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
{
"resourceType" : "QuestionnaireResponse",
"id" : "OswestryDisabilityIndexExample2",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><p>Oswestry Disability Index - February 2026. Score: 32% (Moderate disability).</p></div>"
},
"questionnaire" : "http://example.org/fhir/Questionnaire/OswestryDisabilityIndexQuestionnaire",
"status" : "completed",
"subject" : {
🔗 "reference" : "Patient/patient-john-doe-01"
},
"authored" : "2026-02-15T10:30:00Z",
"author" : {
🔗 "reference" : "Patient/patient-john-doe-01"
},
"item" : [
{
"linkId" : "odi-1",
"text" : "Pain intensity",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 1
}
],
"display" : "The pain is very mild at the moment."
}
}
]
},
{
"linkId" : "odi-2",
"text" : "Personal care (washing, dressing, etc.)",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 1
}
],
"display" : "I can look after myself normally but it is very painful."
}
}
]
},
{
"linkId" : "odi-3",
"text" : "Lifting",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"display" : "Pain prevents me lifting heavy weights off the floor, but I can manage if they are conveniently placed e.g. on a table."
}
}
]
},
{
"linkId" : "odi-4",
"text" : "Walking",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 1
}
],
"display" : "Pain prevents me from walking more than one mile."
}
}
]
},
{
"linkId" : "odi-5",
"text" : "Sitting",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"display" : "Pain prevents me from sitting for more than one hour."
}
}
]
},
{
"linkId" : "odi-6",
"text" : "Standing",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"display" : "Pain prevents me from standing for more than 1 hour."
}
}
]
},
{
"linkId" : "odi-7",
"text" : "Sleeping",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 1
}
],
"display" : "My sleep is occasionally interrupted by pain."
}
}
]
},
{
"linkId" : "odi-8",
"text" : "Sex life (if applicable)",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"display" : "My sex life is nearly normal but is very painful."
}
}
]
},
{
"linkId" : "odi-9",
"text" : "Social life",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"display" : "Pain has no significant effect on social life apart from limiting my more energetic interests e.g. sports, etc."
}
}
]
},
{
"linkId" : "odi-10",
"text" : "Traveling",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"display" : "Pain is bad but I am able to manage trips over two hours."
}
}
]
},
{
"linkId" : "score",
"answer" : [
{
"valueDecimal" : 32
}
]
},
{
"linkId" : "severity-category",
"answer" : [
{
"valueString" : "Moderate disability"
}
]
}
]
}