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 - JSON Representation

Draft as of 2026-03-26

Raw json | Download

    {
      "resourceType" : "Questionnaire",
      "id" : "questionnaire-PROMIS10",
      "text" : {
        "status" : "extensions",
        "div" : "<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>\r\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>\r\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>\r\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>\r\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>\r\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>\r\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>\r\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>\r\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>\r\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>\r\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>\r\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>\r\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>\r\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>\r\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>\r\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>\r\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>\r\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 (&quot;Excellent&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA13913-1 (&quot;Very Good&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA8967-7 (&quot;Good&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA8968-5 (&quot;Fair&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA8969-3 (&quot;Poor&quot;)</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 (&quot;Excellent&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA13913-1 (&quot;Very Good&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA8967-7 (&quot;Good&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA8968-5 (&quot;Fair&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA8969-3 (&quot;Poor&quot;)</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 (&quot;Excellent&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA13913-1 (&quot;Very Good&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA8967-7 (&quot;Good&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA8968-5 (&quot;Fair&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA8969-3 (&quot;Poor&quot;)</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 (&quot;Excellent&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA13913-1 (&quot;Very Good&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA8967-7 (&quot;Good&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA8968-5 (&quot;Fair&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA8969-3 (&quot;Poor&quot;)</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 (&quot;Excellent&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA13913-1 (&quot;Very Good&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA8967-7 (&quot;Good&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA8968-5 (&quot;Fair&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA8969-3 (&quot;Poor&quot;)</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 (&quot;Excellent&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA13913-1 (&quot;Very Good&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA8967-7 (&quot;Good&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA8968-5 (&quot;Fair&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA8969-3 (&quot;Poor&quot;)</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 (&quot;Completely&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA13938-8 (&quot;Mostly&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA13939-6 (&quot;Moderately&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA13940-4 (&quot;A little&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</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 (&quot;Never&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA10066-1 (&quot;Rarely&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA10082-8 (&quot;Sometimes&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA10044-8 (&quot;Often&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA9933-8 (&quot;Always&quot;)</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 (&quot;None&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6752-5 (&quot;Mild&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6751-7 (&quot;Moderate&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6750-9 (&quot;Severe&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA13958-6 (&quot;Very Severe&quot;)</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 (&quot;0 - No Pain&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6112-2 (&quot;1&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6113-0 (&quot;2&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6114-8 (&quot;3&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA6115-5 (&quot;4&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA10137-0 (&quot;5&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA10138-8 (&quot;6&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA10139-6 (&quot;7&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA10140-4 (&quot;8&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA10141-2 (&quot;9&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA26952-4 (&quot;10 - Worst Pain Imaginable&quot;)</li></ul></div>"
      },
      "url" : "https://globalalliantinc.com/fhir/Questionnaire/questionnaire-PROMIS10",
      "version" : "0.1.0",
      "title" : "PROMIS-10",
      "status" : "draft",
      "date" : "2026-03-26T20:08:48+00:00",
      "publisher" : "MITRE",
      "contact" : [
        {
          "name" : "MITRE",
          "telecom" : [
            {
              "system" : "url",
              "value" : "http://www.mitre.org"
            }
          ]
        },
        {
          "name" : "May Terry",
          "telecom" : [
            {
              "system" : "email",
              "value" : "mayT@mitre.org",
              "use" : "work"
            }
          ]
        }
      ],
      "description" : "PROMIS Global-10",
      "purpose" : "The PROMIS Global-10 is a 10-item patient-reported questionnaire used to gauge the patient's overall physical and mental health.",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "85524-7",
          "display" : "PROMIS short form - global - version 1.2"
        }
      ],
      "item" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/regex",
              "valueString" : "^[1-9]((?![SLOIBZ])[A-Z])((?![SLOIBZ])[0-9A-Z])[0-9]((?![SLOIBZ])[A-Z])((?![SLOIBZ])[0-9A-Z])[0-9]((?![SLOIBZ])[A-Z])((?![SLOIBZ])[A-Z])[0-9][0-9]$"
            }
          ],
          "linkId" : "mbi",
          "text" : "What is this patient's Medicare Beneficiary Identifier (MBI)?",
          "type" : "string",
          "required" : true
        },
        {
          "linkId" : "assessment_date",
          "text" : "Please report the date this assessment was complete.",
          "type" : "date",
          "required" : true
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "drop-down",
                    "display" : "Drop down"
                  }
                ],
                "text" : "Drop down"
              }
            }
          ],
          "linkId" : "health",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "61577-3",
              "display" : "In general, would you say your health is..."
            }
          ],
          "text" : "In general, would you say your health is...",
          "type" : "choice",
          "required" : true,
          "answerOption" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 5
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA9206-9",
                "display" : "Excellent"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 4
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA13913-1",
                "display" : "Very Good"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 3
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA8967-7",
                "display" : "Good"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 2
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA8968-5",
                "display" : "Fair"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 1
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA8969-3",
                "display" : "Poor"
              }
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "drop-down",
                    "display" : "Drop down"
                  }
                ],
                "text" : "Drop down"
              }
            }
          ],
          "linkId" : "quality_of_life",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "61578-1",
              "display" : "In general, would you say your quality of life is..."
            }
          ],
          "text" : "In general, would you say your quality of life is...",
          "type" : "choice",
          "required" : true,
          "answerOption" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 5
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA9206-9",
                "display" : "Excellent"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 4
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA13913-1",
                "display" : "Very Good"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 3
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA8967-7",
                "display" : "Good"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 2
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA8968-5",
                "display" : "Fair"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 1
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA8969-3",
                "display" : "Poor"
              }
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "drop-down",
                    "display" : "Drop down"
                  }
                ],
                "text" : "Drop down"
              }
            }
          ],
          "linkId" : "physical_health",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "61579-9",
              "display" : "In general, how would you rate your physical health?"
            }
          ],
          "text" : "In general, how would you rate your physical health?",
          "type" : "choice",
          "required" : true,
          "answerOption" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 5
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA9206-9",
                "display" : "Excellent"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 4
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA13913-1",
                "display" : "Very Good"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 3
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA8967-7",
                "display" : "Good"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 2
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA8968-5",
                "display" : "Fair"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 1
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA8969-3",
                "display" : "Poor"
              }
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "drop-down",
                    "display" : "Drop down"
                  }
                ],
                "text" : "Drop down"
              }
            }
          ],
          "linkId" : "mental_health",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "61580-7",
              "display" : "In general, how would you rate your mental health, including your mood and your ability  to think?"
            }
          ],
          "text" : "In general, how would you rate your mental health, including your mood and your ability  to think?",
          "type" : "choice",
          "required" : true,
          "answerOption" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 5
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA9206-9",
                "display" : "Excellent"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 4
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA13913-1",
                "display" : "Very Good"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 3
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA8967-7",
                "display" : "Good"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 2
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA8968-5",
                "display" : "Fair"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 1
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA8969-3",
                "display" : "Poor"
              }
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "drop-down",
                    "display" : "Drop down"
                  }
                ],
                "text" : "Drop down"
              }
            }
          ],
          "linkId" : "satisfaction_social",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "61581-5",
              "display" : "In general, how would you rate your satisfaction with your social activities and relationships?"
            }
          ],
          "text" : "In general, how would you rate your satisfaction with your social activities and relationships?",
          "type" : "choice",
          "required" : true,
          "answerOption" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 5
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA9206-9",
                "display" : "Excellent"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 4
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA13913-1",
                "display" : "Very Good"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 3
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA8967-7",
                "display" : "Good"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 2
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA8968-5",
                "display" : "Fair"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 1
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA8969-3",
                "display" : "Poor"
              }
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "drop-down",
                    "display" : "Drop down"
                  }
                ],
                "text" : "Drop down"
              }
            }
          ],
          "linkId" : "social_activities",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "61585-6",
              "display" : "In general, please rate how well you carry out  your usual social activities and roles. (This includes activities at home, at work and in your community, and responsibilities as a parent, child, spouse, employee, friend, etc.)"
            }
          ],
          "text" : "In general, please rate how well you carry out  your usual social activities and roles. (This includes activities at home, at work and in your community, and responsibilities as a parent, child, spouse, employee, friend, etc.)",
          "type" : "choice",
          "required" : true,
          "answerOption" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 5
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA9206-9",
                "display" : "Excellent"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 4
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA13913-1",
                "display" : "Very Good"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 3
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA8967-7",
                "display" : "Good"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 2
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA8968-5",
                "display" : "Fair"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 1
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA8969-3",
                "display" : "Poor"
              }
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "drop-down",
                    "display" : "Drop down"
                  }
                ],
                "text" : "Drop down"
              }
            }
          ],
          "linkId" : "physical_activities",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "61582-3",
              "display" : "In the past 7 days, to what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair?"
            }
          ],
          "text" : "In the past 7 days, to what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair?",
          "type" : "choice",
          "required" : true,
          "answerOption" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 5
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA13937-0",
                "display" : "Completely"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 4
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA13938-8",
                "display" : "Mostly"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 3
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA13939-6",
                "display" : "Moderately"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 2
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA13940-4",
                "display" : "A little"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 1
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA6568-5",
                "display" : "Not at all"
              }
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "drop-down",
                    "display" : "Drop down"
                  }
                ],
                "text" : "Drop down"
              }
            }
          ],
          "linkId" : "emotional",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "61586-4",
              "display" : "In the past 7 days, how often have you been bothered by emotional problems such as feeling anxious, depressed or irritable?"
            }
          ],
          "text" : "In the past 7 days, how often have you been bothered by emotional problems such as feeling anxious, depressed or irritable?",
          "type" : "choice",
          "required" : true,
          "answerOption" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 5
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA6270-8",
                "display" : "Never"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 4
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10066-1",
                "display" : "Rarely"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 3
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10082-8",
                "display" : "Sometimes"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 2
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10044-8",
                "display" : "Often"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 1
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA9933-8",
                "display" : "Always"
              }
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "drop-down",
                    "display" : "Drop down"
                  }
                ],
                "text" : "Drop down"
              }
            }
          ],
          "linkId" : "fatigue",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "61584-9",
              "display" : "In the past 7 days, how would you rate your fatigue on average?"
            }
          ],
          "text" : "In the past 7 days, how would you rate your fatigue on average?",
          "type" : "choice",
          "required" : true,
          "answerOption" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 5
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA137-2",
                "display" : "None"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 4
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA6752-5",
                "display" : "Mild"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 3
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA6751-7",
                "display" : "Moderate"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 2
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA6750-9",
                "display" : "Severe"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 1
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA13958-6",
                "display" : "Very Severe"
              }
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "drop-down",
                    "display" : "Drop down"
                  }
                ],
                "text" : "Drop down"
              }
            }
          ],
          "linkId" : "pain",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "61583-1",
              "display" : "On a scale of 0-10, with 10 being the worst pain imaginable and 0 being no pain, how would you rate your pain on average?"
            }
          ],
          "text" : "On a scale of 0-10, with 10 being the worst pain imaginable and 0 being no pain, how would you rate your pain on average?",
          "type" : "choice",
          "required" : true,
          "answerOption" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 0
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA26951-6",
                "display" : "0 - No Pain"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 1
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA6112-2",
                "display" : "1"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 2
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA6113-0",
                "display" : "2"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 3
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA6114-8",
                "display" : "3"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 4
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA6115-5",
                "display" : "4"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 5
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10137-0",
                "display" : "5"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 6
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10138-8",
                "display" : "6"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 7
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10139-6",
                "display" : "7"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 8
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10140-4",
                "display" : "8"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 9
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10141-2",
                "display" : "9"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal" : 10
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA26952-4",
                "display" : "10 - Worst Pain Imaginable"
              }
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
              "valueExpression" : {
                "language" : "text/fhirpath",
                "expression" : "%resource.item.where(linkId='physical_health').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value + %resource.item.where(linkId='physical_activities').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value + iif(%resource.item.where(linkId='pain').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value = 0, 5, iif(%resource.item.where(linkId='pain').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value <= 3, 4, iif(%resource.item.where(linkId='pain').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value <= 6, 3, iif(%resource.item.where(linkId='pain').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value <= 9, 2, 1)))) + %resource.item.where(linkId='fatigue').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value"
              }
            }
          ],
          "linkId" : "physical_health_score",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "71972-4",
              "display" : "PROMIS-10 Global Physical Health (GPH) score"
            }
          ],
          "text" : "PROMIS-10 Global Health, GPH, raw score",
          "type" : "decimal",
          "readOnly" : true
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
              "valueExpression" : {
                "language" : "text/fhirpath",
                "expression" : "%resource.item.where(linkId='quality_of_life').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value + %resource.item.where(linkId='mental_health').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value + %resource.item.where(linkId='satisfaction_social').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value + %resource.item.where(linkId='emotional').answer.value.extension.where(url='http://hl7.org/fhir/StructureDefinition/ordinalValue').value"
              }
            }
          ],
          "linkId" : "mental_health_score",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "71970-8",
              "display" : "PROMIS-10 Global Mental Health (GMH) score"
            }
          ],
          "text" : "PROMIS-10 Global Health, GMH raw score",
          "type" : "decimal",
          "readOnly" : true
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
              "valueExpression" : {
                "language" : "text/fhirpath",
                "expression" : "iif(%resource.item.where(linkId='physical_health_score').answer.value = 4, 16.2, iif(%resource.item.where(linkId='physical_health_score').answer.value = 5, 19.9, iif(%resource.item.where(linkId='physical_health_score').answer.value = 6, 23.5, iif(%resource.item.where(linkId='physical_health_score').answer.value = 7, 26.7, iif(%resource.item.where(linkId='physical_health_score').answer.value = 8, 29.6, iif(%resource.item.where(linkId='physical_health_score').answer.value = 9, 32.4, iif(%resource.item.where(linkId='physical_health_score').answer.value = 10, 34.9, iif(%resource.item.where(linkId='physical_health_score').answer.value = 11, 37.4, iif(%resource.item.where(linkId='physical_health_score').answer.value = 12, 39.8, iif(%resource.item.where(linkId='physical_health_score').answer.value = 13, 42.3, iif(%resource.item.where(linkId='physical_health_score').answer.value = 14, 44.9, iif(%resource.item.where(linkId='physical_health_score').answer.value = 15, 47.7, iif(%resource.item.where(linkId='physical_health_score').answer.value = 16, 50.8, iif(%resource.item.where(linkId='physical_health_score').answer.value = 17, 54.1, iif(%resource.item.where(linkId='physical_health_score').answer.value = 18, 57.7, iif(%resource.item.where(linkId='physical_health_score').answer.value = 19, 61.9, iif(%resource.item.where(linkId='physical_health_score').answer.value = 20, 67.7, {})))))))))))))))))"
              }
            }
          ],
          "linkId" : "physical_health_tscore",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "71971-6",
              "display" : "PROMIS-10 Global Physical Health (GPH) score T-score"
            }
          ],
          "text" : "PROMIS Global Physical Health v1.2 T-Score",
          "type" : "decimal",
          "readOnly" : true
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
              "valueExpression" : {
                "language" : "text/fhirpath",
                "expression" : "iif(%resource.item.where(linkId='mental_health_score').answer.value = 4, 21.2, iif(%resource.item.where(linkId='mental_health_score').answer.value = 5, 25.1, iif(%resource.item.where(linkId='mental_health_score').answer.value = 6, 28.4, iif(%resource.item.where(linkId='mental_health_score').answer.value = 7, 31.3, iif(%resource.item.where(linkId='mental_health_score').answer.value = 8, 33.8, iif(%resource.item.where(linkId='mental_health_score').answer.value = 9, 36.3, iif(%resource.item.where(linkId='mental_health_score').answer.value = 10, 38.8, iif(%resource.item.where(linkId='mental_health_score').answer.value = 11, 41.1, iif(%resource.item.where(linkId='mental_health_score').answer.value = 12, 43.5, iif(%resource.item.where(linkId='mental_health_score').answer.value = 13, 45.8, iif(%resource.item.where(linkId='mental_health_score').answer.value = 14, 48.3, iif(%resource.item.where(linkId='mental_health_score').answer.value = 15, 50.8, iif(%resource.item.where(linkId='mental_health_score').answer.value = 16, 53.3, iif(%resource.item.where(linkId='mental_health_score').answer.value = 17, 56.0, iif(%resource.item.where(linkId='mental_health_score').answer.value = 18, 59.0, iif(%resource.item.where(linkId='mental_health_score').answer.value = 19, 62.5, iif(%resource.item.where(linkId='mental_health_score').answer.value = 20, 67.6, {})))))))))))))))))"
              }
            }
          ],
          "linkId" : "mental_health_tscore",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "71969-0",
              "display" : "PROMIS-10 Global Mental Health (GMH) score T-score"
            }
          ],
          "text" : "PROMIS Global Mental Health v1.2 T-Score",
          "type" : "decimal",
          "readOnly" : true
        }
      ]
    }