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The PCC Wiki Content is used only for development of IHE PCC Content. The Normative content of the PCC Technical Framework and the current supplements can be found at http://www.ihe.net/Technical_Framework/index.cfm#PCC

Trial.gif Geriatric Depression Score Component

This entry supports the recording of the observations from the 30 sumcomponents of the Geriatric Depression Score. These scales are scored using a value of 0 or 1. This entry shows how to record the assessment scores Geriatric Depression Score components.


See Templates using Geriatric Depression Score Component

Geriatric Depression Score Component Example

<observation classCode='OBS' moodCode='EVN'>
 <templateId root=''/>
 <templateId root='2.16.840.1.113883.'/>
 <templateId root=''/>
 <id root=' ' extension=' '/>
 <code code=' ' displayName=' ' 
       codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
 <text><reference value='#xxx'/></text>
 <statusCode code='completed'/>
 <effectiveTime value=' '/>
 <repeatNumber value=' '/>
 <value xsi:type='INT' value=' '/>
 <interpretationCode code='373066001|373067005' displayName='Yes|No'
      codeSystem='2.16.840.1.113883.6.96' codeSystemName='SNOMED CT'/>
 <methodCode code=' ' codeSystem=' ' codeSystemName=' '/>
 <targetSiteCode code=' ' codeSystem=' ' codeSystemName=' '/>

<templateId root=''/>
<templateId root='2.16.840.1.113883.'/>
<templateId root=''/>

These <templateId> elements identify this entry as a Geriatric Depression Score Component. Furthermore, they identify it as a CCD Result entry, and a Simple Observation. They shall be present as shown above.

<code code=' '  displayName=' ' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>

The <code> element identifies which component of the Geriatric Depression Scale is being assessed in this observation. The valid codes are listed in the table below.

Geriatric Depression Component Codes and Scores
LOINC Code Question Yes Score No Score
48512-8 Are you basically satisfied with your life 0 1
48513-6 Have you dropped many of your activities and interests 1 0
48514-4 Do you feel that your life is empty 1 0
48515-1 Do you often get bored 1 0
48516-9 Are you hopeful about the future 0 1
48517-7 Are you bothered by thoughts you cannot get out of your head 1 0
48518-5 Are you in good spirits most of the time 0 1
48519-3 Are you afraid that something bad is going to happen to you 1 0
48520-1 Do you feel happy most of the time 0 1
48521-9 Do you often feel helpless 1 0
48522-7 Do you often get restless and fidgety 1 0
48523-5 Do you prefer to stay at home, rather than going out and doing new things 1 0
48524-3 Do you frequently worry about the future 1 0
48525-0 Do you feel you have more problems with memory than most 1 0
48526-8 Do you think it is wonderful to be alive now 0 1
48527-6 Do you often feel downhearted and blue 1 0
48528-4 Do you feel pretty worthless the way you are now 1 0
48529-2 Do you worry a lot about the past 1 0
48530-0 Do you find life very exciting 0 1
48531-8 Is it hard for you to get started on new projects 1 0
48532-6 Do you feel full of energy 0 1
48533-4 Do you feel that your situation is hopeless 1 0
48534-2 Do you think that most people are better off than you are 1 0
48535-9 Do you frequently get upset over little things 1 0
48536-7 Do you frequently feel like crying 1 0
48537-5 Do you have trouble concentrating 1 0
48538-3 Do you enjoy getting up in the morning 0 1
48539-1 Do you prefer to avoid social gatherings 1 0
48540-9 Is it easy for you to make decisions 0 1
48541-7 Is your mind as clear as it used to be 1 0
<effectiveTime value=' '/>

The <effectiveTime> element need not be present, as it is already recorded in the observation for which this is a component.

<value xsi:type='INT' value=' '/>

The <value> element shall be present, and records the Geriatric Depression Score for the component assessed. The value shall contain either 0 or 1.

<interpretationCode code='373066001|373067005' displayName='Yes|No' codeSystem='2.16.840.1.113883.6.96' codeSystemName='SNOMED CT'/>

The <interpretationCode> may be present to describe the meaning of the score value. Interpretations for each of the scores for each assessment component are shown in the table below.

Geriatric Depression Score Component Interpretation Codes
SNOMED CT Code Description
373066001 Yes
373067005 No
<methodCode code=' ' codeSystem=' ' codeSystemName=' '/>
<targetSiteCode code=' ' codeSystem=' ' codeSystemName=' '/>

The <methodCode> and <targetSiteCode> elements shall not be used.