<?xml version="1.0" encoding="UTF-8"?>

<QuestionnaireResponse xmlns="http://hl7.org/fhir">
  <id value="DepressionPHQ9Example"/>
  <meta>
    <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/><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>
  </text>
  <questionnaire value="http://example.org/Questionnaire/PHQ9Questionnaire"/>
  <status value="completed"/>
  <subject>
    <reference value="Patient/PatientExample"/>
  </subject>
  <authored value="2026-01-15T10:30:00Z"/>
  <author>
    <reference value="Patient/PatientExample"/>
  </author>
  <item>
    <linkId value="phq9-1"/>
    <text value="Little interest or pleasure in doing things"/>
    <answer>
      <valueCoding>
        <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="1"/>
        </extension>
        <system value="http://loinc.org"/>
        <code value="LA6569-3"/>
        <display value="Several days"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="phq9-2"/>
    <text value="Feeling down, depressed, or hopeless"/>
    <answer>
      <valueCoding>
        <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="1"/>
        </extension>
        <system value="http://loinc.org"/>
        <code value="LA6569-3"/>
        <display value="Several days"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="phq9-3"/>
    <text value="Trouble falling or staying asleep, or sleeping too much"/>
    <answer>
      <valueCoding>
        <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="2"/>
        </extension>
        <system value="http://loinc.org"/>
        <code value="LA6570-1"/>
        <display value="More than half the days"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="phq9-4"/>
    <text value="Feeling tired or having little energy"/>
    <answer>
      <valueCoding>
        <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="1"/>
        </extension>
        <system value="http://loinc.org"/>
        <code value="LA6569-3"/>
        <display value="Several days"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="phq9-5"/>
    <text value="Poor appetite or overeating"/>
    <answer>
      <valueCoding>
        <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="0"/>
        </extension>
        <system value="http://loinc.org"/>
        <code value="LA6568-5"/>
        <display value="Not at all"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="phq9-6"/>
    <text value="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 value="1"/>
        </extension>
        <system value="http://loinc.org"/>
        <code value="LA6569-3"/>
        <display value="Several days"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="phq9-7"/>
    <text value="Trouble concentrating on things, such as reading the newspaper or watching television"/>
    <answer>
      <valueCoding>
        <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="1"/>
        </extension>
        <system value="http://loinc.org"/>
        <code value="LA6569-3"/>
        <display value="Several days"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="phq9-8"/>
    <text value="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 value="0"/>
        </extension>
        <system value="http://loinc.org"/>
        <code value="LA6568-5"/>
        <display value="Not at all"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="phq9-9"/>
    <text value="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 value="0"/>
        </extension>
        <system value="http://loinc.org"/>
        <code value="LA6568-5"/>
        <display value="Not at all"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="phq9-10"/>
    <text value="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 value="1"/>
        </extension>
        <system value="http://loinc.org"/>
        <code value="LA6573-5"/>
        <display value="Somewhat difficult"/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="total-score"/>
    <answer>
      <valueDecimal value="7"/>
    </answer>
  </item>
</QuestionnaireResponse>