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| Code Block |
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{
"description": "GAD-7. This form represents an anxiety measure based on seven items which are scored from zero to three.",
"publisher": "North Southern Hospital",
"name": "aidbox.forms.gad-7/GAD7Form",
"item": [
{
"linkId": "69725-0",
"text": "Feeling nervous, anxious, or on edge",
"type": "choice",
"code": [
{
"code": "69725-0",
"system": "http://loinc.org"
}
],
"answerOption": [
{
"value": {
"Coding": {
"code": "LA6568-5",
"system": "http://loinc.org",
"display": "Not at all"
}
}
},
{
"value": {
"Coding": {
"code": "LA6569-3",
"system": "http://loinc.org",
"display": "Several days"
}
}
},
{
"value": {
"Coding": {
"code": "LA6570-1",
"system": "http://loinc.org",
"display": "More than half the days"
}
}
},
{
"value": {
"Coding": {
"code": "LA6571-9",
"system": "http://loinc.org",
"display": "Nearly every day"
}
}
}
]
},
{
"linkId": "68509-9",
"text": "Not being able to stop or control worrying",
"type": "choice",
"code": [
{
"code": "68509-9",
"system": "http://loinc.org"
}
],
"answerOption": [
{
"value": {
"Coding": {
"code": "LA6568-5",
"system": "http://loinc.org",
"display": "Not at all"
}
}
},
{
"value": {
"Coding": {
"code": "LA6569-3",
"system": "http://loinc.org",
"display": "Several days"
}
}
},
{
"value": {
"Coding": {
"code": "LA6570-1",
"system": "http://loinc.org",
"display": "More than half the days"
}
}
},
{
"value": {
"Coding": {
"code": "LA6571-9",
"system": "http://loinc.org",
"display": "Nearly every day"
}
}
}
]
},
{
"linkId": "69733-4",
"text": "Worrying too much about different things",
"type": "choice",
"code": [
{
"code": "69733-4",
"system": "http://loinc.org"
}
],
"answerOption": [
{
"value": {
"Coding": {
"code": "LA6568-5",
"system": "http://loinc.org",
"display": "Not at all"
}
}
},
{
"value": {
"Coding": {
"code": "LA6569-3",
"system": "http://loinc.org",
"display": "Several days"
}
}
},
{
"value": {
"Coding": {
"code": "LA6570-1",
"system": "http://loinc.org",
"display": "More than half the days"
}
}
},
{
"value": {
"Coding": {
"code": "LA6571-9",
"system": "http://loinc.org",
"display": "Nearly every day"
}
}
}
]
},
{
"linkId": "69734-2",
"text": "Trouble relaxing",
"type": "choice",
"code": [
{
"code": "69734-2",
"system": "http://loinc.org"
}
],
"answerOption": [
{
"value": {
"Coding": {
"code": "LA6568-5",
"system": "http://loinc.org",
"display": "Not at all"
}
}
},
{
"value": {
"Coding": {
"code": "LA6569-3",
"system": "http://loinc.org",
"display": "Several days"
}
}
},
{
"value": {
"Coding": {
"code": "LA6570-1",
"system": "http://loinc.org",
"display": "More than half the days"
}
}
},
{
"value": {
"Coding": {
"code": "LA6571-9",
"system": "http://loinc.org",
"display": "Nearly every day"
}
}
}
]
},
{
"linkId": "69735-9",
"text": "Being so restless that it is hard to sit still",
"type": "choice",
"code": [
{
"code": "69735-9",
"system": "http://loinc.org"
}
],
"answerOption": [
{
"value": {
"Coding": {
"code": "LA6568-5",
"system": "http://loinc.org",
"display": "Not at all"
}
}
},
{
"value": {
"Coding": {
"code": "LA6569-3",
"system": "http://loinc.org",
"display": "Several days"
}
}
},
{
"value": {
"Coding": {
"code": "LA6570-1",
"system": "http://loinc.org",
"display": "More than half the days"
}
}
},
{
"value": {
"Coding": {
"code": "LA6571-9",
"system": "http://loinc.org",
"display": "Nearly every day"
}
}
}
]
},
{
"linkId": "69689-8",
"text": "Becoming easily annoyed or irritable",
"type": "choice",
"code": [
{
"code": "69689-8",
"system": "http://loinc.org"
}
],
"answerOption": [
{
"value": {
"Coding": {
"code": "LA6568-5",
"system": "http://loinc.org",
"display": "Not at all"
}
}
},
{
"value": {
"Coding": {
"code": "LA6569-3",
"system": "http://loinc.org",
"display": "Several days"
}
}
},
{
"value": {
"Coding": {
"code": "LA6570-1",
"system": "http://loinc.org",
"display": "More than half the days"
}
}
},
{
"value": {
"Coding": {
"code": "LA6571-9",
"system": "http://loinc.org",
"display": "Nearly every day"
}
}
}
]
},
{
"linkId": "69736-7",
"text": "Feeling afraid, as if something awful might happen",
"type": "choice",
"code": [
{
"code": "69736-7",
"system": "http://loinc.org"
}
],
"answerOption": [
{
"value": {
"Coding": {
"code": "LA6568-5",
"system": "http://loinc.org",
"display": "Not at all"
}
}
},
{
"value": {
"Coding": {
"code": "LA6569-3",
"system": "http://loinc.org",
"display": "Several days"
}
}
},
{
"value": {
"Coding": {
"code": "LA6570-1",
"system": "http://loinc.org",
"display": "More than half the days"
}
}
},
{
"value": {
"Coding": {
"code": "LA6571-9",
"system": "http://loinc.org",
"display": "Nearly every day"
}
}
}
]
},
{
"linkId": "/70274-6",
"text": "GAD-7 Anxiety Severity Score",
"type": "decimal",
"code": [
{
"code": "9733-4",
"system": "http://loinc.org"
}
]
}
],
"resourceType": "Questionnaire",
"title": "GAD-7",
"status": "active",
"url": "http://base-url.com/fhir/Questionnaire/gad7|1",
"code": [
{
"code": "44249-1",
"system": "https://loinc.org/"
}
],
"version": "version in properties1.0"
} |
How to read this Questionnaire resource
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Item | Description | Where is this defined? |
|---|---|---|
description | A textual description of the questionnaire. | This is set by PKB when the questionnaire is built. |
publisher | The hospital or clinical team that created/published the questionnaire | This is set by PKB when the questionnaire is built. |
item | The questions in the questionnaire, linkId to link to the answers in the QuestionnaireResponse and, where they exist, multiple choice answer options. | This is set by PKB when the questionnaire is built. |
status | Whether the questionnaire is actively in use | This is set by PKB when the questionnaire is built. |
url | A canonical URL for the questionnaire. This is used to link the QuestionnaireResponse to the relevant version of the Questionnaire resource. | This is set by PKB when the questionnaire is built. |
version | The business version of the Questionnaire. | This is set by PKB when the questionnaire is built. |