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A single section is appropriate here because the PHQ-9 presents all questions on one page without branching.",[592,678,679,680,683],{},"See ",[657,681,97],{"href":682},"../builder/sections"," for more on when to use multiple sections.",[622,685,687],{"id":686},"create-the-nine-questions","Create the nine questions",[592,689,690,691,694],{},"Inside the Depression Screening section, add nine ",[601,692,693],{},"One Choice"," questions. Each question asks how often the patient has been bothered by a specific problem over the last two weeks. The PHQ-9 uses the same four response options for every question:",[638,696,697,700,703,706],{},[641,698,699],{},"Not at all (value: 0)",[641,701,702],{},"Several days (value: 1)",[641,704,705],{},"More than half the days (value: 2)",[641,707,708],{},"Nearly every day (value: 3)",[592,710,711],{},"The nine question stems are:",[713,714,715,718,721,724,727,730,733,736,739],"ol",{},[641,716,717],{},"Little interest or pleasure in doing things",[641,719,720],{},"Feeling down, depressed, or hopeless",[641,722,723],{},"Trouble falling or staying asleep, or sleeping too much",[641,725,726],{},"Feeling tired or having little energy",[641,728,729],{},"Poor appetite or overeating",[641,731,732],{},"Feeling bad about yourself — or that you are a failure or have let yourself or your family down",[641,734,735],{},"Trouble concentrating on things, such as reading the newspaper or watching television",[641,737,738],{},"Moving or speaking so slowly that other people could have noticed — or the opposite, being so fidgety or restless that you have been moving around a lot more than usual",[641,740,741],{},"Thoughts that you would be better off dead, or of hurting yourself in some way",[592,743,744],{},"For each question, add the four choice options and assign the numeric values (0, 1, 2, 3). Mark each question as required so the score calculation always has complete data.",[746,747,748],"tip",{},"You can duplicate a question after creating the first one to save time — the choice options and values carry over. Just update the question text for each subsequent item.",[622,750,752],{"id":751},"add-the-total-score-formula","Add the total score formula",[592,754,668,755,672,757,760,761,764],{},[601,756,267],{},[601,758,759],{},"Add Result",". Choose ",[601,762,763],{},"Formula Result"," and name it \"Total Score.\" Open the Formula Editor and enter a formula that sums all nine question values:",[766,767,772],"pre",{"className":768,"code":770,"language":771},[769],"language-text","Q1 + Q2 + Q3 + Q4 + Q5 + Q6 + Q7 + Q8 + Q9\n","text",[773,774,770],"code",{"__ignoreMap":775},"",[592,777,778,779,783],{},"Reference each question by its variable name (shown in the Formula Editor's autocomplete). The total score will range from 0 to 27. See ",[657,780,782],{"href":781},"../builder/formula-editor","Formula Editor"," for the full expression syntax.",[622,785,787],{"id":786},"add-severity-category-results","Add severity category results",[592,789,790,791,794],{},"The PHQ-9 maps total scores to five severity categories. Add five ",[601,792,793],{},"Information Results"," that display the appropriate category based on the score. Name each result after its severity level and add a visibility rule so only one displays at a time:",[638,796,797,803,809,815,821],{},[641,798,799,802],{},[601,800,801],{},"Minimal depression"," — visible when Total Score is 0–4",[641,804,805,808],{},[601,806,807],{},"Mild depression"," — visible when Total Score is 5–9",[641,810,811,814],{},[601,812,813],{},"Moderate depression"," — visible when Total Score is 10–14",[641,816,817,820],{},[601,818,819],{},"Moderately severe depression"," — visible when Total Score is 15–19",[641,822,823,826],{},[601,824,825],{},"Severe depression"," — visible when Total Score is 20–27",[592,828,829],{},"For each information result, write a brief clinical description. For example, the \"Moderate depression\" result might say: \"A score of 10–14 suggests moderate depression. Consider treatment with pharmacotherapy and/or psychotherapy.\"",[592,831,832,833,836],{},"Add a visibility rule to each result by clicking its settings and configuring a condition based on the Total Score value. See ",[657,834,121],{"href":835},"../builder/visibility-rules"," for how to set up these conditions.",[622,838,840],{"id":839},"test-with-scenarios","Test with scenarios",[592,842,843],{},"Before publishing, verify your scoring logic using scenario testing. Create at least three test scenarios:",[713,845,846,852,858],{},[641,847,848,851],{},[601,849,850],{},"All zeros"," — Patient selects \"Not at all\" for every question. Expected total: 0. Expected category: Minimal depression.",[641,853,854,857],{},[601,855,856],{},"All threes"," — Patient selects \"Nearly every day\" for every question. Expected total: 27. Expected category: Severe depression.",[641,859,860,863],{},[601,861,862],{},"Mixed responses"," — A realistic mix of responses. Verify the total and category are correct.",[592,865,866,867,870],{},"Run each scenario and confirm the results match your expectations. See ",[657,868,117],{"href":869},"../builder/scenario-testing"," for details on creating and running scenarios.",[622,872,874],{"id":873},"preview-and-publish","Preview and publish",[592,876,877,878,881],{},"Click ",[601,879,880],{},"Preview"," to walk through the evaluation as a patient would experience it. Verify that questions display correctly, the response options are clear, and the results show the right severity category for your test answers.",[592,883,884,885,888],{},"When everything looks right, click ",[601,886,887],{},"Publish",". Your PHQ-9 is now available in your Private Library and can be assigned to patients, added to Care Panels, or deployed through schedules.",[890,891,893],"h2",{"id":892},"whats-next","What's next",[592,895,896],{},"Now that your PHQ-9 is published, you can:",[638,898,899,909,918,928],{},[641,900,901,904,905,908],{},[601,902,903],{},"Assign it to a patient"," — Open a patient's chart and run the evaluation from the Results tab. See ",[657,906,237],{"href":907},"../patients/running-an-evaluation",".",[641,910,911,914,915,908],{},[601,912,913],{},"Add it to a Care Panel"," — Set the PHQ-9 as a default evaluation on a Care Panel to track depression scores across a patient population. See ",[657,916,180],{"href":917},"../care-panels/creating-and-configuring",[641,919,920,923,924,908],{},[601,921,922],{},"Schedule recurring screenings"," — Create a schedule that automatically assigns the PHQ-9 to patients at regular intervals. See the ",[657,925,927],{"href":926},"./create-a-scheduled-assessment","scheduled assessment tutorial",[641,929,930,933,934,908],{},[601,931,932],{},"Share with your team"," — Adjust permissions to make the evaluation available to your entire organization. See ",[657,935,166],{"href":936},"../evaluations/permissions",[938,939,940,941,944],"note",{},"The PHQ-9 is in the public domain and does not require licensing fees. If you'd like to use a pre-built version instead of building your own, search for \"PHQ-9\" in the ",[657,942,47],{"href":943},"../marketplace"," — several validated versions are available for free.",{"title":775,"searchDepth":946,"depth":946,"links":947},2,[948,950,951,952,953,954,955,956],{"id":624,"depth":949,"text":625},3,{"id":664,"depth":949,"text":665},{"id":686,"depth":949,"text":687},{"id":751,"depth":949,"text":752},{"id":786,"depth":949,"text":787},{"id":839,"depth":949,"text":840},{"id":873,"depth":949,"text":874},{"id":892,"depth":946,"text":893},"Create a complete PHQ-9 Patient Health Questionnaire from scratch — with sections, scored questions, a severity formula, and conditional results.","md",null,{"icon":961},"i-mdi-clipboard-edit-outline",true,{"title":448,"description":957},"IFur-2FMZvH2wpdiTa1022b3ZQjQhw8Rk6WuOybRlSs",[966,968],{"title":444,"path":445,"stem":446,"description":967,"children":-1},"Build a clinical decision support evaluation using the URECA algorithm as a worked example.",{"title":452,"path":453,"stem":454,"description":969,"children":-1},"Create a care panel for a patient population, add patients, schedule assessments, configure notifications, and review incoming results.",1776705269392]