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Packagefhir.paciosampledata
Resource TypeQuestionnaire
IdQuestionnaire-PROMISNRSQuestionnaire.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/paciowg/sample-data-fsh/Questionnaire-PROMISNRSQuestionnaire.html
URLhttp://example.org/fhir/Questionnaire/PROMISNRSQuestionnaire
Version0.1.0
Statusactive
Date2026-09-10T21:57:14+00:00
TitlePROMIS Pain Intensity Numeric Rating Scale (NRS)
Realmus
Authorityhl7

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Narrative

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

Generated Narrative: Questionnaire PROMISNRSQuestionnaire

Profile: SDC Base Questionnaire version: 4.0.0

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. Questionnairehttp://example.org/fhir/Questionnaire/PROMISNRSQuestionnaire#0.1.0
... nrs-1In the past 7 days, how would you rate your pain on average? (0-10)0..1integer

doco Documentation for this format

Source1

{
  "resourceType": "Questionnaire",
  "id": "PROMISNRSQuestionnaire",
  "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/PROMISNRSQuestionnaire",
  "version": "0.1.0",
  "title": "PROMIS Pain Intensity Numeric Rating Scale (NRS)",
  "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": "72514-3",
      "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
    }
  ],
  "item": [
    {
      "linkId": "nrs-1",
      "text": "In the past 7 days, how would you rate your pain on average? (0-10)",
      "type": "integer"
    }
  ]
}