ENRICH-mHealth FHIR Implementation Guide
0.1.0 - ci-build
ENRICH-mHealth FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Draft as of 2026-07-16 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="gridhamd-answer-options-cs"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem gridhamd-answer-options-cs</b></p><a name="gridhamd-answer-options-cs"> </a><a name="hcgridhamd-answer-options-cs"> </a><p>This code system <code>http://example.org/fhir/CodeSystem/gridhamd-answer-options-cs</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td></tr><tr><td style="white-space:nowrap">Q1-1<a name="gridhamd-answer-options-cs-Q1-1"> </a></td><td>Absent and Absent or clinically insignificant</td></tr><tr><td style="white-space:nowrap">Q1-2<a name="gridhamd-answer-options-cs-Q1-2"> </a></td><td>Mild (Feelings of sadness, discouragement, low selfesteem, pessimism) and Absent or clinically insignificant</td></tr><tr><td style="white-space:nowrap">Q1-3<a name="gridhamd-answer-options-cs-Q1-3"> </a></td><td>Mild (Feelings of sadness, discouragement, low selfesteem, pessimism) and Occasional</td></tr><tr><td style="white-space:nowrap">Q1-4<a name="gridhamd-answer-options-cs-Q1-4"> </a></td><td>Mild (Feelings of sadness, discouragement, low selfesteem, pessimism) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q1-5<a name="gridhamd-answer-options-cs-Q1-5"> </a></td><td>Mild (Feelings of sadness, discouragement, low selfesteem, pessimism) and Almost all the time</td></tr><tr><td style="white-space:nowrap">Q1-6<a name="gridhamd-answer-options-cs-Q1-6"> </a></td><td>Moderate (Clear nonverbal signs of sadness, feelings of hopelessness, helplessness, or worthlessness about some aspects of life) and Occasional</td></tr><tr><td style="white-space:nowrap">Q1-7<a name="gridhamd-answer-options-cs-Q1-7"> </a></td><td>Moderate (Clear nonverbal signs of sadness, feelings of hopelessness, helplessness, or worthlessness about some aspects of life) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q1-8<a name="gridhamd-answer-options-cs-Q1-8"> </a></td><td>Moderate (Clear nonverbal signs of sadness, feelings of hopelessness, helplessness, or worthlessness about some aspects of life) and Almost all the time</td></tr><tr><td style="white-space:nowrap">Q1-9<a name="gridhamd-answer-options-cs-Q1-9"> </a></td><td>Severe (Intense sadness, hopelessness about most aspects of life, feelings of complete helplessness or worthlessness) and Occasional</td></tr><tr><td style="white-space:nowrap">Q1-10<a name="gridhamd-answer-options-cs-Q1-10"> </a></td><td>Severe (Intense sadness, hopelessness about most aspects of life, feelings of complete helplessness or worthlessness) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q1-11<a name="gridhamd-answer-options-cs-Q1-11"> </a></td><td>Severe (Intense sadness, hopelessness about most aspects of life, feelings of complete helplessness or worthlessness) and almost all of the time</td></tr><tr><td style="white-space:nowrap">Q1-12<a name="gridhamd-answer-options-cs-Q1-12"> </a></td><td>Very severe (Extreme sadness; intractable hopelessness or helplessness) and Occasional</td></tr><tr><td style="white-space:nowrap">Q1-13<a name="gridhamd-answer-options-cs-Q1-13"> </a></td><td>Very severe (Extreme sadness; intractable hopelessness or helplessness) and Much off the time</td></tr><tr><td style="white-space:nowrap">Q1-14<a name="gridhamd-answer-options-cs-Q1-14"> </a></td><td>Very severe (Extreme sadness; intractable hopelessness or helplessness) and Almost all of the time</td></tr><tr><td style="white-space:nowrap">Q2-1<a name="gridhamd-answer-options-cs-Q2-1"> </a></td><td>Absent and Absent or clinically insignificant</td></tr><tr><td style="white-space:nowrap">Q2-2<a name="gridhamd-answer-options-cs-Q2-2"> </a></td><td>Mild (Feelings of sadness, discouragement, low selfesteem, pessimism) and Absent or clinically insignificant</td></tr><tr><td style="white-space:nowrap">Q2-3<a name="gridhamd-answer-options-cs-Q2-3"> </a></td><td>Mild (Self-critical, self-reproach, e.g., “I’ve letpeople down”) and Occasional</td></tr><tr><td style="white-space:nowrap">Q2-4<a name="gridhamd-answer-options-cs-Q2-4"> </a></td><td>Mild (Self-critical, self-reproach, e.g., “I’ve letpeople down”) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q2-5<a name="gridhamd-answer-options-cs-Q2-5"> </a></td><td>Mild (Self-critical, self-reproach, e.g., “I’ve letpeople down”) and Almost all the time</td></tr><tr><td style="white-space:nowrap">Q2-6<a name="gridhamd-answer-options-cs-Q2-6"> </a></td><td>Moderate (Feelings of guilt, remorse, shame; belief that one has done something bad or wrong) and Occasional</td></tr><tr><td style="white-space:nowrap">Q2-7<a name="gridhamd-answer-options-cs-Q2-7"> </a></td><td>Moderate (Feelings of guilt, remorse, shame; belief that one has done something bad or wrong) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q2-8<a name="gridhamd-answer-options-cs-Q2-8"> </a></td><td>Moderate (Feelings of guilt, remorse, shame; belief that one has done something bad or wrong) and Almost all the time</td></tr><tr><td style="white-space:nowrap">Q2-9<a name="gridhamd-answer-options-cs-Q2-9"> </a></td><td>Severe (Pervasive feelings of guilt; feels the illness is a punishment for sinful deeds) and Occasional</td></tr><tr><td style="white-space:nowrap">Q2-10<a name="gridhamd-answer-options-cs-Q2-10"> </a></td><td>Severe (Pervasive feelings of guilt; feels the illness is a punishment for sinful deeds) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q2-11<a name="gridhamd-answer-options-cs-Q2-11"> </a></td><td>Severe (Pervasive feelings of guilt; feels the illness is a punishment for sinful deeds) and almost all of the time</td></tr><tr><td style="white-space:nowrap">Q2-12<a name="gridhamd-answer-options-cs-Q2-12"> </a></td><td>Very Severe (Delusions, hallucinations) and Much off the time</td></tr><tr><td style="white-space:nowrap">Q2-13<a name="gridhamd-answer-options-cs-Q2-13"> </a></td><td>Very Severe (Delusions, hallucinations) and Almost all of the time</td></tr><tr><td style="white-space:nowrap">Q3-1<a name="gridhamd-answer-options-cs-Q3-1"> </a></td><td>Absent and Absent or clinically insignificant</td></tr><tr><td style="white-space:nowrap">Q3-2<a name="gridhamd-answer-options-cs-Q3-2"> </a></td><td>Mild (Feels life is not worth living, but expresses no wish to die, e.g., “I don’t care if I live or die”) and Absent or clinically insignificant</td></tr><tr><td style="white-space:nowrap">Q3-3<a name="gridhamd-answer-options-cs-Q3-3"> </a></td><td>Mild (Feels life is not worth living, but expresses no wish to die, e.g., “I don’t care if I live or die”) and Occasional</td></tr><tr><td style="white-space:nowrap">Q3-4<a name="gridhamd-answer-options-cs-Q3-4"> </a></td><td>Mild (Feels life is not worth living, but expresses no wish to die, e.g., “I don’t care if I live or die”) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q3-5<a name="gridhamd-answer-options-cs-Q3-5"> </a></td><td>Mild (Feels life is not worth living, but expresses nowish to die, e.g., “I don’t care if I live or die”) and Almost all the time</td></tr><tr><td style="white-space:nowrap">Q3-6<a name="gridhamd-answer-options-cs-Q3-6"> </a></td><td>Moderate (Wishes to be dead; thoughts of dying, but no specific plan or intent, e.g., “If I got hit by a bus, I wouldn’t care,” “I’d like to go to sleep and never wake up”) and Occasional</td></tr><tr><td style="white-space:nowrap">Q3-7<a name="gridhamd-answer-options-cs-Q3-7"> </a></td><td>Moderate (Wishes to be dead; thoughts of dying, but no specific plan or intent, e.g., “If I got hit by a bus, I wouldn’t care,” “I’d like to go to sleep and never wake up”) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q3-8<a name="gridhamd-answer-options-cs-Q3-8"> </a></td><td>Moderate (Wishes to be dead; thoughts of dying, but no specific plan or intent, e.g., “If I got hit by a bus, I wouldn’t care,” “I’d like to go to sleep and never wake up”) and Almost all the time</td></tr><tr><td style="white-space:nowrap">Q3-9<a name="gridhamd-answer-options-cs-Q3-9"> </a></td><td>Severe (Clear suicidal plan or intent; suicidal gesture, e.g., taking a few sleeping pills) and Occasional</td></tr><tr><td style="white-space:nowrap">Q3-10<a name="gridhamd-answer-options-cs-Q3-10"> </a></td><td>Severe (Clear suicidal plan or intent; suicidal gesture, e.g., taking a few sleeping pills) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q3-11<a name="gridhamd-answer-options-cs-Q3-11"> </a></td><td>Severe (Clear suicidal plan or intent; suicidal gesture, e.g., taking a few sleeping pills) and almost all of the time</td></tr><tr><td style="white-space:nowrap">Q3-12<a name="gridhamd-answer-options-cs-Q3-12"> </a></td><td>Very severe (Attempts at suicide) and Occasional</td></tr><tr><td style="white-space:nowrap">Q3-13<a name="gridhamd-answer-options-cs-Q3-13"> </a></td><td>Very severe (Attempts at suicide) and Much off the time</td></tr><tr><td style="white-space:nowrap">Q3-14<a name="gridhamd-answer-options-cs-Q3-14"> </a></td><td>Very severe (Attempts at suicide) and Almost all of the time</td></tr><tr><td style="white-space:nowrap">Q4-1<a name="gridhamd-answer-options-cs-Q4-1"> </a></td><td>Absent and Absent or clinically insignificant</td></tr><tr><td style="white-space:nowrap">Q4-2<a name="gridhamd-answer-options-cs-Q4-2"> </a></td><td>Mild (30 – 59 minutes to fall asleep) and Absent or clinically insignificant</td></tr><tr><td style="white-space:nowrap">Q4-3<a name="gridhamd-answer-options-cs-Q4-3"> </a></td><td>Mild (30 – 59 minutes to fall asleep) and Occasional</td></tr><tr><td style="white-space:nowrap">Q4-4<a name="gridhamd-answer-options-cs-Q4-4"> </a></td><td>Mild (30 – 59 minutes to fall asleep) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q4-5<a name="gridhamd-answer-options-cs-Q4-5"> </a></td><td>Mild (30 – 59 minutes to fall asleep) and Almost all the time</td></tr><tr><td style="white-space:nowrap">Q4-6<a name="gridhamd-answer-options-cs-Q4-6"> </a></td><td>Marked (1 hour or more to fall asleep) and Occasional</td></tr><tr><td style="white-space:nowrap">Q4-7<a name="gridhamd-answer-options-cs-Q4-7"> </a></td><td>Marked (1 hour or more to fall asleep) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q4-8<a name="gridhamd-answer-options-cs-Q4-8"> </a></td><td>Marked (1 hour or more to fall asleep) and Almost all the time</td></tr><tr><td style="white-space:nowrap">Q5-1<a name="gridhamd-answer-options-cs-Q5-1"> </a></td><td>Absent and Absent or clinically insignificant</td></tr><tr><td style="white-space:nowrap">Q5-2<a name="gridhamd-answer-options-cs-Q5-2"> </a></td><td>Mild (30 – 59 minutes awake) and Absent or clinically insignificant</td></tr><tr><td style="white-space:nowrap">Q5-3<a name="gridhamd-answer-options-cs-Q5-3"> </a></td><td>Mild (30 – 59 minutes awake) and Occasional</td></tr><tr><td style="white-space:nowrap">Q5-4<a name="gridhamd-answer-options-cs-Q5-4"> </a></td><td>Mild (30 – 59 minutes awake) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q5-5<a name="gridhamd-answer-options-cs-Q5-5"> </a></td><td>Mild (30 – 59 minutes awake) and Almost all the time</td></tr><tr><td style="white-space:nowrap">Q5-6<a name="gridhamd-answer-options-cs-Q5-6"> </a></td><td>Marked (1 hour or more awake) and Occasional</td></tr><tr><td style="white-space:nowrap">Q5-7<a name="gridhamd-answer-options-cs-Q5-7"> </a></td><td>Marked (1 hour or more awake) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q5-8<a name="gridhamd-answer-options-cs-Q5-8"> </a></td><td>Marked (1 hour or more awake) and Almost all the time</td></tr><tr><td style="white-space:nowrap">Q6-1<a name="gridhamd-answer-options-cs-Q6-1"> </a></td><td>Absent and Absent or clinically insignificant</td></tr><tr><td style="white-space:nowrap">Q6-2<a name="gridhamd-answer-options-cs-Q6-2"> </a></td><td>Mild (30 – 59 minutes awake) and Absent or clinically insignificant</td></tr><tr><td style="white-space:nowrap">Q6-3<a name="gridhamd-answer-options-cs-Q6-3"> </a></td><td>Mild (30 – 59 minutes awake) and Occasional</td></tr><tr><td style="white-space:nowrap">Q6-4<a name="gridhamd-answer-options-cs-Q6-4"> </a></td><td>Mild (30 – 59 minutes awake) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q6-5<a name="gridhamd-answer-options-cs-Q6-5"> </a></td><td>Mild (30 – 59 minutes awake) and Almost all the time</td></tr><tr><td style="white-space:nowrap">Q6-6<a name="gridhamd-answer-options-cs-Q6-6"> </a></td><td>Marked (1 hour or more awake) and Occasional</td></tr><tr><td style="white-space:nowrap">Q6-7<a name="gridhamd-answer-options-cs-Q6-7"> </a></td><td>Marked (1 hour or more awake) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q6-8<a name="gridhamd-answer-options-cs-Q6-8"> </a></td><td>Marked (1 hour or more awake) and Almost all the time</td></tr><tr><td style="white-space:nowrap">Q7-1<a name="gridhamd-answer-options-cs-Q7-1"> </a></td><td>Absent and Absent or clinically insignificant</td></tr><tr><td style="white-space:nowrap">Q7-2<a name="gridhamd-answer-options-cs-Q7-2"> </a></td><td>Mild (Some reduction in interest or pleasure but no clear impairment in functioning) and Absent or clinically insignificant</td></tr><tr><td style="white-space:nowrap">Q7-3<a name="gridhamd-answer-options-cs-Q7-3"> </a></td><td>Mild (Some reduction in interest or pleasure but no clear impairment in functioning) and Occasional</td></tr><tr><td style="white-space:nowrap">Q7-4<a name="gridhamd-answer-options-cs-Q7-4"> </a></td><td>Mild (Some reduction in interest or pleasure but no clear impairment in functioning) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q7-5<a name="gridhamd-answer-options-cs-Q7-5"> </a></td><td>Mild (Some reduction in interest or pleasure but no clear impairment in functioning) and Almost all the time</td></tr><tr><td style="white-space:nowrap">Q7-6<a name="gridhamd-answer-options-cs-Q7-6"> </a></td><td>Moderate (Significant reduction in interest or pleasure or clear impairment in functioning) and Occasional</td></tr><tr><td style="white-space:nowrap">Q7-7<a name="gridhamd-answer-options-cs-Q7-7"> </a></td><td>Moderate (Significant reduction in interest or pleasure or clear impairment in functioning) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q7-8<a name="gridhamd-answer-options-cs-Q7-8"> </a></td><td>Moderate (Significant reduction in interest or pleasure or clear impairment in functioning) and Almost all the time</td></tr><tr><td style="white-space:nowrap">Q7-9<a name="gridhamd-answer-options-cs-Q7-9"> </a></td><td>Severe (Profound reduction in interest, pleasure, and functioning) and Occasional</td></tr><tr><td style="white-space:nowrap">Q7-10<a name="gridhamd-answer-options-cs-Q7-10"> </a></td><td>Severe (Profound reduction in interest, pleasure, and functioning) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q7-11<a name="gridhamd-answer-options-cs-Q7-11"> </a></td><td>Severe (Profound reduction in interest, pleasure, and functioning) and almost all of the time</td></tr><tr><td style="white-space:nowrap">Q7-12<a name="gridhamd-answer-options-cs-Q7-12"> </a></td><td>Very Severe (Unable to work; needs help performing self-care activities; unable to function without assistance) and Occasional</td></tr><tr><td style="white-space:nowrap">Q7-13<a name="gridhamd-answer-options-cs-Q7-13"> </a></td><td>Very Severe (Unable to work; needs help performing self-care activities; unable to function withoutassistance) and Much off the time</td></tr><tr><td style="white-space:nowrap">Q7-14<a name="gridhamd-answer-options-cs-Q7-14"> </a></td><td>Very Severe (Unable to work; needs help performing self-care activities; unable to function without assistance) and Almost all of the time</td></tr><tr><td style="white-space:nowrap">Q8-1<a name="gridhamd-answer-options-cs-Q8-1"> </a></td><td>Absent</td></tr><tr><td style="white-space:nowrap">Q8-2<a name="gridhamd-answer-options-cs-Q8-2"> </a></td><td>Mild (Rate of speech slightly reduced)</td></tr><tr><td style="white-space:nowrap">Q8-3<a name="gridhamd-answer-options-cs-Q8-3"> </a></td><td>Moderate (Rate of speech clearly reduced with noticeable pauses)</td></tr><tr><td style="white-space:nowrap">Q8-4<a name="gridhamd-answer-options-cs-Q8-4"> </a></td><td>Severe (Interview clearly prolonged due to long breaks; all movements very slowed)</td></tr><tr><td style="white-space:nowrap">Q8-5<a name="gridhamd-answer-options-cs-Q8-5"> </a></td><td>Very Severe (Interview cannot be completed, unresponsive)</td></tr><tr><td style="white-space:nowrap">Q9-1<a name="gridhamd-answer-options-cs-Q9-1"> </a></td><td>Absent (movements within normal range, e.g., occasionally shifts position in seat)</td></tr><tr><td style="white-space:nowrap">Q9-2<a name="gridhamd-answer-options-cs-Q9-2"> </a></td><td>Mild (Doubtful or slight agitation, mild restlessness,e.g., frequently changing position in seat, foottapping, playing with hair, hands, or clothes)</td></tr><tr><td style="white-space:nowrap">Q9-3<a name="gridhamd-answer-options-cs-Q9-3"> </a></td><td>Moderate (Moderate to marked restlessness or agitation, e.g., wringing hands, excessive scratching or picking)</td></tr><tr><td style="white-space:nowrap">Q9-4<a name="gridhamd-answer-options-cs-Q9-4"> </a></td><td>Severe (Cannot sit still or stay seated even for a short period of time; pacing)</td></tr><tr><td style="white-space:nowrap">Q9-5<a name="gridhamd-answer-options-cs-Q9-5"> </a></td><td>Very Severe (Interview cannot be conducted)</td></tr><tr><td style="white-space:nowrap">Q10-1<a name="gridhamd-answer-options-cs-Q10-1"> </a></td><td>Absent and Absent or clinically insignificant</td></tr><tr><td style="white-space:nowrap">Q10-2<a name="gridhamd-answer-options-cs-Q10-2"> </a></td><td>Mild (some feelings of worry or irritability) and Absent or clinically insignificant</td></tr><tr><td style="white-space:nowrap">Q10-3<a name="gridhamd-answer-options-cs-Q10-3"> </a></td><td>Mild (some feelings of worry or irritability) and Occasional</td></tr><tr><td style="white-space:nowrap">Q10-4<a name="gridhamd-answer-options-cs-Q10-4"> </a></td><td>Mild (some feelings of worry or irritability) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q10-5<a name="gridhamd-answer-options-cs-Q10-5"> </a></td><td>Mild (some feelings of worry or irritability) and Almost all the time</td></tr><tr><td style="white-space:nowrap">Q10-6<a name="gridhamd-answer-options-cs-Q10-6"> </a></td><td>Moderate (excessive worry or irritability; anxiety causes distress; may cause some impairment in functioning) and Occasional</td></tr><tr><td style="white-space:nowrap">Q10-7<a name="gridhamd-answer-options-cs-Q10-7"> </a></td><td>Moderate (excessive worry or irritability; anxiety causes distress; may cause some impairment in functioning) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q10-8<a name="gridhamd-answer-options-cs-Q10-8"> </a></td><td>Moderate (excessive worry or irritability; anxiety causes distress; may cause some impairment in functioning) and Almost all the time</td></tr><tr><td style="white-space:nowrap">Q10-9<a name="gridhamd-answer-options-cs-Q10-9"> </a></td><td>Severe (pervasive worry or dread; fearing the worst; apprehension obvious in demeanor or behavior; significant impairment in functioning; feelings of panic) and Occasional</td></tr><tr><td style="white-space:nowrap">Q10-10<a name="gridhamd-answer-options-cs-Q10-10"> </a></td><td>Severe (pervasive worry or dread; fearing the worst; apprehension obvious in demeanor or behavior; significant impairment in functioning; feelings of panic) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q10-11<a name="gridhamd-answer-options-cs-Q10-11"> </a></td><td>Severe (pervasive worry or dread; fearing the worst; apprehension obvious in demeanor or behavior; significant impairment in functioning; feelings of panic) and almost all of the time</td></tr><tr><td style="white-space:nowrap">Q10-12<a name="gridhamd-answer-options-cs-Q10-12"> </a></td><td>Very Severe (incapacitating) and Occasional</td></tr><tr><td style="white-space:nowrap">Q10-13<a name="gridhamd-answer-options-cs-Q10-13"> </a></td><td>Very Severe (incapacitating) and Much off the time</td></tr><tr><td style="white-space:nowrap">Q10-14<a name="gridhamd-answer-options-cs-Q10-14"> </a></td><td>Very Severe (incapacitating) and Almost all of the time</td></tr><tr><td style="white-space:nowrap">Q11-1<a name="gridhamd-answer-options-cs-Q11-1"> </a></td><td>Absent and Absent or clinically insignificant</td></tr><tr><td style="white-space:nowrap">Q11-2<a name="gridhamd-answer-options-cs-Q11-2"> </a></td><td>Mild (some distress) and Absent or clinically insignificant</td></tr><tr><td style="white-space:nowrap">Q11-3<a name="gridhamd-answer-options-cs-Q11-3"> </a></td><td>Mild (some distress) and Occasional</td></tr><tr><td style="white-space:nowrap">Q11-4<a name="gridhamd-answer-options-cs-Q11-4"> </a></td><td>Mild (some distress) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q11-5<a name="gridhamd-answer-options-cs-Q11-5"> </a></td><td>Mild (some distress) and Almost all the time</td></tr><tr><td style="white-space:nowrap">Q11-6<a name="gridhamd-answer-options-cs-Q11-6"> </a></td><td>Moderate (marked distress, may cause some impairment in functioning) and Occasional</td></tr><tr><td style="white-space:nowrap">Q11-7<a name="gridhamd-answer-options-cs-Q11-7"> </a></td><td>Moderate (marked distress, may cause some impairment in functioning) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q11-8<a name="gridhamd-answer-options-cs-Q11-8"> </a></td><td>Moderate (marked distress, may cause some impairment in functioning) and Almost all the time</td></tr><tr><td style="white-space:nowrap">Q11-9<a name="gridhamd-answer-options-cs-Q11-9"> </a></td><td>Severe (significant impairment in functioning) and Occasional</td></tr><tr><td style="white-space:nowrap">Q11-10<a name="gridhamd-answer-options-cs-Q11-10"> </a></td><td>Severe (significant impairment in functioning) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q11-11<a name="gridhamd-answer-options-cs-Q11-11"> </a></td><td>Severe (significant impairment in functioning) and almost all of the time</td></tr><tr><td style="white-space:nowrap">Q11-12<a name="gridhamd-answer-options-cs-Q11-12"> </a></td><td>Very Severe (incapacitating) and Occasional</td></tr><tr><td style="white-space:nowrap">Q11-13<a name="gridhamd-answer-options-cs-Q11-13"> </a></td><td>Very Severe (incapacitating) and Much off the time</td></tr><tr><td style="white-space:nowrap">Q11-14<a name="gridhamd-answer-options-cs-Q11-14"> </a></td><td>Very Severe (incapacitating) and Almost all of the time</td></tr><tr><td style="white-space:nowrap">Q12-1<a name="gridhamd-answer-options-cs-Q12-1"> </a></td><td>Absent and Absent or clinically insignificant</td></tr><tr><td style="white-space:nowrap">Q12-2<a name="gridhamd-answer-options-cs-Q12-2"> </a></td><td>Mild (Some loss of appetite but eating without encouragement; less interest or pleasure in eating) and Absent or clinically insignificant</td></tr><tr><td style="white-space:nowrap">Q12-3<a name="gridhamd-answer-options-cs-Q12-3"> </a></td><td>Mild (Some loss of appetite but eating without encouragement; less interest or pleasure in eating) and Occasional</td></tr><tr><td style="white-space:nowrap">Q12-4<a name="gridhamd-answer-options-cs-Q12-4"> </a></td><td>Mild (Some loss of appetite but eating without encouragement; less interest or pleasure in eating) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q12-5<a name="gridhamd-answer-options-cs-Q12-5"> </a></td><td>Mild (Some loss of appetite but eating without encouragement; less interest or pleasure in eating)and Almost all the time</td></tr><tr><td style="white-space:nowrap">Q12-6<a name="gridhamd-answer-options-cs-Q12-6"> </a></td><td>Marked (Marked loss of appetite, very little interest or pleasure in eating (e.g., forcing self to eat)) and Occasional</td></tr><tr><td style="white-space:nowrap">Q12-7<a name="gridhamd-answer-options-cs-Q12-7"> </a></td><td>Marked (Marked loss of appetite, very little interest or pleasure in eating (e.g., forcing self to eat)) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q12-8<a name="gridhamd-answer-options-cs-Q12-8"> </a></td><td>Marked (Marked loss of appetite, very little interest or pleasure in eating (e.g., forcing self to eat)) and Almost all the time</td></tr><tr><td style="white-space:nowrap">Q13-1<a name="gridhamd-answer-options-cs-Q13-1"> </a></td><td>Absent and Absent or clinically insignificant</td></tr><tr><td style="white-space:nowrap">Q13-2<a name="gridhamd-answer-options-cs-Q13-2"> </a></td><td>Mild (mild tiredness, loss of energy, fatigue, feelings of heaviness in limbs or being weighted down, or muscular aches or pains) and Absent or clinically insignificant</td></tr><tr><td style="white-space:nowrap">Q13-3<a name="gridhamd-answer-options-cs-Q13-3"> </a></td><td>Mild (mild tiredness, loss of energy, fatigue, feelings of heaviness in limbs or being weighted down, or muscular aches or pains) and Occasional</td></tr><tr><td style="white-space:nowrap">Q13-4<a name="gridhamd-answer-options-cs-Q13-4"> </a></td><td>Mild (mild tiredness, loss of energy, fatigue, feelings of heaviness in limbs or being weighted down, or muscular aches or pains) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q13-5<a name="gridhamd-answer-options-cs-Q13-5"> </a></td><td>Mild (mild tiredness, loss of energy, fatigue, feelings of heaviness in limbs or being weighted down, or muscular aches or pains) and Almost all the time</td></tr><tr><td style="white-space:nowrap">Q13-6<a name="gridhamd-answer-options-cs-Q13-6"> </a></td><td>Marked (prominent tiredness, loss of energy, fatigue, feelings of heaviness in limbs or being weighted down, or muscular aches or pains) and Occasional</td></tr><tr><td style="white-space:nowrap">Q13-7<a name="gridhamd-answer-options-cs-Q13-7"> </a></td><td>Marked (prominent tiredness, loss of energy, fatigue, feelings of heaviness in limbs or being weighted down, or muscular aches or pains)and Much of the time</td></tr><tr><td style="white-space:nowrap">Q13-8<a name="gridhamd-answer-options-cs-Q13-8"> </a></td><td>Marked (prominent tiredness, loss of energy, fatigue, feelings of heaviness in limbs or being weighted down, or muscular aches or pains) and Almost all the time</td></tr><tr><td style="white-space:nowrap">Q14-1<a name="gridhamd-answer-options-cs-Q14-1"> </a></td><td>Absent</td></tr><tr><td style="white-space:nowrap">Q14-2<a name="gridhamd-answer-options-cs-Q14-2"> </a></td><td>Mild (Some loss of interest or pleasure)</td></tr><tr><td style="white-space:nowrap">Q14-3<a name="gridhamd-answer-options-cs-Q14-3"> </a></td><td>Marked (Marked loss of interest or pleasure)</td></tr><tr><td style="white-space:nowrap">Q15-1<a name="gridhamd-answer-options-cs-Q15-1"> </a></td><td>Absent and Absent or clinically insignificant</td></tr><tr><td style="white-space:nowrap">Q15-2<a name="gridhamd-answer-options-cs-Q15-2"> </a></td><td>Mild (preoccupation with bodily functions and sensations, but no concerns about a specific illness) and Absent or clinically insignificant</td></tr><tr><td style="white-space:nowrap">Q15-3<a name="gridhamd-answer-options-cs-Q15-3"> </a></td><td>Mild (preoccupation with bodily functions and sensations, but no concerns about a specific illness) and Occasional</td></tr><tr><td style="white-space:nowrap">Q15-4<a name="gridhamd-answer-options-cs-Q15-4"> </a></td><td>Mild (preoccupation with bodily functions and sensations, but no concerns about a specific illness) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q15-5<a name="gridhamd-answer-options-cs-Q15-5"> </a></td><td>Mild (preoccupation with bodily functions and sensations, but no concerns about a specific illness) and Almost all the time</td></tr><tr><td style="white-space:nowrap">Q15-6<a name="gridhamd-answer-options-cs-Q15-6"> </a></td><td>Moderate (Excessive or unrealistic worry about having an illness, e.g., “I worry that these headaches are from a brain tumor.”) and Occasional</td></tr><tr><td style="white-space:nowrap">Q15-7<a name="gridhamd-answer-options-cs-Q15-7"> </a></td><td>Moderate (Excessive or unrealistic worry about having an illness, e.g., “I worry that these headaches are from a brain tumor.”) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q15-8<a name="gridhamd-answer-options-cs-Q15-8"> </a></td><td>Moderate (Excessive or unrealistic worry about having an illness, e.g., “I worry that these headaches are from a brain tumor.”) and Almost all the time</td></tr><tr><td style="white-space:nowrap">Q15-9<a name="gridhamd-answer-options-cs-Q15-9"> </a></td><td>Severe (Strong unrealistic conviction of having an illness, e.g., “I am convinced I have cancer”) and Occasional</td></tr><tr><td style="white-space:nowrap">Q15-10<a name="gridhamd-answer-options-cs-Q15-10"> </a></td><td>Severe (Strong unrealistic conviction of having an illness, e.g., “I am convinced I have cancer”) and Much of the time</td></tr><tr><td style="white-space:nowrap">Q15-11<a name="gridhamd-answer-options-cs-Q15-11"> </a></td><td>Severe (Strong unrealistic conviction of having an illness, e.g., “I am convinced I have cancer”) and almost all of the time</td></tr><tr><td style="white-space:nowrap">Q15-12<a name="gridhamd-answer-options-cs-Q15-12"> </a></td><td>Very Severe (Somatic delusions or hallucinations, e.g., “My insides are rotting”) and Occasional</td></tr><tr><td style="white-space:nowrap">Q15-13<a name="gridhamd-answer-options-cs-Q15-13"> </a></td><td>Very Severe (Somatic delusions or hallucinations, e.g., “My insides are rotting”) and Much off the time</td></tr><tr><td style="white-space:nowrap">Q15-14<a name="gridhamd-answer-options-cs-Q15-14"> </a></td><td>Very Severe (Somatic delusions or hallucinations, e.g., “My insides are rotting”) and Almost all of the time</td></tr><tr><td style="white-space:nowrap">Q16/1-1<a name="gridhamd-answer-options-cs-Q16.471-1"> </a></td><td>No weight loss</td></tr><tr><td style="white-space:nowrap">Q16/1-2<a name="gridhamd-answer-options-cs-Q16.471-2"> </a></td><td>Probable weight loss</td></tr><tr><td style="white-space:nowrap">Q16/1-3<a name="gridhamd-answer-options-cs-Q16.471-3"> </a></td><td>Definite weight loss</td></tr><tr><td style="white-space:nowrap">Q16/2-1<a name="gridhamd-answer-options-cs-Q16.472-1"> </a></td><td>Less than 1 lb. (.5 kg) loss per week since last visit</td></tr><tr><td style="white-space:nowrap">Q16/2-2<a name="gridhamd-answer-options-cs-Q16.472-2"> </a></td><td>1-2 lb. (.5 – 1 kg) loss per week since last visit</td></tr><tr><td style="white-space:nowrap">Q16/2-3<a name="gridhamd-answer-options-cs-Q16.472-3"> </a></td><td>More than 2-lb (> 1 kg) loss per week since last visit</td></tr><tr><td style="white-space:nowrap">Q17-1<a name="gridhamd-answer-options-cs-Q17-1"> </a></td><td>Any recognition of depressive symptoms, with or without attribution to any cause, e.g., “I’m depressed because my partner always argues with me.</td></tr><tr><td style="white-space:nowrap">Q17-2<a name="gridhamd-answer-options-cs-Q17-2"> </a></td><td>Denies illness but accepts possibility of being ill, e.g., “I don’t think there’s anything wrong, but other people think there is.</td></tr><tr><td style="white-space:nowrap">Q17-3<a name="gridhamd-answer-options-cs-Q17-3"> </a></td><td>Complete denial of having any illness, e.g., “I’m not depressed; I’m fine.</td></tr></table></div>
</text>
<url value="http://example.org/fhir/CodeSystem/gridhamd-answer-options-cs"/>
<version value="0.1.0"/>
<name value="GRIDHAMDAnswerOptionsCS"/>
<title value="GRID-HAMD Answer Options CodeSystem"/>
<status value="draft"/>
<date value="2026-07-16T09:01:34+00:00"/>
<publisher
value="BIH at Charité - Core Unit Digital Medicine and Interoperability"/>
<contact>
<name
value="BIH at Charité - Core Unit Digital Medicine and Interoperability"/>
<telecom>
<system value="url"/>
<value
value="https://www.bihealth.org/de/forschung/arbeitsgruppen/interoperabilitaet/home"/>
</telecom>
</contact>
<contact>
<name value="Marco Schaarschmidt"/>
<telecom>
<system value="email"/>
<value value="marco.schaarschmidt@bih-charite.de"/>
<use value="work"/>
</telecom>
</contact>
<contact>
<name value="Eduardo Salgado"/>
<telecom>
<system value="email"/>
<value value="eduardo.salgado@charite.de"/>
<use value="work"/>
</telecom>
</contact>
<contact>
<name value="Margaux Gatrio"/>
<telecom>
<system value="email"/>
<value value="margaux.gatrio@bih-charite.de"/>
<use value="work"/>
</telecom>
</contact>
<description
value="CodeSystem defining codes for all answer options used in GRID-HAMD Questionnaire."/>
<content value="complete"/>
<count value="159"/>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q1-1"/>
<display value="Absent and Absent or clinically insignificant"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q1-2"/>
<display
value="Mild (Feelings of sadness, discouragement, low selfesteem, pessimism) and Absent or clinically insignificant"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q1-3"/>
<display
value="Mild (Feelings of sadness, discouragement, low selfesteem, pessimism) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q1-4"/>
<display
value="Mild (Feelings of sadness, discouragement, low selfesteem, pessimism) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q1-5"/>
<display
value="Mild (Feelings of sadness, discouragement, low selfesteem, pessimism) and Almost all the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q1-6"/>
<display
value="Moderate (Clear nonverbal signs of sadness, feelings of hopelessness, helplessness, or worthlessness about some aspects of life) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q1-7"/>
<display
value="Moderate (Clear nonverbal signs of sadness, feelings of hopelessness, helplessness, or worthlessness about some aspects of life) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<code value="Q1-8"/>
<display
value="Moderate (Clear nonverbal signs of sadness, feelings of hopelessness, helplessness, or worthlessness about some aspects of life) and Almost all the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q1-9"/>
<display
value="Severe (Intense sadness, hopelessness about most aspects of life, feelings of complete helplessness or worthlessness) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<code value="Q1-10"/>
<display
value="Severe (Intense sadness, hopelessness about most aspects of life, feelings of complete helplessness or worthlessness) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<code value="Q1-11"/>
<display
value="Severe (Intense sadness, hopelessness about most aspects of life, feelings of complete helplessness or worthlessness) and almost all of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<code value="Q1-12"/>
<display
value="Very severe (Extreme sadness; intractable hopelessness or helplessness) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<code value="Q1-13"/>
<display
value="Very severe (Extreme sadness; intractable hopelessness or helplessness) and Much off the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<code value="Q1-14"/>
<display
value="Very severe (Extreme sadness; intractable hopelessness or helplessness) and Almost all of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q2-1"/>
<display value="Absent and Absent or clinically insignificant"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q2-2"/>
<display
value="Mild (Feelings of sadness, discouragement, low selfesteem, pessimism) and Absent or clinically insignificant"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q2-3"/>
<display
value="Mild (Self-critical, self-reproach, e.g., “I’ve letpeople down”) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q2-4"/>
<display
value="Mild (Self-critical, self-reproach, e.g., “I’ve letpeople down”) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q2-5"/>
<display
value="Mild (Self-critical, self-reproach, e.g., “I’ve letpeople down”) and Almost all the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q2-6"/>
<display
value="Moderate (Feelings of guilt, remorse, shame; belief that one has done something bad or wrong) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q2-7"/>
<display
value="Moderate (Feelings of guilt, remorse, shame; belief that one has done something bad or wrong) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<code value="Q2-8"/>
<display
value="Moderate (Feelings of guilt, remorse, shame; belief that one has done something bad or wrong) and Almost all the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q2-9"/>
<display
value="Severe (Pervasive feelings of guilt; feels the illness is a punishment for sinful deeds) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<code value="Q2-10"/>
<display
value="Severe (Pervasive feelings of guilt; feels the illness is a punishment for sinful deeds) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<code value="Q2-11"/>
<display
value="Severe (Pervasive feelings of guilt; feels the illness is a punishment for sinful deeds) and almost all of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<code value="Q2-12"/>
<display
value="Very Severe (Delusions, hallucinations) and Much off the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<code value="Q2-13"/>
<display
value="Very Severe (Delusions, hallucinations) and Almost all of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q3-1"/>
<display value="Absent and Absent or clinically insignificant"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q3-2"/>
<display
value="Mild (Feels life is not worth living, but expresses no wish to die, e.g., “I don’t care if I live or die”) and Absent or clinically insignificant"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q3-3"/>
<display
value="Mild (Feels life is not worth living, but expresses no wish to die, e.g., “I don’t care if I live or die”) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q3-4"/>
<display
value="Mild (Feels life is not worth living, but expresses no wish to die, e.g., “I don’t care if I live or die”) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q3-5"/>
<display
value="Mild (Feels life is not worth living, but expresses nowish to die, e.g., “I don’t care if I live or die”) and Almost all the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q3-6"/>
<display
value="Moderate (Wishes to be dead; thoughts of dying, but no specific plan or intent, e.g., “If I got hit by a bus, I wouldn’t care,” “I’d like to go to sleep and never wake up”) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q3-7"/>
<display
value="Moderate (Wishes to be dead; thoughts of dying, but no specific plan or intent, e.g., “If I got hit by a bus, I wouldn’t care,” “I’d like to go to sleep and never wake up”) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<code value="Q3-8"/>
<display
value="Moderate (Wishes to be dead; thoughts of dying, but no specific plan or intent, e.g., “If I got hit by a bus, I wouldn’t care,” “I’d like to go to sleep and never wake up”) and Almost all the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<code value="Q3-9"/>
<display
value="Severe (Clear suicidal plan or intent; suicidal gesture, e.g., taking a few sleeping pills) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<code value="Q3-10"/>
<display
value="Severe (Clear suicidal plan or intent; suicidal gesture, e.g., taking a few sleeping pills) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<code value="Q3-11"/>
<display
value="Severe (Clear suicidal plan or intent; suicidal gesture, e.g., taking a few sleeping pills) and almost all of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<code value="Q3-12"/>
<display value="Very severe (Attempts at suicide) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<code value="Q3-13"/>
<display
value="Very severe (Attempts at suicide) and Much off the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<code value="Q3-14"/>
<display
value="Very severe (Attempts at suicide) and Almost all of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q4-1"/>
<display value="Absent and Absent or clinically insignificant"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q4-2"/>
<display
value="Mild (30 – 59 minutes to fall asleep) and Absent or clinically insignificant"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q4-3"/>
<display value="Mild (30 – 59 minutes to fall asleep) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q4-4"/>
<display
value="Mild (30 – 59 minutes to fall asleep) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q4-5"/>
<display
value="Mild (30 – 59 minutes to fall asleep) and Almost all the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q4-6"/>
<display value="Marked (1 hour or more to fall asleep) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q4-7"/>
<display
value="Marked (1 hour or more to fall asleep) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q4-8"/>
<display
value="Marked (1 hour or more to fall asleep) and Almost all the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q5-1"/>
<display value="Absent and Absent or clinically insignificant"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q5-2"/>
<display
value="Mild (30 – 59 minutes awake) and Absent or clinically insignificant"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q5-3"/>
<display value="Mild (30 – 59 minutes awake) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q5-4"/>
<display value="Mild (30 – 59 minutes awake) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q5-5"/>
<display value="Mild (30 – 59 minutes awake) and Almost all the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q5-6"/>
<display value="Marked (1 hour or more awake) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q5-7"/>
<display value="Marked (1 hour or more awake) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q5-8"/>
<display value="Marked (1 hour or more awake) and Almost all the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q6-1"/>
<display value="Absent and Absent or clinically insignificant"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q6-2"/>
<display
value="Mild (30 – 59 minutes awake) and Absent or clinically insignificant"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q6-3"/>
<display value="Mild (30 – 59 minutes awake) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q6-4"/>
<display value="Mild (30 – 59 minutes awake) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q6-5"/>
<display value="Mild (30 – 59 minutes awake) and Almost all the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q6-6"/>
<display value="Marked (1 hour or more awake) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q6-7"/>
<display value="Marked (1 hour or more awake) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q6-8"/>
<display value="Marked (1 hour or more awake) and Almost all the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q7-1"/>
<display value="Absent and Absent or clinically insignificant"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q7-2"/>
<display
value="Mild (Some reduction in interest or pleasure but no clear impairment in functioning) and Absent or clinically insignificant"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q7-3"/>
<display
value="Mild (Some reduction in interest or pleasure but no clear impairment in functioning) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q7-4"/>
<display
value="Mild (Some reduction in interest or pleasure but no clear impairment in functioning) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q7-5"/>
<display
value="Mild (Some reduction in interest or pleasure but no clear impairment in functioning) and Almost all the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q7-6"/>
<display
value="Moderate (Significant reduction in interest or pleasure or clear impairment in functioning) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q7-7"/>
<display
value="Moderate (Significant reduction in interest or pleasure or clear impairment in functioning) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<code value="Q7-8"/>
<display
value="Moderate (Significant reduction in interest or pleasure or clear impairment in functioning) and Almost all the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q7-9"/>
<display
value="Severe (Profound reduction in interest, pleasure, and functioning) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<code value="Q7-10"/>
<display
value="Severe (Profound reduction in interest, pleasure, and functioning) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<code value="Q7-11"/>
<display
value="Severe (Profound reduction in interest, pleasure, and functioning) and almost all of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<code value="Q7-12"/>
<display
value="Very Severe (Unable to work; needs help performing self-care activities; unable to function without assistance) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<code value="Q7-13"/>
<display
value="Very Severe (Unable to work; needs help performing self-care activities; unable to function withoutassistance) and Much off the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<code value="Q7-14"/>
<display
value="Very Severe (Unable to work; needs help performing self-care activities; unable to function without assistance) and Almost all of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q8-1"/>
<display value="Absent"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q8-2"/>
<display value="Mild (Rate of speech slightly reduced)"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q8-3"/>
<display
value="Moderate (Rate of speech clearly reduced with noticeable pauses)"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<code value="Q8-4"/>
<display
value="Severe (Interview clearly prolonged due to long breaks; all movements very slowed)"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<code value="Q8-5"/>
<display
value="Very Severe (Interview cannot be completed, unresponsive)"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q9-1"/>
<display
value="Absent (movements within normal range, e.g., occasionally shifts position in seat)"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q9-2"/>
<display
value="Mild (Doubtful or slight agitation, mild restlessness,e.g., frequently changing position in seat, foottapping, playing with hair, hands, or clothes)"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q9-3"/>
<display
value="Moderate (Moderate to marked restlessness or agitation, e.g., wringing hands, excessive scratching or picking)"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<code value="Q9-4"/>
<display
value="Severe (Cannot sit still or stay seated even for a short period of time; pacing)"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<code value="Q9-5"/>
<display value="Very Severe (Interview cannot be conducted)"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q10-1"/>
<display value="Absent and Absent or clinically insignificant"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q10-2"/>
<display
value="Mild (some feelings of worry or irritability) and Absent or clinically insignificant"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q10-3"/>
<display
value="Mild (some feelings of worry or irritability) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q10-4"/>
<display
value="Mild (some feelings of worry or irritability) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q10-5"/>
<display
value="Mild (some feelings of worry or irritability) and Almost all the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q10-6"/>
<display
value="Moderate (excessive worry or irritability; anxiety causes distress; may cause some impairment in functioning) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q10-7"/>
<display
value="Moderate (excessive worry or irritability; anxiety causes distress; may cause some impairment in functioning) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<code value="Q10-8"/>
<display
value="Moderate (excessive worry or irritability; anxiety causes distress; may cause some impairment in functioning) and Almost all the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q10-9"/>
<display
value="Severe (pervasive worry or dread; fearing the worst; apprehension obvious in demeanor or behavior; significant impairment in functioning; feelings of panic) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<code value="Q10-10"/>
<display
value="Severe (pervasive worry or dread; fearing the worst; apprehension obvious in demeanor or behavior; significant impairment in functioning; feelings of panic) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<code value="Q10-11"/>
<display
value="Severe (pervasive worry or dread; fearing the worst; apprehension obvious in demeanor or behavior; significant impairment in functioning; feelings of panic) and almost all of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<code value="Q10-12"/>
<display value="Very Severe (incapacitating) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<code value="Q10-13"/>
<display value="Very Severe (incapacitating) and Much off the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<code value="Q10-14"/>
<display value="Very Severe (incapacitating) and Almost all of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q11-1"/>
<display value="Absent and Absent or clinically insignificant"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q11-2"/>
<display
value="Mild (some distress) and Absent or clinically insignificant"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q11-3"/>
<display value="Mild (some distress) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q11-4"/>
<display value="Mild (some distress) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q11-5"/>
<display value="Mild (some distress) and Almost all the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q11-6"/>
<display
value="Moderate (marked distress, may cause some impairment in functioning) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q11-7"/>
<display
value="Moderate (marked distress, may cause some impairment in functioning) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<code value="Q11-8"/>
<display
value="Moderate (marked distress, may cause some impairment in functioning) and Almost all the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q11-9"/>
<display
value="Severe (significant impairment in functioning) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<code value="Q11-10"/>
<display
value="Severe (significant impairment in functioning) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<code value="Q11-11"/>
<display
value="Severe (significant impairment in functioning) and almost all of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<code value="Q11-12"/>
<display value="Very Severe (incapacitating) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<code value="Q11-13"/>
<display value="Very Severe (incapacitating) and Much off the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<code value="Q11-14"/>
<display value="Very Severe (incapacitating) and Almost all of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q12-1"/>
<display value="Absent and Absent or clinically insignificant"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q12-2"/>
<display
value="Mild (Some loss of appetite but eating without encouragement; less interest or pleasure in eating) and Absent or clinically insignificant"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q12-3"/>
<display
value="Mild (Some loss of appetite but eating without encouragement; less interest or pleasure in eating) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q12-4"/>
<display
value="Mild (Some loss of appetite but eating without encouragement; less interest or pleasure in eating) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q12-5"/>
<display
value="Mild (Some loss of appetite but eating without encouragement; less interest or pleasure in eating)and Almost all the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q12-6"/>
<display
value="Marked (Marked loss of appetite, very little interest or pleasure in eating (e.g., forcing self to eat)) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q12-7"/>
<display
value="Marked (Marked loss of appetite, very little interest or pleasure in eating (e.g., forcing self to eat)) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q12-8"/>
<display
value="Marked (Marked loss of appetite, very little interest or pleasure in eating (e.g., forcing self to eat)) and Almost all the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q13-1"/>
<display value="Absent and Absent or clinically insignificant"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q13-2"/>
<display
value="Mild (mild tiredness, loss of energy, fatigue, feelings of heaviness in limbs or being weighted down, or muscular aches or pains) and Absent or clinically insignificant"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q13-3"/>
<display
value="Mild (mild tiredness, loss of energy, fatigue, feelings of heaviness in limbs or being weighted down, or muscular aches or pains) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q13-4"/>
<display
value="Mild (mild tiredness, loss of energy, fatigue, feelings of heaviness in limbs or being weighted down, or muscular aches or pains) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q13-5"/>
<display
value="Mild (mild tiredness, loss of energy, fatigue, feelings of heaviness in limbs or being weighted down, or muscular aches or pains) and Almost all the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q13-6"/>
<display
value="Marked (prominent tiredness, loss of energy, fatigue, feelings of heaviness in limbs or being weighted down, or muscular aches or pains) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q13-7"/>
<display
value="Marked (prominent tiredness, loss of energy, fatigue, feelings of heaviness in limbs or being weighted down, or muscular aches or pains)and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q13-8"/>
<display
value="Marked (prominent tiredness, loss of energy, fatigue, feelings of heaviness in limbs or being weighted down, or muscular aches or pains) and Almost all the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q14-1"/>
<display value="Absent"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q14-2"/>
<display value="Mild (Some loss of interest or pleasure)"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q14-3"/>
<display value="Marked (Marked loss of interest or pleasure)"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q15-1"/>
<display value="Absent and Absent or clinically insignificant"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q15-2"/>
<display
value="Mild (preoccupation with bodily functions and sensations, but no concerns about a specific illness) and Absent or clinically insignificant"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q15-3"/>
<display
value="Mild (preoccupation with bodily functions and sensations, but no concerns about a specific illness) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q15-4"/>
<display
value="Mild (preoccupation with bodily functions and sensations, but no concerns about a specific illness) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q15-5"/>
<display
value="Mild (preoccupation with bodily functions and sensations, but no concerns about a specific illness) and Almost all the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q15-6"/>
<display
value="Moderate (Excessive or unrealistic worry about having an illness, e.g., “I worry that these headaches are from a brain tumor.”) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q15-7"/>
<display
value="Moderate (Excessive or unrealistic worry about having an illness, e.g., “I worry that these headaches are from a brain tumor.”) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<code value="Q15-8"/>
<display
value="Moderate (Excessive or unrealistic worry about having an illness, e.g., “I worry that these headaches are from a brain tumor.”) and Almost all the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q15-9"/>
<display
value="Severe (Strong unrealistic conviction of having an illness, e.g., “I am convinced I have cancer”) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<code value="Q15-10"/>
<display
value="Severe (Strong unrealistic conviction of having an illness, e.g., “I am convinced I have cancer”) and Much of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<code value="Q15-11"/>
<display
value="Severe (Strong unrealistic conviction of having an illness, e.g., “I am convinced I have cancer”) and almost all of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<code value="Q15-12"/>
<display
value="Very Severe (Somatic delusions or hallucinations, e.g., “My insides are rotting”) and Occasional"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<code value="Q15-13"/>
<display
value="Very Severe (Somatic delusions or hallucinations, e.g., “My insides are rotting”) and Much off the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<code value="Q15-14"/>
<display
value="Very Severe (Somatic delusions or hallucinations, e.g., “My insides are rotting”) and Almost all of the time"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q16/1-1"/>
<display value="No weight loss"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<code value="Q16/1-2"/>
<display value="Probable weight loss"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q16/1-3"/>
<display value="Definite weight loss"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q16/2-1"/>
<display value="Less than 1 lb. (.5 kg) loss per week since last visit"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q16/2-2"/>
<display value="1-2 lb. (.5 – 1 kg) loss per week since last visit"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q16/2-3"/>
<display
value="More than 2-lb (> 1 kg) loss per week since last visit"/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q17-1"/>
<display
value="Any recognition of depressive symptoms, with or without attribution to any cause, e.g., “I’m depressed because my partner always argues with me."/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<code value="Q17-2"/>
<display
value="Denies illness but accepts possibility of being ill, e.g., “I don’t think there’s anything wrong, but other people think there is."/>
</concept>
<concept>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<code value="Q17-3"/>
<display
value="Complete denial of having any illness, e.g., “I’m not depressed; I’m fine."/>
</concept>
</CodeSystem>