{
  "resourceType": "StructureDefinition",
  "id": "logicalmodel-Gad-7score-R4",
  "url": "http://linkehr.com/fhir/logicalmodel-gad-7score-R4",
  "identifier": [
    {
      "system": "openEHR-CKM",
      "value": "openEHR-EHR-OBSERVATION.gad_7_score.v0"
    }
  ],
  "version": "0",
  "name": "Gad-7score",
  "title": "GAD-7 score",
  "status": "draft",
  "date": "2024-06-18",
  "publisher": "openEHR",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.veratech.es"
        }
      ]
    }
  ],
  "description": "Generalized Anxiety Disorder 7-item (GAD-7) scale recording the experience of anxiety related symptoms in the previous two weeks.",
  "purpose": "To record the results and total score of the GAD-7 scale.",
  "fhirVersion": "4.0.0",
  "mapping": [
    {
      "identity": "openEHR",
      "uri": "http://openehr.org",
      "name": "openEHR Mapping"
    },
    {
      "identity": "openEHR-natural",
      "uri": "http://openehr.org",
      "name": "openEHR natural path"
    }
  ],
  "kind": "logical",
  "abstract": false,
  "type": "StructureDefinition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element",
  "snapshot": {
    "element": [
      {
        "id": "GAD_7_score",
        "path": "GAD_7_score",
        "short": "GAD-7 score",
        "definition": "Generalized Anxiety Disorder 7-item (GAD-7) scale recording the experience of anxiety related symptoms in the previous two weeks.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "GAD_7_score",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GAD_7_score.protocol",
        "path": "GAD_7_score.protocol",
        "short": "Tree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GAD_7_score.protocol",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GAD_7_score.protocol.Extension",
        "path": "GAD_7_score.protocol.Extension",
        "short": "Extension",
        "definition": "Additional information required to capture local context or to align with other reference models/formalisms.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "GAD_7_score.protocol.Extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GAD_7_score.Event_Series",
        "path": "GAD_7_score.Event_Series",
        "short": "Event Series",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GAD_7_score.Event_Series",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GAD_7_score.Event_Series.Any_event",
        "path": "GAD_7_score.Event_Series.Any_event",
        "short": "Any event",
        "definition": "Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "GAD_7_score.Event_Series.Any_event",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GAD_7_score.Event_Series.Any_event.data",
        "path": "GAD_7_score.Event_Series.Any_event.data",
        "short": "Tree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GAD_7_score.Event_Series.Any_event.data",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GAD_7_score.Event_Series.Any_event.data.Feeling_nervous,_anxious_or_on_edge",
        "path": "GAD_7_score.Event_Series.Any_event.data.Feeling_nervous,_anxious_or_on_edge",
        "short": "Feeling nervous, anxious or on edge",
        "definition": "Over the last 2 weeks, on how many days have you felt nervous, anxious or on edge?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GAD_7_score.Event_Series.Any_event.data.Feeling_nervous,_anxious_or_on_edge",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "GAD_7_score.Event_Series.Any_event.data.Feeling_nervous,_anxious_or_on_edge.value",
        "path": "GAD_7_score.Event_Series.Any_event.data.Feeling_nervous,_anxious_or_on_edge.value",
        "short": "Feeling nervous, anxious or on edge",
        "definition": "Over the last 2 weeks, on how many days have you felt nervous, anxious or on edge?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GAD_7_score.Event_Series.Any_event.data.Feeling_nervous,_anxious_or_on_edge.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GAD_7_score.Event_Series.Any_event.data.Not_being_able_to_stop_or_control_worrying",
        "path": "GAD_7_score.Event_Series.Any_event.data.Not_being_able_to_stop_or_control_worrying",
        "short": "Not being able to stop or control worrying",
        "definition": "Over the last 2 weeks, on how many days have you not been able to stop or control worrying?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GAD_7_score.Event_Series.Any_event.data.Not_being_able_to_stop_or_control_worrying",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "GAD_7_score.Event_Series.Any_event.data.Not_being_able_to_stop_or_control_worrying.value",
        "path": "GAD_7_score.Event_Series.Any_event.data.Not_being_able_to_stop_or_control_worrying.value",
        "short": "Not being able to stop or control worrying",
        "definition": "Over the last 2 weeks, on how many days have you not been able to stop or control worrying?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GAD_7_score.Event_Series.Any_event.data.Not_being_able_to_stop_or_control_worrying.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GAD_7_score.Event_Series.Any_event.data.Worrying_too_much_about_different_things",
        "path": "GAD_7_score.Event_Series.Any_event.data.Worrying_too_much_about_different_things",
        "short": "Worrying too much about different things",
        "definition": "Over the last 2 weeks, on how many days have you been worrying too much about different things?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GAD_7_score.Event_Series.Any_event.data.Worrying_too_much_about_different_things",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "GAD_7_score.Event_Series.Any_event.data.Worrying_too_much_about_different_things.value",
        "path": "GAD_7_score.Event_Series.Any_event.data.Worrying_too_much_about_different_things.value",
        "short": "Worrying too much about different things",
        "definition": "Over the last 2 weeks, on how many days have you been worrying too much about different things?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GAD_7_score.Event_Series.Any_event.data.Worrying_too_much_about_different_things.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GAD_7_score.Event_Series.Any_event.data.Trouble_relaxing",
        "path": "GAD_7_score.Event_Series.Any_event.data.Trouble_relaxing",
        "short": "Trouble relaxing",
        "definition": "Over the last 2 weeks, on how many days have you had trouble relaxing?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GAD_7_score.Event_Series.Any_event.data.Trouble_relaxing",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "GAD_7_score.Event_Series.Any_event.data.Trouble_relaxing.value",
        "path": "GAD_7_score.Event_Series.Any_event.data.Trouble_relaxing.value",
        "short": "Trouble relaxing",
        "definition": "Over the last 2 weeks, on how many days have you had trouble relaxing?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GAD_7_score.Event_Series.Any_event.data.Trouble_relaxing.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GAD_7_score.Event_Series.Any_event.data.Being_so_restless_it_is_hard_to_sit_still",
        "path": "GAD_7_score.Event_Series.Any_event.data.Being_so_restless_it_is_hard_to_sit_still",
        "short": "Being so restless it is hard to sit still",
        "definition": "Over the last 2 weeks, on how many days have you been so restless it is hard to sit still?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GAD_7_score.Event_Series.Any_event.data.Being_so_restless_it_is_hard_to_sit_still",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "GAD_7_score.Event_Series.Any_event.data.Being_so_restless_it_is_hard_to_sit_still.value",
        "path": "GAD_7_score.Event_Series.Any_event.data.Being_so_restless_it_is_hard_to_sit_still.value",
        "short": "Being so restless it is hard to sit still",
        "definition": "Over the last 2 weeks, on how many days have you been so restless it is hard to sit still?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GAD_7_score.Event_Series.Any_event.data.Being_so_restless_it_is_hard_to_sit_still.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GAD_7_score.Event_Series.Any_event.data.Becoming_easily_annoyed_or_irritable",
        "path": "GAD_7_score.Event_Series.Any_event.data.Becoming_easily_annoyed_or_irritable",
        "short": "Becoming easily annoyed or irritable",
        "definition": "Over the last 2 weeks, on how many days have you become easily annoyed or irritable?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GAD_7_score.Event_Series.Any_event.data.Becoming_easily_annoyed_or_irritable",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "GAD_7_score.Event_Series.Any_event.data.Becoming_easily_annoyed_or_irritable.value",
        "path": "GAD_7_score.Event_Series.Any_event.data.Becoming_easily_annoyed_or_irritable.value",
        "short": "Becoming easily annoyed or irritable",
        "definition": "Over the last 2 weeks, on how many days have you become easily annoyed or irritable?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GAD_7_score.Event_Series.Any_event.data.Becoming_easily_annoyed_or_irritable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GAD_7_score.Event_Series.Any_event.data.Feeling_afraid_as_it_something_awful_might_happen",
        "path": "GAD_7_score.Event_Series.Any_event.data.Feeling_afraid_as_it_something_awful_might_happen",
        "short": "Feeling afraid as it something awful might happen",
        "definition": "Over the last 2 weeks, on how many days have you felt afraid as if something awful might happen?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GAD_7_score.Event_Series.Any_event.data.Feeling_afraid_as_it_something_awful_might_happen",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "GAD_7_score.Event_Series.Any_event.data.Feeling_afraid_as_it_something_awful_might_happen.value",
        "path": "GAD_7_score.Event_Series.Any_event.data.Feeling_afraid_as_it_something_awful_might_happen.value",
        "short": "Feeling afraid as it something awful might happen",
        "definition": "Over the last 2 weeks, on how many days have you felt afraid as if something awful might happen?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GAD_7_score.Event_Series.Any_event.data.Feeling_afraid_as_it_something_awful_might_happen.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GAD_7_score.Event_Series.Any_event.data.Total_score",
        "path": "GAD_7_score.Event_Series.Any_event.data.Total_score",
        "short": "Total score",
        "definition": "Total GAD-7 score calculated from sum of all seven individual responses.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GAD_7_score.Event_Series.Any_event.data.Total_score",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "GAD_7_score.Event_Series.Any_event.data.Total_score.value",
        "path": "GAD_7_score.Event_Series.Any_event.data.Total_score.value",
        "short": "Total score",
        "definition": "Total GAD-7 score calculated from sum of all seven individual responses.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GAD_7_score.Event_Series.Any_event.data.Total_score.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GAD_7_score.Event_Series.Any_event.state",
        "path": "GAD_7_score.Event_Series.Any_event.state",
        "short": "Tree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GAD_7_score.Event_Series.Any_event.state",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "GAD_7_score.Event_Series.Any_event.state.Confounding_factors",
        "path": "GAD_7_score.Event_Series.Any_event.state.Confounding_factors",
        "short": "Confounding factors",
        "definition": "Record any issues or factors that may impact on the score or it's interpretation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GAD_7_score.Event_Series.Any_event.state.Confounding_factors",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "GAD_7_score.Event_Series.Any_event.state.Confounding_factors.value",
        "path": "GAD_7_score.Event_Series.Any_event.state.Confounding_factors.value",
        "short": "Confounding factors",
        "definition": "Record any issues or factors that may impact on the score or it's interpretation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "GAD_7_score.Event_Series.Any_event.state.Confounding_factors.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      }
    ]
  }
}