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{ "description "resourceType": "Questionnaire", "id": "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": [ {2becaa96-8d4c-4ea4-84b8-6b41edba854a", "meta": { "extension": [ { "url": "ex:createdAt", "valueInstant": "2023-12-11T15:07:31.094891Z" } ], "versionId": "4107", "lastUpdated": "2024-05-22T12:55:05.497174Z", "profile": [ "urn:fhir:extension:SDCQuestionnaire" ] }, "url": "http://fhir.patientsknowbest.com/questionnaire/gad7|1.0", "version": "1.0", "name": "standard-library.forms-sandbox/Gad7Form", "title": "GAD-7", "status": "active", "description": "GAD-7. This form represents an anxiety measure based on seven items which are scored from zero to three.", "code": [ { "system": "https://loinc.org/", "code": "44249-1" } ], "item": [ { "linkId": "69725-0", "code": [ { "system": "http://loinc.org", "code": "69725-0" } ], "text": "Feeling nervous, anxious, or on edge", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://loinc.org", "code": "LA6568-5", "display": "Not at all" } }, { "valueCoding": { "system": "http://loinc.org", "code": "LA6569-3", "display": "Several days" } }, { "valueCoding": { "system": "http://loinc.org", "code": "LA6570-1", "display": "More than half the days" } }, { "valueCoding": { "system": "http://loinc.org", "code": "LA6571-9", "display": "Nearly every day" } } ] }, { "linkId": "68509-9", "code": [ { "system": "http://loinc.org", "code": "68509-9" } ], "text": "Not being able to stop or control worrying", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://loinc.org", "code": "LA6568-5", "display": "Not at all" } }, { "valueCoding": { "system": "http://loinc.org", "code": "LA6569-3", "display": "Several days" } }, { "valueCoding": { "system": "http://loinc.org", "code": "LA6570-1", "display": "More than half the days" } }, { "valueCoding": { "system": "http://loinc.org", "code": "LA6571-9", "display": "Nearly every day" } } ] }, { "linkId": "69733-4", "code": [ { "system": "http://loinc.org", "code": "69733-4" } ], "text": "Worrying too much about different things", "codetype": "69725-0choice", "systemanswerOption": "http://loinc.org"[ } ], { "answerOption": [ { "valueCoding": { "value": { "Coding": { "system": "http://loinc.org", "code": "LA6568-5", "systemcode": "http://loinc.org",LA6568-5", "display": "Not at all" } } } }, { { "value": { "CodingvalueCoding": { "code "system": "LA6569-3http://loinc.org", "system "code": "http://loinc.org",LA6569-3", "display": "Several days" } } } }, }, { "value": { "Coding": { "valueCoding": { "code": "LA6570-1", "system": "http://loinc.org", "display": "More than half the days" "code": "LA6570-1", } } "display": "More },than half the days" { "value": { "Coding":} { "code": "LA6571-9" }, "system": "http://loinc.org", { "display": "Nearly every day" "valueCoding": { } } "system": "http://loinc.org", } ] }, { "linkIdcode": "68509LA6571-9", "text": "Not being able to stop or control worrying", "typedisplay": "choice",Nearly every day" "code": [ { } "code": "68509-9", "system": "http://loinc.org"} } ] ], }, "answerOption": [ { { "valuelinkId": {"69734-2", "Codingcode": {[ { "code": "LA6568-5", "system": "http://loinc.org", "display": "Not at all" "code": "69734-2" } } }, ], { "valuetext": { "Coding": { "Trouble relaxing", "codetype": "LA6569-3choice", "system": "http://loinc.org", "answerOption": [ "display": "Several days" { } } "valueCoding": { }, { "valuesystem": {"http://loinc.org", "Coding": { "code": "LA6570LA6568-15", "system": "http://loinc.org", "display": "More than half the days"Not at all" } } } }, { { "value": { "CodingvalueCoding": { "code": "LA6571-9", "system": "http://loinc.org", "displaycode": "Nearly every day"LA6569-3", } "display": "Several }days" } ] }, { "linkId": "69733-4" }, "text": "Worrying too much about different things", { "type": "choice", "code": [ "valueCoding": { "code": "69733-4", "system": "http://loinc.org", } ], "answerOptioncode": ["LA6570-1", { "value": { "display": "More than half the "Coding": {days" "code": "LA6568-5", } "system": "http://loinc.org", }, "display": "Not at all" { } } "valueCoding": { }, { "valuesystem": {"http://loinc.org", "Coding": { "code": "LA6569LA6571-39", "system "display": "http://loinc.org",Nearly every day" "display": "Several days"} } } ] }, { "valuelinkId": {"69735-9", "Codingcode": { [ { "code": "LA6570-1", "system": "http://loinc.org", "display": "More than half the days"code": "69735-9" } } } }, ], { "valuetext": {"Being so restless that it is hard to sit "Coding": {still", "codetype": "LA6571-9choice", "systemanswerOption": "http://loinc.org",[ "display": "Nearly every{ day" } "valueCoding": { } } ] }, "system": {"http://loinc.org", "linkId": "69734-2", "text": "Trouble relaxing", "typecode": "choiceLA6568-5", "code": [ { "codedisplay": "69734-2",Not at all" "system": "http://loinc.org" } ], "answerOption": [ }, { { "value": { "Coding": { "valueCoding": { "code": "LA6568-5", "system": "http://loinc.org", "displaycode": "Not at all""LA6569-3", } "display": "Several days" } }, { } "value": { }, "Coding": { { "code": "LA6569-3", "systemvalueCoding": "http://loinc.org", { "display": "Several days" } "system": "http://loinc.org", } }, {"code": "LA6570-1", "value": { "Codingdisplay": {"More than half the days" "code": "LA6570-1", } "system": "http://loinc.org", }, "display": "More than half the days" { } } "valueCoding": { }, { "valuesystem": {"http://loinc.org", "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", "typelinkId": "choice69689-8", "code": [ { { "code": "69735-9", "system": "http://loinc.org", } ], "answerOptioncode": ["69689-8" { } "value": { ], "Coding": { "text": "Becoming easily annoyed "code": "LA6568-5or irritable", "systemtype": "http://loinc.orgchoice", "displayanswerOption": "Not at all" [ { } } "valueCoding": { }, { "value": { "system": "http://loinc.org", "Coding": { "code": "LA6569LA6568-35", "system": "http://loinc.org", "display": "SeveralNot at daysall" } } } }, { { "value": { "CodingvalueCoding": { "code "system": "LA6570-1http://loinc.org", "system "code": "http://loinc.org","LA6569-3", "display": "MoreSeveral days" than half the days" } } } }, { { "value": { "CodingvalueCoding": { "codesystem": "LA6571-9http://loinc.org", "systemcode": "http://loinc.org",LA6570-1", "display": "Nearly every dayMore than half the days" } } } } }, ] }, { { "linkId": "69689-8", "text": "Becoming easily annoyed or irritable", "typevalueCoding": "choice", { "code": [ { "codesystem": "69689-8",http://loinc.org", "systemcode": "http://loinc.org"LA6571-9", } ], "answerOptiondisplay": [ "Nearly every day" { "value": {} "Coding": { } "code": "LA6568-5", ] }, "system": "http://loinc.org", { "displaylinkId": "Not at all"69736-7", "code": [ } }{ }, { "system": "http://loinc.org", "value": { "Codingcode": {"69736-7" "code": "LA6569-3", } "system": "http://loinc.org"], "displaytext": "Several days"Feeling afraid, as if something awful might happen", } "type": "choice", } "answerOption": [ }, { { "value": { "CodingvalueCoding": { "code": "LA6570-1", "system": "http://loinc.org", "display": "More than half the days" "code": "LA6568-5", } } "display": "Not at all" }, { } "value": { "Coding": {}, "code": "LA6571-9", { "system": "http://loinc.org", "valueCoding": { "display": "Nearly every day" } "system": "http://loinc.org", } } ]"code": "LA6569-3", }, { "linkId": "69736-7", "textdisplay": "FeelingSeveral afraid,days" as if something awful might happen", "type": "choice", "code":} [ { }, "code": "69736-7", "system": "http://loinc.org" { } ], "answerOptionvalueCoding": [{ { "valuesystem": { "http://loinc.org", "Coding": { "code": "LA6568LA6570-51", "system": "http://loinc.org", "display": "Not at allMore than half the days" } } } }, }, { "value": { "Coding": { "valueCoding": { "code": "LA6569-3", "system": "http://loinc.org", "display": "Several days" } "code": "LA6571-9", } }, { "display": "Nearly every day" "value": { } "Coding": { } "code": "LA6570-1", ] "system": "http://loinc.org", }, { "display": "More than half the days" "extension": [ } }{ }, { "url": "urn:fhir:extension:sdc-questionnaire-ruleDescription", "value": { "CodingvalueMarkdown": {"A + B + C + D + E + F + G\n\nWhere:\n* A = "code": "LA6571-9"Feeling nervous, anxious, or on edge\n* B = Not being able to stop or control worrying\n* C = Worrying too much "system": "http://loinc.org", "display": "Nearly every day" } about different things\n* D = Trouble relaxing\n* E = Being so restless that it is hard to sit still\n* F = Becoming easily annoyed or irritable\n* G = Feeling afraid, as if something awful might happen" } } ] }], { "linkId": "/70274-6", "text": "GAD-7 Anxiety Severity Score", "typecode": "decimal",[ "code": [ { "code": "9733-4", "system": "http://loinc.org", } "code": "9733-4" ] } ], "resourceType": "Questionnaire", "title": "GAD-7",} "status": "active", "url": "http://base-url.com/fhir/Questionnaire/gad7|1", "code": [], { "codetext": "44249-1",GAD-7 Anxiety Severity Score", "systemtype": "https://loinc.org/decimal" } ],} "version": "1.0" ] } |
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