CMS ACCESS Model API
0.9.8 - draft US

This page is part of the ACCESS Model IG v0.9.8 DRAFT (v0.9.8: Releases Draft) based on FHIR (HL7® FHIR® Standard) R4. No current official version has been published yet. For a full list of available versions, see the Directory of published versions

Questionnaire:

Computable Name:

Profile: SDCBaseQuestionnaire version: 3.0.0

Structure
LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. Questionnaire http://example.org/Questionnaire/PHQ9Questionnaire#0.9.7
... phq9-1 Little interest or pleasure in doing things 0..1 choice Value Set:
Options: 4 options
... phq9-2 Feeling down, depressed, or hopeless 0..1 choice Value Set:
Options: 4 options
... phq9-3 Trouble falling or staying asleep, or sleeping too much 0..1 choice Value Set:
Options: 4 options
... phq9-5 Poor appetite or overeating 0..1 choice Value Set:
Options: 4 options
... phq9-6 Feeling bad about yourself — or that you are a failure or have let yourself or your family down 0..1 choice Value Set:
Options: 4 options
... phq9-7 Trouble concentrating on things, such as reading the newspaper or watching television 0..1 choice Value Set:
Options: 4 options
... phq9-8 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 0..1 choice Value Set:
Options: 4 options
... phq9-9 Thoughts that you would be better off dead, or of hurting yourself in some way 0..1 choice Value Set:
Options: 4 options
... phq9-10 How difficult have these made it for you to do your work, take care of things at home, or get along with other people? 0..1 choice Value Set:
Options: 4 options
... total-score Patient Health Questionnaire 9 item (PHQ-9) total score [Reported] 0..1 decimal iconicon Value Set:

doco Documentation for this format

Options Sets

Answer options for phq9-1

  • http://loinc.org#LA6568-5 ("Not at all")
  • http://loinc.org#LA6569-3 ("Several days")
  • http://loinc.org#LA6570-1 ("More than half the days")
  • http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for phq9-2

  • http://loinc.org#LA6568-5 ("Not at all")
  • http://loinc.org#LA6569-3 ("Several days")
  • http://loinc.org#LA6570-1 ("More than half the days")
  • http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for phq9-3

  • http://loinc.org#LA6568-5 ("Not at all")
  • http://loinc.org#LA6569-3 ("Several days")
  • http://loinc.org#LA6570-1 ("More than half the days")
  • http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for phq9-4

  • http://loinc.org#LA6568-5 ("Not at all")
  • http://loinc.org#LA6569-3 ("Several days")
  • http://loinc.org#LA6570-1 ("More than half the days")
  • http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for phq9-5

  • http://loinc.org#LA6568-5 ("Not at all")
  • http://loinc.org#LA6569-3 ("Several days")
  • http://loinc.org#LA6570-1 ("More than half the days")
  • http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for phq9-6

  • http://loinc.org#LA6568-5 ("Not at all")
  • http://loinc.org#LA6569-3 ("Several days")
  • http://loinc.org#LA6570-1 ("More than half the days")
  • http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for phq9-7

  • http://loinc.org#LA6568-5 ("Not at all")
  • http://loinc.org#LA6569-3 ("Several days")
  • http://loinc.org#LA6570-1 ("More than half the days")
  • http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for phq9-8

  • http://loinc.org#LA6568-5 ("Not at all")
  • http://loinc.org#LA6569-3 ("Several days")
  • http://loinc.org#LA6570-1 ("More than half the days")
  • http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for phq9-9

  • http://loinc.org#LA6568-5 ("Not at all")
  • http://loinc.org#LA6569-3 ("Several days")
  • http://loinc.org#LA6570-1 ("More than half the days")
  • http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for phq9-10

  • http://loinc.org#LA6572-7 ("Not difficult at all")
  • http://loinc.org#LA6573-5 ("Somewhat difficult")
  • http://loinc.org#LA6575-0 ("Very difficult")
  • http://loinc.org#LA6574-3 ("Extremely difficult")

Profile: SDCBaseQuestionnaire version: 3.0.0

Little interest or pleasure in doing things

Feeling down, depressed, or hopeless

Trouble falling or staying asleep, or sleeping too much

Feeling tired or having little energy

Poor appetite or overeating

Feeling bad about yourself — or that you are a failure or have let yourself or your family down

Trouble concentrating on things, such as reading the newspaper or watching television

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

Thoughts that you would be better off dead, or of hurting yourself in some way

How difficult have these made it for you to do your work, take care of things at home, or get along with other people?

Patient Health Questionnaire 9 item (PHQ-9) total score [Reported]

  • linkId: total-score
  • Answers:

Profile: SDCBaseQuestionnaire version: 3.0.0

LinkIDDescription & Constraintsdoco
.. phq9-1 Value Set:
Options: 4 options
.. phq9-2 Value Set:
Options: 4 options
.. phq9-3 Value Set:
Options: 4 options
.. phq9-4 Value Set:
Options: 4 options
.. phq9-5 Value Set:
Options: 4 options
.. phq9-6 Value Set:
Options: 4 options
.. phq9-7 Value Set:
Options: 4 options
.. phq9-8 Value Set:
Options: 4 options
.. phq9-9 Value Set:
Options: 4 options
.. phq9-10 Value Set:
Options: 4 options
.. total-score Value Set:

doco Documentation for this format

Test this Questionnaire

Try this questionnaire out:

Responses for this Questionnaire