FHIR IG analytics| Package | fhir.paciosampledata |
| Resource Type | Questionnaire |
| Id | Questionnaire-PROMISPhysicalFunctionQuestionnaire.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/paciowg/sample-data-fsh/Questionnaire-PROMISPhysicalFunctionQuestionnaire.html |
| URL | http://example.org/fhir/Questionnaire/PROMISPhysicalFunctionQuestionnaire |
| Version | 0.1.0 |
| Status | active |
| Date | 2026-09-10T21:57:14+00:00 |
| Title | PROMIS Physical Function Short Form 6b |
| Realm | us |
| Authority | hl7 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire PROMISPhysicalFunctionQuestionnaire
Profile: SDC Base Questionnaire version: 4.0.0
| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
  | Questionnaire | http://example.org/fhir/Questionnaire/PROMISPhysicalFunctionQuestionnaire#0.1.0 | |||
  pf6b-1 | Are you able to do chores such as vacuuming or yard work? | 0..1 | choice | Value Set: LOINC Answer Codes for LL1022-4 | |
| pf6b-2 | Are you able to go up and down stairs at a normal pace? | 0..1 | choice | Value Set: LOINC Answer Codes for LL1022-4 | |
| pf6b-3 | Are you able to go for a walk of at least 15 minutes? | 0..1 | choice | Value Set: LOINC Answer Codes for LL1022-4 | |
| pf6b-4 | Are you able to run errands and shop? | 0..1 | choice | Value Set: LOINC Answer Codes for LL1022-4 | |
| pf6b-5 | Does your health now limit you in doing two hours of physical labor? | 0..1 | choice | Value Set: LOINC Answer Codes for LL1021-6 | |
| pf6b-6 | Does your health now limit you in doing moderate work around the house like vacuuming, sweeping floors or carrying in groceries? | 0..1 | choice | Value Set: LOINC Answer Codes for LL1021-6 | |
 raw_score | PROMIS short form - physical function 6b - version 1.2 raw score | 0..1 | decimal |  | |
 tscore | PROMIS physical function - version 1.0 Tscore | 0..1 | decimal | | |
| Documentation for this format | |||||
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "PROMISPhysicalFunctionQuestionnaire",
"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/PROMISPhysicalFunctionQuestionnaire",
"version": "0.1.0",
"title": "PROMIS Physical Function Short Form 6b",
"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": "76804-4",
"display": "PROMIS short form - physical function 6b - version 1.2"
}
],
"item": [
{
"linkId": "pf6b-1",
"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": "pf6b-2",
"code": [
{
"system": "http://loinc.org",
"code": "61607-8"
}
],
"text": "Are you able to go up and down stairs at a normal pace?",
"type": "choice",
"answerValueSet": "http://loinc.org/vs/LL1022-4"
},
{
"linkId": "pf6b-3",
"code": [
{
"system": "http://loinc.org",
"code": "61609-4"
}
],
"text": "Are you able to go for a walk of at least 15 minutes?",
"type": "choice",
"answerValueSet": "http://loinc.org/vs/LL1022-4"
},
{
"linkId": "pf6b-4",
"code": [
{
"system": "http://loinc.org",
"code": "61635-9"
}
],
"text": "Are you able to run errands and shop?",
"type": "choice",
"answerValueSet": "http://loinc.org/vs/LL1022-4"
},
{
"linkId": "pf6b-5",
"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": "pf6b-6",
"code": [
{
"system": "http://loinc.org",
"code": "61639-1"
}
],
"text": "Does your health now limit you in doing moderate work around the house like vacuuming, sweeping floors or carrying in groceries?",
"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='pf6b-1').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='pf6b-2').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='pf6b-3').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='pf6b-4').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='pf6b-5').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='pf6b-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": "77797-9",
"display": "PROMIS short form - physical function 6b - version 1.2 raw score"
}
],
"text": "PROMIS short form - physical function 6b - version 1.2 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='pf6b-1').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='pf6b-2').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='pf6b-3').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='pf6b-4').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='pf6b-5').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal + %resource.item.where(linkId='pf6b-6').answer.valueCoding.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal).select(iif($this = 6, 16.2, iif($this = 7, 19.9, iif($this = 8, 23.5, iif($this = 9, 26.7, iif($this = 10, 29.6, iif($this = 11, 32.4, iif($this = 12, 34.9, iif($this = 13, 37.4, iif($this = 14, 39.8, iif($this = 15, 42.3, iif($this = 16, 44.9, iif($this = 17, 47.7, iif($this = 18, 50.8, iif($this = 19, 54.1, iif($this = 20, 57.7, iif($this = 21, 61.9, iif($this = 22, 67.7, iif($this = 23, 73.3, iif($this = 24, 79.0, iif($this = 25, 84.7, iif($this = 26, 90.4, iif($this = 27, 95.9, iif($this = 28, 98.9, iif($this = 29, 99.5, iif($this = 30, 99.7, {}))))))))))))))))))))))))))"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/minValue",
"valueDecimal": 16.2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueDecimal": 99.7
}
],
"linkId": "tscore",
"code": [
{
"system": "http://loinc.org",
"code": "77866-2",
"display": "PROMIS physical function - version 1.0 Tscore"
}
],
"text": "PROMIS physical function - version 1.0 Tscore",
"type": "decimal",
"readOnly": true
}
]
}