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Resource Questionnaire/FHIR Server from package va.fhir.vco#current (47 ms)

Package va.fhir.vco
Type Questionnaire
Id Id
FHIR Version R4
Source http://va.gov/fhir/vco/https://build.fhir.org/ig/mtnlotus/vco-ig/Questionnaire-well-being-signs.html
Url http://va.gov/fhir/vco/Questionnaire/well-being-signs
Version 0.1.0
Status draft
Date 2025-03-26
Name WellBeingSigns
Title Well-Being Signs
Experimental True
Realm us
Description Well-Being Signs (WBS) is a 3-question quantitative scale that was designed to provide a quick and easy way to assess how Veterans are doing in their daily lives.
Copyright Used by permission of U.S. Department of Veterans Affairs, all rights reserved Creative Commons License

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 well-being-signs

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. WellBeingSignsWell-Being Signs (WBS) is a 3-question quantitative scale that was designed to provide a quick and easy way to assess how Veterans are doing in their daily lives.Questionnairehttp://va.gov/fhir/vco/Questionnaire/well-being-signs#0.1.0
... /well-being-signsWell-Being Signs0..1group
.... /instructionsFor these questions, please consider the most important things that you do, or wish to do, in your daily life. This might include having a job, managing your health and finances, spending time with family and friends, or participating in leisure - time activities. If you are not sure which response to choose, please make your best guess.0..1display
.... /satisfiedOver the past month, on average how often have you been Fully Satisfied with how these things are going?0..1choiceOptions: 11 options
.... /involvedOver the past month, on average how often have you been Regularly Involved in things that are important to you?0..1choiceOptions: 11 options
.... /functioningOver the past month, on average how often have you been Functioning Your Best in the most important things you do?0..1choiceOptions: 11 options

doco Documentation for this format

Options Sets

Answer options for /satisfied

  • http://loinc.org#LA6111-4 ("0")
  • http://loinc.org#LA6112-2 ("1")
  • http://loinc.org#LA6113-0 ("2 or more")
  • 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#LA13942-0 ("10")

Answer options for /involved

  • http://loinc.org#LA6111-4 ("0")
  • http://loinc.org#LA6112-2 ("1")
  • http://loinc.org#LA6113-0 ("2 or more")
  • 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#LA13942-0 ("10")

Answer options for /functioning

  • http://loinc.org#LA6111-4 ("0")
  • http://loinc.org#LA6112-2 ("1")
  • http://loinc.org#LA6113-0 ("2 or more")
  • 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#LA13942-0 ("10")

Source

{
  "resourceType" : "Questionnaire",
  "id" : "well-being-signs",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire well-being-signs</b></p><a name=\"well-being-signs\"> </a><a name=\"hcwell-being-signs\"> </a><a name=\"well-being-signs-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaire.html\">SDCBaseQuestionnaire</a></p></div><b>Structure</b><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Cardinality</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireRoot\" class=\"hierarchy\"/> WellBeingSigns</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Well-Being Signs (WBS) is a 3-question quantitative scale that was designed to provide a quick and easy way to assess how Veterans are doing in their daily lives.</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">http://va.gov/fhir/vco/Questionnaire/well-being-signs#0.1.0</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" id=\"item./well-being-signs\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> /well-being-signs</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Well-Being Signs</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item./instructions\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"display\" class=\"hierarchy\"/> /instructions</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">For these questions, please consider the most important things that you do, or wish to do, in your daily life. This might include having a job, managing your health and finances, spending time with family and friends, or participating in leisure - time activities. If you are not sure which response to choose, please make your best guess.</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item./satisfied\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> /satisfied</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Over the past month, on average how often have you been Fully Satisfied with how these things are going?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item./satisfied\">11 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item./involved\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> /involved</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Over the past month, on average how often have you been Regularly Involved in things that are important to you?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item./involved\">11 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" id=\"item./functioning\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> /functioning</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Over the past month, on average how often have you been Functioning Your Best in the most important things you do?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item./functioning\">11 options</a></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name=\"opt-item./satisfied\"> </a><p><b>Answer options for /satisfied </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6111-4 (&quot;0&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6112-2 (&quot;1&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6113-0 (&quot;2 or more&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6114-8 (&quot;3&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6115-5 (&quot;4&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA10137-0 (&quot;5&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA10138-8 (&quot;6&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA10139-6 (&quot;7&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA10140-4 (&quot;8&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA10141-2 (&quot;9&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA13942-0 (&quot;10&quot;)</li></ul><a name=\"opt-item./involved\"> </a><p><b>Answer options for /involved </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6111-4 (&quot;0&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6112-2 (&quot;1&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6113-0 (&quot;2 or more&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6114-8 (&quot;3&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6115-5 (&quot;4&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA10137-0 (&quot;5&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA10138-8 (&quot;6&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA10139-6 (&quot;7&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA10140-4 (&quot;8&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA10141-2 (&quot;9&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA13942-0 (&quot;10&quot;)</li></ul><a name=\"opt-item./functioning\"> </a><p><b>Answer options for /functioning </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6111-4 (&quot;0&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6112-2 (&quot;1&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6113-0 (&quot;2 or more&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6114-8 (&quot;3&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6115-5 (&quot;4&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA10137-0 (&quot;5&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA10138-8 (&quot;6&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA10139-6 (&quot;7&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA10140-4 (&quot;8&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA10141-2 (&quot;9&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA13942-0 (&quot;10&quot;)</li></ul></div>"
  },
  "url" : "http://va.gov/fhir/vco/Questionnaire/well-being-signs",
  "version" : "0.1.0",
  "name" : "WellBeingSigns",
  "title" : "Well-Being Signs",
  "status" : "draft",
  "experimental" : true,
  "date" : "2025-03-26",
  "publisher" : "U.S. Department of Veterans Affairs",
  "contact" : [
    {
      "name" : "U.S. Department of Veterans Affairs",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://va.gov"
        }
      ]
    }
  ],
  "description" : "Well-Being Signs (WBS) is a 3-question quantitative scale that was designed to provide a quick and easy way to assess how Veterans are doing in their daily lives.",
  "useContext" : [
    {
      "code" : {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "focus"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/pco/CodeSystem/pco-concepts-temporary",
            "code" : "well-being",
            "display" : "Well-Being"
          }
        ]
      }
    }
  ],
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "copyright" : "Used by permission of U.S. Department of Veterans Affairs, all rights reserved Creative Commons License",
  "code" : [
    {
      "system" : "http://va.gov/fhir/vco/CodeSystem/well-being",
      "code" : "well-being-signs",
      "display" : "Well-Being Signs"
    }
  ],
  "item" : [
    {
      "linkId" : "/well-being-signs",
      "text" : "Well-Being Signs",
      "type" : "group",
      "required" : false,
      "item" : [
        {
          "linkId" : "/instructions",
          "text" : "For these questions, please consider the most important things that you do, or wish to do, in your daily life. This might include having a job, managing your health and finances, spending time with family and friends, or participating in leisure - time activities. If you are not sure which response to choose, please make your best guess.",
          "type" : "display"
        },
        {
          "linkId" : "/satisfied",
          "code" : [
            {
              "system" : "http://va.gov/fhir/us/vco/CodeSystem/well-being-signs",
              "code" : "satisfied",
              "display" : "Fully Satisfied"
            }
          ],
          "text" : "Over the past month, on average how often have you been Fully Satisfied with how these things are going?",
          "type" : "choice",
          "repeats" : false,
          "answerOption" : [
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA6111-4",
                "display" : "0"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA6112-2",
                "display" : "1"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA6113-0",
                "display" : "2 or more"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA6114-8",
                "display" : "3"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA6115-5",
                "display" : "4"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10137-0",
                "display" : "5"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10138-8",
                "display" : "6"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10139-6",
                "display" : "7"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10140-4",
                "display" : "8"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10141-2",
                "display" : "9"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA13942-0",
                "display" : "10"
              }
            }
          ]
        },
        {
          "linkId" : "/involved",
          "code" : [
            {
              "system" : "http://va.gov/fhir/us/vco/CodeSystem/well-being-signs",
              "code" : "involved",
              "display" : "Regularly Involved"
            }
          ],
          "text" : "Over the past month, on average how often have you been Regularly Involved in things that are important to you?",
          "type" : "choice",
          "repeats" : false,
          "answerOption" : [
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA6111-4",
                "display" : "0"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA6112-2",
                "display" : "1"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA6113-0",
                "display" : "2 or more"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA6114-8",
                "display" : "3"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA6115-5",
                "display" : "4"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10137-0",
                "display" : "5"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10138-8",
                "display" : "6"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10139-6",
                "display" : "7"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10140-4",
                "display" : "8"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10141-2",
                "display" : "9"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA13942-0",
                "display" : "10"
              }
            }
          ]
        },
        {
          "linkId" : "/functioning",
          "code" : [
            {
              "system" : "http://va.gov/fhir/us/vco/CodeSystem/well-being-signs",
              "code" : "functioning",
              "display" : "Functioning your best"
            }
          ],
          "text" : "Over the past month, on average how often have you been Functioning Your Best in the most important things you do?",
          "type" : "choice",
          "repeats" : false,
          "answerOption" : [
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA6111-4",
                "display" : "0"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA6112-2",
                "display" : "1"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA6113-0",
                "display" : "2 or more"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA6114-8",
                "display" : "3"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA6115-5",
                "display" : "4"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10137-0",
                "display" : "5"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10138-8",
                "display" : "6"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10139-6",
                "display" : "7"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10140-4",
                "display" : "8"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10141-2",
                "display" : "9"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA13942-0",
                "display" : "10"
              }
            }
          ]
        }
      ]
    }
  ]
}

XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.