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• XML
• JSON

: PROMIS Physical Function SF 6b QuestionnaireResponse - April 2026 - JSON Representation

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{
  "resourceType" : "QuestionnaireResponse",
  "id" : "PROMISPhysicalFunctionExample4",
  "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 (Short Form 6b) - April 2026. T-score: 54.1.</p></div>"
  },
  "questionnaire" : "http://example.org/fhir/Questionnaire/PROMISPhysicalFunctionQuestionnaire",
  "status" : "completed",
  "subject" : {
    🔗 "reference" : "Patient/patient-john-doe-01"
  },
  "authored" : "2026-04-15T10:30:00Z",
  "author" : {
    🔗 "reference" : "Patient/patient-john-doe-01"
  },
  "item" : [
    {
      "linkId" : "pf6b-1",
      "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" : "pf6b-2",
      "text" : "Are you able to go up and down stairs at a normal pace?",
      "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" : "pf6b-3",
      "text" : "Are you able to go for a walk of at least 15 minutes?",
      "answer" : [
        {
          "valueCoding" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                "valueDecimal" : 3
              }
            ],
            "system" : "http://loinc.org",
            "code" : "LA13920-6",
            "display" : "With some difficulty"
          }
        }
      ]
    },
    {
      "linkId" : "pf6b-4",
      "text" : "Are you able to run errands and shop?",
      "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" : "pf6b-5",
      "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" : "pf6b-6",
      "text" : "Does your health now limit you in doing moderate work around the house like vacuuming, sweeping floors or carrying in groceries?",
      "answer" : [
        {
          "valueCoding" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                "valueDecimal" : 2
              }
            ],
            "system" : "http://loinc.org",
            "code" : "LA11911-7",
            "display" : "Quite a lot"
          }
        }
      ]
    },
    {
      "linkId" : "raw_score",
      "answer" : [
        {
          "valueDecimal" : 19
        }
      ]
    },
    {
      "linkId" : "tscore",
      "answer" : [
        {
          "valueDecimal" : 54.1
        }
      ]
    }
  ]
}