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

: BH Report Data Request Example

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{
  "resourceType" : "Parameters",
  "id" : "BHReportDataRequestExample",
  "meta" : {
    "profile" : [
      🔗 "https://dsacms.github.io/cmmi-access-model/StructureDefinition/access-report-data-in"
    ]
  },
  "language" : "en",
  "parameter" : [
    {
      "name" : "participantID",
      "valueIdentifier" : {
        "system" : "https://dsacms.github.io/cmmi-access-model/participant-id",
        "value" : "ACCES12345"
      }
    },
    {
      "name" : "payerID",
      "valueIdentifier" : {
        "type" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType",
              "code" : "payerid",
              "display" : "Payer ID"
            }
          ]
        },
        "system" : "urn:oid:2.16.840.1.113883.3.221.5",
        "value" : "12345"
      }
    },
    {
      "name" : "track",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSTrackCS",
            "code" : "BH",
            "display" : "Behavioral Health track"
          }
        ]
      }
    },
    {
      "name" : "reportType",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSReportTypeCS",
            "code" : "baseline",
            "display" : "Baseline Data Report"
          }
        ]
      }
    },
    {
      "name" : "dataBundle",
      "resource" : {
        "resourceType" : "Bundle",
        "id" : "BHReportDataBundleExample",
        "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-bh-001"
        },
        "type" : "document",
        "timestamp" : "2026-01-26T12:00:00Z",
        "entry" : [
          {
            "fullUrl" : "http://example.org/Composition/BHReportDataCompositionExample",
            "resource" : {
              "resourceType" : "Composition",
              "id" : "BHReportDataCompositionExample",
              "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\"><h3>ACCESS BH 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 BH Track Data Report",
              "custodian" : {
                🔗 "reference" : "Organization/OrganizationExample"
              },
              "section" : [
                {
                  "title" : "Data reporting for BH track",
                  "code" : {
                    "coding" : [
                      {
                        "system" : "https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSTrackCS",
                        "code" : "BH"
                      }
                    ]
                  },
                  "text" : {
                    "status" : "generated",
                    "div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\"><p>Behavioral Health Track Data Reporting including depression and anxiety assessments and patient-reported outcomes.</p></div>"
                  },
                  "section" : [
                    {
                      "title" : "Depression (PHQ-9)",
                      "code" : {
                        "coding" : [
                          {
                            "system" : "http://loinc.org",
                            "code" : "44249-1"
                          }
                        ]
                      },
                      "entry" : [
                        {
                          🔗 "reference" : "QuestionnaireResponse/DepressionPHQ9Example"
                        }
                      ]
                    },
                    {
                      "title" : "Anxiety (GAD-7)",
                      "code" : {
                        "coding" : [
                          {
                            "system" : "http://loinc.org",
                            "code" : "69737-5"
                          }
                        ]
                      },
                      "entry" : [
                        {
                          🔗 "reference" : "QuestionnaireResponse/AnxietyGAD7Example"
                        }
                      ]
                    },
                    {
                      "title" : "Overall Function (WHODAS 2.0)",
                      "code" : {
                        "coding" : [
                          {
                            "system" : "https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSReportDataCompositionSectionCS",
                            "code" : "WHODAS"
                          }
                        ]
                      },
                      "entry" : [
                        {
                          🔗 "reference" : "QuestionnaireResponse/WHODASExample"
                        }
                      ]
                    },
                    {
                      "title" : "Patient's Global Impression of Change",
                      "code" : {
                        "coding" : [
                          {
                            "system" : "https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSReportDataCompositionSectionCS",
                            "code" : "PGIC"
                          }
                        ]
                      },
                      "entry" : [
                        {
                          🔗 "reference" : "QuestionnaireResponse/BHPGICExample"
                        }
                      ]
                    }
                  ]
                }
              ]
            }
          },
          {
            "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\">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\">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\">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/DepressionPHQ9Example",
            "resource" : {
              "resourceType" : "QuestionnaireResponse",
              "id" : "DepressionPHQ9Example",
              "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\"><p>PHQ-9 QuestionnaireResponse for John Doe. Total score: 7.</p></div>"
              },
              "questionnaire" : "http://example.org/Questionnaire/PHQ9Questionnaire",
              "status" : "completed",
              "subject" : {
                🔗 "reference" : "Patient/PatientExample"
              },
              "authored" : "2026-01-15T10:30:00Z",
              "author" : {
                🔗 "reference" : "Patient/PatientExample"
              },
              "item" : [
                {
                  "linkId" : "phq9-1",
                  "text" : "Little interest or pleasure in doing things",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 1
                          }
                        ],
                        "system" : "http://loinc.org",
                        "code" : "LA6569-3",
                        "display" : "Several days"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "phq9-2",
                  "text" : "Feeling down, depressed, or hopeless",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 1
                          }
                        ],
                        "system" : "http://loinc.org",
                        "code" : "LA6569-3",
                        "display" : "Several days"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "phq9-3",
                  "text" : "Trouble falling or staying asleep, or sleeping too much",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 2
                          }
                        ],
                        "system" : "http://loinc.org",
                        "code" : "LA6570-1",
                        "display" : "More than half the days"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "phq9-4",
                  "text" : "Feeling tired or having little energy",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 1
                          }
                        ],
                        "system" : "http://loinc.org",
                        "code" : "LA6569-3",
                        "display" : "Several days"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "phq9-5",
                  "text" : "Poor appetite or overeating",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 0
                          }
                        ],
                        "system" : "http://loinc.org",
                        "code" : "LA6568-5",
                        "display" : "Not at all"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "phq9-6",
                  "text" : "Feeling bad about yourself — or that you are a failure or have let yourself or your family down",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 1
                          }
                        ],
                        "system" : "http://loinc.org",
                        "code" : "LA6569-3",
                        "display" : "Several days"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "phq9-7",
                  "text" : "Trouble concentrating on things, such as reading the newspaper or watching television",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 1
                          }
                        ],
                        "system" : "http://loinc.org",
                        "code" : "LA6569-3",
                        "display" : "Several days"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "phq9-8",
                  "text" : "Moving or speaking so slowly that other people could have noticed? Or the opposite — being so fidgety or restless that you have been moving around a lot more than usual",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 0
                          }
                        ],
                        "system" : "http://loinc.org",
                        "code" : "LA6568-5",
                        "display" : "Not at all"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "phq9-9",
                  "text" : "Thoughts that you would be better off dead, or of hurting yourself in some way",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 0
                          }
                        ],
                        "system" : "http://loinc.org",
                        "code" : "LA6568-5",
                        "display" : "Not at all"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "phq9-10",
                  "text" : "How difficult have these made it for you to do your work, take care of things at home, or get along with other people?",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 1
                          }
                        ],
                        "system" : "http://loinc.org",
                        "code" : "LA6573-5",
                        "display" : "Somewhat difficult"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "total-score",
                  "answer" : [
                    {
                      "valueDecimal" : 7
                    }
                  ]
                }
              ]
            }
          },
          {
            "fullUrl" : "http://example.org/QuestionnaireResponse/AnxietyGAD7Example",
            "resource" : {
              "resourceType" : "QuestionnaireResponse",
              "id" : "AnxietyGAD7Example",
              "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\"><p>GAD-7 QuestionnaireResponse for John Doe. Total score: 6.</p></div>"
              },
              "questionnaire" : "http://example.org/Questionnaire/GAD7Questionnaire",
              "status" : "completed",
              "subject" : {
                🔗 "reference" : "Patient/PatientExample"
              },
              "authored" : "2026-01-15T10:30:00Z",
              "author" : {
                🔗 "reference" : "Patient/PatientExample"
              },
              "item" : [
                {
                  "linkId" : "gad7-1",
                  "text" : "Feeling nervous, anxious, or on edge",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 1
                          }
                        ],
                        "system" : "http://loinc.org",
                        "code" : "LA6569-3",
                        "display" : "Several days"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "gad7-2",
                  "text" : "Not being able to stop or control worrying",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 1
                          }
                        ],
                        "system" : "http://loinc.org",
                        "code" : "LA6569-3",
                        "display" : "Several days"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "gad7-3",
                  "text" : "Worrying too much about different things",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 1
                          }
                        ],
                        "system" : "http://loinc.org",
                        "code" : "LA6569-3",
                        "display" : "Several days"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "gad7-4",
                  "text" : "Trouble relaxing",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 1
                          }
                        ],
                        "system" : "http://loinc.org",
                        "code" : "LA6569-3",
                        "display" : "Several days"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "gad7-5",
                  "text" : "Being so restless that it is hard to sit still",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 0
                          }
                        ],
                        "system" : "http://loinc.org",
                        "code" : "LA6568-5",
                        "display" : "Not at all"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "gad7-6",
                  "text" : "Becoming easily annoyed or irritable",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 1
                          }
                        ],
                        "system" : "http://loinc.org",
                        "code" : "LA6569-3",
                        "display" : "Several days"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "gad7-7",
                  "text" : "Feeling afraid as if something awful might happen",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 1
                          }
                        ],
                        "system" : "http://loinc.org",
                        "code" : "LA6569-3",
                        "display" : "Several days"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "total-score",
                  "answer" : [
                    {
                      "valueDecimal" : 6
                    }
                  ]
                }
              ]
            }
          },
          {
            "fullUrl" : "http://example.org/QuestionnaireResponse/WHODASExample",
            "resource" : {
              "resourceType" : "QuestionnaireResponse",
              "id" : "WHODASExample",
              "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\"><p>WHODAS 2.0 (12-item) QuestionnaireResponse for John Doe. Total score: 26.</p></div>"
              },
              "questionnaire" : "http://example.org/Questionnaire/WHODASQuestionnaire",
              "status" : "completed",
              "subject" : {
                🔗 "reference" : "Patient/PatientExample"
              },
              "authored" : "2026-01-15T10:30:00Z",
              "author" : {
                🔗 "reference" : "Patient/PatientExample"
              },
              "item" : [
                {
                  "linkId" : "whodas-s1",
                  "text" : "Standing for long periods such as 30 minutes",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 2
                          }
                        ],
                        "display" : "Mild"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "whodas-s2",
                  "text" : "Taking care of household responsibilities",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 3
                          }
                        ],
                        "display" : "Moderate"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "whodas-s3",
                  "text" : "Learning a new task, for example learning how to get to a new place",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 2
                          }
                        ],
                        "display" : "Mild"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "whodas-s4",
                  "text" : "How much of a problem did you have joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can?",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 2
                          }
                        ],
                        "display" : "Mild"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "whodas-s5",
                  "text" : "How much of a problem did you have with being emotionally affected by your health problems?",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 3
                          }
                        ],
                        "display" : "Moderate"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "whodas-s6",
                  "text" : "Concentrating on doing something for ten minutes?",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 2
                          }
                        ],
                        "display" : "Mild"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "whodas-s7",
                  "text" : "Walking a long distance such as a kilometer [or equivalent]?",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 3
                          }
                        ],
                        "display" : "Moderate"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "whodas-s8",
                  "text" : "Washing your whole body?",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 1
                          }
                        ],
                        "display" : "None"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "whodas-s9",
                  "text" : "Getting dressed?",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 1
                          }
                        ],
                        "display" : "None"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "whodas-s10",
                  "text" : "Dealing with people you do not know",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 2
                          }
                        ],
                        "display" : "Mild"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "whodas-s11",
                  "text" : "Maintaining a friendship",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 2
                          }
                        ],
                        "display" : "Mild"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "whodas-s12",
                  "text" : "Your day-to-day work",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 3
                          }
                        ],
                        "display" : "Moderate"
                      }
                    }
                  ]
                },
                {
                  "linkId" : "whodas-h1",
                  "text" : "Overall, in the past 30 days, how many days were these difficulties present?",
                  "answer" : [
                    {
                      "valueDecimal" : 3
                    }
                  ]
                },
                {
                  "linkId" : "whodas-h2",
                  "text" : "In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition?",
                  "answer" : [
                    {
                      "valueDecimal" : 3
                    }
                  ]
                },
                {
                  "linkId" : "whodas-h3",
                  "text" : "In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health condition?",
                  "answer" : [
                    {
                      "valueDecimal" : 3
                    }
                  ]
                },
                {
                  "linkId" : "total-score",
                  "answer" : [
                    {
                      "valueDecimal" : 26
                    }
                  ]
                }
              ]
            }
          },
          {
            "fullUrl" : "http://example.org/QuestionnaireResponse/BHPGICExample",
            "resource" : {
              "resourceType" : "QuestionnaireResponse",
              "id" : "BHPGICExample",
              "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\"><p>PGIC QuestionnaireResponse for John Doe. Response: Very much improved.</p></div>"
              },
              "questionnaire" : "http://example.org/Questionnaire/BHPGICQuestionnaire",
              "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 activity limitations, symptoms, emotions, and quality of life?",
                  "answer" : [
                    {
                      "valueCoding" : {
                        "extension" : [
                          {
                            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                            "valueDecimal" : 1
                          }
                        ],
                        "display" : "Very much improved"
                      }
                    }
                  ]
                }
              ]
            }
          }
        ]
      }
    }
  ]
}