ACCESS MSK Track Data Report

Patient: John Doe (MBI: 1EG4TE5MK73)

Report Date: 2026-01-26

Author: Jane Smith

 <custodian> <reference value="Organization/OrganizationExample"/> </custodian> <section> <title value="Data reporting for MSK track"/> <code> <coding> <system value="https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSTrackCS"/> <code value="MSK"/> </coding> </code> <text> <status value="generated"/><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> </text> <section> <title value="PROMIS Physical Function Short Form 6b"/> <code> <coding> <system value="http://loinc.org"/> <code value="76804-4"/> </coding> </code> <entry> <reference value="QuestionnaireResponse/PROMISPhysicalFunctionExample"/> </entry> </section> <section> <title value="PROMIS Physical Function CAT"/> <code> <coding> <system value="http://loinc.org"/> <code value="91722-9"/> </coding> </code> <entry> <reference value="QuestionnaireResponse/PROMISPhysicalFunctionCATExample"/> </entry> </section> <section> <title value="PROMIS Pain Interference Short Form 6a"/> <code> <coding> <system value="http://loinc.org"/> <code value="90973-9"/> </coding> </code> <entry> <reference value="QuestionnaireResponse/PROMISPainInterferenceSFExample"/> </entry> </section> <section> <title value="PROMIS Pain Interference CAT"/> <code> <coding> <system value="http://loinc.org"/> <code value="89923-7"/> </coding> </code> <entry> <reference value="QuestionnaireResponse/PROMISPainInterferenceCATExample"/> </entry> </section> <section> <title value="Oswestry Disability Index"/> <code> <coding> <system value="http://loinc.org"/> <code value="97908-8"/> </coding> </code> <entry> <reference value="QuestionnaireResponse/OswestryDisabilityIndexExample"/> </entry> </section> <section> <title value="Neck Disability Index"/> <code> <coding> <system value="http://loinc.org"/> <code value="82226-2"/> </coding> </code> <entry> <reference value="QuestionnaireResponse/NeckDisabilityIndexExample"/> </entry> </section> <section> <title value="QuickDASH"/> <code> <coding> <system value="https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSReportDataCompositionSectionCS"/> <code value="QuickDASH"/> </coding> </code> <entry> <reference value="QuestionnaireResponse/QuickDASHExample"/> </entry> </section> <section> <title value="Patient's Global Impression of Change"/> <code> <coding> <system value="https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSReportDataCompositionSectionCS"/> <code value="PGIC"/> </coding> </code> <entry> <reference value="QuestionnaireResponse/MSKPGICExample"/> </entry> </section> <section> <title value="KOOS JR"/> <code> <coding> <system value="http://loinc.org"/> <code value="82324-5"/> </coding> </code> <entry> <reference value="QuestionnaireResponse/KOOSJRExample"/> </entry> </section> <section> <title value="HOOS JR"/> <code> <coding> <system value="http://loinc.org"/> <code value="82316-1"/> </coding> </code> <entry> <reference value="QuestionnaireResponse/HOOSJRExample"/> </entry> </section> <section> <title value="PROMIS Pain Intensity NRS"/> <code> <coding> <system value="http://loinc.org"/> <code value="72514-3"/> </coding> </code> <entry> <reference value="QuestionnaireResponse/PROMISNRSExample"/> </entry> </section> </section> </Composition> </resource> </entry> <entry> <fullUrl value="http://example.org/Patient/PatientExample"/> <resource> <Patient> <id value="PatientExample"/> <meta> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0"/> </meta> <language value="en"/> <text> <status value="generated"/><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> </text> <identifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="MC"/> </coding> </type> <system value="http://terminology.hl7.org/NamingSystem/cmsMBI"/> <value value="1EG4TE5MK73"/> </identifier> <name> <family value="Doe"/> <given value="John"/> </name> <gender value="male"/> <birthDate value="1950-01-01"/> </Patient> </resource> </entry> <entry> <fullUrl value="http://example.org/Practitioner/PractitionerExample"/> <resource> <Practitioner> <id value="PractitionerExample"/> <meta> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0"/> </meta> <language value="en"/> <text> <status value="generated"/><div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en"><a name="Practitioner_PractitionerExample"> </a>Practitioner Jane Smith, NPI: 1234567893</div> </text> <identifier> <system value="http://hl7.org/fhir/sid/us-npi"/> <value value="1234567893"/> </identifier> <name> <family value="Smith"/> <given value="Jane"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="http://example.org/Organization/OrganizationExample"/> <resource> <Organization> <id value="OrganizationExample"/> <meta> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|6.1.0"/> </meta> <language value="en"/> <text> <status value="generated"/><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> </text> <identifier> <system value="https://dsacms.github.io/cmmi-access-model/participant-id"/> <value value="ACCES12345"/> </identifier> <active value="true"/> <name value="Example Healthcare Organization"/> </Organization> </resource> </entry> <entry> <fullUrl value="http://example.org/QuestionnaireResponse/PROMISPhysicalFunctionExample"/> <resource> <QuestionnaireResponse> <id value="PROMISPhysicalFunctionExample"/> <meta> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"/> </meta> <language value="en"/> <text> <status value="generated"/><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> </text> <questionnaire value="http://example.org/Questionnaire/PROMISPhysicalFunctionQuestionnaire"/> <status value="completed"/> <subject> <reference value="Patient/PatientExample"/> </subject> <authored value="2026-01-15T10:30:00Z"/> <author> <reference value="Patient/PatientExample"/> </author> <item> <linkId value="pf6b-1"/> <text value="Are you able to do chores such as vacuuming or yard work?"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="4"/> </extension> <system value="http://loinc.org"/> <code value="LA13918-0"/> <display value="With a little difficulty"/> </valueCoding> </answer> </item> <item> <linkId value="pf6b-2"/> <text value="Are you able to go up and down stairs at a normal pace?"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="3"/> </extension> <system value="http://loinc.org"/> <code value="LA13920-6"/> <display value="With some difficulty"/> </valueCoding> </answer> </item> <item> <linkId value="pf6b-3"/> <text value="Are you able to go for a walk of at least 15 minutes?"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="3"/> </extension> <system value="http://loinc.org"/> <code value="LA13920-6"/> <display value="With some difficulty"/> </valueCoding> </answer> </item> <item> <linkId value="pf6b-4"/> <text value="Are you able to run errands and shop?"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="4"/> </extension> <system value="http://loinc.org"/> <code value="LA13918-0"/> <display value="With a little difficulty"/> </valueCoding> </answer> </item> <item> <linkId value="pf6b-5"/> <text value="Does your health now limit you in doing two hours of physical labor?"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="1"/> </extension> <system value="http://loinc.org"/> <code value="LA13868-7"/> <display value="Cannot do"/> </valueCoding> </answer> </item> <item> <linkId value="pf6b-6"/> <text value="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 value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA11911-7"/> <display value="Quite a lot"/> </valueCoding> </answer> </item> <item> <linkId value="raw_score"/> <answer> <valueDecimal value="17"/> </answer> </item> <item> <linkId value="tscore"/> <answer> <valueDecimal value="36.8"/> </answer> </item> </QuestionnaireResponse> </resource> </entry> <entry> <fullUrl value="http://example.org/QuestionnaireResponse/PROMISPhysicalFunctionCATExample"/> <resource> <QuestionnaireResponse> <id value="PROMISPhysicalFunctionCATExample"/> <meta> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"/> </meta> <language value="en"/> <text> <status value="generated"/><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> </text> <questionnaire value="http://example.org/Questionnaire/PROMISPhysicalFunctionCATQuestionnaire"/> <status value="completed"/> <subject> <reference value="Patient/PatientExample"/> </subject> <authored value="2026-01-15T10:30:00Z"/> <author> <reference value="Patient/PatientExample"/> </author> <item> <linkId value="pf-cat-1"/> <text value="Does your health now limit you in doing two hours of physical labor?"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA11911-7"/> <display value="Quite a lot"/> </valueCoding> </answer> </item> <item> <linkId value="pf-cat-2"/> <text value="Are you able to do chores such as vacuuming or yard work?"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="3"/> </extension> <system value="http://loinc.org"/> <code value="LA13920-6"/> <display value="With some difficulty"/> </valueCoding> </answer> </item> <item> <linkId value="pf-cat-3"/> <text value="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 value="3"/> </extension> <system value="http://loinc.org"/> <code value="LA13939-6"/> <display value="Moderately"/> </valueCoding> </answer> </item> <item> <linkId value="pf-cat-4"/> <text value="Does your health now limit you in walking more than a mile?"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA11911-7"/> <display value="Quite a lot"/> </valueCoding> </answer> </item> <item> <linkId value="tscore"/> <answer> <valueDecimal value="38"/> </answer> </item> </QuestionnaireResponse> </resource> </entry> <entry> <fullUrl value="http://example.org/QuestionnaireResponse/PROMISPainInterferenceSFExample"/> <resource> <QuestionnaireResponse> <id value="PROMISPainInterferenceSFExample"/> <meta> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"/> </meta> <language value="en"/> <text> <status value="generated"/><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> </text> <questionnaire value="http://example.org/Questionnaire/PROMISPainInterferenceSFQuestionnaire"/> <status value="completed"/> <subject> <reference value="Patient/PatientExample"/> </subject> <authored value="2026-01-15T10:30:00Z"/> <author> <reference value="Patient/PatientExample"/> </author> <item> <linkId value="pi6a-1"/> <text value="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 value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA13863-8"/> <display value="A little bit"/> </valueCoding> </answer> </item> <item> <linkId value="pi6a-2"/> <text value="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 value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA13863-8"/> <display value="A little bit"/> </valueCoding> </answer> </item> <item> <linkId value="pi6a-3"/> <text value="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 value="3"/> </extension> <system value="http://loinc.org"/> <code value="LA13909-9"/> <display value="Somewhat"/> </valueCoding> </answer> </item> <item> <linkId value="pi6a-4"/> <text value="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 value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA13863-8"/> <display value="A little bit"/> </valueCoding> </answer> </item> <item> <linkId value="pi6a-5"/> <text value="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 value="3"/> </extension> <system value="http://loinc.org"/> <code value="LA13909-9"/> <display value="Somewhat"/> </valueCoding> </answer> </item> <item> <linkId value="pi6a-6"/> <text value="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 value="3"/> </extension> <system value="http://loinc.org"/> <code value="LA13909-9"/> <display value="Somewhat"/> </valueCoding> </answer> </item> <item> <linkId value="raw_score"/> <answer> <valueDecimal value="15"/> </answer> </item> <item> <linkId value="tscore"/> <answer> <valueDecimal value="58.6"/> </answer> </item> </QuestionnaireResponse> </resource> </entry> <entry> <fullUrl value="http://example.org/QuestionnaireResponse/PROMISPainInterferenceCATExample"/> <resource> <QuestionnaireResponse> <id value="PROMISPainInterferenceCATExample"/> <meta> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"/> </meta> <language value="en"/> <text> <status value="generated"/><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> </text> <questionnaire value="http://example.org/Questionnaire/PROMISPainInterferenceCATQuestionnaire"/> <status value="completed"/> <subject> <reference value="Patient/PatientExample"/> </subject> <authored value="2026-01-15T10:30:00Z"/> <author> <reference value="Patient/PatientExample"/> </author> <item> <linkId value="pi-cat-1"/> <text value="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 value="4"/> </extension> <system value="http://loinc.org"/> <code value="LA13902-4"/> <display value="Quite a bit"/> </valueCoding> </answer> </item> <item> <linkId value="pi-cat-2"/> <text value="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 value="5"/> </extension> <system value="http://loinc.org"/> <code value="LA13914-9"/> <display value="Very much"/> </valueCoding> </answer> </item> <item> <linkId value="pi-cat-3"/> <text value="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 value="4"/> </extension> <system value="http://loinc.org"/> <code value="LA13902-4"/> <display value="Quite a bit"/> </valueCoding> </answer> </item> <item> <linkId value="pi-cat-4"/> <text value="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 value="5"/> </extension> <system value="http://loinc.org"/> <code value="LA13914-9"/> <display value="Very much"/> </valueCoding> </answer> </item> <item> <linkId value="tscore"/> <answer> <valueDecimal value="70"/> </answer> </item> </QuestionnaireResponse> </resource> </entry> <entry> <fullUrl value="http://example.org/QuestionnaireResponse/OswestryDisabilityIndexExample"/> <resource> <QuestionnaireResponse> <id value="OswestryDisabilityIndexExample"/> <meta> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"/> </meta> <language value="en"/> <text> <status value="generated"/><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> </text> <questionnaire value="http://example.org/Questionnaire/OswestryDisabilityIndexQuestionnaire"/> <status value="completed"/> <subject> <reference value="Patient/PatientExample"/> </subject> <authored value="2026-01-15T10:30:00Z"/> <author> <reference value="Patient/PatientExample"/> </author> <item> <linkId value="odi-1"/> <text value="Pain intensity"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <display value="The pain is moderate at the moment."/> </valueCoding> </answer> </item> <item> <linkId value="odi-2"/> <text value="Personal care (washing, dressing, etc.)"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="1"/> </extension> <display value="I can look after myself normally but it is very painful."/> </valueCoding> </answer> </item> <item> <linkId value="odi-3"/> <text value="Lifting"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="3"/> </extension> <display value="Pain prevents me lifting heavy weights off the floor, but I can manage if they are conveniently placed e.g. on a table."/> </valueCoding> </answer> </item> <item> <linkId value="odi-4"/> <text value="Walking"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="1"/> </extension> <display value="Pain prevents me from walking more than one mile."/> </valueCoding> </answer> </item> <item> <linkId value="odi-5"/> <text value="Sitting"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <display value="Pain prevents me from sitting for more than one hour."/> </valueCoding> </answer> </item> <item> <linkId value="odi-6"/> <text value="Standing"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <display value="Pain prevents me from standing for more than 1 hour."/> </valueCoding> </answer> </item> <item> <linkId value="odi-7"/> <text value="Sleeping"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="1"/> </extension> <display value="My sleep is occasionally interrupted by pain."/> </valueCoding> </answer> </item> <item> <linkId value="odi-8"/> <text value="Sex life (if applicable)"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <display value="My sex life is nearly normal but is very painful."/> </valueCoding> </answer> </item> <item> <linkId value="odi-9"/> <text value="Social life"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="3"/> </extension> <display value="Pain has restricted my social life and I do not go out as often."/> </valueCoding> </answer> </item> <item> <linkId value="odi-10"/> <text value="Traveling"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <display value="Pain is bad but I am able to manage trips over two hours."/> </valueCoding> </answer> </item> <item> <linkId value="score"/> <answer> <valueDecimal value="36"/> </answer> </item> </QuestionnaireResponse> </resource> </entry> <entry> <fullUrl value="http://example.org/QuestionnaireResponse/NeckDisabilityIndexExample"/> <resource> <QuestionnaireResponse> <id value="NeckDisabilityIndexExample"/> <meta> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"/> </meta> <language value="en"/> <text> <status value="generated"/><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> </text> <questionnaire value="http://example.org/Questionnaire/NeckDisabilityIndexQuestionnaire"/> <status value="completed"/> <subject> <reference value="Patient/PatientExample"/> </subject> <authored value="2026-01-15T10:30:00Z"/> <author> <reference value="Patient/PatientExample"/> </author> <item> <linkId value="ndi-1"/> <text value="Pain intensity"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA25855-0"/> <display value="The pain is moderate at the moment."/> </valueCoding> </answer> </item> <item> <linkId value="ndi-2"/> <text value="Personal care (washing, dressing, etc.)"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="1"/> </extension> <system value="http://loinc.org"/> <code value="LA25860-0"/> <display value="I can look after myself normally but it causes extra pain."/> </valueCoding> </answer> </item> <item> <linkId value="ndi-3"/> <text value="Lifting"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA25867-5"/> <display value="Pain prevents me lifting heavy weights off the floor, but I can manage if they are conveniently placed, for example on a table."/> </valueCoding> </answer> </item> <item> <linkId value="ndi-4"/> <text value="Reading"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA25873-3"/> <display value="I can read as much as I want with moderate pain in my neck."/> </valueCoding> </answer> </item> <item> <linkId value="ndi-5"/> <text value="Headaches"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="3"/> </extension> <system value="http://loinc.org"/> <code value="LA26367-5"/> <display value="I have moderate headaches, which come frequently."/> </valueCoding> </answer> </item> <item> <linkId value="ndi-6"/> <text value="Concentration"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA25880-8"/> <display value="I have a fair degree of difficulty in concentrating when I want to."/> </valueCoding> </answer> </item> <item> <linkId value="ndi-7"/> <text value="Work"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA25886-5"/> <display value="I can do most of my usual work, but no more."/> </valueCoding> </answer> </item> <item> <linkId value="ndi-8"/> <text value="Driving"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA25892-3"/> <display value="I can drive my car as long as I want with moderate pain in my neck."/> </valueCoding> </answer> </item> <item> <linkId value="ndi-9"/> <text value="Sleeping"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA25898-0"/> <display value="My sleep is mildly disturbed (1-2 hrs sleepless)."/> </valueCoding> </answer> </item> <item> <linkId value="ndi-10"/> <text value="Recreation"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA25904-6"/> <display value="I am able to engage in most, but not all of my usual recreation activities because of pain in my neck."/> </valueCoding> </answer> </item> <item> <linkId value="total-score"/> <answer> <valueDecimal value="40"/> </answer> </item> </QuestionnaireResponse> </resource> </entry> <entry> <fullUrl value="http://example.org/QuestionnaireResponse/QuickDASHExample"/> <resource> <QuestionnaireResponse> <id value="QuickDASHExample"/> <meta> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"/> </meta> <language value="en"/> <text> <status value="generated"/><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> </text> <questionnaire value="http://example.org/Questionnaire/QuickDASHQuestionnaire"/> <status value="completed"/> <subject> <reference value="Patient/PatientExample"/> </subject> <authored value="2026-01-15T10:30:00Z"/> <author> <reference value="Patient/PatientExample"/> </author> <item> <linkId value="qd-1"/> <text value="Open a tight or new jar."/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="3"/> </extension> <display value="Moderate difficulty"/> </valueCoding> </answer> </item> <item> <linkId value="qd-2"/> <text value="Do heavy household chores (e.g., wash walls, wash floors)."/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="4"/> </extension> <display value="Severe difficulty"/> </valueCoding> </answer> </item> <item> <linkId value="qd-3"/> <text value="Carry a shopping bag or briefcase."/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="3"/> </extension> <display value="Moderate difficulty"/> </valueCoding> </answer> </item> <item> <linkId value="qd-4"/> <text value="Wash your back."/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <display value="Mild difficulty"/> </valueCoding> </answer> </item> <item> <linkId value="qd-5"/> <text value="Use a knife to cut food."/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <display value="Mild difficulty"/> </valueCoding> </answer> </item> <item> <linkId value="qd-6"/> <text value="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 value="4"/> </extension> <display value="Severe difficulty"/> </valueCoding> </answer> </item> <item> <linkId value="qd-7"/> <text value="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 value="3"/> </extension> <display value="Moderately"/> </valueCoding> </answer> </item> <item> <linkId value="qd-8"/> <text value="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 value="4"/> </extension> <display value="Very limited"/> </valueCoding> </answer> </item> <item> <linkId value="qd-9"/> <text value="Arm, shoulder, or hand pain"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="3"/> </extension> <display value="Moderate"/> </valueCoding> </answer> </item> <item> <linkId value="qd-10"/> <text value="Tingling (pins and needles) in your arm, shoulder, or hand"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <display value="Mild"/> </valueCoding> </answer> </item> <item> <linkId value="qd-11"/> <text value="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 value="3"/> </extension> <display value="Moderate difficulty"/> </valueCoding> </answer> </item> <item> <linkId value="score"/> <answer> <valueDecimal value="50"/> </answer> </item> </QuestionnaireResponse> </resource> </entry> <entry> <fullUrl value="http://example.org/QuestionnaireResponse/MSKPGICExample"/> <resource> <QuestionnaireResponse> <id value="MSKPGICExample"/> <meta> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"/> </meta> <language value="en"/> <text> <status value="generated"/><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> </text> <questionnaire value="http://example.org/Questionnaire/MSKPGICQuestionnaire"/> <status value="completed"/> <subject> <reference value="Patient/PatientExample"/> </subject> <authored value="2026-01-15T10:30:00Z"/> <author> <reference value="Patient/PatientExample"/> </author> <item> <linkId value="pgic-1"/> <text value="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 value="1"/> </extension> <display value="Very much improved"/> </valueCoding> </answer> </item> </QuestionnaireResponse> </resource> </entry> <entry> <fullUrl value="http://example.org/QuestionnaireResponse/KOOSJRExample"/> <resource> <QuestionnaireResponse> <id value="KOOSJRExample"/> <meta> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"/> </meta> <language value="en"/> <text> <status value="generated"/><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> </text> <questionnaire value="http://example.org/Questionnaire/KOOSJRQuestionnaire"/> <status value="completed"/> <subject> <reference value="Patient/PatientExample"/> </subject> <authored value="2026-01-15T10:30:00Z"/> <author> <reference value="Patient/PatientExample"/> </author> <item> <linkId value="koosjr-1"/> <text value="How severe is your knee stiffness after first wakening in the morning?"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA6751-7"/> <display value="Moderate"/> </valueCoding> </answer> </item> <item> <linkId value="koosjr-2"/> <text value="Twisting/pivoting on your knee"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA6751-7"/> <display value="Moderate"/> </valueCoding> </answer> </item> <item> <linkId value="koosjr-3"/> <text value="Straightening knee fully"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="1"/> </extension> <system value="http://loinc.org"/> <code value="LA6752-5"/> <display value="Mild"/> </valueCoding> </answer> </item> <item> <linkId value="koosjr-4"/> <text value="Going up or down stairs"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="3"/> </extension> <system value="http://loinc.org"/> <code value="LA6750-9"/> <display value="Severe"/> </valueCoding> </answer> </item> <item> <linkId value="koosjr-5"/> <text value="Standing upright"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA6751-7"/> <display value="Moderate"/> </valueCoding> </answer> </item> <item> <linkId value="koosjr-6"/> <text value="Rising from sitting"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA6751-7"/> <display value="Moderate"/> </valueCoding> </answer> </item> <item> <linkId value="koosjr-7"/> <text value="Bending to floor/picking up an object"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="3"/> </extension> <system value="http://loinc.org"/> <code value="LA6750-9"/> <display value="Severe"/> </valueCoding> </answer> </item> <item> <linkId value="total-interval-score"/> <answer> <valueDecimal value="50.012"/> </answer> </item> </QuestionnaireResponse> </resource> </entry> <entry> <fullUrl value="http://example.org/QuestionnaireResponse/HOOSJRExample"/> <resource> <QuestionnaireResponse> <id value="HOOSJRExample"/> <meta> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"/> </meta> <language value="en"/> <text> <status value="generated"/><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> </text> <questionnaire value="http://example.org/Questionnaire/HOOSJRQuestionnaire"/> <status value="completed"/> <subject> <reference value="Patient/PatientExample"/> </subject> <authored value="2026-01-15T10:30:00Z"/> <author> <reference value="Patient/PatientExample"/> </author> <item> <linkId value="hoosjr-1"/> <text value="Going up or down stairs"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA6751-7"/> <display value="Moderate"/> </valueCoding> </answer> </item> <item> <linkId value="hoosjr-2"/> <text value="Walking on an uneven surface"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA6751-7"/> <display value="Moderate"/> </valueCoding> </answer> </item> <item> <linkId value="hoosjr-3"/> <text value="Rising from sitting"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="2"/> </extension> <system value="http://loinc.org"/> <code value="LA6751-7"/> <display value="Moderate"/> </valueCoding> </answer> </item> <item> <linkId value="hoosjr-4"/> <text value="Bending to the floor/picking up an object"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="3"/> </extension> <system value="http://loinc.org"/> <code value="LA6750-9"/> <display value="Severe"/> </valueCoding> </answer> </item> <item> <linkId value="hoosjr-5"/> <text value="Lying in bed"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="1"/> </extension> <system value="http://loinc.org"/> <code value="LA6752-5"/> <display value="Mild"/> </valueCoding> </answer> </item> <item> <linkId value="hoosjr-6"/> <text value="Sitting"/> <answer> <valueCoding> <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue"> <valueDecimal value="1"/> </extension> <system value="http://loinc.org"/> <code value="LA6752-5"/> <display value="Mild"/> </valueCoding> </answer> </item> <item> <linkId value="total-interval-score"/> <answer> <valueDecimal value="55.985"/> </answer> </item> </QuestionnaireResponse> </resource> </entry> <entry> <fullUrl value="http://example.org/QuestionnaireResponse/PROMISNRSExample"/> <resource> <QuestionnaireResponse> <id value="PROMISNRSExample"/> <meta> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"/> </meta> <language value="en"/> <text> <status value="generated"/><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> </text> <questionnaire value="http://example.org/Questionnaire/PROMISNRSQuestionnaire"/> <status value="completed"/> <subject> <reference value="Patient/PatientExample"/> </subject> <authored value="2026-01-15T10:30:00Z"/> <author> <reference value="Patient/PatientExample"/> </author> <item> <linkId value="nrs-1"/> <text value="In the past 7 days, how would you rate your pain on average? (0-10)"/> <answer> <valueInteger value="6"/> </answer> </item> </QuestionnaireResponse> </resource> </entry> </Bundle>