FHIR IG analytics| Package | fhir.paciosampledata |
| Resource Type | QuestionnaireResponse |
| Id | QuestionnaireResponse-PROMISPainInterferenceSFExample2.json |
| FHIR Version | R4 |
No resources found
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Note: links and images are rebased to the (stated) source
PROMIS Pain Interference (Short Form 6a) - February 2026. T-score: 54.9.
{
"resourceType": "QuestionnaireResponse",
"id": "PROMISPainInterferenceSFExample2",
"meta": {
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"
]
},
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"questionnaire": "http://example.org/fhir/Questionnaire/PROMISPainInterferenceSFQuestionnaire",
"status": "completed",
"subject": {
"reference": "Patient/patient-john-doe-01"
},
"authored": "2026-02-15T10:30:00Z",
"author": {
"reference": "Patient/patient-john-doe-01"
},
"item": [
{
"linkId": "pi6a-1",
"text": "In the past 7 days: How much did pain interfere with your day to day activities?",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"system": "http://loinc.org",
"code": "LA13863-8",
"display": "A little bit"
}
}
]
},
{
"linkId": "pi6a-2",
"text": "In the past 7 days: How much did pain interfere with work around the home?",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"system": "http://loinc.org",
"code": "LA13863-8",
"display": "A little bit"
}
}
]
},
{
"linkId": "pi6a-3",
"text": "In the past 7 days: How much did pain interfere with your ability to participate in social activities?",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"system": "http://loinc.org",
"code": "LA13909-9",
"display": "Somewhat"
}
}
]
},
{
"linkId": "pi6a-4",
"text": "In the past 7 days: How much did pain interfere with your household chores?",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"system": "http://loinc.org",
"code": "LA13863-8",
"display": "A little bit"
}
}
]
},
{
"linkId": "pi6a-5",
"text": "In the past 7 days: How much did pain interfere with the things you usually do for fun?",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"system": "http://loinc.org",
"code": "LA13863-8",
"display": "A little bit"
}
}
]
},
{
"linkId": "pi6a-6",
"text": "In the past 7 days: How much did pain interfere with your enjoyment of social activities?",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"system": "http://loinc.org",
"code": "LA13909-9",
"display": "Somewhat"
}
}
]
},
{
"linkId": "raw_score",
"answer": [
{
"valueDecimal": 14
}
]
},
{
"linkId": "tscore",
"answer": [
{
"valueDecimal": 54.9
}
]
}
]
}