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Packagefhir.paciosampledata
Resource TypeQuestionnaire
IdQuestionnaire-PROMISPainInterferenceCATQuestionnaireExample.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/paciowg/sample-data-fsh/Questionnaire-PROMISPainInterferenceCATQuestionnaireExample.html
URLhttp://example.org/fhir/Questionnaire/PROMISPainInterferenceCATQuestionnaire
Version0.1.0
Statusactive
Date2026-09-10T21:57:14+00:00
TitlePROMIS Pain Interference Computerized Adaptive Test (CAT)
Realmus
Authorityhl7

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Narrative

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

Generated Narrative: Questionnaire PROMISPainInterferenceCATQuestionnaireExample

Profile: SDC Base Questionnaire version: 4.0.0

LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. Questionnairehttp://example.org/fhir/Questionnaire/PROMISPainInterferenceCATQuestionnaire#0.1.0
... pi-cat-1In the past 7 days: How much did pain interfere with your day to day activities?0..1choiceValue Set: LOINC Answer Codes for LL1017-4
... pi-cat-2In the past 7 days: How much did pain interfere with your ability to participate in social activities?0..1choiceValue Set: LOINC Answer Codes for LL1017-4
... pi-cat-3In the past 7 days: How much did pain interfere with your enjoyment of social activities?0..1choiceValue Set: LOINC Answer Codes for LL1017-4
... pi-cat-4In the past 7 days: How much did pain interfere with work around the home?0..1choiceValue Set: LOINC Answer Codes for LL1017-4
... tscorePROMIS pain interference - version 1.1 Tscore0..1decimaliconicon

doco Documentation for this format

Source1

{
  "resourceType": "Questionnaire",
  "id": "PROMISPainInterferenceCATQuestionnaireExample",
  "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/PROMISPainInterferenceCATQuestionnaire",
  "version": "0.1.0",
  "title": "PROMIS Pain Interference Computerized Adaptive Test (CAT)",
  "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": "89923-7",
      "display": "PROMIS item bank - pain interference - version 1.1"
    }
  ],
  "item": [
    {
      "linkId": "pi-cat-1",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "61758-9"
        }
      ],
      "text": "In the past 7 days: How much did pain interfere with your day to day activities?",
      "type": "choice",
      "answerValueSet": "http://loinc.org/vs/LL1017-4"
    },
    {
      "linkId": "pi-cat-2",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "61773-8"
        }
      ],
      "text": "In the past 7 days: How much did pain interfere with your ability to participate in social activities?",
      "type": "choice",
      "answerValueSet": "http://loinc.org/vs/LL1017-4"
    },
    {
      "linkId": "pi-cat-3",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "61777-9"
        }
      ],
      "text": "In the past 7 days: How much did pain interfere with your enjoyment of social activities?",
      "type": "choice",
      "answerValueSet": "http://loinc.org/vs/LL1017-4"
    },
    {
      "linkId": "pi-cat-4",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "61769-6"
        }
      ],
      "text": "In the past 7 days: How much did pain interfere with work around the home?",
      "type": "choice",
      "answerValueSet": "http://loinc.org/vs/LL1017-4"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
          "valueExpression": {
            "language": "text/fhirpath",
            "expression": "(%resource.item.where(linkId='pi-cat-1').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='pi-cat-2').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='pi-cat-3').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='pi-cat-4').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal).select(iif($this = 4, 41.6, iif($this = 5, 44.0, iif($this = 6, 46.4, iif($this = 7, 48.2, iif($this = 8, 49.7, iif($this = 9, 51.0, iif($this = 10, 52.3, iif($this = 11, 53.6, iif($this = 12, 54.9, iif($this = 13, 56.3, iif($this = 14, 57.8, iif($this = 15, 59.5, iif($this = 16, 61.3, iif($this = 17, 63.3, iif($this = 18, 65.3, iif($this = 19, 67.3, iif($this = 20, 69.3, {})))))))))))))))))"
          }
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/minValue",
          "valueDecimal": 41.6
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
          "valueDecimal": 85
        }
      ],
      "linkId": "tscore",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "89924-5",
          "display": "PROMIS pain interference - version 1.1 Tscore"
        }
      ],
      "text": "PROMIS pain interference - version 1.1 Tscore",
      "type": "decimal",
      "readOnly": true
    }
  ]
}