# PROMIS-10 - PACIO Sample Data Depot v0.1.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **PROMIS-10**

## Questionnaire: PROMIS-10 

| | |
| :--- | :--- |
| *Official URL*:https://globalalliantinc.com/fhir/Questionnaire/questionnaire-PROMIS10 | *Version*:0.1.0 |
| Draft as of 2026-03-26 | *Computable Name*: |

 
PROMIS Global-10 

 
The PROMIS Global-10 is a 10-item patient-reported questionnaire used to gauge the patient’s overall physical and mental health. 



## Resource Content

```json
{
  "resourceType" : "Questionnaire",
  "id" : "questionnaire-PROMIS10",
  "url" : "https://globalalliantinc.com/fhir/Questionnaire/questionnaire-PROMIS10",
  "version" : "0.1.0",
  "title" : "PROMIS-10",
  "status" : "draft",
  "date" : "2026-03-26T17:36:28+00:00",
  "publisher" : "MITRE",
  "contact" : [{
    "name" : "MITRE",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.mitre.org"
    }]
  },
  {
    "name" : "May Terry",
    "telecom" : [{
      "system" : "email",
      "value" : "mayT@mitre.org",
      "use" : "work"
    }]
  }],
  "description" : "PROMIS Global-10",
  "purpose" : "The PROMIS Global-10 is a 10-item patient-reported questionnaire used to gauge the patient's overall physical and mental health.",
  "code" : [{
    "system" : "http://loinc.org",
    "code" : "85524-7",
    "display" : "PROMIS short form - global - version 1.2"
  }],
  "item" : [{
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/regex",
      "valueString" : "^[1-9]((?![SLOIBZ])[A-Z])((?![SLOIBZ])[0-9A-Z])[0-9]((?![SLOIBZ])[A-Z])((?![SLOIBZ])[0-9A-Z])[0-9]((?![SLOIBZ])[A-Z])((?![SLOIBZ])[A-Z])[0-9][0-9]$"
    }],
    "linkId" : "mbi",
    "text" : "What is this patient's Medicare Beneficiary Identifier (MBI)?",
    "type" : "string",
    "required" : true
  },
  {
    "linkId" : "assessment_date",
    "text" : "Please report the date this assessment was complete.",
    "type" : "date",
    "required" : true
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "drop-down",
          "display" : "Drop down"
        }],
        "text" : "Drop down"
      }
    }],
    "linkId" : "health",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "61577-3",
      "display" : "In general, would you say your health is..."
    }],
    "text" : "In general, would you say your health is...",
    "type" : "choice",
    "required" : true,
    "answerOption" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 5
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA9206-9",
        "display" : "Excellent"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 4
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA13913-1",
        "display" : "Very Good"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 3
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA8967-7",
        "display" : "Good"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 2
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA8968-5",
        "display" : "Fair"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 1
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA8969-3",
        "display" : "Poor"
      }
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "drop-down",
          "display" : "Drop down"
        }],
        "text" : "Drop down"
      }
    }],
    "linkId" : "quality_of_life",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "61578-1",
      "display" : "In general, would you say your quality of life is..."
    }],
    "text" : "In general, would you say your quality of life is...",
    "type" : "choice",
    "required" : true,
    "answerOption" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 5
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA9206-9",
        "display" : "Excellent"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 4
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA13913-1",
        "display" : "Very Good"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 3
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA8967-7",
        "display" : "Good"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 2
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA8968-5",
        "display" : "Fair"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 1
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA8969-3",
        "display" : "Poor"
      }
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "drop-down",
          "display" : "Drop down"
        }],
        "text" : "Drop down"
      }
    }],
    "linkId" : "physical_health",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "61579-9",
      "display" : "In general, how would you rate your physical health?"
    }],
    "text" : "In general, how would you rate your physical health?",
    "type" : "choice",
    "required" : true,
    "answerOption" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 5
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA9206-9",
        "display" : "Excellent"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 4
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA13913-1",
        "display" : "Very Good"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 3
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA8967-7",
        "display" : "Good"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 2
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA8968-5",
        "display" : "Fair"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 1
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA8969-3",
        "display" : "Poor"
      }
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "drop-down",
          "display" : "Drop down"
        }],
        "text" : "Drop down"
      }
    }],
    "linkId" : "mental_health",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "61580-7",
      "display" : "In general, how would you rate your mental health, including your mood and your ability  to think?"
    }],
    "text" : "In general, how would you rate your mental health, including your mood and your ability  to think?",
    "type" : "choice",
    "required" : true,
    "answerOption" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 5
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA9206-9",
        "display" : "Excellent"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 4
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA13913-1",
        "display" : "Very Good"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 3
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA8967-7",
        "display" : "Good"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 2
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA8968-5",
        "display" : "Fair"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 1
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA8969-3",
        "display" : "Poor"
      }
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "drop-down",
          "display" : "Drop down"
        }],
        "text" : "Drop down"
      }
    }],
    "linkId" : "satisfaction_social",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "61581-5",
      "display" : "In general, how would you rate your satisfaction with your social activities and relationships?"
    }],
    "text" : "In general, how would you rate your satisfaction with your social activities and relationships?",
    "type" : "choice",
    "required" : true,
    "answerOption" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 5
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA9206-9",
        "display" : "Excellent"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 4
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA13913-1",
        "display" : "Very Good"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 3
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA8967-7",
        "display" : "Good"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 2
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA8968-5",
        "display" : "Fair"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 1
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA8969-3",
        "display" : "Poor"
      }
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "drop-down",
          "display" : "Drop down"
        }],
        "text" : "Drop down"
      }
    }],
    "linkId" : "social_activities",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "61585-6",
      "display" : "In 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.)"
    }],
    "text" : "In 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.)",
    "type" : "choice",
    "required" : true,
    "answerOption" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 5
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA9206-9",
        "display" : "Excellent"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 4
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA13913-1",
        "display" : "Very Good"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 3
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA8967-7",
        "display" : "Good"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 2
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA8968-5",
        "display" : "Fair"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 1
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA8969-3",
        "display" : "Poor"
      }
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "drop-down",
          "display" : "Drop down"
        }],
        "text" : "Drop down"
      }
    }],
    "linkId" : "physical_activities",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "61582-3",
      "display" : "In 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?"
    }],
    "text" : "In 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?",
    "type" : "choice",
    "required" : true,
    "answerOption" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 5
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA13937-0",
        "display" : "Completely"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 4
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA13938-8",
        "display" : "Mostly"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 3
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA13939-6",
        "display" : "Moderately"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 2
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA13940-4",
        "display" : "A little"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 1
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA6568-5",
        "display" : "Not at all"
      }
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "drop-down",
          "display" : "Drop down"
        }],
        "text" : "Drop down"
      }
    }],
    "linkId" : "emotional",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "61586-4",
      "display" : "In the past 7 days, how often have you been bothered by emotional problems such as feeling anxious, depressed or irritable?"
    }],
    "text" : "In the past 7 days, how often have you been bothered by emotional problems such as feeling anxious, depressed or irritable?",
    "type" : "choice",
    "required" : true,
    "answerOption" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 5
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA6270-8",
        "display" : "Never"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 4
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA10066-1",
        "display" : "Rarely"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 3
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA10082-8",
        "display" : "Sometimes"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 2
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA10044-8",
        "display" : "Often"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 1
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA9933-8",
        "display" : "Always"
      }
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "drop-down",
          "display" : "Drop down"
        }],
        "text" : "Drop down"
      }
    }],
    "linkId" : "fatigue",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "61584-9",
      "display" : "In the past 7 days, how would you rate your fatigue on average?"
    }],
    "text" : "In the past 7 days, how would you rate your fatigue on average?",
    "type" : "choice",
    "required" : true,
    "answerOption" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 5
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA137-2",
        "display" : "None"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 4
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA6752-5",
        "display" : "Mild"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 3
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA6751-7",
        "display" : "Moderate"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 2
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA6750-9",
        "display" : "Severe"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 1
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA13958-6",
        "display" : "Very Severe"
      }
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "drop-down",
          "display" : "Drop down"
        }],
        "text" : "Drop down"
      }
    }],
    "linkId" : "pain",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "61583-1",
      "display" : "On 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?"
    }],
    "text" : "On 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?",
    "type" : "choice",
    "required" : true,
    "answerOption" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 0
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA26951-6",
        "display" : "0 - No Pain"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 1
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA6112-2",
        "display" : "1"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 2
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA6113-0",
        "display" : "2"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 3
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA6114-8",
        "display" : "3"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 4
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA6115-5",
        "display" : "4"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 5
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA10137-0",
        "display" : "5"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 6
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA10138-8",
        "display" : "6"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 7
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA10139-6",
        "display" : "7"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 8
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA10140-4",
        "display" : "8"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 9
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA10141-2",
        "display" : "9"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 10
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA26952-4",
        "display" : "10 - Worst Pain Imaginable"
      }
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
      "valueExpression" : {
        "language" : "text/fhirpath",
        "expression" : "%resource.item.where(linkId='physical_health').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value + %resource.item.where(linkId='physical_activities').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value + iif(%resource.item.where(linkId='pain').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value = 0, 5, iif(%resource.item.where(linkId='pain').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value <= 3, 4, iif(%resource.item.where(linkId='pain').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value <= 6, 3, iif(%resource.item.where(linkId='pain').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value <= 9, 2, 1)))) + %resource.item.where(linkId='fatigue').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value"
      }
    }],
    "linkId" : "physical_health_score",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "71972-4",
      "display" : "PROMIS-10 Global Physical Health (GPH) score"
    }],
    "text" : "PROMIS-10 Global Health, GPH, raw score",
    "type" : "decimal",
    "readOnly" : true
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
      "valueExpression" : {
        "language" : "text/fhirpath",
        "expression" : "%resource.item.where(linkId='quality_of_life').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value + %resource.item.where(linkId='mental_health').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value + %resource.item.where(linkId='satisfaction_social').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value + %resource.item.where(linkId='emotional').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value"
      }
    }],
    "linkId" : "mental_health_score",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "71970-8",
      "display" : "PROMIS-10 Global Mental Health (GMH) score"
    }],
    "text" : "PROMIS-10 Global Health, GMH raw score",
    "type" : "decimal",
    "readOnly" : true
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
      "valueExpression" : {
        "language" : "text/fhirpath",
        "expression" : "iif(%resource.item.where(linkId='physical_health_score').answer.value = 4, 16.2, iif(%resource.item.where(linkId='physical_health_score').answer.value = 5, 19.9, iif(%resource.item.where(linkId='physical_health_score').answer.value = 6, 23.5, iif(%resource.item.where(linkId='physical_health_score').answer.value = 7, 26.7, iif(%resource.item.where(linkId='physical_health_score').answer.value = 8, 29.6, iif(%resource.item.where(linkId='physical_health_score').answer.value = 9, 32.4, iif(%resource.item.where(linkId='physical_health_score').answer.value = 10, 34.9, iif(%resource.item.where(linkId='physical_health_score').answer.value = 11, 37.4, iif(%resource.item.where(linkId='physical_health_score').answer.value = 12, 39.8, iif(%resource.item.where(linkId='physical_health_score').answer.value = 13, 42.3, iif(%resource.item.where(linkId='physical_health_score').answer.value = 14, 44.9, iif(%resource.item.where(linkId='physical_health_score').answer.value = 15, 47.7, iif(%resource.item.where(linkId='physical_health_score').answer.value = 16, 50.8, iif(%resource.item.where(linkId='physical_health_score').answer.value = 17, 54.1, iif(%resource.item.where(linkId='physical_health_score').answer.value = 18, 57.7, iif(%resource.item.where(linkId='physical_health_score').answer.value = 19, 61.9, iif(%resource.item.where(linkId='physical_health_score').answer.value = 20, 67.7, {})))))))))))))))))"
      }
    }],
    "linkId" : "physical_health_tscore",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "71971-6",
      "display" : "PROMIS-10 Global Physical Health (GPH) score T-score"
    }],
    "text" : "PROMIS Global Physical Health v1.2 T-Score",
    "type" : "decimal",
    "readOnly" : true
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
      "valueExpression" : {
        "language" : "text/fhirpath",
        "expression" : "iif(%resource.item.where(linkId='mental_health_score').answer.value = 4, 21.2, iif(%resource.item.where(linkId='mental_health_score').answer.value = 5, 25.1, iif(%resource.item.where(linkId='mental_health_score').answer.value = 6, 28.4, iif(%resource.item.where(linkId='mental_health_score').answer.value = 7, 31.3, iif(%resource.item.where(linkId='mental_health_score').answer.value = 8, 33.8, iif(%resource.item.where(linkId='mental_health_score').answer.value = 9, 36.3, iif(%resource.item.where(linkId='mental_health_score').answer.value = 10, 38.8, iif(%resource.item.where(linkId='mental_health_score').answer.value = 11, 41.1, iif(%resource.item.where(linkId='mental_health_score').answer.value = 12, 43.5, iif(%resource.item.where(linkId='mental_health_score').answer.value = 13, 45.8, iif(%resource.item.where(linkId='mental_health_score').answer.value = 14, 48.3, iif(%resource.item.where(linkId='mental_health_score').answer.value = 15, 50.8, iif(%resource.item.where(linkId='mental_health_score').answer.value = 16, 53.3, iif(%resource.item.where(linkId='mental_health_score').answer.value = 17, 56.0, iif(%resource.item.where(linkId='mental_health_score').answer.value = 18, 59.0, iif(%resource.item.where(linkId='mental_health_score').answer.value = 19, 62.5, iif(%resource.item.where(linkId='mental_health_score').answer.value = 20, 67.6, {})))))))))))))))))"
      }
    }],
    "linkId" : "mental_health_tscore",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "71969-0",
      "display" : "PROMIS-10 Global Mental Health (GMH) score T-score"
    }],
    "text" : "PROMIS Global Mental Health v1.2 T-Score",
    "type" : "decimal",
    "readOnly" : true
  }]
}

```
