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
<Parameters xmlns="http://hl7.org/fhir">
<id value="MSKReportDataRequestExample"/>
<meta>
<profile
value="https://dsacms.github.io/cmmi-access-model/StructureDefinition/access-report-data-in"/>
</meta>
<language value="en"/>
<parameter>
<name value="participantID"/>
<valueIdentifier>
<system
value="https://dsacms.github.io/cmmi-access-model/participant-id"/>
<value value="ACCES12345"/>
</valueIdentifier>
</parameter>
<parameter>
<name value="payerID"/>
<valueIdentifier>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType"/>
<code value="payerid"/>
<display value="Payer ID"/>
</coding>
</type>
<system value="urn:oid:2.16.840.1.113883.3.221.5"/>
<value value="12345"/>
</valueIdentifier>
</parameter>
<parameter>
<name value="track"/>
<valueCodeableConcept>
<coding>
<system
value="https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSTrackCS"/>
<code value="MSK"/>
<display value="Musculoskeletal track"/>
</coding>
</valueCodeableConcept>
</parameter>
<parameter>
<name value="reportType"/>
<valueCodeableConcept>
<coding>
<system
value="https://dsacms.github.io/cmmi-access-model/CodeSystem/ACCESSReportTypeCS"/>
<code value="quarterly"/>
<display value="Quarterly Data Report"/>
</coding>
</valueCodeableConcept>
</parameter>
<parameter>
<name value="dataBundle"/>
<resource>
<Bundle>
<id value="MSKReportDataBundleExample"/>
<meta>
<profile
value="https://dsacms.github.io/cmmi-access-model/StructureDefinition/access-data-reporting-bundle"/>
</meta>
<language value="en"/>
<identifier>
<system value="http://example.org/data-bundle-id"/>
<value value="bundle-msk-001"/>
</identifier>
<type value="document"/>
<timestamp value="2026-01-26T12:00:00Z"/>
<entry>
<fullUrl
value="http://example.org/Composition/MSKReportDataCompositionExample"/>
<resource>
<Composition>
<id value="MSKReportDataCompositionExample"/>
<meta>
<profile
value="https://dsacms.github.io/cmmi-access-model/StructureDefinition/access-data-reporting-composition"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en"><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>
</text>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="74465-6"/>
<display value="Questionnaire response Document"/>
</coding>
</type>
<subject>🔗
<reference value="Patient/PatientExample"/>
</subject>
<date value="2026-01-26T12:00:00Z"/>
<author>🔗
<reference value="Practitioner/PractitionerExample"/>
</author>
<title value="ACCESS MSK Track Data Report"/>
<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">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">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">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"><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"><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"><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"><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"><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"><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"><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"><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"><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"><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"><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>
</resource>
</parameter>
</Parameters>