150 (150)    MH REPORT (601.93)

Name Value
REPORT NUMBER 150
INSTRUMENT PHQ-2+I9
RPT
| | Patient Health Questionnaire-2 + Item9(PHQ-2+I9)|
 
|   PHQ-2+I9 Suicide Screening Score: <-Suicide Ideation->
|   <*Answer_7773*>| <*Answer_7774*>
| | Questions and Answers|
   1. Little interest or pleasure in doing things|       <*Answer_7799*>|
   2. Feeling down, depressed, or hopeless|       <*Answer_7800*>|
   3. Thoughts that you would be better off dead or of hurting yourself |
      in some way|       <*Answer_7788*>|
 
| |Information contained in this note is based on a self-report assessment 
|   Date Given: <.Date_Given.>
|and is not sufficient to use alone for diagnostic purposes. Assessment 
|results should be verified for accuracy and used in conjunction with other 
|diagnostic activities.
 
 
| |Developed by Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke
|and colleagues, with an educational grant from Pfizer Inc. No permission
|required to reproduce, translate, display or distribute.
$~                       
|   Clinician: <.Staff_Ordered_By.>
|   Location:<.Patient_SSN.>
|   DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)
|   Gender: <.Patient_Gender.>|   |
 
|   PHQ-2+I9 Depression Screening Score: <-Depression->
|   <*Answer_7771*>|  <*Answer_7772*>|