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Packagefhir.paciosampledata
Resource TypeQuestionnaire
IdQuestionnaire-GAD7Questionnaire.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/paciowg/sample-data-fsh/Questionnaire-GAD7Questionnaire.html
URLhttp://example.org/fhir/Questionnaire/GAD7Questionnaire
Version0.1.0
Statusactive
Date2026-09-10T21:57:14+00:00
TitleGeneralized Anxiety Disorder-7 Assessment
Realmus
Authorityhl7

Resources that use this resource

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Resources that this resource uses

No resources found


Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Questionnaire GAD7Questionnaire

Profile: SDC Base Questionnaire version: 4.0.0

Structure
LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. Questionnairehttp://example.org/fhir/Questionnaire/GAD7Questionnaire#0.1.0
... gad7-1Feeling nervous, anxious, or on edge0..1choiceOptions: 4 options
... gad7-2Not being able to stop or control worrying0..1choiceOptions: 4 options
... gad7-3Worrying too much about different things0..1choiceOptions: 4 options
... gad7-4Trouble relaxing0..1choiceOptions: 4 options
... gad7-5Being so restless that it is hard to sit still0..1choiceOptions: 4 options
... gad7-6Becoming easily annoyed or irritable0..1choiceOptions: 4 options
... gad7-7Feeling afraid as if something awful might happen0..1choiceOptions: 4 options
... total-scoreGeneralized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]0..1decimaliconicon
... severity-categoryGAD-7 anxiety severity0..1choiceiconiconOptions: 4 options

doco Documentation for this format

Options Sets

Answer options for gad7-1

  • http://loinc.org#LA6568-5 ("Not at all")
  • http://loinc.org#LA6569-3 ("Several days")
  • http://loinc.org#LA6570-1 ("More than half the days")
  • http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for gad7-2

  • http://loinc.org#LA6568-5 ("Not at all")
  • http://loinc.org#LA6569-3 ("Several days")
  • http://loinc.org#LA6570-1 ("More than half the days")
  • http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for gad7-3

  • http://loinc.org#LA6568-5 ("Not at all")
  • http://loinc.org#LA6569-3 ("Several days")
  • http://loinc.org#LA6570-1 ("More than half the days")
  • http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for gad7-4

  • http://loinc.org#LA6568-5 ("Not at all")
  • http://loinc.org#LA6569-3 ("Several days")
  • http://loinc.org#LA6570-1 ("More than half the days")
  • http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for gad7-5

  • http://loinc.org#LA6568-5 ("Not at all")
  • http://loinc.org#LA6569-3 ("Several days")
  • http://loinc.org#LA6570-1 ("More than half the days")
  • http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for gad7-6

  • http://loinc.org#LA6568-5 ("Not at all")
  • http://loinc.org#LA6569-3 ("Several days")
  • http://loinc.org#LA6570-1 ("More than half the days")
  • http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for gad7-7

  • http://loinc.org#LA6568-5 ("Not at all")
  • http://loinc.org#LA6569-3 ("Several days")
  • http://loinc.org#LA6570-1 ("More than half the days")
  • http://loinc.org#LA6571-9 ("Nearly every day")

Answer options for severity-category

  • Minimal anxiety
  • Mild anxiety
  • Moderate anxiety
  • Severe anxiety

Source1

{
  "resourceType": "Questionnaire",
  "id": "GAD7Questionnaire",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire|4.0.0"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm",
      "valueString": "semver"
    }
  ],
  "url": "http://example.org/fhir/Questionnaire/GAD7Questionnaire",
  "version": "0.1.0",
  "title": "Generalized Anxiety Disorder-7 Assessment",
  "status": "active",
  "subjectType": [
    "Patient"
  ],
  "date": "2026-09-10T21:57:14+00:00",
  "publisher": "MITRE",
  "contact": [
    {
      "name": "MITRE",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.mitre.org"
        }
      ]
    },
    {
      "name": "May Terry",
      "telecom": [
        {
          "system": "email",
          "value": "mayT@mitre.org",
          "use": "work"
        }
      ]
    }
  ],
  "code": [
    {
      "system": "http://loinc.org",
      "code": "69737-5",
      "display": "Generalized anxiety disorder 7 item (GAD-7)"
    }
  ],
  "item": [
    {
      "linkId": "gad7-1",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "69725-0"
        }
      ],
      "text": "Feeling nervous, anxious, or on edge",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6568-5",
            "display": "Not at all"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6569-3",
            "display": "Several days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6570-1",
            "display": "More than half the days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6571-9",
            "display": "Nearly every day"
          }
        }
      ]
    },
    {
      "linkId": "gad7-2",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "68509-9"
        }
      ],
      "text": "Not being able to stop or control worrying",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6568-5",
            "display": "Not at all"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6569-3",
            "display": "Several days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6570-1",
            "display": "More than half the days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6571-9",
            "display": "Nearly every day"
          }
        }
      ]
    },
    {
      "linkId": "gad7-3",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "69733-4"
        }
      ],
      "text": "Worrying too much about different things",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6568-5",
            "display": "Not at all"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6569-3",
            "display": "Several days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6570-1",
            "display": "More than half the days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6571-9",
            "display": "Nearly every day"
          }
        }
      ]
    },
    {
      "linkId": "gad7-4",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "69734-2"
        }
      ],
      "text": "Trouble relaxing",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6568-5",
            "display": "Not at all"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6569-3",
            "display": "Several days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6570-1",
            "display": "More than half the days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6571-9",
            "display": "Nearly every day"
          }
        }
      ]
    },
    {
      "linkId": "gad7-5",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "69735-9"
        }
      ],
      "text": "Being so restless that it is hard to sit still",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6568-5",
            "display": "Not at all"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6569-3",
            "display": "Several days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6570-1",
            "display": "More than half the days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6571-9",
            "display": "Nearly every day"
          }
        }
      ]
    },
    {
      "linkId": "gad7-6",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "69689-8"
        }
      ],
      "text": "Becoming easily annoyed or irritable",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6568-5",
            "display": "Not at all"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6569-3",
            "display": "Several days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6570-1",
            "display": "More than half the days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6571-9",
            "display": "Nearly every day"
          }
        }
      ]
    },
    {
      "linkId": "gad7-7",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "69736-7"
        }
      ],
      "text": "Feeling afraid as if something awful might happen",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6568-5",
            "display": "Not at all"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6569-3",
            "display": "Several days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6570-1",
            "display": "More than half the days"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6571-9",
            "display": "Nearly every day"
          }
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
          "valueExpression": {
            "language": "text/fhirpath",
            "expression": "%resource.item.where(linkId='gad7-1').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='gad7-2').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='gad7-3').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='gad7-4').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='gad7-5').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='gad7-6').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='gad7-7').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal"
          }
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/minValue",
          "valueDecimal": 0
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
          "valueDecimal": 21
        }
      ],
      "linkId": "total-score",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "70274-6",
          "display": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]"
        }
      ],
      "text": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]",
      "type": "decimal",
      "readOnly": true
    },
    {
      "extension": [
        {
          "extension": [
            {
              "url": "label",
              "valueString": "Minimal anxiety"
            },
            {
              "url": "low",
              "valueDecimal": 0
            },
            {
              "url": "high",
              "valueDecimal": 4
            }
          ],
          "url": "http://example.org/StructureDefinition/score-band"
        },
        {
          "extension": [
            {
              "url": "label",
              "valueString": "Mild anxiety"
            },
            {
              "url": "low",
              "valueDecimal": 5
            },
            {
              "url": "high",
              "valueDecimal": 9
            }
          ],
          "url": "http://example.org/StructureDefinition/score-band"
        },
        {
          "extension": [
            {
              "url": "label",
              "valueString": "Moderate anxiety"
            },
            {
              "url": "low",
              "valueDecimal": 10
            },
            {
              "url": "high",
              "valueDecimal": 14
            }
          ],
          "url": "http://example.org/StructureDefinition/score-band"
        },
        {
          "extension": [
            {
              "url": "label",
              "valueString": "Severe anxiety"
            },
            {
              "url": "low",
              "valueDecimal": 15
            },
            {
              "url": "high",
              "valueDecimal": 21
            }
          ],
          "url": "http://example.org/StructureDefinition/score-band"
        },
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
          "valueExpression": {
            "language": "text/fhirpath",
            "expression": "%resource.item.where(linkId='total-score').answer.valueDecimal.select(iif($this <= 4, 'Minimal anxiety', iif($this <= 9, 'Mild anxiety', iif($this <= 14, 'Moderate anxiety', 'Severe anxiety'))))"
          }
        }
      ],
      "linkId": "severity-category",
      "text": "GAD-7 anxiety severity",
      "type": "choice",
      "readOnly": true,
      "answerOption": [
        {
          "valueString": "Minimal anxiety"
        },
        {
          "valueString": "Mild anxiety"
        },
        {
          "valueString": "Moderate anxiety"
        },
        {
          "valueString": "Severe anxiety"
        }
      ]
    }
  ]
}