CMS ACCESS Model API
0.9.8 - draft
US
This page is part of the ACCESS Model IG v0.9.8 DRAFT (v0.9.8: Releases Draft) based on FHIR (HL7® FHIR® Standard) R4. No current official version has been published yet. For a full list of available versions, see the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "MSKReportDataBundleExample",
"meta" : {
"profile" : [
🔗 "https://dsacms.github.io/cmmi-access-model/StructureDefinition/access-data-reporting-bundle"
]
},
"language" : "en",
"identifier" : {
"system" : "http://example.org/data-bundle-id",
"value" : "bundle-msk-001"
},
"type" : "document",
"timestamp" : "2026-01-26T12:00:00Z",
"entry" : [
{
"fullUrl" : "http://example.org/Composition/MSKReportDataCompositionExample",
"resource" : {
"resourceType" : "Composition",
"id" : "MSKReportDataCompositionExample",
"meta" : {
"profile" : [
🔗 "https://dsacms.github.io/cmmi-access-model/StructureDefinition/access-data-reporting-composition"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\"><a name=\"Composition_MSKReportDataCompositionExample\"> </a><h3>ACCESS MSK Track Data Report</h3><p>Patient: John Doe (MBI: 1EG4TE5MK73)</p><p>Report Date: 2026-01-26</p><p>Author: Jane Smith</p></div>"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "74465-6",
"display" : "Questionnaire response Document"
}
]
},
"subject" : {
🔗 "reference" : "Patient/PatientExample"
},
"date" : "2026-01-26T12:00:00Z",
"author" : [
{
🔗 "reference" : "Practitioner/PractitionerExample"
}
],
"title" : "ACCESS MSK Track Data Report",
"custodian" : {
🔗 "reference" : "Organization/OrganizationExample"
},
"section" : [
{
"title" : "Data reporting for MSK track",
"code" : {
"coding" : [
{
"system" : "https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSTrackCS",
"code" : "MSK"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\"><p>Musculoskeletal Track Data Reporting including pain assessments and patient-reported outcomes.</p></div>"
},
"section" : [
{
"title" : "PROMIS Physical Function Short Form 6b",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "76804-4"
}
]
},
"entry" : [
{
🔗 "reference" : "QuestionnaireResponse/PROMISPhysicalFunctionExample"
}
]
},
{
"title" : "PROMIS Physical Function CAT",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "91722-9"
}
]
},
"entry" : [
{
🔗 "reference" : "QuestionnaireResponse/PROMISPhysicalFunctionCATExample"
}
]
},
{
"title" : "PROMIS Pain Interference Short Form 6a",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "90973-9"
}
]
},
"entry" : [
{
🔗 "reference" : "QuestionnaireResponse/PROMISPainInterferenceSFExample"
}
]
},
{
"title" : "PROMIS Pain Interference CAT",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "89923-7"
}
]
},
"entry" : [
{
🔗 "reference" : "QuestionnaireResponse/PROMISPainInterferenceCATExample"
}
]
},
{
"title" : "Oswestry Disability Index",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "97908-8"
}
]
},
"entry" : [
{
🔗 "reference" : "QuestionnaireResponse/OswestryDisabilityIndexExample"
}
]
},
{
"title" : "Neck Disability Index",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "82226-2"
}
]
},
"entry" : [
{
🔗 "reference" : "QuestionnaireResponse/NeckDisabilityIndexExample"
}
]
},
{
"title" : "QuickDASH",
"code" : {
"coding" : [
{
"system" : "https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSReportDataCompositionSectionCS",
"code" : "QuickDASH"
}
]
},
"entry" : [
{
🔗 "reference" : "QuestionnaireResponse/QuickDASHExample"
}
]
},
{
"title" : "Patient's Global Impression of Change",
"code" : {
"coding" : [
{
"system" : "https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSReportDataCompositionSectionCS",
"code" : "PGIC"
}
]
},
"entry" : [
{
🔗 "reference" : "QuestionnaireResponse/MSKPGICExample"
}
]
},
{
"title" : "KOOS JR",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "82324-5"
}
]
},
"entry" : [
{
🔗 "reference" : "QuestionnaireResponse/KOOSJRExample"
}
]
},
{
"title" : "HOOS JR",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "82316-1"
}
]
},
"entry" : [
{
🔗 "reference" : "QuestionnaireResponse/HOOSJRExample"
}
]
},
{
"title" : "PROMIS Pain Intensity NRS",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "72514-3"
}
]
},
"entry" : [
{
🔗 "reference" : "QuestionnaireResponse/PROMISNRSExample"
}
]
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/Patient/PatientExample",
"resource" : {
"resourceType" : "Patient",
"id" : "PatientExample",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\"><a name=\"Patient_PatientExample\"> </a>Patient John Doe, male, born 1950-01-01, Medicare ID: 1EG4TE5MK73</div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MC"
}
]
},
"system" : "http://terminology.hl7.org/NamingSystem/cmsMBI",
"value" : "1EG4TE5MK73"
}
],
"name" : [
{
"family" : "Doe",
"given" : [
"John"
]
}
],
"gender" : "male",
"birthDate" : "1950-01-01"
}
},
{
"fullUrl" : "http://example.org/Practitioner/PractitionerExample",
"resource" : {
"resourceType" : "Practitioner",
"id" : "PractitionerExample",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\"><a name=\"Practitioner_PractitionerExample\"> </a>Practitioner Jane Smith, NPI: 1234567893</div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "1234567893"
}
],
"name" : [
{
"family" : "Smith",
"given" : [
"Jane"
]
}
]
}
},
{
"fullUrl" : "http://example.org/Organization/OrganizationExample",
"resource" : {
"resourceType" : "Organization",
"id" : "OrganizationExample",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|6.1.0"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\"><a name=\"Organization_OrganizationExample\"> </a>Example Healthcare Organization, ACCESS Participant ID: ACCES12345</div>"
},
"identifier" : [
{
"system" : "https://dsacms.github.io/cmmi-access-model/participant-id",
"value" : "ACCES12345"
}
],
"active" : true,
"name" : "Example Healthcare Organization"
}
},
{
"fullUrl" : "http://example.org/QuestionnaireResponse/PROMISPhysicalFunctionExample",
"resource" : {
"resourceType" : "QuestionnaireResponse",
"id" : "PROMISPhysicalFunctionExample",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\"><a name=\"QuestionnaireResponse_PROMISPhysicalFunctionExample\"> </a><p>PROMIS Physical Function (Short Form 6b) QuestionnaireResponse for John Doe. T-score: 36.8.</p></div>"
},
"questionnaire" : "http://example.org/Questionnaire/PROMISPhysicalFunctionQuestionnaire",
"status" : "completed",
"subject" : {
🔗 "reference" : "Patient/PatientExample"
},
"authored" : "2026-01-15T10:30:00Z",
"author" : {
🔗 "reference" : "Patient/PatientExample"
},
"item" : [
{
"linkId" : "pf6b-1",
"text" : "Are you able to do chores such as vacuuming or yard work?",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 4
}
],
"system" : "http://loinc.org",
"code" : "LA13918-0",
"display" : "With a little difficulty"
}
}
]
},
{
"linkId" : "pf6b-2",
"text" : "Are you able to go up and down stairs at a normal pace?",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 3
}
],
"system" : "http://loinc.org",
"code" : "LA13920-6",
"display" : "With some difficulty"
}
}
]
},
{
"linkId" : "pf6b-3",
"text" : "Are you able to go for a walk of at least 15 minutes?",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 3
}
],
"system" : "http://loinc.org",
"code" : "LA13920-6",
"display" : "With some difficulty"
}
}
]
},
{
"linkId" : "pf6b-4",
"text" : "Are you able to run errands and shop?",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 4
}
],
"system" : "http://loinc.org",
"code" : "LA13918-0",
"display" : "With a little difficulty"
}
}
]
},
{
"linkId" : "pf6b-5",
"text" : "Does your health now limit you in doing two hours of physical labor?",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 1
}
],
"system" : "http://loinc.org",
"code" : "LA13868-7",
"display" : "Cannot do"
}
}
]
},
{
"linkId" : "pf6b-6",
"text" : "Does your health now limit you in doing moderate work around the house like vacuuming, sweeping floors or carrying in groceries?",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA11911-7",
"display" : "Quite a lot"
}
}
]
},
{
"linkId" : "raw_score",
"answer" : [
{
"valueDecimal" : 17
}
]
},
{
"linkId" : "tscore",
"answer" : [
{
"valueDecimal" : 36.8
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/QuestionnaireResponse/PROMISPhysicalFunctionCATExample",
"resource" : {
"resourceType" : "QuestionnaireResponse",
"id" : "PROMISPhysicalFunctionCATExample",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\"><a name=\"QuestionnaireResponse_PROMISPhysicalFunctionCATExample\"> </a><p>PROMIS Physical Function (CAT) QuestionnaireResponse for John Doe. T-score: 38.</p></div>"
},
"questionnaire" : "http://example.org/Questionnaire/PROMISPhysicalFunctionCATQuestionnaire",
"status" : "completed",
"subject" : {
🔗 "reference" : "Patient/PatientExample"
},
"authored" : "2026-01-15T10:30:00Z",
"author" : {
🔗 "reference" : "Patient/PatientExample"
},
"item" : [
{
"linkId" : "pf-cat-1",
"text" : "Does your health now limit you in doing two hours of physical labor?",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA11911-7",
"display" : "Quite a lot"
}
}
]
},
{
"linkId" : "pf-cat-2",
"text" : "Are you able to do chores such as vacuuming or yard work?",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 3
}
],
"system" : "http://loinc.org",
"code" : "LA13920-6",
"display" : "With some difficulty"
}
}
]
},
{
"linkId" : "pf-cat-3",
"text" : "To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair?",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 3
}
],
"system" : "http://loinc.org",
"code" : "LA13939-6",
"display" : "Moderately"
}
}
]
},
{
"linkId" : "pf-cat-4",
"text" : "Does your health now limit you in walking more than a mile?",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA11911-7",
"display" : "Quite a lot"
}
}
]
},
{
"linkId" : "tscore",
"answer" : [
{
"valueDecimal" : 38
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/QuestionnaireResponse/PROMISPainInterferenceSFExample",
"resource" : {
"resourceType" : "QuestionnaireResponse",
"id" : "PROMISPainInterferenceSFExample",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\"><a name=\"QuestionnaireResponse_PROMISPainInterferenceSFExample\"> </a><p>PROMIS Pain Interference (Short Form 6a) QuestionnaireResponse for John Doe. T-score: 58.6.</p></div>"
},
"questionnaire" : "http://example.org/Questionnaire/PROMISPainInterferenceSFQuestionnaire",
"status" : "completed",
"subject" : {
🔗 "reference" : "Patient/PatientExample"
},
"authored" : "2026-01-15T10:30:00Z",
"author" : {
🔗 "reference" : "Patient/PatientExample"
},
"item" : [
{
"linkId" : "pi6a-1",
"text" : "In the past 7 days: How much did pain interfere with your day to day activities?",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA13863-8",
"display" : "A little bit"
}
}
]
},
{
"linkId" : "pi6a-2",
"text" : "In the past 7 days: How much did pain interfere with work around the home?",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA13863-8",
"display" : "A little bit"
}
}
]
},
{
"linkId" : "pi6a-3",
"text" : "In the past 7 days: How much did pain interfere with your ability to participate in social activities?",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 3
}
],
"system" : "http://loinc.org",
"code" : "LA13909-9",
"display" : "Somewhat"
}
}
]
},
{
"linkId" : "pi6a-4",
"text" : "In the past 7 days: How much did pain interfere with your household chores?",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA13863-8",
"display" : "A little bit"
}
}
]
},
{
"linkId" : "pi6a-5",
"text" : "In the past 7 days: How much did pain interfere with the things you usually do for fun?",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 3
}
],
"system" : "http://loinc.org",
"code" : "LA13909-9",
"display" : "Somewhat"
}
}
]
},
{
"linkId" : "pi6a-6",
"text" : "In the past 7 days: How much did pain interfere with your enjoyment of social activities?",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 3
}
],
"system" : "http://loinc.org",
"code" : "LA13909-9",
"display" : "Somewhat"
}
}
]
},
{
"linkId" : "raw_score",
"answer" : [
{
"valueDecimal" : 15
}
]
},
{
"linkId" : "tscore",
"answer" : [
{
"valueDecimal" : 58.6
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/QuestionnaireResponse/PROMISPainInterferenceCATExample",
"resource" : {
"resourceType" : "QuestionnaireResponse",
"id" : "PROMISPainInterferenceCATExample",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\"><a name=\"QuestionnaireResponse_PROMISPainInterferenceCATExample\"> </a><p>PROMIS Pain Interference (CAT) QuestionnaireResponse for John Doe. T-score: 70.</p></div>"
},
"questionnaire" : "http://example.org/Questionnaire/PROMISPainInterferenceCATQuestionnaire",
"status" : "completed",
"subject" : {
🔗 "reference" : "Patient/PatientExample"
},
"authored" : "2026-01-15T10:30:00Z",
"author" : {
🔗 "reference" : "Patient/PatientExample"
},
"item" : [
{
"linkId" : "pi-cat-1",
"text" : "In the past 7 days: How much did pain interfere with your day to day activities?",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 4
}
],
"system" : "http://loinc.org",
"code" : "LA13902-4",
"display" : "Quite a bit"
}
}
]
},
{
"linkId" : "pi-cat-2",
"text" : "In the past 7 days: How much did pain interfere with your ability to participate in social activities?",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 5
}
],
"system" : "http://loinc.org",
"code" : "LA13914-9",
"display" : "Very much"
}
}
]
},
{
"linkId" : "pi-cat-3",
"text" : "In the past 7 days: How much did pain interfere with your enjoyment of social activities?",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 4
}
],
"system" : "http://loinc.org",
"code" : "LA13902-4",
"display" : "Quite a bit"
}
}
]
},
{
"linkId" : "pi-cat-4",
"text" : "In the past 7 days: How much did pain interfere with work around the home?",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 5
}
],
"system" : "http://loinc.org",
"code" : "LA13914-9",
"display" : "Very much"
}
}
]
},
{
"linkId" : "tscore",
"answer" : [
{
"valueDecimal" : 70
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/QuestionnaireResponse/OswestryDisabilityIndexExample",
"resource" : {
"resourceType" : "QuestionnaireResponse",
"id" : "OswestryDisabilityIndexExample",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\"><a name=\"QuestionnaireResponse_OswestryDisabilityIndexExample\"> </a><p>Oswestry Disability Index QuestionnaireResponse for John Doe. Score: 36.</p></div>"
},
"questionnaire" : "http://example.org/Questionnaire/OswestryDisabilityIndexQuestionnaire",
"status" : "completed",
"subject" : {
🔗 "reference" : "Patient/PatientExample"
},
"authored" : "2026-01-15T10:30:00Z",
"author" : {
🔗 "reference" : "Patient/PatientExample"
},
"item" : [
{
"linkId" : "odi-1",
"text" : "Pain intensity",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"display" : "The pain is moderate at the moment."
}
}
]
},
{
"linkId" : "odi-2",
"text" : "Personal care (washing, dressing, etc.)",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 1
}
],
"display" : "I can look after myself normally but it is very painful."
}
}
]
},
{
"linkId" : "odi-3",
"text" : "Lifting",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 3
}
],
"display" : "Pain prevents me lifting heavy weights off the floor, but I can manage if they are conveniently placed e.g. on a table."
}
}
]
},
{
"linkId" : "odi-4",
"text" : "Walking",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 1
}
],
"display" : "Pain prevents me from walking more than one mile."
}
}
]
},
{
"linkId" : "odi-5",
"text" : "Sitting",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"display" : "Pain prevents me from sitting for more than one hour."
}
}
]
},
{
"linkId" : "odi-6",
"text" : "Standing",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"display" : "Pain prevents me from standing for more than 1 hour."
}
}
]
},
{
"linkId" : "odi-7",
"text" : "Sleeping",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 1
}
],
"display" : "My sleep is occasionally interrupted by pain."
}
}
]
},
{
"linkId" : "odi-8",
"text" : "Sex life (if applicable)",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"display" : "My sex life is nearly normal but is very painful."
}
}
]
},
{
"linkId" : "odi-9",
"text" : "Social life",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 3
}
],
"display" : "Pain has restricted my social life and I do not go out as often."
}
}
]
},
{
"linkId" : "odi-10",
"text" : "Traveling",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"display" : "Pain is bad but I am able to manage trips over two hours."
}
}
]
},
{
"linkId" : "score",
"answer" : [
{
"valueDecimal" : 36
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/QuestionnaireResponse/NeckDisabilityIndexExample",
"resource" : {
"resourceType" : "QuestionnaireResponse",
"id" : "NeckDisabilityIndexExample",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\"><a name=\"QuestionnaireResponse_NeckDisabilityIndexExample\"> </a><p>Neck Disability Index QuestionnaireResponse for John Doe. Total score: 40.</p></div>"
},
"questionnaire" : "http://example.org/Questionnaire/NeckDisabilityIndexQuestionnaire",
"status" : "completed",
"subject" : {
🔗 "reference" : "Patient/PatientExample"
},
"authored" : "2026-01-15T10:30:00Z",
"author" : {
🔗 "reference" : "Patient/PatientExample"
},
"item" : [
{
"linkId" : "ndi-1",
"text" : "Pain intensity",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA25855-0",
"display" : "The pain is moderate at the moment."
}
}
]
},
{
"linkId" : "ndi-2",
"text" : "Personal care (washing, dressing, etc.)",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 1
}
],
"system" : "http://loinc.org",
"code" : "LA25860-0",
"display" : "I can look after myself normally but it causes extra pain."
}
}
]
},
{
"linkId" : "ndi-3",
"text" : "Lifting",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA25867-5",
"display" : "Pain prevents me lifting heavy weights off the floor, but I can manage if they are conveniently placed, for example on a table."
}
}
]
},
{
"linkId" : "ndi-4",
"text" : "Reading",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA25873-3",
"display" : "I can read as much as I want with moderate pain in my neck."
}
}
]
},
{
"linkId" : "ndi-5",
"text" : "Headaches",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 3
}
],
"system" : "http://loinc.org",
"code" : "LA26367-5",
"display" : "I have moderate headaches, which come frequently."
}
}
]
},
{
"linkId" : "ndi-6",
"text" : "Concentration",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA25880-8",
"display" : "I have a fair degree of difficulty in concentrating when I want to."
}
}
]
},
{
"linkId" : "ndi-7",
"text" : "Work",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA25886-5",
"display" : "I can do most of my usual work, but no more."
}
}
]
},
{
"linkId" : "ndi-8",
"text" : "Driving",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA25892-3",
"display" : "I can drive my car as long as I want with moderate pain in my neck."
}
}
]
},
{
"linkId" : "ndi-9",
"text" : "Sleeping",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA25898-0",
"display" : "My sleep is mildly disturbed (1-2 hrs sleepless)."
}
}
]
},
{
"linkId" : "ndi-10",
"text" : "Recreation",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA25904-6",
"display" : "I am able to engage in most, but not all of my usual recreation activities because of pain in my neck."
}
}
]
},
{
"linkId" : "total-score",
"answer" : [
{
"valueDecimal" : 40
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/QuestionnaireResponse/QuickDASHExample",
"resource" : {
"resourceType" : "QuestionnaireResponse",
"id" : "QuickDASHExample",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\"><a name=\"QuestionnaireResponse_QuickDASHExample\"> </a><p>QuickDASH QuestionnaireResponse for John Doe. Score: 50.</p></div>"
},
"questionnaire" : "http://example.org/Questionnaire/QuickDASHQuestionnaire",
"status" : "completed",
"subject" : {
🔗 "reference" : "Patient/PatientExample"
},
"authored" : "2026-01-15T10:30:00Z",
"author" : {
🔗 "reference" : "Patient/PatientExample"
},
"item" : [
{
"linkId" : "qd-1",
"text" : "Open a tight or new jar.",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 3
}
],
"display" : "Moderate difficulty"
}
}
]
},
{
"linkId" : "qd-2",
"text" : "Do heavy household chores (e.g., wash walls, wash floors).",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 4
}
],
"display" : "Severe difficulty"
}
}
]
},
{
"linkId" : "qd-3",
"text" : "Carry a shopping bag or briefcase.",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 3
}
],
"display" : "Moderate difficulty"
}
}
]
},
{
"linkId" : "qd-4",
"text" : "Wash your back.",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"display" : "Mild difficulty"
}
}
]
},
{
"linkId" : "qd-5",
"text" : "Use a knife to cut food.",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"display" : "Mild difficulty"
}
}
]
},
{
"linkId" : "qd-6",
"text" : "Recreational activities in which you take some force or impact through your arm, shoulder, or hand (e.g., golf, hammering, tennis, etc.).",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 4
}
],
"display" : "Severe difficulty"
}
}
]
},
{
"linkId" : "qd-7",
"text" : "During the past week, to what extent has your arm, shoulder, or hand problem interfered with your normal social activities with family, friends, neighbors, or groups?",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 3
}
],
"display" : "Moderately"
}
}
]
},
{
"linkId" : "qd-8",
"text" : "During the past week, were you limited in your work or other regular daily activities as a result of your arm, shoulder, or hand problem?",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 4
}
],
"display" : "Very limited"
}
}
]
},
{
"linkId" : "qd-9",
"text" : "Arm, shoulder, or hand pain",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 3
}
],
"display" : "Moderate"
}
}
]
},
{
"linkId" : "qd-10",
"text" : "Tingling (pins and needles) in your arm, shoulder, or hand",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"display" : "Mild"
}
}
]
},
{
"linkId" : "qd-11",
"text" : "During the past week, how much difficulty have you had sleeping because of the pain in your arm, shoulder, or hand?",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 3
}
],
"display" : "Moderate difficulty"
}
}
]
},
{
"linkId" : "score",
"answer" : [
{
"valueDecimal" : 50
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/QuestionnaireResponse/MSKPGICExample",
"resource" : {
"resourceType" : "QuestionnaireResponse",
"id" : "MSKPGICExample",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\"><a name=\"QuestionnaireResponse_MSKPGICExample\"> </a><p>PGIC QuestionnaireResponse for John Doe. Response: Very much improved.</p></div>"
},
"questionnaire" : "http://example.org/Questionnaire/MSKPGICQuestionnaire",
"status" : "completed",
"subject" : {
🔗 "reference" : "Patient/PatientExample"
},
"authored" : "2026-01-15T10:30:00Z",
"author" : {
🔗 "reference" : "Patient/PatientExample"
},
"item" : [
{
"linkId" : "pgic-1",
"text" : "Since beginning treatment, how would you describe your overall change in pain, function, and quality of life?",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 1
}
],
"display" : "Very much improved"
}
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/QuestionnaireResponse/KOOSJRExample",
"resource" : {
"resourceType" : "QuestionnaireResponse",
"id" : "KOOSJRExample",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\"><a name=\"QuestionnaireResponse_KOOSJRExample\"> </a><p>KOOS JR QuestionnaireResponse for John Doe. Total interval score: 50.012.</p></div>"
},
"questionnaire" : "http://example.org/Questionnaire/KOOSJRQuestionnaire",
"status" : "completed",
"subject" : {
🔗 "reference" : "Patient/PatientExample"
},
"authored" : "2026-01-15T10:30:00Z",
"author" : {
🔗 "reference" : "Patient/PatientExample"
},
"item" : [
{
"linkId" : "koosjr-1",
"text" : "How severe is your knee stiffness after first wakening in the morning?",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA6751-7",
"display" : "Moderate"
}
}
]
},
{
"linkId" : "koosjr-2",
"text" : "Twisting/pivoting on your knee",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA6751-7",
"display" : "Moderate"
}
}
]
},
{
"linkId" : "koosjr-3",
"text" : "Straightening knee fully",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 1
}
],
"system" : "http://loinc.org",
"code" : "LA6752-5",
"display" : "Mild"
}
}
]
},
{
"linkId" : "koosjr-4",
"text" : "Going up or down stairs",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 3
}
],
"system" : "http://loinc.org",
"code" : "LA6750-9",
"display" : "Severe"
}
}
]
},
{
"linkId" : "koosjr-5",
"text" : "Standing upright",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA6751-7",
"display" : "Moderate"
}
}
]
},
{
"linkId" : "koosjr-6",
"text" : "Rising from sitting",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA6751-7",
"display" : "Moderate"
}
}
]
},
{
"linkId" : "koosjr-7",
"text" : "Bending to floor/picking up an object",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 3
}
],
"system" : "http://loinc.org",
"code" : "LA6750-9",
"display" : "Severe"
}
}
]
},
{
"linkId" : "total-interval-score",
"answer" : [
{
"valueDecimal" : 50.012
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/QuestionnaireResponse/HOOSJRExample",
"resource" : {
"resourceType" : "QuestionnaireResponse",
"id" : "HOOSJRExample",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\"><a name=\"QuestionnaireResponse_HOOSJRExample\"> </a><p>HOOS JR QuestionnaireResponse for John Doe. Total interval score: 55.985.</p></div>"
},
"questionnaire" : "http://example.org/Questionnaire/HOOSJRQuestionnaire",
"status" : "completed",
"subject" : {
🔗 "reference" : "Patient/PatientExample"
},
"authored" : "2026-01-15T10:30:00Z",
"author" : {
🔗 "reference" : "Patient/PatientExample"
},
"item" : [
{
"linkId" : "hoosjr-1",
"text" : "Going up or down stairs",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA6751-7",
"display" : "Moderate"
}
}
]
},
{
"linkId" : "hoosjr-2",
"text" : "Walking on an uneven surface",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA6751-7",
"display" : "Moderate"
}
}
]
},
{
"linkId" : "hoosjr-3",
"text" : "Rising from sitting",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA6751-7",
"display" : "Moderate"
}
}
]
},
{
"linkId" : "hoosjr-4",
"text" : "Bending to the floor/picking up an object",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 3
}
],
"system" : "http://loinc.org",
"code" : "LA6750-9",
"display" : "Severe"
}
}
]
},
{
"linkId" : "hoosjr-5",
"text" : "Lying in bed",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 1
}
],
"system" : "http://loinc.org",
"code" : "LA6752-5",
"display" : "Mild"
}
}
]
},
{
"linkId" : "hoosjr-6",
"text" : "Sitting",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 1
}
],
"system" : "http://loinc.org",
"code" : "LA6752-5",
"display" : "Mild"
}
}
]
},
{
"linkId" : "total-interval-score",
"answer" : [
{
"valueDecimal" : 55.985
}
]
}
]
}
},
{
"fullUrl" : "http://example.org/QuestionnaireResponse/PROMISNRSExample",
"resource" : {
"resourceType" : "QuestionnaireResponse",
"id" : "PROMISNRSExample",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\"><a name=\"QuestionnaireResponse_PROMISNRSExample\"> </a><p>PROMIS Pain Intensity NRS QuestionnaireResponse for John Doe. Average pain (0-10): 6.</p></div>"
},
"questionnaire" : "http://example.org/Questionnaire/PROMISNRSQuestionnaire",
"status" : "completed",
"subject" : {
🔗 "reference" : "Patient/PatientExample"
},
"authored" : "2026-01-15T10:30:00Z",
"author" : {
🔗 "reference" : "Patient/PatientExample"
},
"item" : [
{
"linkId" : "nrs-1",
"text" : "In the past 7 days, how would you rate your pain on average? (0-10)",
"answer" : [
{
"valueInteger" : 6
}
]
}
]
}
}
]
}