MII-Initiative

Medizininformatik Initiative - ImplementationGuide - Modul PRO v2026

PHQ-15 (Patient Health Questionnaire-15)

Klinischer Kontext

Der PHQ-15 ist ein validiertes Screening-Instrument für die Schwere somatischer Symptome. Er erfasst die Beeinträchtigung durch 15 körperliche Beschwerden über einen Zeitraum von vier Wochen auf einer dreistufigen Skala (0 = nicht, 1 = wenig, 2 = stark beeinträchtigt).

Scoring und Interpretation (Summenwert 0–30, Kroenke et al. 2002):

  • 0–4: Minimale somatische Symptomlast
  • 5–9: Geringe somatische Symptomlast
  • 10–14: Mittlere somatische Symptomlast
  • ≥15: Hohe somatische Symptomlast

Zusammenhang mit der PHQ-Familie: Zwei der 15 Items (Müdigkeit, Schlaf) stammen aus dem Depressionsmodul (PHQ-9). Im MII-PRO-Modul teilen sie sich über den gemeinsamen PHQ-D-Itembank-Namespace denselben linkId (phq-phq2d Müdigkeit, phq-phq2c Schlaf) — dieselben linkIds wie im PHQ-9.

FHIR-Implementierung

Sprachstrategie: Englisch als Primärsprache (Original-Instrument), deutsche Texte als Translations (PHQ-D, Löwe et al. 2002). Gewährleistet korrekte Validierung gegen LOINC.

Questionnaire

Canonical URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-phq-15

Implementierte Capabilities:

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

Besonderheiten:

  • Antwortskala über answerValueSet (mii-vs-pro-phq-15-answers); ordinale Gewichte (0/1/2) als Property auf den CodeSystem-Konzepten (mii-cs-pro-phq-15-answers).
  • Automatische Score-Berechnung via FHIRPath: %resource.item.where(linkId.matches('^phq-phq(1[a-m]|2[cd])$')).answer.value.ordinal().sum().
  • linkIds im gemeinsamen PHQ-D-Block-Namespace; LOINC-Panel 69728-4, Items LOINC-kodiert.
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Score-Repräsentation

  1. Als berechnetes Item in der QuestionnaireResponse (linkId: phq-phq15-score-total)
  2. Als Observation mit LOINC-Code 70273-8 „Patient Health Questionnaire 15 item (PHQ-15) total score"
  3. ObservationDefinition: mii-obsdef-pro-score-phq-15 — Wertebereich 0–30 , höher = größere somatische Symptomlast, inkl. Schweregrad-Referenzbereiche (Kroenke-Cut-offs) als qualifiedInterval.

Beispiel-Ressourcen

QuestionnaireResponse
{
"resourceType": "QuestionnaireResponse",
"id": "mii-exa-pro-phq-15-response",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response|2027.0.0-ballot.1"
]
},
"language": "en",
"questionnaire": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-phq-15|2027.0.0-ballot.1",
"status": "completed",
"subject": {
"reference": "Patient/mii-exa-pro-patient"
},
"authored": "2024-03-15T10:00:00Z",
"item": [
{
"linkId": "phq-phq1a",
"text": "Stomach pain",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Bauchschmerzen"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"answer": [
{
"valueCoding": {
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers",
"code": "bothered-a-little",
"display": "Bothered a little",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Wenig beeinträchtigt"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "phq-phq1b",
"text": "Back pain",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Rückenschmerzen"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"answer": [
{
"valueCoding": {
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers",
"code": "bothered-a-little",
"display": "Bothered a little",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Wenig beeinträchtigt"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "phq-phq1c",
"text": "Pain in your arms, legs, or joints (knees, hips, etc.)",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Schmerzen in Armen, Beinen oder Gelenken (Knie, Hüften, usw.)"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"answer": [
{
"valueCoding": {
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers",
"code": "bothered-a-little",
"display": "Bothered a little",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Wenig beeinträchtigt"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "phq-phq1d",
"text": "Menstrual cramps or other problems with your periods",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Menstruationsschmerzen oder andere Probleme mit der Menstruation"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"answer": [
{
"valueCoding": {
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers",
"code": "bothered-a-little",
"display": "Bothered a little",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Wenig beeinträchtigt"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "phq-phq1e",
"text": "Pain or problems during sexual intercourse",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Schmerzen oder Probleme beim Geschlechtsverkehr"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"answer": [
{
"valueCoding": {
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers",
"code": "bothered-a-little",
"display": "Bothered a little",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Wenig beeinträchtigt"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "phq-phq1f",
"text": "Headaches",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Kopfschmerzen"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"answer": [
{
"valueCoding": {
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers",
"code": "bothered-a-little",
"display": "Bothered a little",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Wenig beeinträchtigt"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "phq-phq1g",
"text": "Chest pain",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Schmerzen im Brustbereich"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"answer": [
{
"valueCoding": {
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers",
"code": "bothered-a-little",
"display": "Bothered a little",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Wenig beeinträchtigt"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "phq-phq1h",
"text": "Dizziness",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Schwindel"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"answer": [
{
"valueCoding": {
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers",
"code": "bothered-a-little",
"display": "Bothered a little",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Wenig beeinträchtigt"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "phq-phq1i",
"text": "Fainting spells",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Ohnmachtsanfälle"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"answer": [
{
"valueCoding": {
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers",
"code": "bothered-a-little",
"display": "Bothered a little",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Wenig beeinträchtigt"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "phq-phq1j",
"text": "Feeling your heart pound or race",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Herzklopfen oder Herzrasen"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"answer": [
{
"valueCoding": {
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers",
"code": "bothered-a-little",
"display": "Bothered a little",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Wenig beeinträchtigt"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "phq-phq1k",
"text": "Shortness of breath",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Kurzatmigkeit"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"answer": [
{
"valueCoding": {
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers",
"code": "bothered-a-little",
"display": "Bothered a little",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Wenig beeinträchtigt"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "phq-phq1l",
"text": "Constipation, loose bowels, or diarrhea",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Verstopfung, nervöser Darm oder Durchfall"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"answer": [
{
"valueCoding": {
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers",
"code": "bothered-a-little",
"display": "Bothered a little",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Wenig beeinträchtigt"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "phq-phq1m",
"text": "Nausea, gas, or indigestion",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Übelkeit, Blähungen oder Verdauungsbeschwerden"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"answer": [
{
"valueCoding": {
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers",
"code": "bothered-a-little",
"display": "Bothered a little",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Wenig beeinträchtigt"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "phq-phq2d",
"text": "Feeling tired or having low energy",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Müdigkeit oder Gefühl, keine Energie zu haben"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"answer": [
{
"valueCoding": {
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers",
"code": "bothered-a-little",
"display": "Bothered a little",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Wenig beeinträchtigt"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "phq-phq2c",
"text": "Trouble sleeping",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Schwierigkeiten ein- oder durchzuschlafen oder vermehrter Schlaf"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"answer": [
{
"valueCoding": {
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers",
"code": "bothered-a-little",
"display": "Bothered a little",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Wenig beeinträchtigt"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "phq-phq15-score-total",
"text": "PHQ-15 Total Score (0–30)",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "PHQ-15 Summenwert (0–30)"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"answer": [
{
"valueDecimal": 15
}
]
}
]
}
<QuestionnaireResponse xmlns="http://hl7.org/fhir">
<id value="mii-exa-pro-phq-15-response" />
<meta>
<profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response|2027.0.0-ballot.1" />
</meta>
<language value="en" />
<questionnaire value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-phq-15|2027.0.0-ballot.1" />
<status value="completed" />
<subject>
<reference value="Patient/mii-exa-pro-patient" />
</subject>
<authored value="2024-03-15T10:00:00Z" />
<item>
<linkId value="phq-phq1a" />
<text value="Stomach pain">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Bauchschmerzen" />
</extension>
</extension>
</text>
<answer>
<valueCoding>
<system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers" />
<code value="bothered-a-little" />
<display value="Bothered a little">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Wenig beeinträchtigt" />
</extension>
</extension>
</display>
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq-phq1b" />
<text value="Back pain">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Rückenschmerzen" />
</extension>
</extension>
</text>
<answer>
<valueCoding>
<system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers" />
<code value="bothered-a-little" />
<display value="Bothered a little">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Wenig beeinträchtigt" />
</extension>
</extension>
</display>
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq-phq1c" />
<text value="Pain in your arms, legs, or joints (knees, hips, etc.)">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Schmerzen in Armen, Beinen oder Gelenken (Knie, Hüften, usw.)" />
</extension>
</extension>
</text>
<answer>
<valueCoding>
<system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers" />
<code value="bothered-a-little" />
<display value="Bothered a little">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Wenig beeinträchtigt" />
</extension>
</extension>
</display>
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq-phq1d" />
<text value="Menstrual cramps or other problems with your periods">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Menstruationsschmerzen oder andere Probleme mit der Menstruation" />
</extension>
</extension>
</text>
<answer>
<valueCoding>
<system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers" />
<code value="bothered-a-little" />
<display value="Bothered a little">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Wenig beeinträchtigt" />
</extension>
</extension>
</display>
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq-phq1e" />
<text value="Pain or problems during sexual intercourse">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Schmerzen oder Probleme beim Geschlechtsverkehr" />
</extension>
</extension>
</text>
<answer>
<valueCoding>
<system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers" />
<code value="bothered-a-little" />
<display value="Bothered a little">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Wenig beeinträchtigt" />
</extension>
</extension>
</display>
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq-phq1f" />
<text value="Headaches">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Kopfschmerzen" />
</extension>
</extension>
</text>
<answer>
<valueCoding>
<system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers" />
<code value="bothered-a-little" />
<display value="Bothered a little">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Wenig beeinträchtigt" />
</extension>
</extension>
</display>
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq-phq1g" />
<text value="Chest pain">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Schmerzen im Brustbereich" />
</extension>
</extension>
</text>
<answer>
<valueCoding>
<system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers" />
<code value="bothered-a-little" />
<display value="Bothered a little">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Wenig beeinträchtigt" />
</extension>
</extension>
</display>
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq-phq1h" />
<text value="Dizziness">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Schwindel" />
</extension>
</extension>
</text>
<answer>
<valueCoding>
<system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers" />
<code value="bothered-a-little" />
<display value="Bothered a little">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Wenig beeinträchtigt" />
</extension>
</extension>
</display>
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq-phq1i" />
<text value="Fainting spells">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Ohnmachtsanfälle" />
</extension>
</extension>
</text>
<answer>
<valueCoding>
<system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers" />
<code value="bothered-a-little" />
<display value="Bothered a little">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Wenig beeinträchtigt" />
</extension>
</extension>
</display>
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq-phq1j" />
<text value="Feeling your heart pound or race">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Herzklopfen oder Herzrasen" />
</extension>
</extension>
</text>
<answer>
<valueCoding>
<system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers" />
<code value="bothered-a-little" />
<display value="Bothered a little">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Wenig beeinträchtigt" />
</extension>
</extension>
</display>
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq-phq1k" />
<text value="Shortness of breath">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Kurzatmigkeit" />
</extension>
</extension>
</text>
<answer>
<valueCoding>
<system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers" />
<code value="bothered-a-little" />
<display value="Bothered a little">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Wenig beeinträchtigt" />
</extension>
</extension>
</display>
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq-phq1l" />
<text value="Constipation, loose bowels, or diarrhea">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Verstopfung, nervöser Darm oder Durchfall" />
</extension>
</extension>
</text>
<answer>
<valueCoding>
<system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers" />
<code value="bothered-a-little" />
<display value="Bothered a little">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Wenig beeinträchtigt" />
</extension>
</extension>
</display>
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq-phq1m" />
<text value="Nausea, gas, or indigestion">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Übelkeit, Blähungen oder Verdauungsbeschwerden" />
</extension>
</extension>
</text>
<answer>
<valueCoding>
<system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers" />
<code value="bothered-a-little" />
<display value="Bothered a little">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Wenig beeinträchtigt" />
</extension>
</extension>
</display>
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq-phq2d" />
<text value="Feeling tired or having low energy">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Müdigkeit oder Gefühl, keine Energie zu haben" />
</extension>
</extension>
</text>
<answer>
<valueCoding>
<system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers" />
<code value="bothered-a-little" />
<display value="Bothered a little">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Wenig beeinträchtigt" />
</extension>
</extension>
</display>
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq-phq2c" />
<text value="Trouble sleeping">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Schwierigkeiten ein- oder durchzuschlafen oder vermehrter Schlaf" />
</extension>
</extension>
</text>
<answer>
<valueCoding>
<system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-phq-15-answers" />
<code value="bothered-a-little" />
<display value="Bothered a little">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Wenig beeinträchtigt" />
</extension>
</extension>
</display>
</valueCoding>
</answer>
</item>
<item>
<linkId value="phq-phq15-score-total" />
<text value="PHQ-15 Total Score (0–30)">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="PHQ-15 Summenwert (0–30)" />
</extension>
</extension>
</text>
<answer>
<valueDecimal value="15" />
</answer>
</item>
</QuestionnaireResponse>

Lizenz

PHQ / PHQ-15 © Pfizer Inc. — frei verfügbar (public domain), keine Genehmigung für Reproduktion/Übersetzung/Nutzung erforderlich. Deutsche Fassung: PHQ-D (Löwe, Spitzer, Zipfel & Herzog 2002).

Referenzen

  • Kroenke K, Spitzer RL, Williams JBW. The PHQ-15: validity of a new measure for evaluating the severity of somatic symptoms. Psychosomatic Medicine 2002;64(2):258–266.
  • Gräfe K, Zipfel S, Herzog W, Löwe B. Screening psychischer Störungen mit dem „Gesundheitsfragebogen für Patienten (PHQ-D)". Diagnostica 2004;50(4):171–181.

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