PACIO Sample Data Depot
0.1.0 - draft

PACIO Sample Data Depot, published by MITRE. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/paciowg/sample-data-fsh/ and changes regularly. See the Directory of published versions

Questionnaire: Oswestry Disability Index Questionnaire

Official URL: http://example.org/fhir/Questionnaire/OswestryDisabilityIndexQuestionnaire Version: 0.1.0
Active as of 2026-09-10 Computable Name:

Profile: SDC Base Questionnaire version: 4.0.0

Structure
LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. Questionnairehttp://example.org/fhir/Questionnaire/OswestryDisabilityIndexQuestionnaire#0.1.0
... odi-1Pain intensity0..1choiceValue Set:
Options: 6 options
... odi-2Personal care (washing, dressing, etc.)0..1choiceValue Set:
Options: 6 options
... odi-3Lifting0..1choiceValue Set:
Options: 6 options
... odi-5Sitting0..1choiceValue Set:
Options: 6 options
... odi-6Standing0..1choiceValue Set:
Options: 6 options
... odi-7Sleeping0..1choiceValue Set:
Options: 6 options
... odi-8Sex life (if applicable)0..1choiceValue Set:
Options: 6 options
... odi-9Social life0..1choiceValue Set:
Options: 6 options
... odi-10Traveling0..1choiceValue Set:
Options: 6 options
... scoreOswestry disability index score ODI0..1decimaliconiconValue Set:
... severity-categoryODI disability category0..1choiceiconiconValue Set:
Options: 5 options

doco Documentation for this format

Options Sets

Answer options for odi-1

  • null#null ("I have no pain at the moment.")
  • null#null ("The pain is very mild at the moment.")
  • null#null ("The pain is moderate at the moment.")
  • null#null ("The pain is fairly severe at the moment.")
  • null#null ("The pain is very severe at the moment.")
  • null#null ("The pain is the worst imaginable at the moment.")

Answer options for odi-2

  • null#null ("I can look after myself normally without causing extra pain.")
  • null#null ("I can look after myself normally but it is very painful.")
  • null#null ("It is painful to look after myself and I am slow and careful.")
  • null#null ("I need some help but can manage most of my personal care.")
  • null#null ("I need help every day in most aspects of my personal care.")
  • null#null ("I do not get dressed, I wash with difficulty and stay in bed.")

Answer options for odi-3

  • null#null ("I can lift heavy weights without additional pain.")
  • null#null ("I can lift heavy weights but it gives additional pain.")
  • null#null ("Pain prevents me lifting heavy weights off the floor, but I can manage if they are conveniently placed e.g. on a table.")
  • null#null ("Pain prevents me from lifting heavy weights, but I can manage light to medium weights if they are conveniently positioned.")
  • null#null ("I can lift very light weights.")
  • null#null ("I cannot lift or carry anything at all.")

Answer options for odi-4

  • null#null ("Pain does not prevent me walking any distance.")
  • null#null ("Pain prevents me from walking more than one mile.")
  • null#null ("Pain prevents me from walking more than a quarter of a mile.")
  • null#null ("Pain prevents me from walking more than 100 yards.")
  • null#null ("I can only walk using a stick or crutches.")
  • null#null ("I am in bed most of the time and have to crawl to the toilet.")

Answer options for odi-5

  • null#null ("I can sit in any chair as long as I like.")
  • null#null ("I can only sit in my favorite chair as long as I like.")
  • null#null ("Pain prevents me from sitting for more than one hour.")
  • null#null ("Pain prevents me from sitting for more than half an hour.")
  • null#null ("Pain prevents me from sitting for more than 10 minutes.")
  • null#null ("Pain prevents me from sitting at all.")

Answer options for odi-6

  • null#null ("I can stand as long as I want without additional pain.")
  • null#null ("I can stand as long as I want but it gives me additional pain.")
  • null#null ("Pain prevents me from standing for more than 1 hour.")
  • null#null ("Pain prevents me from standing for more than half an hour.")
  • null#null ("Pain prevents me from standing for more than 10 minutes.")
  • null#null ("Pain prevents me from standing at all.")

Answer options for odi-7

  • null#null ("My sleep is never interrupted by pain.")
  • null#null ("My sleep is occasionally interrupted by pain.")
  • null#null ("Because of pain I have less than 6 hours sleep.")
  • null#null ("Because of pain I have less than 4 hours sleep.")
  • null#null ("Because of pain I have less than 2 hours sleep.")
  • null#null ("Pain prevents me from sleeping at all.")

Answer options for odi-8

  • null#null ("My sex life is normal and causes no additional pain.")
  • null#null ("My sex life is normal but causes some additional pain.")
  • null#null ("My sex life is nearly normal but is very painful.")
  • null#null ("My sex life is severely restricted by pain.")
  • null#null ("My sex life is non existent because of pain.")
  • null#null ("Pain prevents me from having any sex life at all.")

Answer options for odi-9

  • null#null ("My social life is normal and causes me no additional pain.")
  • null#null ("My social life is normal but increases the degree of pain.")
  • null#null ("Pain has no significant effect on social life apart from limiting my more energetic interests e.g. sports, etc.")
  • null#null ("Pain has restricted my social life and I do not go out as often.")
  • null#null ("Pain has restricted social life to my home.")
  • null#null ("I have no social life because of pain.")

Answer options for odi-10

  • null#null ("I can travel anywhere without pain.")
  • null#null ("I can travel anywhere but it gives me additional pain.")
  • null#null ("Pain is bad but I am able to manage trips over two hours.")
  • null#null ("Pain restricts me to trips of less than one hour.")
  • null#null ("Pain restricts trips to short necessary journeys under 30 minutes.")
  • null#null ("Pain prevents traveling except to receive treatment.")

Answer options for severity-category

  • Minimal disability
  • Moderate disability
  • Severe disability
  • Crippled
  • Bed-bound or exaggerating