }
        }
      ]
    },
    {
      "linkId": "02",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "44255-8"
        }
      ],
      "prefix": "2",
      "text": "Feeling down, depressed, or hopeless",
      "type": "choice",
      "required": true,
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6568-5",
            "display": "Not at all"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6569-3",
            "display": "Several days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6570-1",
            "display": "More than half the days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6571-9",
            "display": "Nearly every day"
          }
        }
      ]
    },
    {
      "linkId": "03",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "44259-0"
        }
      ],
      "prefix": "3",
      "text": "Trouble falling or staying asleep, or sleeping too much",
      "type": "choice",
      "required": true,
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6568-5",
            "display": "Not at all"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6569-3",
            "display": "Several days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6570-1",
            "display": "More than half the days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6571-9",
            "display": "Nearly every day"
          }
        }
      ]
    },
    {
      "linkId": "04",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "44254-1"
        }
      ],
      "prefix": "4",
      "text": "Feeling tired or having little energy",
      "type": "choice",
      "required": true,
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6568-5",
            "display": "Not at all"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6569-3",
            "display": "Several days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6570-1",
            "display": "More than half the days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6571-9",
            "display": "Nearly every day"
          }
        }
      ]
    },
    {
      "linkId": "05",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "44251-7"
        }
      ],
      "prefix": "5",
      "text": "Poor appetite or overeating",
      "type": "choice",
      "required": true,
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6568-5",
            "display": "Not at all"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6569-3",
            "display": "Several days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6570-1",
            "display": "More than half the days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6571-9",
            "display": "Nearly every day"
          }
        }
      ]
    },
    {
      "linkId": "06",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "44258-2"
        }
      ],
      "prefix": "6",
      "text": "Feeling bad about yourself-or that you are a failure or have let yourself or your family down",
      "type": "choice",
      "required": true,
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6568-5",
            "display": "Not at all"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6569-3",
            "display": "Several days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6570-1",
            "display": "More than half the days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6571-9",
            "display": "Nearly every day"
          }
        }
      ]
    },
    {
      "linkId": "07",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "44252-5"
        }
      ],
      "prefix": "7",
      "text": "Trouble concentrating on things, such as reading the newspaper or watching television",
      "type": "choice",
      "required": true,
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6568-5",
            "display": "Not at all"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6569-3",
            "display": "Several days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6570-1",
            "display": "More than half the days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6571-9",
            "display": "Nearly every day"
          }
        }
      ]
    },
    {
      "linkId": "08",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "44253-3"
        }
      ],
      "prefix": "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",
      "type": "choice",
      "required": true,
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6568-5",
            "display": "Not at all"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6569-3",
            "display": "Several days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6570-1",
            "display": "More than half the days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6571-9",
            "display": "Nearly every day"
          }
        }
      ]
    },
    {
      "linkId": "09",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "44260-8"
        }
      ],
      "prefix": "9",
      "text": "Thoughts that you would be better off dead, or of hurting yourself in some way",
      "type": "choice",
      "required": true,
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6568-5",
            "display": "Not at all"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6569-3",
            "display": "Several days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6570-1",
            "display": "More than half the days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6571-9",
            "display": "Nearly every day"
          }
        }
      ]
    },
    {
      "id": "score",
      "linkId": "11",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "44261-6"
        }
      ],
      "prefix": "11",
      "text": "Patient Health Questionnaire 9 item (PHQ-9) total score",
      "type": "integer",
      "required": true,
      "readOnly": true
    },
    {
      "id": "outcome",
      "linkId": "12",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "44261-6"
        }
      ],
      "prefix": "12",
      "text": "Patient Health Questionnaire 9 item (PHQ-9) total outcome",
      "type": "choice",
      "required": true,
      "readOnly": true,
      "answerOption": [
        {
          "valueCoding": {
            "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-phq-9-my-core",
            "code": "01",
            "display": "Minimal depression"
          }
        },
        {
          "valueCoding": {
            "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-phq-9-my-core",
            "code": "02",
            "display": "Mild depression"
          }
        },
        {
          "valueCoding": {
            "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-phq-9-my-core",
            "code": "03",
            "display": "Moderate depression"
          }
        },
        {
          "valueCoding": {
            "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-phq-9-my-core",
            "code": "04",
            "display": "Moderately severe depression"
          }
        },
        {
          "valueCoding": {
            "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-phq-9-my-core",
            "code": "05",
            "display": "Severe depression"
          }
        }
      ]
    }
  ]
}