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

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Narrative

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

Generated Narrative: Questionnaire PROMISPhysicalFunctionCATQuestionnaireExample

Profile: SDC Base Questionnaire version: 4.0.0

LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. Questionnairehttp://example.org/fhir/Questionnaire/PROMISPhysicalFunctionCATQuestionnaire#0.1.0
... pf-cat-1Does your health now limit you in doing two hours of physical labor?0..1choiceValue Set: LOINC Answer Codes for LL1021-6
... pf-cat-2Are you able to do chores such as vacuuming or yard work?0..1choiceValue Set: LOINC Answer Codes for LL1022-4
... pf-cat-3To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair?0..1choiceValue Set: LOINC Answer Codes for LL1013-3
... pf-cat-4Does your health now limit you in walking more than a mile?0..1choiceValue Set: LOINC Answer Codes for LL1021-6
... tscorePROMIS physical function - version 2.0 T-score0..1decimaliconicon

doco Documentation for this format

Source1

{
  "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
    }
  ]
}