CMS ACCESS Model API
0.9.8 - draft US

This page is part of the ACCESS Model IG v0.9.8 DRAFT (v0.9.8: Releases Draft) based on FHIR (HL7® FHIR® Standard) R4. No current official version has been published yet. For a full list of available versions, see the Directory of published versions

Questionnaire:

Computable Name:

Profile: SDCBaseQuestionnaire version: 3.0.0

Structure
LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. Questionnaire http://example.org/Questionnaire/GAD7Questionnaire#0.9.7
... gad7-1 Feeling nervous, anxious, or on edge 0..1 choice Value Set:
Options: 4 options
... gad7-2 Not being able to stop or control worrying 0..1 choice Value Set:
Options: 4 options
... gad7-3 Worrying too much about different things 0..1 choice Value Set:
Options: 4 options
... gad7-5 Being so restless that it is hard to sit still 0..1 choice Value Set:
Options: 4 options
... gad7-6 Becoming easily annoyed or irritable 0..1 choice Value Set:
Options: 4 options
... gad7-7 Feeling afraid as if something awful might happen 0..1 choice Value Set:
Options: 4 options
... total-score Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 0..1 decimal iconicon Value Set:

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")

Profile: SDCBaseQuestionnaire version: 3.0.0

Feeling nervous, anxious, or on edge

Not being able to stop or control worrying

Worrying too much about different things

Trouble relaxing

Being so restless that it is hard to sit still

Becoming easily annoyed or irritable

Feeling afraid as if something awful might happen

Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]

  • linkId: total-score
  • Answers:

Profile: SDCBaseQuestionnaire version: 3.0.0

LinkIDDescription & Constraintsdoco
.. gad7-1 Value Set:
Options: 4 options
.. gad7-2 Value Set:
Options: 4 options
.. gad7-3 Value Set:
Options: 4 options
.. gad7-4 Value Set:
Options: 4 options
.. gad7-5 Value Set:
Options: 4 options
.. gad7-6 Value Set:
Options: 4 options
.. gad7-7 Value Set:
Options: 4 options
.. total-score Value Set:

doco Documentation for this format

Test this Questionnaire

Try this questionnaire out:

Responses for this Questionnaire