MII-Initiative

MII PRO v2026 DE

PHQ-9 (Patient Health Questionnaire-9)

Klinischer Kontext

Der PHQ-9 ist ein validiertes Screening-Instrument für Depression mit neun Items. Das Instrument erfasst die Häufigkeit von Depressionssymptomen über einen Zeitraum von zwei Wochen auf einer vierstufigen Skala.

Scoring und Interpretation:

  • 0-4: Keine/minimale Depression
  • 5-9: Milde Depression
  • 10-14: Moderate Depression
  • 15-19: Moderat schwere Depression
  • ≥20: Schwere Depression

Klinische Hinweise: Item 9 erfasst Suizidgedanken und erfordert bei jeder positiven Antwort eine sofortige klinische Bewertung, unabhängig vom Gesamtscore.

FHIR-Implementierung

Questionnaire

Canonical URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-phq-9

Implementierte Capabilities:

  • ✅ Displayable, Collectable, Populatable, Calculatable, Extractable, Domain-aligned

Besonderheiten:

  • Automatische Score-Berechnung via FHIRPath: %resource.item.where(linkId.matches('^phq-.*-q0[1-9]$')).answer.value.ordinal().sum()
  • Populatable für server-seitige Berechnungen implementiert
  • LOINC-kodierte Antwortoptionen
Questionnaire
{
"resourceType": "Questionnaire",
"id": "mii-qst-pro-phq-9",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire"
]
},
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-phq-9",
"title": "MII QST PRO PHQ-9",
"description": "Patient Health Questionnaire (PHQ-9)",
"code": [
{
"code": "44249-1",
"system": "http://loinc.org",
"display": "PHQ-9 quick depression assessment panel [Reported.PHQ]"
}
],
"extension": [
{
"extension": [
{
"url": "displayable",
"valueBoolean": true
},
{
"url": "collectable",
"valueBoolean": true
},
{
"url": "populatable",
"valueBoolean": true
},
{
"url": "calculatable",
"valueBoolean": true
},
{
"url": "extractable",
"valueBoolean": true
},
{
"url": "domainAligned",
"valueBoolean": true
}
],
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-ex-pro-questionnaire-capabilities"
},
{
"valueExpression": {
"name": "rawScore",
"language": "text/fhirpath",
"expression": "%resource.item.where(linkId.matches('^phq-phq9-q0[1-9]$')).answer.value.ordinal().sum()"
},
"url": "http://hl7.org/fhir/StructureDefinition/variable"
},
{
"valueExpression": {
"name": "phq9Score",
"language": "text/fhirpath",
"expression": "%resource.item.where(linkId.matches('^phq-phq9-q0[1-9]$')).answer.value.ordinal().sum()"
},
"url": "http://hl7.org/fhir/StructureDefinition/variable"
}
],
"item": [
{
"linkId": "PHQ-9.Description",
"type": "display",
"text": "Wie oft fühlten Sie sich im Verlauf der letzten 2 Wochen durch die folgenden Beschwerden beeinträchtigt?",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Over the last two weeks, how often have you been bothered by any of the following problems?"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
{
"code": [
{
"code": "44250-9",
"system": "http://loinc.org"
}
],
"extension": [
{
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q01').answer.value, {})"
},
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"
}
],
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6568-5",
"display": "Überhaupt nicht",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Not at all"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
]
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6569-3",
"display": "An einzelnen Tagen",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Serveral days"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
]
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6570-1",
"display": "An mehr als der Hälfte der Tage",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "More than half the days"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
]
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6571-9",
"display": "Beinahe jeden Tag",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Nearly every day"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
]
}
],
"linkId": "phq-phq9-q01",
"type": "choice",
"prefix": "1",
"text": "Wenig Interesse oder Freude an Ihren Tätigkeiten",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Little interest or pleasure in doing things"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
{
"code": [
{
"code": "44255-8",
"system": "http://loinc.org"
}
],
"extension": [
{
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q02').answer.value, {})"
},
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"
}
],
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6568-5",
"display": "Überhaupt nicht",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Not at all"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
]
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6569-3",
"display": "An einzelnen Tagen",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Serveral days"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
]
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6570-1",
"display": "An mehr als der Hälfte der Tage",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "More than half the days"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
]
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6571-9",
"display": "Beinahe jeden Tag",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Nearly every day"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
]
}
],
"linkId": "phq-phq9-q02",
"type": "choice",
"prefix": "2",
"text": "Niedergeschlagenheit, Schwermut oder Hoffnungslosigkeit",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Feeling down, depressed, or hopeless"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
{
"code": [
{
"code": "44259-0",
"system": "http://loinc.org"
}
],
"extension": [
{
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q03').answer.value, {})"
},
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"
}
],
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6568-5",
"display": "Überhaupt nicht",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Not at all"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
]
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6569-3",
"display": "An einzelnen Tagen",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Serveral days"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
]
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6570-1",
"display": "An mehr als der Hälfte der Tage",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "More than half the days"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
]
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6571-9",
"display": "Beinahe jeden Tag",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Nearly every day"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
]
}
],
"linkId": "phq-phq9-q03",
"type": "choice",
"prefix": "3",
"text": "Schwierigkeiten ein- oder durchzuschlafen oder vermehrter Schlaf",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Trouble falling or staying asleep, or sleeping too much"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
{
"code": [
{
"code": "44254-1",
"system": "http://loinc.org"
}
],
"extension": [
{
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q04').answer.value, {})"
},
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"
}
],
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6568-5",
"display": "Überhaupt nicht",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Not at all"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
]
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6569-3",
"display": "An einzelnen Tagen",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Serveral days"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
]
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6570-1",
"display": "An mehr als der Hälfte der Tage",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "More than half the days"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
]
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6571-9",
"display": "Beinahe jeden Tag",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Nearly every day"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
]
}
],
"linkId": "phq-phq9-q04",
"type": "choice",
"prefix": "4",
"text": "Müdigkeit oder Gefühl, keine Energie zu haben",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Feeling tired or having little energy"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
{
"code": [
{
"code": "44251-7",
"system": "http://loinc.org"
}
],
"extension": [
{
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q05').answer.value, {})"
},
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"
}
],
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6568-5",
"display": "Überhaupt nicht",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Not at all"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
]
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6569-3",
"display": "An einzelnen Tagen",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Serveral days"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
]
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6570-1",
"display": "An mehr als der Hälfte der Tage",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "More than half the days"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
]
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6571-9",
"display": "Beinahe jeden Tag",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Nearly every day"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
]
}
],
"linkId": "phq-phq9-q05",
"type": "choice",
"prefix": "5",
"text": "Verminderter Appetit oder übermäßiges Bedürfnis zu essen",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Poor appetite or overeating"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
{
"code": [
{
"code": "44258-2",
"system": "http://loinc.org"
}
],
"extension": [
{
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q06').answer.value, {})"
},
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"
}
],
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6568-5",
"display": "Überhaupt nicht",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Not at all"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
]
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6569-3",
"display": "An einzelnen Tagen",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Serveral days"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
]
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6570-1",
"display": "An mehr als der Hälfte der Tage",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "More than half the days"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
]
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6571-9",
"display": "Beinahe jeden Tag",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Nearly every day"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
]
}
],
"linkId": "phq-phq9-q06",
"type": "choice",
"prefix": "6",
"text": "Schlechte Meinung von sich selbst; Gefühl, ein Versager zu sein oder die Familie enttäuscht zu haben",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Feeling bad about yourself - or that you are a failure or have let yourself or your family down"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
{
"code": [
{
"code": "44252-5",
"system": "http://loinc.org"
}
],
"extension": [
{
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q07').answer.value, {})"
},
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"
}
],
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6568-5",
"display": "Überhaupt nicht",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Not at all"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
]
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6569-3",
"display": "An einzelnen Tagen",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Serveral days"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
]
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6570-1",
"display": "An mehr als der Hälfte der Tage",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "More than half the days"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
]
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6571-9",
"display": "Beinahe jeden Tag",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Nearly every day"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
]
}
],
"linkId": "phq-phq9-q07",
"type": "choice",
"prefix": "7",
"text": "Schwierigkeiten, sich auf etwas zu konzentrieren, z.B. beim Zeitunglesen oder Fernsehen",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Trouble concentrating on things, such as reading the newspaper or watching television"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
{
"code": [
{
"code": "44253-3",
"system": "http://loinc.org"
}
],
"extension": [
{
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q08').answer.value, {})"
},
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"
}
],
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6568-5",
"display": "Überhaupt nicht",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Not at all"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
]
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6569-3",
"display": "An einzelnen Tagen",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Serveral days"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
]
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6570-1",
"display": "An mehr als der Hälfte der Tage",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "More than half the days"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
]
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6571-9",
"display": "Beinahe jeden Tag",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Nearly every day"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
]
}
],
"linkId": "phq-phq9-q08",
"type": "choice",
"prefix": "8",
"text": "Waren Ihre Bewegungen oder Ihre Sprache so verlangsamt, dass es auch anderen auffallen würde? Oder waren Sie im Gegenteil „zappelig“ oder ruhelos und hatten dadurch einen stärkeren Bewegungsdrang als sonst?",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "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"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
{
"code": [
{
"code": "44260-8",
"system": "http://loinc.org"
}
],
"extension": [
{
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q09').answer.value, {})"
},
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"
}
],
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6568-5",
"display": "Überhaupt nicht",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Not at all"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
]
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6569-3",
"display": "An einzelnen Tagen",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Serveral days"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
]
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6570-1",
"display": "An mehr als der Hälfte der Tage",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "More than half the days"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
]
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6571-9",
"display": "Beinahe jeden Tag",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Nearly every day"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
]
}
],
"linkId": "phq-phq9-q09",
"type": "choice",
"prefix": "9",
"text": "Gedanken, dass Sie lieber tot wären oder sich Leid zufügen möchten",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Thoughts that you would be better off dead or of hurting yourself in some way"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
{
"code": [
{
"code": "44261-6",
"system": "http://loinc.org",
"display": "Patient Health Questionnaire 9 item (PHQ-9) total score [Reported]"
}
],
"extension": [
{
"valueExpression": {
"name": "Scoreberechnung",
"language": "text/fhirpath",
"expression": "%phq9Score"
},
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
"valueBoolean": true
},
{
"valueCoding": {
"system": "http://unitsofmeasure.org",
"code": "{score}"
},
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit"
},
{
"valueCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey"
}
]
},
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observation-extract-category"
}
],
"linkId": "phq-phq9-score-total",
"type": "decimal",
"prefix": "Auswertung",
"readOnly": true,
"text": "PHQ-9 Gesamtwert",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "PHQ-9 Total Score"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
{
"code": [
{
"code": "69722-7",
"system": "http://loinc.org"
}
],
"extension": [
{
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q10').answer.value, {})"
},
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression"
}
],
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6572-7",
"display": "Überhaupt nicht erschwert",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Not difficult at all"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6573-5",
"display": "Etwas erschwert",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Somewhat difficult"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6575-0",
"display": "Relativ stark erschwert",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Very difficult"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6574-3",
"display": "Sehr stark erschwert",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Extremely difficult"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
],
"linkId": "phq-phq9-q10",
"type": "choice",
"prefix": "10",
"text": "Wenn eines oder mehrere dieser Probleme bei Ihnen vorliegen, geben Sie bitte an, wie sehr diese Probleme es Ihnen erschwert haben, Ihre Arbeit zu erledigen, Ihren Haushalt zu regeln oder mit anderen Menschen zurecht zu kommen",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
},
{
"code": [
{
"code": "77861-3",
"system": "http://loinc.org",
"display": "PROMIS depression T-score"
}
],
"extension": [
{
"valueExpression": {
"name": "promis-tscore-mapping",
"language": "text/fhirpath",
"expression": "iif(%phq9Score = 0, 37.4, iif(%phq9Score = 1, 42.7, iif(%phq9Score = 2, 45.9, iif(%phq9Score = 3, 48.3, iif(%phq9Score = 4, 50.5, iif(%phq9Score = 5, 52.5, iif(%phq9Score = 6, 54.2, iif(%phq9Score = 7, 55.8, iif(%phq9Score = 8, 57.2, iif(%phq9Score = 9, 58.6, iif(%phq9Score = 10, 59.9, iif(%phq9Score = 11, 61.1, iif(%phq9Score = 12, 62.3, iif(%phq9Score = 13, 63.5, iif(%phq9Score = 14, 64.7, iif(%phq9Score = 15, 65.8, iif(%phq9Score = 16, 66.9, iif(%phq9Score = 17, 68.0, iif(%phq9Score = 18, 69.2, iif(%phq9Score = 19, 70.3, iif(%phq9Score = 20, 71.5, iif(%phq9Score = 21, 72.7, iif(%phq9Score = 22, 74.0, iif(%phq9Score = 23, 75.3, iif(%phq9Score = 24, 76.7, iif(%phq9Score = 25, 78.3, iif(%phq9Score = 26, 80.0, iif(%phq9Score = 27, 82.3, 82.3))))))))))))))))))))))))))))"
},
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
"valueBoolean": true
},
{
"valueCoding": {
"system": "http://unitsofmeasure.org",
"code": "{score}"
},
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit"
},
{
"valueCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey"
}
]
},
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observation-extract-category"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/cqf-citation",
"valueString": "PROsetta Stone® PHQ-9 to PROMIS Depression Crosswalk Table. Available at: https://www.prosettastone.org"
}
],
"linkId": "phq-phq9-promis-tscore",
"type": "decimal",
"prefix": "T-Score",
"readOnly": true,
"text": "PROMIS Depression T-Score (abgeleitet von PHQ-9)",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "PROMIS Depression T-Score (derived from PHQ-9)"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
],
"status": "active",
"experimental": true,
"language": "de",
"version": "2026.0.0-ballot"
}
<Questionnaire xmlns="http://hl7.org/fhir">
<id value="mii-qst-pro-phq-9" />
<meta>
<profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire" />
</meta>
<language value="de" />
<extension url="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-ex-pro-questionnaire-capabilities">
<extension url="displayable">
<valueBoolean value="true" />
</extension>
<extension url="collectable">
<valueBoolean value="true" />
</extension>
<extension url="populatable">
<valueBoolean value="true" />
</extension>
<extension url="calculatable">
<valueBoolean value="true" />
</extension>
<extension url="extractable">
<valueBoolean value="true" />
</extension>
<extension url="domainAligned">
<valueBoolean value="true" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="rawScore" />
<language value="text/fhirpath" />
<expression value="%resource.item.where(linkId.matches('^phq-phq9-q0[1-9]$')).answer.value.ordinal().sum()" />
</valueExpression>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="phq9Score" />
<language value="text/fhirpath" />
<expression value="%resource.item.where(linkId.matches('^phq-phq9-q0[1-9]$')).answer.value.ordinal().sum()" />
</valueExpression>
</extension>
<url value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-phq-9" />
<version value="2026.0.0-ballot" />
<title value="MII QST PRO PHQ-9" />
<status value="active" />
<experimental value="true" />
<description value="Patient Health Questionnaire (PHQ-9)" />
<code>
<system value="http://loinc.org" />
<code value="44249-1" />
<display value="PHQ-9 quick depression assessment panel [Reported.PHQ]" />
</code>
<item>
<linkId value="PHQ-9.Description" />
<text value="Wie oft fühlten Sie sich im Verlauf der letzten 2 Wochen durch die folgenden Beschwerden beeinträchtigt?">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Over the last two weeks, how often have you been bothered by any of the following problems?" />
</extension>
</extension>
</text>
<type value="display" />
</item>
<item>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath" />
<expression value="iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q01').answer.value, {})" />
</valueExpression>
</extension>
<linkId value="phq-phq9-q01" />
<code>
<system value="http://loinc.org" />
<code value="44250-9" />
</code>
<prefix value="1" />
<text value="Wenig Interesse oder Freude an Ihren Tätigkeiten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Little interest or pleasure in doing things" />
</extension>
</extension>
</text>
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6568-5" />
<display value="Überhaupt nicht">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Not at all" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6569-3" />
<display value="An einzelnen Tagen">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Serveral days" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6570-1" />
<display value="An mehr als der Hälfte der Tage">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="More than half the days" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6571-9" />
<display value="Beinahe jeden Tag">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Nearly every day" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath" />
<expression value="iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q02').answer.value, {})" />
</valueExpression>
</extension>
<linkId value="phq-phq9-q02" />
<code>
<system value="http://loinc.org" />
<code value="44255-8" />
</code>
<prefix value="2" />
<text value="Niedergeschlagenheit, Schwermut oder Hoffnungslosigkeit">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Feeling down, depressed, or hopeless" />
</extension>
</extension>
</text>
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6568-5" />
<display value="Überhaupt nicht">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Not at all" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6569-3" />
<display value="An einzelnen Tagen">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Serveral days" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6570-1" />
<display value="An mehr als der Hälfte der Tage">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="More than half the days" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6571-9" />
<display value="Beinahe jeden Tag">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Nearly every day" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath" />
<expression value="iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q03').answer.value, {})" />
</valueExpression>
</extension>
<linkId value="phq-phq9-q03" />
<code>
<system value="http://loinc.org" />
<code value="44259-0" />
</code>
<prefix value="3" />
<text value="Schwierigkeiten ein- oder durchzuschlafen oder vermehrter Schlaf">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Trouble falling or staying asleep, or sleeping too much" />
</extension>
</extension>
</text>
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6568-5" />
<display value="Überhaupt nicht">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Not at all" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6569-3" />
<display value="An einzelnen Tagen">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Serveral days" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6570-1" />
<display value="An mehr als der Hälfte der Tage">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="More than half the days" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6571-9" />
<display value="Beinahe jeden Tag">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Nearly every day" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath" />
<expression value="iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q04').answer.value, {})" />
</valueExpression>
</extension>
<linkId value="phq-phq9-q04" />
<code>
<system value="http://loinc.org" />
<code value="44254-1" />
</code>
<prefix value="4" />
<text value="Müdigkeit oder Gefühl, keine Energie zu haben">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Feeling tired or having little energy" />
</extension>
</extension>
</text>
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6568-5" />
<display value="Überhaupt nicht">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Not at all" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6569-3" />
<display value="An einzelnen Tagen">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Serveral days" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6570-1" />
<display value="An mehr als der Hälfte der Tage">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="More than half the days" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6571-9" />
<display value="Beinahe jeden Tag">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Nearly every day" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath" />
<expression value="iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q05').answer.value, {})" />
</valueExpression>
</extension>
<linkId value="phq-phq9-q05" />
<code>
<system value="http://loinc.org" />
<code value="44251-7" />
</code>
<prefix value="5" />
<text value="Verminderter Appetit oder übermäßiges Bedürfnis zu essen">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Poor appetite or overeating" />
</extension>
</extension>
</text>
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6568-5" />
<display value="Überhaupt nicht">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Not at all" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6569-3" />
<display value="An einzelnen Tagen">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Serveral days" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6570-1" />
<display value="An mehr als der Hälfte der Tage">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="More than half the days" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6571-9" />
<display value="Beinahe jeden Tag">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Nearly every day" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath" />
<expression value="iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q06').answer.value, {})" />
</valueExpression>
</extension>
<linkId value="phq-phq9-q06" />
<code>
<system value="http://loinc.org" />
<code value="44258-2" />
</code>
<prefix value="6" />
<text value="Schlechte Meinung von sich selbst; Gefühl, ein Versager zu sein oder die Familie enttäuscht zu haben">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Feeling bad about yourself - or that you are a failure or have let yourself or your family down" />
</extension>
</extension>
</text>
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6568-5" />
<display value="Überhaupt nicht">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Not at all" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6569-3" />
<display value="An einzelnen Tagen">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Serveral days" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6570-1" />
<display value="An mehr als der Hälfte der Tage">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="More than half the days" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6571-9" />
<display value="Beinahe jeden Tag">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Nearly every day" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath" />
<expression value="iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q07').answer.value, {})" />
</valueExpression>
</extension>
<linkId value="phq-phq9-q07" />
<code>
<system value="http://loinc.org" />
<code value="44252-5" />
</code>
<prefix value="7" />
<text value="Schwierigkeiten, sich auf etwas zu konzentrieren, z.B. beim Zeitunglesen oder Fernsehen">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Trouble concentrating on things, such as reading the newspaper or watching television" />
</extension>
</extension>
</text>
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6568-5" />
<display value="Überhaupt nicht">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Not at all" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6569-3" />
<display value="An einzelnen Tagen">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Serveral days" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6570-1" />
<display value="An mehr als der Hälfte der Tage">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="More than half the days" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6571-9" />
<display value="Beinahe jeden Tag">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Nearly every day" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath" />
<expression value="iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q08').answer.value, {})" />
</valueExpression>
</extension>
<linkId value="phq-phq9-q08" />
<code>
<system value="http://loinc.org" />
<code value="44253-3" />
</code>
<prefix value="8" />
<text value="Waren Ihre Bewegungen oder Ihre Sprache so verlangsamt, dass es auch anderen auffallen würde? Oder waren Sie im Gegenteil „zappelig“ oder ruhelos und hatten dadurch einen stärkeren Bewegungsdrang als sonst?">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString 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" />
</extension>
</extension>
</text>
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6568-5" />
<display value="Überhaupt nicht">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Not at all" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6569-3" />
<display value="An einzelnen Tagen">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Serveral days" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6570-1" />
<display value="An mehr als der Hälfte der Tage">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="More than half the days" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6571-9" />
<display value="Beinahe jeden Tag">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Nearly every day" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath" />
<expression value="iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q09').answer.value, {})" />
</valueExpression>
</extension>
<linkId value="phq-phq9-q09" />
<code>
<system value="http://loinc.org" />
<code value="44260-8" />
</code>
<prefix value="9" />
<text value="Gedanken, dass Sie lieber tot wären oder sich Leid zufügen möchten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Thoughts that you would be better off dead or of hurting yourself in some way" />
</extension>
</extension>
</text>
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6568-5" />
<display value="Überhaupt nicht">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Not at all" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6569-3" />
<display value="An einzelnen Tagen">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Serveral days" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6570-1" />
<display value="An mehr als der Hälfte der Tage">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="More than half the days" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6571-9" />
<display value="Beinahe jeden Tag">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Nearly every day" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
<valueExpression>
<name value="Scoreberechnung" />
<language value="text/fhirpath" />
<expression value="%phq9Score" />
</valueExpression>
</extension>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
<valueBoolean value="true" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
<valueCoding>
<system value="http://unitsofmeasure.org" />
<code value="{score}" />
</valueCoding>
</extension>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observation-extract-category">
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/observation-category" />
<code value="survey" />
</coding>
</valueCodeableConcept>
</extension>
<linkId value="phq-phq9-score-total" />
<code>
<system value="http://loinc.org" />
<code value="44261-6" />
<display value="Patient Health Questionnaire 9 item (PHQ-9) total score [Reported]" />
</code>
<prefix value="Auswertung" />
<text value="PHQ-9 Gesamtwert">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="PHQ-9 Total Score" />
</extension>
</extension>
</text>
<type value="decimal" />
<readOnly value="true" />
</item>
<item>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
<valueExpression>
<language value="text/fhirpath" />
<expression value="iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q10').answer.value, {})" />
</valueExpression>
</extension>
<linkId value="phq-phq9-q10" />
<code>
<system value="http://loinc.org" />
<code value="69722-7" />
</code>
<prefix value="10" />
<text value="Wenn eines oder mehrere dieser Probleme bei Ihnen vorliegen, geben Sie bitte an, wie sehr diese Probleme es Ihnen erschwert haben, Ihre Arbeit zu erledigen, Ihren Haushalt zu regeln oder mit anderen Menschen zurecht zu kommen">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?" />
</extension>
</extension>
</text>
<type value="choice" />
<answerOption>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6572-7" />
<display value="Überhaupt nicht erschwert">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Not difficult at all" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6573-5" />
<display value="Etwas erschwert">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Somewhat difficult" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6575-0" />
<display value="Relativ stark erschwert">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Very difficult" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6574-3" />
<display value="Sehr stark erschwert">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Extremely difficult" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
<valueExpression>
<name value="promis-tscore-mapping" />
<language value="text/fhirpath" />
<expression value="iif(%phq9Score = 0, 37.4, iif(%phq9Score = 1, 42.7, iif(%phq9Score = 2, 45.9, iif(%phq9Score = 3, 48.3, iif(%phq9Score = 4, 50.5, iif(%phq9Score = 5, 52.5, iif(%phq9Score = 6, 54.2, iif(%phq9Score = 7, 55.8, iif(%phq9Score = 8, 57.2, iif(%phq9Score = 9, 58.6, iif(%phq9Score = 10, 59.9, iif(%phq9Score = 11, 61.1, iif(%phq9Score = 12, 62.3, iif(%phq9Score = 13, 63.5, iif(%phq9Score = 14, 64.7, iif(%phq9Score = 15, 65.8, iif(%phq9Score = 16, 66.9, iif(%phq9Score = 17, 68.0, iif(%phq9Score = 18, 69.2, iif(%phq9Score = 19, 70.3, iif(%phq9Score = 20, 71.5, iif(%phq9Score = 21, 72.7, iif(%phq9Score = 22, 74.0, iif(%phq9Score = 23, 75.3, iif(%phq9Score = 24, 76.7, iif(%phq9Score = 25, 78.3, iif(%phq9Score = 26, 80.0, iif(%phq9Score = 27, 82.3, 82.3))))))))))))))))))))))))))))" />
</valueExpression>
</extension>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
<valueBoolean value="true" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
<valueCoding>
<system value="http://unitsofmeasure.org" />
<code value="{score}" />
</valueCoding>
</extension>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observation-extract-category">
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/observation-category" />
<code value="survey" />
</coding>
</valueCodeableConcept>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/cqf-citation">
<valueString value="PROsetta Stone® PHQ-9 to PROMIS Depression Crosswalk Table. Available at: https://www.prosettastone.org" />
</extension>
<linkId value="phq-phq9-promis-tscore" />
<code>
<system value="http://loinc.org" />
<code value="77861-3" />
<display value="PROMIS depression T-score" />
</code>
<prefix value="T-Score" />
<text value="PROMIS Depression T-Score (abgeleitet von PHQ-9)">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="PROMIS Depression T-Score (derived from PHQ-9)" />
</extension>
</extension>
</text>
<type value="decimal" />
<readOnly value="true" />
</item>
</Questionnaire>

Score-Repräsentation

Der PHQ-9 Score wird auf mehreren Ebenen repräsentiert:

  1. Als berechnetes Item in der QuestionnaireResponse (linkId: phq9-total-score)
  2. Als Observation mit LOINC-Code 44261-6 "PHQ-9 total score"
  3. Als Domain-Score gemappt auf PROMIS Depression T-Score

ObservationDefinition: mii-obsdef-pro-phq9-score

  • Definiert Wertebereich: 0-27
  • Spezifiziert Interpretationsrichtlinien

Domain-Mapping

Der PHQ-9 kann auf PROMIS Depression T-Scores gemappt werden:

PHQ-9 Score PROMIS T-Score Interpretation
0-4 ~41.0 Minimal
5-9 ~50.0 Mild
10-14 ~60.0 Moderat
15-19 ~70.0 Moderat schwer
20-27 ~77.5 Schwer

Beispiel-Ressourcen

PHQ-9 QuestionnaireResponse

QuestionnaireResponse
{
"resourceType": "QuestionnaireResponse",
"id": "mii-exa-pro-phq-9-response",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"
]
},
"item": [
{
"answer": [
{
"valueCoding": {
"code": "LA6571-9",
"system": "http://loinc.org",
"display": "Beinahe jeden Tag"
}
}
],
"linkId": "phq-phq9-q01"
},
{
"answer": [
{
"valueCoding": {
"code": "LA6571-9",
"system": "http://loinc.org",
"display": "Beinahe jeden Tag"
}
}
],
"linkId": "phq-phq9-q02"
},
{
"answer": [
{
"valueCoding": {
"code": "LA6571-9",
"system": "http://loinc.org",
"display": "Beinahe jeden Tag"
}
}
],
"linkId": "phq-phq9-q03"
},
{
"answer": [
{
"valueCoding": {
"code": "LA6571-9",
"system": "http://loinc.org",
"display": "Beinahe jeden Tag"
}
}
],
"linkId": "phq-phq9-q04"
},
{
"answer": [
{
"valueCoding": {
"code": "LA6571-9",
"system": "http://loinc.org",
"display": "Beinahe jeden Tag"
}
}
],
"linkId": "phq-phq9-q05"
},
{
"answer": [
{
"valueCoding": {
"code": "LA6571-9",
"system": "http://loinc.org",
"display": "Beinahe jeden Tag"
}
}
],
"linkId": "phq-phq9-q06"
},
{
"answer": [
{
"valueCoding": {
"code": "LA6571-9",
"system": "http://loinc.org",
"display": "Beinahe jeden Tag"
}
}
],
"linkId": "phq-phq9-q07"
},
{
"answer": [
{
"valueCoding": {
"code": "LA6571-9",
"system": "http://loinc.org",
"display": "Beinahe jeden Tag"
}
}
],
"linkId": "phq-phq9-q08"
},
{
"answer": [
{
"valueCoding": {
"code": "LA6571-9",
"system": "http://loinc.org",
"display": "Beinahe jeden Tag"
}
}
],
"linkId": "phq-phq9-q09"
},
{
"answer": [
{
"valueDecimal": 27
}
],
"linkId": "phq-phq9-score-total"
},
{
"answer": [
{
"valueCoding": {
"code": "LA6574-3",
"system": "http://loinc.org",
"display": "Sehr stark erschwert"
}
}
],
"linkId": "phq-phq9-q10"
}
],
"status": "completed",
"subject": {
"reference": "Patient/example-patient"
},
"authored": "2023-10-01T12:00:00Z",
"questionnaire": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-phq-9"
}
<QuestionnaireResponse xmlns="http://hl7.org/fhir">
<id value="mii-exa-pro-phq-9-response" />
<meta>
<profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response" />
</meta>
<questionnaire value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-phq-9" />
<status value="completed" />
<subject>
<reference value="Patient/example-patient" />
</subject>
<authored value="2023-10-01T12:00:00Z" />
<item>
<linkId value="phq-phq9-q01" />
<answer>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6571-9" />
<display value="Beinahe jeden Tag" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq-phq9-q02" />
<answer>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6571-9" />
<display value="Beinahe jeden Tag" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq-phq9-q03" />
<answer>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6571-9" />
<display value="Beinahe jeden Tag" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq-phq9-q04" />
<answer>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6571-9" />
<display value="Beinahe jeden Tag" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq-phq9-q05" />
<answer>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6571-9" />
<display value="Beinahe jeden Tag" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq-phq9-q06" />
<answer>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6571-9" />
<display value="Beinahe jeden Tag" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq-phq9-q07" />
<answer>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6571-9" />
<display value="Beinahe jeden Tag" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq-phq9-q08" />
<answer>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6571-9" />
<display value="Beinahe jeden Tag" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq-phq9-q09" />
<answer>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6571-9" />
<display value="Beinahe jeden Tag" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq-phq9-score-total" />
<answer>
<valueDecimal value="27" />
</answer>
</item>
<item>
<linkId value="phq-phq9-q10" />
<answer>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6574-3" />
<display value="Sehr stark erschwert" />
</valueCoding>
</answer>
</item>
</QuestionnaireResponse>

Validierung

Technisch: Score-Bereich 0-27, alle Items für validen Score erforderlich, Ordinal-Werte: 0, 1, 2, 3

Klinisch: Sensitivität 88%, Spezifität 88% für Major Depression (Cut-off ≥10), Test-Retest-Reliabilität: 0.84

Referenzen

Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606-13.

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