FHIR IG analytics| Package | fhir.paciosampledata |
| Resource Type | Questionnaire |
| Id | Questionnaire-PROMISPainInterferenceSFQuestionnaire.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/paciowg/sample-data-fsh/Questionnaire-PROMISPainInterferenceSFQuestionnaire.html |
| URL | http://example.org/fhir/Questionnaire/PROMISPainInterferenceSFQuestionnaire |
| Version | 0.1.0 |
| Status | active |
| Date | 2026-09-10T21:57:14+00:00 |
| Title | PROMIS Pain Interference Short Form 6a |
| Realm | us |
| Authority | hl7 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire PROMISPainInterferenceSFQuestionnaire
Profile: SDC Base Questionnaire version: 4.0.0
| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
  | Questionnaire | http://example.org/fhir/Questionnaire/PROMISPainInterferenceSFQuestionnaire#0.1.0 | |||
  pi6a-1 | In the past 7 days: How much did pain interfere with your day to day activities? | 0..1 | choice | Value Set: LOINC Answer Codes for LL1017-4 | |
| pi6a-2 | In the past 7 days: How much did pain interfere with work around the home? | 0..1 | choice | Value Set: LOINC Answer Codes for LL1017-4 | |
| pi6a-3 | In the past 7 days: How much did pain interfere with your ability to participate in social activities? | 0..1 | choice | Value Set: LOINC Answer Codes for LL1017-4 | |
| pi6a-4 | In the past 7 days: How much did pain interfere with your household chores? | 0..1 | choice | Value Set: LOINC Answer Codes for LL1017-4 | |
| pi6a-5 | In the past 7 days: How much did pain interfere with the things you usually do for fun? | 0..1 | choice | Value Set: LOINC Answer Codes for LL1017-4 | |
| pi6a-6 | In the past 7 days: How much did pain interfere with your enjoyment of social activities? | 0..1 | choice | Value Set: LOINC Answer Codes for LL1017-4 | |
 raw_score | PROMIS short form - pain interference 6a - version 1.0 raw score | 0..1 | decimal |  | |
 tscore | PROMIS pain interference - version 1.0 Tscore | 0..1 | decimal | | |
| Documentation for this format | |||||
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "PROMISPainInterferenceSFQuestionnaire",
"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/PROMISPainInterferenceSFQuestionnaire",
"version": "0.1.0",
"title": "PROMIS Pain Interference Short Form 6a",
"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": "90973-9",
"display": "PROMIS short form - pain interference 6a - version 1.0"
}
],
"item": [
{
"linkId": "pi6a-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": "pi6a-2",
"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"
},
{
"linkId": "pi6a-3",
"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": "pi6a-4",
"code": [
{
"system": "http://loinc.org",
"code": "61775-3"
}
],
"text": "In the past 7 days: How much did pain interfere with your household chores?",
"type": "choice",
"answerValueSet": "http://loinc.org/vs/LL1017-4"
},
{
"linkId": "pi6a-5",
"code": [
{
"system": "http://loinc.org",
"code": "61761-3"
}
],
"text": "In the past 7 days: How much did pain interfere with the things you usually do for fun?",
"type": "choice",
"answerValueSet": "http://loinc.org/vs/LL1017-4"
},
{
"linkId": "pi6a-6",
"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"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.item.where(linkId='pi6a-1').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='pi6a-2').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='pi6a-3').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='pi6a-4').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='pi6a-5').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='pi6a-6').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/minValue",
"valueDecimal": 6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueDecimal": 30
}
],
"linkId": "raw_score",
"code": [
{
"system": "http://loinc.org",
"code": "90974-7",
"display": "PROMIS short form - pain interference 6a - version 1.0 raw score"
}
],
"text": "PROMIS short form - pain interference 6a - version 1.0 raw score",
"type": "decimal",
"readOnly": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "(%resource.item.where(linkId='pi6a-1').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='pi6a-2').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='pi6a-3').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='pi6a-4').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='pi6a-5').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='pi6a-6').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal).select(iif($this = 6, 41.6, iif($this = 7, 44.0, iif($this = 8, 46.4, iif($this = 9, 48.2, iif($this = 10, 49.7, iif($this = 11, 51.0, iif($this = 12, 52.3, iif($this = 13, 53.6, iif($this = 14, 54.9, iif($this = 15, 56.3, iif($this = 16, 57.8, iif($this = 17, 59.5, iif($this = 18, 61.3, iif($this = 19, 63.3, iif($this = 20, 65.3, iif($this = 21, 67.3, iif($this = 22, 69.3, iif($this = 23, 71.4, iif($this = 24, 73.5, iif($this = 25, 75.9, iif($this = 26, 78.3, iif($this = 27, 80.7, iif($this = 28, 83.3, iif($this = 29, 86.4, iif($this = 30, 90.5, {}))))))))))))))))))))))))))"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/minValue",
"valueDecimal": 41.6
},
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueDecimal": 90.5
}
],
"linkId": "tscore",
"code": [
{
"system": "http://loinc.org",
"code": "77865-4",
"display": "PROMIS pain interference - version 1.0 Tscore"
}
],
"text": "PROMIS pain interference - version 1.0 Tscore",
"type": "decimal",
"readOnly": true
}
]
}