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" : "PROMISPhysicalFunctionCATExample4",
"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>PROMIS Physical Function (CAT) - April 2026. T-score: 44.9.</p></div>"
},
"questionnaire" : "http://example.org/fhir/Questionnaire/PROMISPhysicalFunctionCATQuestionnaire",
"status" : "completed",
"subject" : {
🔗 "reference" : "Patient/patient-john-doe-01"
},
"authored" : "2026-04-15T10:30:00Z",
"author" : {
🔗 "reference" : "Patient/patient-john-doe-01"
},
"item" : [
{
"linkId" : "pf-cat-1",
"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" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA11911-7",
"display" : "Quite a lot"
}
}
]
},
{
"linkId" : "pf-cat-2",
"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" : "pf-cat-3",
"text" : "To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair?",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 3
}
],
"system" : "http://loinc.org",
"code" : "LA13939-6",
"display" : "Moderately"
}
}
]
},
{
"linkId" : "pf-cat-4",
"text" : "Does your health now limit you in walking more than a mile?",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA11911-7",
"display" : "Quite a lot"
}
}
]
},
{
"linkId" : "tscore",
"answer" : [
{
"valueDecimal" : 44.9
}
]
}
]
}