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
<QuestionnaireResponse xmlns="http://hl7.org/fhir">
<id value="AnxietyGAD7Example"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en"><p>GAD-7 QuestionnaireResponse for John Doe. Total score: 6.</p></div>
</text>
<questionnaire value="http://example.org/Questionnaire/GAD7Questionnaire"/>
<status value="completed"/>
<subject>🔗
<reference value="Patient/PatientExample"/>
</subject>
<authored value="2026-01-15T10:30:00Z"/>
<author>🔗
<reference value="Patient/PatientExample"/>
</author>
<item>
<linkId value="gad7-1"/>
<text value="Feeling nervous, anxious, or on edge"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<system value="http://loinc.org"/>
<code value="LA6569-3"/>
<display value="Several days"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="gad7-2"/>
<text value="Not being able to stop or control worrying"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<system value="http://loinc.org"/>
<code value="LA6569-3"/>
<display value="Several days"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="gad7-3"/>
<text value="Worrying too much about different things"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<system value="http://loinc.org"/>
<code value="LA6569-3"/>
<display value="Several days"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="gad7-4"/>
<text value="Trouble relaxing"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<system value="http://loinc.org"/>
<code value="LA6569-3"/>
<display value="Several days"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="gad7-5"/>
<text value="Being so restless that it is hard to sit still"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<system value="http://loinc.org"/>
<code value="LA6568-5"/>
<display value="Not at all"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="gad7-6"/>
<text value="Becoming easily annoyed or irritable"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<system value="http://loinc.org"/>
<code value="LA6569-3"/>
<display value="Several days"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="gad7-7"/>
<text value="Feeling afraid as if something awful might happen"/>
<answer>
<valueCoding>
<extension
url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<system value="http://loinc.org"/>
<code value="LA6569-3"/>
<display value="Several days"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="total-score"/>
<answer>
<valueDecimal value="6"/>
</answer>
</item>
</QuestionnaireResponse>