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Packagefhir.paciosampledata
Resource TypeQuestionnaire
IdQuestionnaire-questionnaire-PROMIS10.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/paciowg/sample-data-fsh/Questionnaire-questionnaire-PROMIS10.html
URLhttps://globalalliantinc.com/fhir/Questionnaire/questionnaire-PROMIS10
Version0.1.0
Statusdraft
Date2026-03-26T20:08:48+00:00
TitlePROMIS-10
Realmus
Authorityhl7
DescriptionPROMIS Global-10
PurposeThe PROMIS Global-10 is a 10-item patient-reported questionnaire used to gauge the patient's overall physical and mental health.

Resources that use this resource

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Resources that this resource uses

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Narrative

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

Generated Narrative: Questionnaire questionnaire-PROMIS10

Structure
LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. PROMIS Global-10Questionnairehttps://globalalliantinc.com/fhir/Questionnaire/questionnaire-PROMIS10#0.1.0
... mbiWhat is this patient's Medicare Beneficiary Identifier (MBI)?1..1string
... assessment_datePlease report the date this assessment was complete.1..1date
... healthIn general, would you say your health is...1..1choiceOptions: 5 options
... quality_of_lifeIn general, would you say your quality of life is...1..1choiceOptions: 5 options
... physical_healthIn general, how would you rate your physical health?1..1choiceOptions: 5 options
... mental_healthIn general, how would you rate your mental health, including your mood and your ability to think?1..1choiceOptions: 5 options
... satisfaction_socialIn general, how would you rate your satisfaction with your social activities and relationships?1..1choiceOptions: 5 options
... social_activitiesIn general, please rate how well you carry out your usual social activities and roles. (This includes activities at home, at work and in your community, and responsibilities as a parent, child, spouse, employee, friend, etc.)1..1choiceOptions: 5 options
... physical_activitiesIn the past 7 days, to what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair?1..1choiceOptions: 5 options
... emotionalIn the past 7 days, how often have you been bothered by emotional problems such as feeling anxious, depressed or irritable?1..1choiceOptions: 5 options
... fatigueIn the past 7 days, how would you rate your fatigue on average?1..1choiceOptions: 5 options
... painOn a scale of 0-10, with 10 being the worst pain imaginable and 0 being no pain, how would you rate your pain on average?1..1choiceOptions: 11 options
... physical_health_scorePROMIS-10 Global Health, GPH, raw score0..1decimaliconicon
... mental_health_scorePROMIS-10 Global Health, GMH raw score0..1decimaliconicon
... physical_health_tscorePROMIS Global Physical Health v1.2 T-Score0..1decimaliconicon
... mental_health_tscorePROMIS Global Mental Health v1.2 T-Score0..1decimaliconicon

doco Documentation for this format

Options Sets

Answer options for health

  • http://loinc.org#LA9206-9 ("Excellent")
  • http://loinc.org#LA13913-1 ("Very Good")
  • http://loinc.org#LA8967-7 ("Good")
  • http://loinc.org#LA8968-5 ("Fair")
  • http://loinc.org#LA8969-3 ("Poor")

Answer options for quality_of_life

  • http://loinc.org#LA9206-9 ("Excellent")
  • http://loinc.org#LA13913-1 ("Very Good")
  • http://loinc.org#LA8967-7 ("Good")
  • http://loinc.org#LA8968-5 ("Fair")
  • http://loinc.org#LA8969-3 ("Poor")

Answer options for physical_health

  • http://loinc.org#LA9206-9 ("Excellent")
  • http://loinc.org#LA13913-1 ("Very Good")
  • http://loinc.org#LA8967-7 ("Good")
  • http://loinc.org#LA8968-5 ("Fair")
  • http://loinc.org#LA8969-3 ("Poor")

Answer options for mental_health

  • http://loinc.org#LA9206-9 ("Excellent")
  • http://loinc.org#LA13913-1 ("Very Good")
  • http://loinc.org#LA8967-7 ("Good")
  • http://loinc.org#LA8968-5 ("Fair")
  • http://loinc.org#LA8969-3 ("Poor")

Answer options for satisfaction_social

  • http://loinc.org#LA9206-9 ("Excellent")
  • http://loinc.org#LA13913-1 ("Very Good")
  • http://loinc.org#LA8967-7 ("Good")
  • http://loinc.org#LA8968-5 ("Fair")
  • http://loinc.org#LA8969-3 ("Poor")

Answer options for social_activities

  • http://loinc.org#LA9206-9 ("Excellent")
  • http://loinc.org#LA13913-1 ("Very Good")
  • http://loinc.org#LA8967-7 ("Good")
  • http://loinc.org#LA8968-5 ("Fair")
  • http://loinc.org#LA8969-3 ("Poor")

Answer options for physical_activities

  • http://loinc.org#LA13937-0 ("Completely")
  • http://loinc.org#LA13938-8 ("Mostly")
  • http://loinc.org#LA13939-6 ("Moderately")
  • http://loinc.org#LA13940-4 ("A little")
  • http://loinc.org#LA6568-5 ("Not at all")

Answer options for emotional

  • http://loinc.org#LA6270-8 ("Never")
  • http://loinc.org#LA10066-1 ("Rarely")
  • http://loinc.org#LA10082-8 ("Sometimes")
  • http://loinc.org#LA10044-8 ("Often")
  • http://loinc.org#LA9933-8 ("Always")

Answer options for fatigue

  • http://loinc.org#LA137-2 ("None")
  • http://loinc.org#LA6752-5 ("Mild")
  • http://loinc.org#LA6751-7 ("Moderate")
  • http://loinc.org#LA6750-9 ("Severe")
  • http://loinc.org#LA13958-6 ("Very Severe")

Answer options for pain

  • http://loinc.org#LA26951-6 ("0 - No Pain")
  • http://loinc.org#LA6112-2 ("1")
  • http://loinc.org#LA6113-0 ("2")
  • http://loinc.org#LA6114-8 ("3")
  • http://loinc.org#LA6115-5 ("4")
  • http://loinc.org#LA10137-0 ("5")
  • http://loinc.org#LA10138-8 ("6")
  • http://loinc.org#LA10139-6 ("7")
  • http://loinc.org#LA10140-4 ("8")
  • http://loinc.org#LA10141-2 ("9")
  • http://loinc.org#LA26952-4 ("10 - Worst Pain Imaginable")

Source1

{
  "resourceType": "Questionnaire",
  "id": "questionnaire-PROMIS10",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://globalalliantinc.com/fhir/Questionnaire/questionnaire-PROMIS10",
  "version": "0.1.0",
  "title": "PROMIS-10",
  "status": "draft",
  "date": "2026-03-26T20:08:48+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"
        }
      ]
    }
  ],
  "description": "PROMIS Global-10",
  "purpose": "The PROMIS Global-10 is a 10-item patient-reported questionnaire used to gauge the patient's overall physical and mental health.",
  "code": [
    {
      "system": "http://loinc.org",
      "code": "85524-7",
      "display": "PROMIS short form - global - version 1.2"
    }
  ],
  "item": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/regex",
          "valueString": "^[1-9]((?![SLOIBZ])[A-Z])((?![SLOIBZ])[0-9A-Z])[0-9]((?![SLOIBZ])[A-Z])((?![SLOIBZ])[0-9A-Z])[0-9]((?![SLOIBZ])[A-Z])((?![SLOIBZ])[A-Z])[0-9][0-9][%content%]quot;
        }
      ],
      "linkId": "mbi",
      "text": "What is this patient's Medicare Beneficiary Identifier (MBI)?",
      "type": "string",
      "required": true
    },
    {
      "linkId": "assessment_date",
      "text": "Please report the date this assessment was complete.",
      "type": "date",
      "required": true
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "drop-down",
                "display": "Drop down"
              }
            ],
            "text": "Drop down"
          }
        }
      ],
      "linkId": "health",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "61577-3",
          "display": "In general, would you say your health is..."
        }
      ],
      "text": "In general, would you say your health is...",
      "type": "choice",
      "required": true,
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 5
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA9206-9",
            "display": "Excellent"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 4
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA13913-1",
            "display": "Very Good"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA8967-7",
            "display": "Good"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA8968-5",
            "display": "Fair"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA8969-3",
            "display": "Poor"
          }
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "drop-down",
                "display": "Drop down"
              }
            ],
            "text": "Drop down"
          }
        }
      ],
      "linkId": "quality_of_life",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "61578-1",
          "display": "In general, would you say your quality of life is..."
        }
      ],
      "text": "In general, would you say your quality of life is...",
      "type": "choice",
      "required": true,
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 5
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA9206-9",
            "display": "Excellent"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 4
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA13913-1",
            "display": "Very Good"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA8967-7",
            "display": "Good"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA8968-5",
            "display": "Fair"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA8969-3",
            "display": "Poor"
          }
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "drop-down",
                "display": "Drop down"
              }
            ],
            "text": "Drop down"
          }
        }
      ],
      "linkId": "physical_health",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "61579-9",
          "display": "In general, how would you rate your physical health?"
        }
      ],
      "text": "In general, how would you rate your physical health?",
      "type": "choice",
      "required": true,
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 5
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA9206-9",
            "display": "Excellent"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 4
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA13913-1",
            "display": "Very Good"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA8967-7",
            "display": "Good"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA8968-5",
            "display": "Fair"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA8969-3",
            "display": "Poor"
          }
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "drop-down",
                "display": "Drop down"
              }
            ],
            "text": "Drop down"
          }
        }
      ],
      "linkId": "mental_health",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "61580-7",
          "display": "In general, how would you rate your mental health, including your mood and your ability  to think?"
        }
      ],
      "text": "In general, how would you rate your mental health, including your mood and your ability  to think?",
      "type": "choice",
      "required": true,
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 5
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA9206-9",
            "display": "Excellent"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 4
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA13913-1",
            "display": "Very Good"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA8967-7",
            "display": "Good"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA8968-5",
            "display": "Fair"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA8969-3",
            "display": "Poor"
          }
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "drop-down",
                "display": "Drop down"
              }
            ],
            "text": "Drop down"
          }
        }
      ],
      "linkId": "satisfaction_social",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "61581-5",
          "display": "In general, how would you rate your satisfaction with your social activities and relationships?"
        }
      ],
      "text": "In general, how would you rate your satisfaction with your social activities and relationships?",
      "type": "choice",
      "required": true,
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 5
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA9206-9",
            "display": "Excellent"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 4
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA13913-1",
            "display": "Very Good"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA8967-7",
            "display": "Good"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA8968-5",
            "display": "Fair"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA8969-3",
            "display": "Poor"
          }
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "drop-down",
                "display": "Drop down"
              }
            ],
            "text": "Drop down"
          }
        }
      ],
      "linkId": "social_activities",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "61585-6",
          "display": "In general, please rate how well you carry out  your usual social activities and roles. (This includes activities at home, at work and in your community, and responsibilities as a parent, child, spouse, employee, friend, etc.)"
        }
      ],
      "text": "In general, please rate how well you carry out  your usual social activities and roles. (This includes activities at home, at work and in your community, and responsibilities as a parent, child, spouse, employee, friend, etc.)",
      "type": "choice",
      "required": true,
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 5
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA9206-9",
            "display": "Excellent"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 4
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA13913-1",
            "display": "Very Good"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA8967-7",
            "display": "Good"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA8968-5",
            "display": "Fair"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA8969-3",
            "display": "Poor"
          }
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "drop-down",
                "display": "Drop down"
              }
            ],
            "text": "Drop down"
          }
        }
      ],
      "linkId": "physical_activities",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "61582-3",
          "display": "In the past 7 days, to what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair?"
        }
      ],
      "text": "In the past 7 days, 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",
      "required": true,
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 5
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA13937-0",
            "display": "Completely"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 4
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA13938-8",
            "display": "Mostly"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA13939-6",
            "display": "Moderately"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA13940-4",
            "display": "A little"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6568-5",
            "display": "Not at all"
          }
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "drop-down",
                "display": "Drop down"
              }
            ],
            "text": "Drop down"
          }
        }
      ],
      "linkId": "emotional",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "61586-4",
          "display": "In the past 7 days, how often have you been bothered by emotional problems such as feeling anxious, depressed or irritable?"
        }
      ],
      "text": "In the past 7 days, how often have you been bothered by emotional problems such as feeling anxious, depressed or irritable?",
      "type": "choice",
      "required": true,
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 5
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6270-8",
            "display": "Never"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 4
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA10066-1",
            "display": "Rarely"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA10082-8",
            "display": "Sometimes"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA10044-8",
            "display": "Often"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA9933-8",
            "display": "Always"
          }
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "drop-down",
                "display": "Drop down"
              }
            ],
            "text": "Drop down"
          }
        }
      ],
      "linkId": "fatigue",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "61584-9",
          "display": "In the past 7 days, how would you rate your fatigue on average?"
        }
      ],
      "text": "In the past 7 days, how would you rate your fatigue on average?",
      "type": "choice",
      "required": true,
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 5
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA137-2",
            "display": "None"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 4
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6752-5",
            "display": "Mild"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6751-7",
            "display": "Moderate"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6750-9",
            "display": "Severe"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA13958-6",
            "display": "Very Severe"
          }
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "drop-down",
                "display": "Drop down"
              }
            ],
            "text": "Drop down"
          }
        }
      ],
      "linkId": "pain",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "61583-1",
          "display": "On a scale of 0-10, with 10 being the worst pain imaginable and 0 being no pain, how would you rate your pain on average?"
        }
      ],
      "text": "On a scale of 0-10, with 10 being the worst pain imaginable and 0 being no pain, how would you rate your pain on average?",
      "type": "choice",
      "required": true,
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA26951-6",
            "display": "0 - No Pain"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6112-2",
            "display": "1"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6113-0",
            "display": "2"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6114-8",
            "display": "3"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 4
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6115-5",
            "display": "4"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 5
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA10137-0",
            "display": "5"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 6
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA10138-8",
            "display": "6"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 7
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA10139-6",
            "display": "7"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 8
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA10140-4",
            "display": "8"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 9
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA10141-2",
            "display": "9"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 10
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA26952-4",
            "display": "10 - Worst Pain Imaginable"
          }
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
          "valueExpression": {
            "language": "text/fhirpath",
            "expression": "%resource.item.where(linkId='physical_health').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value + %resource.item.where(linkId='physical_activities').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value + iif(%resource.item.where(linkId='pain').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value = 0, 5, iif(%resource.item.where(linkId='pain').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value <= 3, 4, iif(%resource.item.where(linkId='pain').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value <= 6, 3, iif(%resource.item.where(linkId='pain').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value <= 9, 2, 1)))) + %resource.item.where(linkId='fatigue').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value"
          }
        }
      ],
      "linkId": "physical_health_score",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "71972-4",
          "display": "PROMIS-10 Global Physical Health (GPH) score"
        }
      ],
      "text": "PROMIS-10 Global Health, GPH, 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='quality_of_life').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value + %resource.item.where(linkId='mental_health').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value + %resource.item.where(linkId='satisfaction_social').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value + %resource.item.where(linkId='emotional').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value"
          }
        }
      ],
      "linkId": "mental_health_score",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "71970-8",
          "display": "PROMIS-10 Global Mental Health (GMH) score"
        }
      ],
      "text": "PROMIS-10 Global Health, GMH raw score",
      "type": "decimal",
      "readOnly": true
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
          "valueExpression": {
            "language": "text/fhirpath",
            "expression": "iif(%resource.item.where(linkId='physical_health_score').answer.value = 4, 16.2, iif(%resource.item.where(linkId='physical_health_score').answer.value = 5, 19.9, iif(%resource.item.where(linkId='physical_health_score').answer.value = 6, 23.5, iif(%resource.item.where(linkId='physical_health_score').answer.value = 7, 26.7, iif(%resource.item.where(linkId='physical_health_score').answer.value = 8, 29.6, iif(%resource.item.where(linkId='physical_health_score').answer.value = 9, 32.4, iif(%resource.item.where(linkId='physical_health_score').answer.value = 10, 34.9, iif(%resource.item.where(linkId='physical_health_score').answer.value = 11, 37.4, iif(%resource.item.where(linkId='physical_health_score').answer.value = 12, 39.8, iif(%resource.item.where(linkId='physical_health_score').answer.value = 13, 42.3, iif(%resource.item.where(linkId='physical_health_score').answer.value = 14, 44.9, iif(%resource.item.where(linkId='physical_health_score').answer.value = 15, 47.7, iif(%resource.item.where(linkId='physical_health_score').answer.value = 16, 50.8, iif(%resource.item.where(linkId='physical_health_score').answer.value = 17, 54.1, iif(%resource.item.where(linkId='physical_health_score').answer.value = 18, 57.7, iif(%resource.item.where(linkId='physical_health_score').answer.value = 19, 61.9, iif(%resource.item.where(linkId='physical_health_score').answer.value = 20, 67.7, {})))))))))))))))))"
          }
        }
      ],
      "linkId": "physical_health_tscore",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "71971-6",
          "display": "PROMIS-10 Global Physical Health (GPH) score T-score"
        }
      ],
      "text": "PROMIS Global Physical Health v1.2 T-Score",
      "type": "decimal",
      "readOnly": true
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
          "valueExpression": {
            "language": "text/fhirpath",
            "expression": "iif(%resource.item.where(linkId='mental_health_score').answer.value = 4, 21.2, iif(%resource.item.where(linkId='mental_health_score').answer.value = 5, 25.1, iif(%resource.item.where(linkId='mental_health_score').answer.value = 6, 28.4, iif(%resource.item.where(linkId='mental_health_score').answer.value = 7, 31.3, iif(%resource.item.where(linkId='mental_health_score').answer.value = 8, 33.8, iif(%resource.item.where(linkId='mental_health_score').answer.value = 9, 36.3, iif(%resource.item.where(linkId='mental_health_score').answer.value = 10, 38.8, iif(%resource.item.where(linkId='mental_health_score').answer.value = 11, 41.1, iif(%resource.item.where(linkId='mental_health_score').answer.value = 12, 43.5, iif(%resource.item.where(linkId='mental_health_score').answer.value = 13, 45.8, iif(%resource.item.where(linkId='mental_health_score').answer.value = 14, 48.3, iif(%resource.item.where(linkId='mental_health_score').answer.value = 15, 50.8, iif(%resource.item.where(linkId='mental_health_score').answer.value = 16, 53.3, iif(%resource.item.where(linkId='mental_health_score').answer.value = 17, 56.0, iif(%resource.item.where(linkId='mental_health_score').answer.value = 18, 59.0, iif(%resource.item.where(linkId='mental_health_score').answer.value = 19, 62.5, iif(%resource.item.where(linkId='mental_health_score').answer.value = 20, 67.6, {})))))))))))))))))"
          }
        }
      ],
      "linkId": "mental_health_tscore",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "71969-0",
          "display": "PROMIS-10 Global Mental Health (GMH) score T-score"
        }
      ],
      "text": "PROMIS Global Mental Health v1.2 T-Score",
      "type": "decimal",
      "readOnly": true
    }
  ]
}