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
{
"resourceType" : "QuestionnaireResponse",
"id" : "DepressionPHQ9Example",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\"><p>PHQ-9 QuestionnaireResponse for John Doe. Total score: 7.</p></div>"
},
"questionnaire" : "http://example.org/Questionnaire/PHQ9Questionnaire",
"status" : "completed",
"subject" : {
🔗 "reference" : "Patient/PatientExample"
},
"authored" : "2026-01-15T10:30:00Z",
"author" : {
🔗 "reference" : "Patient/PatientExample"
},
"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
}
]
}
]
}