FHIR IG analytics| Package | fhir.paciosampledata |
| Resource Type | Questionnaire |
| Id | Questionnaire-PROMISPhysicalFunctionCATQuestionnaireExample.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/paciowg/sample-data-fsh/Questionnaire-PROMISPhysicalFunctionCATQuestionnaireExample.html |
| URL | http://example.org/fhir/Questionnaire/PROMISPhysicalFunctionCATQuestionnaire |
| Version | 0.1.0 |
| Status | active |
| Date | 2026-09-10T21:57:14+00:00 |
| Title | PROMIS Physical Function Computerized Adaptive Test (CAT) |
| Realm | us |
| Authority | hl7 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire PROMISPhysicalFunctionCATQuestionnaireExample
Profile: SDC Base Questionnaire version: 4.0.0
| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
![]() | Questionnaire | http://example.org/fhir/Questionnaire/PROMISPhysicalFunctionCATQuestionnaire#0.1.0 | |||
![]() ![]() | Does your health now limit you in doing two hours of physical labor? | 0..1 | choice | Value Set: LOINC Answer Codes for LL1021-6 | |
![]() ![]() | Are you able to do chores such as vacuuming or yard work? | 0..1 | choice | Value Set: LOINC Answer Codes for LL1022-4 | |
![]() ![]() | To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair? | 0..1 | choice | Value Set: LOINC Answer Codes for LL1013-3 | |
![]() ![]() | Does your health now limit you in walking more than a mile? | 0..1 | choice | Value Set: LOINC Answer Codes for LL1021-6 | |
![]() ![]() | PROMIS physical function - version 2.0 T-score | 0..1 | decimal | ||
{
"resourceType": "Questionnaire",
"id": "PROMISPhysicalFunctionCATQuestionnaireExample",
"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/PROMISPhysicalFunctionCATQuestionnaire",
"version": "0.1.0",
"title": "PROMIS Physical Function 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": "91722-9",
"display": "PROMIS item bank - physical function - version 2.0"
}
],
"item": [
{
"linkId": "pf-cat-1",
"code": [
{
"system": "http://loinc.org",
"code": "61688-8"
}
],
"text": "Does your health now limit you in doing two hours of physical labor?",
"type": "choice",
"answerValueSet": "http://loinc.org/vs/LL1021-6"
},
{
"linkId": "pf-cat-2",
"code": [
{
"system": "http://loinc.org",
"code": "61597-1"
}
],
"text": "Are you able to do chores such as vacuuming or yard work?",
"type": "choice",
"answerValueSet": "http://loinc.org/vs/LL1022-4"
},
{
"linkId": "pf-cat-3",
"code": [
{
"system": "http://loinc.org",
"code": "61582-3"
}
],
"text": "To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair?",
"type": "choice",
"answerValueSet": "http://loinc.org/vs/LL1013-3"
},
{
"linkId": "pf-cat-4",
"code": [
{
"system": "http://loinc.org",
"code": "61697-9"
}
],
"text": "Does your health now limit you in walking more than a mile?",
"type": "choice",
"answerValueSet": "http://loinc.org/vs/LL1021-6"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "(%resource.item.where(linkId='pf-cat-1').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='pf-cat-2').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='pf-cat-3').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='pf-cat-4').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal).select(iif($this = 4, 16.2, iif($this = 5, 19.9, iif($this = 6, 23.5, iif($this = 7, 26.7, iif($this = 8, 29.6, iif($this = 9, 32.4, iif($this = 10, 34.9, iif($this = 11, 37.4, iif($this = 12, 39.8, iif($this = 13, 42.3, iif($this = 14, 44.9, iif($this = 15, 47.7, iif($this = 16, 50.8, iif($this = 17, 54.1, iif($this = 18, 57.7, iif($this = 19, 61.9, iif($this = 20, 67.7, {})))))))))))))))))"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/minValue",
"valueDecimal": 16.2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueDecimal": 67.7
}
],
"linkId": "tscore",
"code": [
{
"system": "http://loinc.org",
"code": "91721-1",
"display": "PROMIS physical function - version 2.0 T-score"
}
],
"text": "PROMIS physical function - version 2.0 T-score",
"type": "decimal",
"readOnly": true
}
]
}