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Source1

{
  "resourceType": "QuestionnaireResponse",
  "id": "PROMISPhysicalFunctionExample1",
  "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/PROMISPhysicalFunctionQuestionnaire",
  "status": "completed",
  "subject": {
    "reference": "Patient/patient-john-doe-01"
  },
  "authored": "2026-01-15T10:30:00Z",
  "author": {
    "reference": "Patient/patient-john-doe-01"
  },
  "item": [
    {
      "linkId": "pf6b-1",
      "text": "Are you able to do chores such as vacuuming or yard work?",
      "answer": [
        {
          "valueCoding": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                "valueDecimal": 4
              }
            ],
            "system": "http://loinc.org",
            "code": "LA13918-0",
            "display": "With a little difficulty"
          }
        }
      ]
    },
    {
      "linkId": "pf6b-2",
      "text": "Are you able to go up and down stairs at a normal pace?",
      "answer": [
        {
          "valueCoding": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                "valueDecimal": 3
              }
            ],
            "system": "http://loinc.org",
            "code": "LA13920-6",
            "display": "With some difficulty"
          }
        }
      ]
    },
    {
      "linkId": "pf6b-3",
      "text": "Are you able to go for a walk of at least 15 minutes?",
      "answer": [
        {
          "valueCoding": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                "valueDecimal": 3
              }
            ],
            "system": "http://loinc.org",
            "code": "LA13920-6",
            "display": "With some difficulty"
          }
        }
      ]
    },
    {
      "linkId": "pf6b-4",
      "text": "Are you able to run errands and shop?",
      "answer": [
        {
          "valueCoding": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                "valueDecimal": 4
              }
            ],
            "system": "http://loinc.org",
            "code": "LA13918-0",
            "display": "With a little difficulty"
          }
        }
      ]
    },
    {
      "linkId": "pf6b-5",
      "text": "Does your health now limit you in doing two hours of physical labor?",
      "answer": [
        {
          "valueCoding": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                "valueDecimal": 1
              }
            ],
            "system": "http://loinc.org",
            "code": "LA13868-7",
            "display": "Cannot do"
          }
        }
      ]
    },
    {
      "linkId": "pf6b-6",
      "text": "Does your health now limit you in doing moderate work around the house like vacuuming, sweeping floors or carrying in groceries?",
      "answer": [
        {
          "valueCoding": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                "valueDecimal": 2
              }
            ],
            "system": "http://loinc.org",
            "code": "LA11911-7",
            "display": "Quite a lot"
          }
        }
      ]
    },
    {
      "linkId": "raw_score",
      "answer": [
        {
          "valueDecimal": 17
        }
      ]
    },
    {
      "linkId": "tscore",
      "answer": [
        {
          "valueDecimal": 36.8
        }
      ]
    }
  ]
}