FHIR IG analytics| Package | fhir.paciosampledata |
| Resource Type | Questionnaire |
| Id | Questionnaire-OswestryDisabilityIndexQuestionnaire.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/paciowg/sample-data-fsh/Questionnaire-OswestryDisabilityIndexQuestionnaire.html |
| URL | http://example.org/fhir/Questionnaire/OswestryDisabilityIndexQuestionnaire |
| Version | 0.1.0 |
| Status | active |
| Date | 2026-09-10T21:57:14+00:00 |
| Title | Oswestry Disability Index (ODI) |
| Realm | us |
| Authority | hl7 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire OswestryDisabilityIndexQuestionnaire
Profile: SDC Base Questionnaire version: 4.0.0
| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
  | Questionnaire | http://example.org/fhir/Questionnaire/OswestryDisabilityIndexQuestionnaire#0.1.0 | |||
  odi-1 | Pain intensity | 0..1 | choice | Options: 6 options | |
| odi-2 | Personal care (washing, dressing, etc.) | 0..1 | choice | Options: 6 options | |
| odi-3 | Lifting | 0..1 | choice | Options: 6 options | |
| odi-4 | Walking | 0..1 | choice | Options: 6 options | |
| odi-5 | Sitting | 0..1 | choice | Options: 6 options | |
| odi-6 | Standing | 0..1 | choice | Options: 6 options | |
| odi-7 | Sleeping | 0..1 | choice | Options: 6 options | |
| odi-8 | Sex life (if applicable) | 0..1 | choice | Options: 6 options | |
| odi-9 | Social life | 0..1 | choice | Options: 6 options | |
| odi-10 | Traveling | 0..1 | choice | Options: 6 options | |
 score | Oswestry disability index score ODI | 0..1 | decimal |  | |
 severity-category | ODI disability category | 0..1 | choice | | Options: 5 options |
| Documentation for this format | |||||
Options Sets
Answer options for odi-1
Answer options for odi-2
Answer options for odi-3
Answer options for odi-4
Answer options for odi-5
Answer options for odi-6
Answer options for odi-7
Answer options for odi-8
Answer options for odi-9
Answer options for odi-10
Answer options for severity-category
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "OswestryDisabilityIndexQuestionnaire",
"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/OswestryDisabilityIndexQuestionnaire",
"version": "0.1.0",
"title": "Oswestry Disability Index (ODI)",
"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": "97908-8",
"display": "Oswestry Disability Index"
}
],
"item": [
{
"linkId": "odi-1",
"text": "Pain intensity",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"display": "I have no pain at the moment."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"display": "The pain is very mild at the moment."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"display": "The pain is moderate at the moment."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"display": "The pain is fairly severe at the moment."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"display": "The pain is very severe at the moment."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"display": "The pain is the worst imaginable at the moment."
}
}
]
},
{
"linkId": "odi-2",
"text": "Personal care (washing, dressing, etc.)",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"display": "I can look after myself normally without causing extra pain."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"display": "I can look after myself normally but it is very painful."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"display": "It is painful to look after myself and I am slow and careful."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"display": "I need some help but can manage most of my personal care."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"display": "I need help every day in most aspects of my personal care."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"display": "I do not get dressed, I wash with difficulty and stay in bed."
}
}
]
},
{
"linkId": "odi-3",
"text": "Lifting",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"display": "I can lift heavy weights without additional pain."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"display": "I can lift heavy weights but it gives additional pain."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"display": "Pain prevents me lifting heavy weights off the floor, but I can manage if they are conveniently placed e.g. on a table."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"display": "Pain prevents me from lifting heavy weights, but I can manage light to medium weights if they are conveniently positioned."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"display": "I can lift very light weights."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"display": "I cannot lift or carry anything at all."
}
}
]
},
{
"linkId": "odi-4",
"text": "Walking",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"display": "Pain does not prevent me walking any distance."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"display": "Pain prevents me from walking more than one mile."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"display": "Pain prevents me from walking more than a quarter of a mile."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"display": "Pain prevents me from walking more than 100 yards."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"display": "I can only walk using a stick or crutches."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"display": "I am in bed most of the time and have to crawl to the toilet."
}
}
]
},
{
"linkId": "odi-5",
"text": "Sitting",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"display": "I can sit in any chair as long as I like."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"display": "I can only sit in my favorite chair as long as I like."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"display": "Pain prevents me from sitting for more than one hour."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"display": "Pain prevents me from sitting for more than half an hour."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"display": "Pain prevents me from sitting for more than 10 minutes."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"display": "Pain prevents me from sitting at all."
}
}
]
},
{
"linkId": "odi-6",
"text": "Standing",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"display": "I can stand as long as I want without additional pain."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"display": "I can stand as long as I want but it gives me additional pain."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"display": "Pain prevents me from standing for more than 1 hour."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"display": "Pain prevents me from standing for more than half an hour."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"display": "Pain prevents me from standing for more than 10 minutes."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"display": "Pain prevents me from standing at all."
}
}
]
},
{
"linkId": "odi-7",
"text": "Sleeping",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"display": "My sleep is never interrupted by pain."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"display": "My sleep is occasionally interrupted by pain."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"display": "Because of pain I have less than 6 hours sleep."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"display": "Because of pain I have less than 4 hours sleep."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"display": "Because of pain I have less than 2 hours sleep."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"display": "Pain prevents me from sleeping at all."
}
}
]
},
{
"linkId": "odi-8",
"text": "Sex life (if applicable)",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"display": "My sex life is normal and causes no additional pain."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"display": "My sex life is normal but causes some additional pain."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"display": "My sex life is nearly normal but is very painful."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"display": "My sex life is severely restricted by pain."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"display": "My sex life is non existent because of pain."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"display": "Pain prevents me from having any sex life at all."
}
}
]
},
{
"linkId": "odi-9",
"text": "Social life",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"display": "My social life is normal and causes me no additional pain."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"display": "My social life is normal but increases the degree of pain."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"display": "Pain has no significant effect on social life apart from limiting my more energetic interests e.g. sports, etc."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"display": "Pain has restricted my social life and I do not go out as often."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"display": "Pain has restricted social life to my home."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"display": "I have no social life because of pain."
}
}
]
},
{
"linkId": "odi-10",
"text": "Traveling",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"display": "I can travel anywhere without pain."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"display": "I can travel anywhere but it gives me additional pain."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"display": "Pain is bad but I am able to manage trips over two hours."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"display": "Pain restricts me to trips of less than one hour."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"display": "Pain restricts trips to short necessary journeys under 30 minutes."
}
},
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"display": "Pain prevents traveling except to receive treatment."
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "(%resource.item.where(linkId='odi-1').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='odi-2').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='odi-3').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='odi-4').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='odi-5').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='odi-6').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='odi-7').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='odi-8').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='odi-9').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='odi-10').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal) / 50 * 100"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/minValue",
"valueDecimal": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueDecimal": 100
},
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding": {
"system": "http://unitsofmeasure.org",
"code": "%",
"display": "percent"
}
}
],
"linkId": "score",
"code": [
{
"system": "http://loinc.org",
"code": "97909-6",
"display": "Oswestry disability index score ODI"
}
],
"text": "Oswestry disability index score ODI",
"type": "decimal",
"readOnly": true
},
{
"extension": [
{
"extension": [
{
"url": "label",
"valueString": "Minimal disability"
},
{
"url": "low",
"valueDecimal": 0
},
{
"url": "high",
"valueDecimal": 20
}
],
"url": "http://example.org/StructureDefinition/score-band"
},
{
"extension": [
{
"url": "label",
"valueString": "Moderate disability"
},
{
"url": "low",
"valueDecimal": 21
},
{
"url": "high",
"valueDecimal": 40
}
],
"url": "http://example.org/StructureDefinition/score-band"
},
{
"extension": [
{
"url": "label",
"valueString": "Severe disability"
},
{
"url": "low",
"valueDecimal": 41
},
{
"url": "high",
"valueDecimal": 60
}
],
"url": "http://example.org/StructureDefinition/score-band"
},
{
"extension": [
{
"url": "label",
"valueString": "Crippled"
},
{
"url": "low",
"valueDecimal": 61
},
{
"url": "high",
"valueDecimal": 80
}
],
"url": "http://example.org/StructureDefinition/score-band"
},
{
"extension": [
{
"url": "label",
"valueString": "Bed-bound or exaggerating"
},
{
"url": "low",
"valueDecimal": 81
},
{
"url": "high",
"valueDecimal": 100
}
],
"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='score').answer.valueDecimal.select(iif($this <= 20, 'Minimal disability', iif($this <= 40, 'Moderate disability', iif($this <= 60, 'Severe disability', iif($this <= 80, 'Crippled', 'Bed-bound or exaggerating')))))"
}
}
],
"linkId": "severity-category",
"text": "ODI disability category",
"type": "choice",
"readOnly": true,
"answerOption": [
{
"valueString": "Minimal disability"
},
{
"valueString": "Moderate disability"
},
{
"valueString": "Severe disability"
},
{
"valueString": "Crippled"
},
{
"valueString": "Bed-bound or exaggerating"
}
]
}
]
}