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

Example QuestionnaireResponse: promis-10-assessment-betsy-august

version: 1; Last updated: 2025-08-20 10:15:30+0000

LinkIDTextDefinitionAnswerdoco
.. promis-10-assessment-betsy-augustQuestionnaire:PROMIS-10
... mbiWhat is this patient's Medicare Beneficiary Identifier (MBI)?7A34C75DE12
... assessment_datePlease report the date this assessment was completed.2025-08-20
... healthIn general, would you say your health is...LOINC: LA8967-7 (Good)
... quality_of_lifeIn general, would you say your quality of life is...LOINC: LA8967-7 (Good)
... physical_healthIn general, how would you rate your physical health?LOINC: LA8968-5 (Fair)
... mental_healthIn general, how would you rate your mental health, including your mood and your ability to think?LOINC: LA8967-7 (Good)
... satisfaction_socialIn general, how would you rate your satisfaction with your social activities and relationships?LOINC: LA8968-5 (Fair)
... social_activitiesIn general, please rate how well you carry out your usual social activities and roles. (This includes activities at home, at work and in your community, and responsibilities as a parent, child, spouse, employee, friend, etc.)LOINC: LA8967-7 (Good)
... physical_activitiesIn the past 7 days, to what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair?LOINC: LA13938-8 (Mostly)
... emotionalIn the past 7 days, how often have you been bothered by emotional problems such as feeling anxious, depressed or irritable?LOINC: LA10082-8 (Sometimes)
... fatigueIn the past 7 days, how would you rate your fatigue on average?LOINC: LA6751-7 (Moderate)
... painOn a scale of 0-10, with 10 being the worst pain imaginable and 0 being no pain, how would you rate your pain on average?LOINC: LA10138-8 (6)
... physical_health_scorePhysical Health Score (Raw Score)12
... mental_health_scoreMental Health Score (Raw Score)11
... physical_health_tscorePROMIS Global Physical Health v1.2 T-Score39.8
... mental_health_tscorePROMIS Global Mental Health v1.2 T-Score41.1

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