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

## : PROMIS-10 - TTL Representation

Draft as of 2026-03-26

Raw ttl | Download

    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix loinc: <https://loinc.org/rdf/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:Questionnaire ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "questionnaire-PROMIS10"] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire questionnaire-PROMIS10</b></p><a name=\"questionnaire-PROMIS10\"> </a><a name=\"hcquestionnaire-PROMIS10\"> </a><b>Structure</b><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Cardinality</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Other attributes of the item\">Flags</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireRoot\" class=\"hierarchy\"/> </td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">PROMIS Global-10</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">https://globalalliantinc.com/fhir/Questionnaire/questionnaire-PROMIS10#0.1.0</td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.mbi\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> mbi</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What is this patient's Medicare Beneficiary Identifier (MBI)?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.assessment_date\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-date.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"date\" class=\"hierarchy\"/> assessment_date</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Please report the date this assessment was complete.</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date\">date</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.health\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> health</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">In general, would you say your health is...</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.health\">5 options</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.quality_of_life\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> quality_of_life</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">In general, would you say your quality of life is...</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.quality_of_life\">5 options</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.physical_health\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> physical_health</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">In general, how would you rate your physical health?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.physical_health\">5 options</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.mental_health\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> mental_health</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">In general, how would you rate your mental health, including your mood and your ability  to think?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.mental_health\">5 options</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.satisfaction_social\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> satisfaction_social</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">In general, how would you rate your satisfaction with your social activities and relationships?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.satisfaction_social\">5 options</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.social_activities\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> social_activities</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">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.)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.social_activities\">5 options</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.physical_activities\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> physical_activities</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">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?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.physical_activities\">5 options</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.emotional\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> emotional</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">In the past 7 days, how often have you been bothered by emotional problems such as feeling anxious, depressed or irritable?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.emotional\">5 options</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.fatigue\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> fatigue</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">In the past 7 days, how would you rate your fatigue on average?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.fatigue\">5 options</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.pain\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> pain</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">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?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.pain\">11 options</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.physical_health_score\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> physical_health_score</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">PROMIS-10 Global Health, GPH, raw score</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly\" title=\"Is Read Only\"><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></a><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.mental_health_score\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> mental_health_score</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">PROMIS-10 Global Health, GMH raw score</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly\" title=\"Is Read Only\"><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></a><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.physical_health_tscore\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> physical_health_tscore</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">PROMIS Global Physical Health v1.2 T-Score</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly\" title=\"Is Read Only\"><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></a><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" id=\"item.mental_health_tscore\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> mental_health_tscore</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">PROMIS Global Mental Health v1.2 T-Score</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly\" title=\"Is Read Only\"><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></a><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr><td colspan=\"6\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name=\"opt-item.health\"> </a><p><b>Answer options for health </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA9206-9 (\"Excellent\")</li><li style=\"font-size: 11px\">http://loinc.org#LA13913-1 (\"Very Good\")</li><li style=\"font-size: 11px\">http://loinc.org#LA8967-7 (\"Good\")</li><li style=\"font-size: 11px\">http://loinc.org#LA8968-5 (\"Fair\")</li><li style=\"font-size: 11px\">http://loinc.org#LA8969-3 (\"Poor\")</li></ul><a name=\"opt-item.quality_of_life\"> </a><p><b>Answer options for quality_of_life </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA9206-9 (\"Excellent\")</li><li style=\"font-size: 11px\">http://loinc.org#LA13913-1 (\"Very Good\")</li><li style=\"font-size: 11px\">http://loinc.org#LA8967-7 (\"Good\")</li><li style=\"font-size: 11px\">http://loinc.org#LA8968-5 (\"Fair\")</li><li style=\"font-size: 11px\">http://loinc.org#LA8969-3 (\"Poor\")</li></ul><a name=\"opt-item.physical_health\"> </a><p><b>Answer options for physical_health </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA9206-9 (\"Excellent\")</li><li style=\"font-size: 11px\">http://loinc.org#LA13913-1 (\"Very Good\")</li><li style=\"font-size: 11px\">http://loinc.org#LA8967-7 (\"Good\")</li><li style=\"font-size: 11px\">http://loinc.org#LA8968-5 (\"Fair\")</li><li style=\"font-size: 11px\">http://loinc.org#LA8969-3 (\"Poor\")</li></ul><a name=\"opt-item.mental_health\"> </a><p><b>Answer options for mental_health </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA9206-9 (\"Excellent\")</li><li style=\"font-size: 11px\">http://loinc.org#LA13913-1 (\"Very Good\")</li><li style=\"font-size: 11px\">http://loinc.org#LA8967-7 (\"Good\")</li><li style=\"font-size: 11px\">http://loinc.org#LA8968-5 (\"Fair\")</li><li style=\"font-size: 11px\">http://loinc.org#LA8969-3 (\"Poor\")</li></ul><a name=\"opt-item.satisfaction_social\"> </a><p><b>Answer options for satisfaction_social </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA9206-9 (\"Excellent\")</li><li style=\"font-size: 11px\">http://loinc.org#LA13913-1 (\"Very Good\")</li><li style=\"font-size: 11px\">http://loinc.org#LA8967-7 (\"Good\")</li><li style=\"font-size: 11px\">http://loinc.org#LA8968-5 (\"Fair\")</li><li style=\"font-size: 11px\">http://loinc.org#LA8969-3 (\"Poor\")</li></ul><a name=\"opt-item.social_activities\"> </a><p><b>Answer options for social_activities </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA9206-9 (\"Excellent\")</li><li style=\"font-size: 11px\">http://loinc.org#LA13913-1 (\"Very Good\")</li><li style=\"font-size: 11px\">http://loinc.org#LA8967-7 (\"Good\")</li><li style=\"font-size: 11px\">http://loinc.org#LA8968-5 (\"Fair\")</li><li style=\"font-size: 11px\">http://loinc.org#LA8969-3 (\"Poor\")</li></ul><a name=\"opt-item.physical_activities\"> </a><p><b>Answer options for physical_activities </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA13937-0 (\"Completely\")</li><li style=\"font-size: 11px\">http://loinc.org#LA13938-8 (\"Mostly\")</li><li style=\"font-size: 11px\">http://loinc.org#LA13939-6 (\"Moderately\")</li><li style=\"font-size: 11px\">http://loinc.org#LA13940-4 (\"A little\")</li><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (\"Not at all\")</li></ul><a name=\"opt-item.emotional\"> </a><p><b>Answer options for emotional </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6270-8 (\"Never\")</li><li style=\"font-size: 11px\">http://loinc.org#LA10066-1 (\"Rarely\")</li><li style=\"font-size: 11px\">http://loinc.org#LA10082-8 (\"Sometimes\")</li><li style=\"font-size: 11px\">http://loinc.org#LA10044-8 (\"Often\")</li><li style=\"font-size: 11px\">http://loinc.org#LA9933-8 (\"Always\")</li></ul><a name=\"opt-item.fatigue\"> </a><p><b>Answer options for fatigue </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA137-2 (\"None\")</li><li style=\"font-size: 11px\">http://loinc.org#LA6752-5 (\"Mild\")</li><li style=\"font-size: 11px\">http://loinc.org#LA6751-7 (\"Moderate\")</li><li style=\"font-size: 11px\">http://loinc.org#LA6750-9 (\"Severe\")</li><li style=\"font-size: 11px\">http://loinc.org#LA13958-6 (\"Very Severe\")</li></ul><a name=\"opt-item.pain\"> </a><p><b>Answer options for pain </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA26951-6 (\"0 - No Pain\")</li><li style=\"font-size: 11px\">http://loinc.org#LA6112-2 (\"1\")</li><li style=\"font-size: 11px\">http://loinc.org#LA6113-0 (\"2\")</li><li style=\"font-size: 11px\">http://loinc.org#LA6114-8 (\"3\")</li><li style=\"font-size: 11px\">http://loinc.org#LA6115-5 (\"4\")</li><li style=\"font-size: 11px\">http://loinc.org#LA10137-0 (\"5\")</li><li style=\"font-size: 11px\">http://loinc.org#LA10138-8 (\"6\")</li><li style=\"font-size: 11px\">http://loinc.org#LA10139-6 (\"7\")</li><li style=\"font-size: 11px\">http://loinc.org#LA10140-4 (\"8\")</li><li style=\"font-size: 11px\">http://loinc.org#LA10141-2 (\"9\")</li><li style=\"font-size: 11px\">http://loinc.org#LA26952-4 (\"10 - Worst Pain Imaginable\")</li></ul></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:url [
    fhir:v "https://globalalliantinc.com/fhir/Questionnaire/questionnaire-PROMIS10"^^xsd:anyURI ;
    fhir:l <https://globalalliantinc.com/fhir/Questionnaire/questionnaire-PROMIS10>
      ] ; #
      fhir:version [ fhir:v "0.1.0"] ; #
      fhir:title [ fhir:v "PROMIS-10"] ; #
      fhir:status [ fhir:v "draft"] ; #
      fhir:date [ fhir:v "2026-03-26T17:36:28+00:00"^^xsd:dateTime] ; #
      fhir:publisher [ fhir:v "MITRE"] ; #
      fhir:contact ( [
    fhir:name [ fhir:v "MITRE" ] ;
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "http://www.mitre.org" ]     ] )
      ] [
    fhir:name [ fhir:v "May Terry" ] ;
        ( fhir:telecom [
    fhir:system [ fhir:v "email" ] ;
    fhir:value [ fhir:v "mayT@mitre.org" ] ;
    fhir:use [ fhir:v "work" ]     ] )
      ] ) ; #
      fhir:description [ fhir:v "PROMIS Global-10"] ; #
      fhir:purpose [ fhir:v "The PROMIS Global-10 is a 10-item patient-reported questionnaire used to gauge the patient's overall physical and mental health."] ; #
      fhir:code ( [
    a loinc:85524-7 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>     ] ;
    fhir:code [ fhir:v "85524-7" ] ;
    fhir:display [ fhir:v "PROMIS short form - global - version 1.2" ]
      ] ) ; #
      fhir:item ( [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/regex"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/regex>       ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "^[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]$"       ]     ] ) ;
    fhir:linkId [ fhir:v "mbi" ] ;
    fhir:text [ fhir:v "What is this patient's Medicare Beneficiary Identifier (MBI)?" ] ;
    fhir:type [ fhir:v "string" ] ;
    fhir:required [ fhir:v true ]
      ] [
    fhir:linkId [ fhir:v "assessment_date" ] ;
    fhir:text [ fhir:v "Please report the date this assessment was complete." ] ;
    fhir:type [ fhir:v "date" ] ;
    fhir:required [ fhir:v true ]
      ] [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/questionnaire-item-control"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/questionnaire-item-control>           ] ;
    fhir:code [ fhir:v "drop-down" ] ;
    fhir:display [ fhir:v "Drop down" ]         ] ) ;
    fhir:text [ fhir:v "Drop down" ]       ]     ] ) ;
    fhir:linkId [ fhir:v "health" ] ;
        ( fhir:code [
    a loinc:61577-3 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "61577-3" ] ;
    fhir:display [ fhir:v "In general, would you say your health is..." ]     ] ) ;
    fhir:text [ fhir:v "In general, would you say your health is..." ] ;
    fhir:type [ fhir:v "choice" ] ;
    fhir:required [ fhir:v true ] ;
        ( fhir:answerOption [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "5"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA9206-9 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA9206-9" ] ;
    fhir:display [ fhir:v "Excellent" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "4"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA13913-1 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA13913-1" ] ;
    fhir:display [ fhir:v "Very Good" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "3"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA8967-7 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA8967-7" ] ;
    fhir:display [ fhir:v "Good" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "2"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA8968-5 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA8968-5" ] ;
    fhir:display [ fhir:v "Fair" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "1"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA8969-3 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA8969-3" ] ;
    fhir:display [ fhir:v "Poor" ]       ]     ] )
      ] [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/questionnaire-item-control"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/questionnaire-item-control>           ] ;
    fhir:code [ fhir:v "drop-down" ] ;
    fhir:display [ fhir:v "Drop down" ]         ] ) ;
    fhir:text [ fhir:v "Drop down" ]       ]     ] ) ;
    fhir:linkId [ fhir:v "quality_of_life" ] ;
        ( fhir:code [
    a loinc:61578-1 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "61578-1" ] ;
    fhir:display [ fhir:v "In general, would you say your quality of life is..." ]     ] ) ;
    fhir:text [ fhir:v "In general, would you say your quality of life is..." ] ;
    fhir:type [ fhir:v "choice" ] ;
    fhir:required [ fhir:v true ] ;
        ( fhir:answerOption [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "5"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA9206-9 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA9206-9" ] ;
    fhir:display [ fhir:v "Excellent" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "4"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA13913-1 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA13913-1" ] ;
    fhir:display [ fhir:v "Very Good" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "3"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA8967-7 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA8967-7" ] ;
    fhir:display [ fhir:v "Good" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "2"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA8968-5 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA8968-5" ] ;
    fhir:display [ fhir:v "Fair" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "1"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA8969-3 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA8969-3" ] ;
    fhir:display [ fhir:v "Poor" ]       ]     ] )
      ] [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/questionnaire-item-control"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/questionnaire-item-control>           ] ;
    fhir:code [ fhir:v "drop-down" ] ;
    fhir:display [ fhir:v "Drop down" ]         ] ) ;
    fhir:text [ fhir:v "Drop down" ]       ]     ] ) ;
    fhir:linkId [ fhir:v "physical_health" ] ;
        ( fhir:code [
    a loinc:61579-9 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "61579-9" ] ;
    fhir:display [ fhir:v "In general, how would you rate your physical health?" ]     ] ) ;
    fhir:text [ fhir:v "In general, how would you rate your physical health?" ] ;
    fhir:type [ fhir:v "choice" ] ;
    fhir:required [ fhir:v true ] ;
        ( fhir:answerOption [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "5"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA9206-9 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA9206-9" ] ;
    fhir:display [ fhir:v "Excellent" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "4"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA13913-1 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA13913-1" ] ;
    fhir:display [ fhir:v "Very Good" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "3"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA8967-7 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA8967-7" ] ;
    fhir:display [ fhir:v "Good" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "2"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA8968-5 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA8968-5" ] ;
    fhir:display [ fhir:v "Fair" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "1"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA8969-3 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA8969-3" ] ;
    fhir:display [ fhir:v "Poor" ]       ]     ] )
      ] [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/questionnaire-item-control"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/questionnaire-item-control>           ] ;
    fhir:code [ fhir:v "drop-down" ] ;
    fhir:display [ fhir:v "Drop down" ]         ] ) ;
    fhir:text [ fhir:v "Drop down" ]       ]     ] ) ;
    fhir:linkId [ fhir:v "mental_health" ] ;
        ( fhir:code [
    a loinc:61580-7 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "61580-7" ] ;
    fhir:display [ fhir:v "In general, how would you rate your mental health, including your mood and your ability  to think?" ]     ] ) ;
    fhir:text [ fhir:v "In general, how would you rate your mental health, including your mood and your ability  to think?" ] ;
    fhir:type [ fhir:v "choice" ] ;
    fhir:required [ fhir:v true ] ;
        ( fhir:answerOption [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "5"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA9206-9 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA9206-9" ] ;
    fhir:display [ fhir:v "Excellent" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "4"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA13913-1 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA13913-1" ] ;
    fhir:display [ fhir:v "Very Good" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "3"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA8967-7 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA8967-7" ] ;
    fhir:display [ fhir:v "Good" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "2"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA8968-5 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA8968-5" ] ;
    fhir:display [ fhir:v "Fair" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "1"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA8969-3 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA8969-3" ] ;
    fhir:display [ fhir:v "Poor" ]       ]     ] )
      ] [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/questionnaire-item-control"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/questionnaire-item-control>           ] ;
    fhir:code [ fhir:v "drop-down" ] ;
    fhir:display [ fhir:v "Drop down" ]         ] ) ;
    fhir:text [ fhir:v "Drop down" ]       ]     ] ) ;
    fhir:linkId [ fhir:v "satisfaction_social" ] ;
        ( fhir:code [
    a loinc:61581-5 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "61581-5" ] ;
    fhir:display [ fhir:v "In general, how would you rate your satisfaction with your social activities and relationships?" ]     ] ) ;
    fhir:text [ fhir:v "In general, how would you rate your satisfaction with your social activities and relationships?" ] ;
    fhir:type [ fhir:v "choice" ] ;
    fhir:required [ fhir:v true ] ;
        ( fhir:answerOption [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "5"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA9206-9 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA9206-9" ] ;
    fhir:display [ fhir:v "Excellent" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "4"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA13913-1 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA13913-1" ] ;
    fhir:display [ fhir:v "Very Good" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "3"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA8967-7 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA8967-7" ] ;
    fhir:display [ fhir:v "Good" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "2"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA8968-5 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA8968-5" ] ;
    fhir:display [ fhir:v "Fair" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "1"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA8969-3 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA8969-3" ] ;
    fhir:display [ fhir:v "Poor" ]       ]     ] )
      ] [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/questionnaire-item-control"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/questionnaire-item-control>           ] ;
    fhir:code [ fhir:v "drop-down" ] ;
    fhir:display [ fhir:v "Drop down" ]         ] ) ;
    fhir:text [ fhir:v "Drop down" ]       ]     ] ) ;
    fhir:linkId [ fhir:v "social_activities" ] ;
        ( fhir:code [
    a loinc:61585-6 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "61585-6" ] ;
    fhir:display [ fhir:v "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.)" ]     ] ) ;
    fhir:text [ fhir:v "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.)" ] ;
    fhir:type [ fhir:v "choice" ] ;
    fhir:required [ fhir:v true ] ;
        ( fhir:answerOption [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "5"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA9206-9 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA9206-9" ] ;
    fhir:display [ fhir:v "Excellent" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "4"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA13913-1 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA13913-1" ] ;
    fhir:display [ fhir:v "Very Good" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "3"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA8967-7 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA8967-7" ] ;
    fhir:display [ fhir:v "Good" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "2"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA8968-5 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA8968-5" ] ;
    fhir:display [ fhir:v "Fair" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "1"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA8969-3 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA8969-3" ] ;
    fhir:display [ fhir:v "Poor" ]       ]     ] )
      ] [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/questionnaire-item-control"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/questionnaire-item-control>           ] ;
    fhir:code [ fhir:v "drop-down" ] ;
    fhir:display [ fhir:v "Drop down" ]         ] ) ;
    fhir:text [ fhir:v "Drop down" ]       ]     ] ) ;
    fhir:linkId [ fhir:v "physical_activities" ] ;
        ( fhir:code [
    a loinc:61582-3 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "61582-3" ] ;
    fhir:display [ fhir:v "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?" ]     ] ) ;
    fhir:text [ fhir:v "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?" ] ;
    fhir:type [ fhir:v "choice" ] ;
    fhir:required [ fhir:v true ] ;
        ( fhir:answerOption [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "5"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA13937-0 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA13937-0" ] ;
    fhir:display [ fhir:v "Completely" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "4"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA13938-8 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA13938-8" ] ;
    fhir:display [ fhir:v "Mostly" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "3"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA13939-6 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA13939-6" ] ;
    fhir:display [ fhir:v "Moderately" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "2"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA13940-4 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA13940-4" ] ;
    fhir:display [ fhir:v "A little" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "1"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA6568-5 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA6568-5" ] ;
    fhir:display [ fhir:v "Not at all" ]       ]     ] )
      ] [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/questionnaire-item-control"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/questionnaire-item-control>           ] ;
    fhir:code [ fhir:v "drop-down" ] ;
    fhir:display [ fhir:v "Drop down" ]         ] ) ;
    fhir:text [ fhir:v "Drop down" ]       ]     ] ) ;
    fhir:linkId [ fhir:v "emotional" ] ;
        ( fhir:code [
    a loinc:61586-4 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "61586-4" ] ;
    fhir:display [ fhir:v "In the past 7 days, how often have you been bothered by emotional problems such as feeling anxious, depressed or irritable?" ]     ] ) ;
    fhir:text [ fhir:v "In the past 7 days, how often have you been bothered by emotional problems such as feeling anxious, depressed or irritable?" ] ;
    fhir:type [ fhir:v "choice" ] ;
    fhir:required [ fhir:v true ] ;
        ( fhir:answerOption [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "5"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA6270-8 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA6270-8" ] ;
    fhir:display [ fhir:v "Never" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "4"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA10066-1 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA10066-1" ] ;
    fhir:display [ fhir:v "Rarely" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "3"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA10082-8 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA10082-8" ] ;
    fhir:display [ fhir:v "Sometimes" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "2"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA10044-8 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA10044-8" ] ;
    fhir:display [ fhir:v "Often" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "1"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA9933-8 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA9933-8" ] ;
    fhir:display [ fhir:v "Always" ]       ]     ] )
      ] [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/questionnaire-item-control"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/questionnaire-item-control>           ] ;
    fhir:code [ fhir:v "drop-down" ] ;
    fhir:display [ fhir:v "Drop down" ]         ] ) ;
    fhir:text [ fhir:v "Drop down" ]       ]     ] ) ;
    fhir:linkId [ fhir:v "fatigue" ] ;
        ( fhir:code [
    a loinc:61584-9 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "61584-9" ] ;
    fhir:display [ fhir:v "In the past 7 days, how would you rate your fatigue on average?" ]     ] ) ;
    fhir:text [ fhir:v "In the past 7 days, how would you rate your fatigue on average?" ] ;
    fhir:type [ fhir:v "choice" ] ;
    fhir:required [ fhir:v true ] ;
        ( fhir:answerOption [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "5"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA137-2 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA137-2" ] ;
    fhir:display [ fhir:v "None" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "4"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA6752-5 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA6752-5" ] ;
    fhir:display [ fhir:v "Mild" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "3"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA6751-7 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA6751-7" ] ;
    fhir:display [ fhir:v "Moderate" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "2"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA6750-9 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA6750-9" ] ;
    fhir:display [ fhir:v "Severe" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "1"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA13958-6 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA13958-6" ] ;
    fhir:display [ fhir:v "Very Severe" ]       ]     ] )
      ] [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/questionnaire-item-control"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/questionnaire-item-control>           ] ;
    fhir:code [ fhir:v "drop-down" ] ;
    fhir:display [ fhir:v "Drop down" ]         ] ) ;
    fhir:text [ fhir:v "Drop down" ]       ]     ] ) ;
    fhir:linkId [ fhir:v "pain" ] ;
        ( fhir:code [
    a loinc:61583-1 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "61583-1" ] ;
    fhir:display [ fhir:v "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?" ]     ] ) ;
    fhir:text [ fhir:v "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?" ] ;
    fhir:type [ fhir:v "choice" ] ;
    fhir:required [ fhir:v true ] ;
        ( fhir:answerOption [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "0"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA26951-6 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA26951-6" ] ;
    fhir:display [ fhir:v "0 - No Pain" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "1"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA6112-2 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA6112-2" ] ;
    fhir:display [ fhir:v "1" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "2"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA6113-0 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA6113-0" ] ;
    fhir:display [ fhir:v "2" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "3"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA6114-8 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA6114-8" ] ;
    fhir:display [ fhir:v "3" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "4"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA6115-5 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA6115-5" ] ;
    fhir:display [ fhir:v "4" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "5"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA10137-0 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA10137-0" ] ;
    fhir:display [ fhir:v "5" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "6"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA10138-8 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA10138-8" ] ;
    fhir:display [ fhir:v "6" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "7"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA10139-6 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA10139-6" ] ;
    fhir:display [ fhir:v "7" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "8"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA10140-4 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA10140-4" ] ;
    fhir:display [ fhir:v "8" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "9"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA10141-2 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA10141-2" ] ;
    fhir:display [ fhir:v "9" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/ordinalValue"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/ordinalValue>         ] ;
    fhir:value [
    a fhir:Decimal ;
    fhir:v "10"^^xsd:decimal         ]       ] ) ;
    fhir:value [
    a fhir:Coding, loinc:LA26952-4 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "LA26952-4" ] ;
    fhir:display [ fhir:v "10 - Worst Pain Imaginable" ]       ]     ] )
      ] [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression>       ] ;
    fhir:value [
    a fhir:Expression ;
    fhir:language [ fhir:v "text/fhirpath" ] ;
    fhir:expression [ fhir:v "%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" ]       ]     ] ) ;
    fhir:linkId [ fhir:v "physical_health_score" ] ;
        ( fhir:code [
    a loinc:71972-4 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "71972-4" ] ;
    fhir:display [ fhir:v "PROMIS-10 Global Physical Health (GPH) score" ]     ] ) ;
    fhir:text [ fhir:v "PROMIS-10 Global Health, GPH, raw score" ] ;
    fhir:type [ fhir:v "decimal" ] ;
    fhir:readOnly [ fhir:v true ]
      ] [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression>       ] ;
    fhir:value [
    a fhir:Expression ;
    fhir:language [ fhir:v "text/fhirpath" ] ;
    fhir:expression [ fhir:v "%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" ]       ]     ] ) ;
    fhir:linkId [ fhir:v "mental_health_score" ] ;
        ( fhir:code [
    a loinc:71970-8 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "71970-8" ] ;
    fhir:display [ fhir:v "PROMIS-10 Global Mental Health (GMH) score" ]     ] ) ;
    fhir:text [ fhir:v "PROMIS-10 Global Health, GMH raw score" ] ;
    fhir:type [ fhir:v "decimal" ] ;
    fhir:readOnly [ fhir:v true ]
      ] [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression>       ] ;
    fhir:value [
    a fhir:Expression ;
    fhir:language [ fhir:v "text/fhirpath" ] ;
    fhir:expression [ fhir:v "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, {})))))))))))))))))" ]       ]     ] ) ;
    fhir:linkId [ fhir:v "physical_health_tscore" ] ;
        ( fhir:code [
    a loinc:71971-6 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "71971-6" ] ;
    fhir:display [ fhir:v "PROMIS-10 Global Physical Health (GPH) score T-score" ]     ] ) ;
    fhir:text [ fhir:v "PROMIS Global Physical Health v1.2 T-Score" ] ;
    fhir:type [ fhir:v "decimal" ] ;
    fhir:readOnly [ fhir:v true ]
      ] [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression>       ] ;
    fhir:value [
    a fhir:Expression ;
    fhir:language [ fhir:v "text/fhirpath" ] ;
    fhir:expression [ fhir:v "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, {})))))))))))))))))" ]       ]     ] ) ;
    fhir:linkId [ fhir:v "mental_health_tscore" ] ;
        ( fhir:code [
    a loinc:71969-0 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "71969-0" ] ;
    fhir:display [ fhir:v "PROMIS-10 Global Mental Health (GMH) score T-score" ]     ] ) ;
    fhir:text [ fhir:v "PROMIS Global Mental Health v1.2 T-Score" ] ;
    fhir:type [ fhir:v "decimal" ] ;
    fhir:readOnly [ fhir:v true ]
      ] ) . #