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

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: Oswestry Disability Index QuestionnaireResponse - April 2026 - XML Representation

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<QuestionnaireResponse xmlns="http://hl7.org/fhir">
  <id value="OswestryDisabilityIndexExample4"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en"><p>Oswestry Disability Index - April 2026. Score: 24% (Moderate disability).</p></div>
  </text>
  <questionnaire
                 value="http://example.org/fhir/Questionnaire/OswestryDisabilityIndexQuestionnaire"/>
  <status value="completed"/>
  <subject>🔗 
    <reference value="Patient/patient-john-doe-01"/>
  </subject>
  <authored value="2026-04-15T10:30:00Z"/>
  <author>🔗 
    <reference value="Patient/patient-john-doe-01"/>
  </author>
  <item>
    <linkId value="odi-1"/>
    <text value="Pain intensity"/>
    <answer>
      <valueCoding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="1"/>
        </extension>
        <display value="The pain is very mild at the moment."/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="odi-2"/>
    <text value="Personal care (washing, dressing, etc.)"/>
    <answer>
      <valueCoding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="0"/>
        </extension>
        <display
                 value="I can look after myself normally without causing extra pain."/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="odi-3"/>
    <text value="Lifting"/>
    <answer>
      <valueCoding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="1"/>
        </extension>
        <display
                 value="I can lift heavy weights but it gives additional pain."/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="odi-4"/>
    <text value="Walking"/>
    <answer>
      <valueCoding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="1"/>
        </extension>
        <display value="Pain prevents me from walking more than one mile."/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="odi-5"/>
    <text value="Sitting"/>
    <answer>
      <valueCoding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="2"/>
        </extension>
        <display
                 value="Pain prevents me from sitting for more than one hour."/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="odi-6"/>
    <text value="Standing"/>
    <answer>
      <valueCoding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="1"/>
        </extension>
        <display
                 value="I can stand as long as I want but it gives me additional pain."/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="odi-7"/>
    <text value="Sleeping"/>
    <answer>
      <valueCoding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="1"/>
        </extension>
        <display value="My sleep is occasionally interrupted by pain."/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="odi-8"/>
    <text value="Sex life (if applicable)"/>
    <answer>
      <valueCoding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="1"/>
        </extension>
        <display
                 value="My sex life is normal but causes some additional pain."/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="odi-9"/>
    <text value="Social life"/>
    <answer>
      <valueCoding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="3"/>
        </extension>
        <display
                 value="Pain has restricted my social life and I do not go out as often."/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="odi-10"/>
    <text value="Traveling"/>
    <answer>
      <valueCoding>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
          <valueDecimal value="2"/>
        </extension>
        <display
                 value="Pain is bad but I am able to manage trips over two hours."/>
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="score"/>
    <answer>
      <valueDecimal value="24"/>
    </answer>
  </item>
  <item>
    <linkId value="severity-category"/>
    <answer>
      <valueString value="Moderate disability"/>
    </answer>
  </item>
</QuestionnaireResponse>