CMS ACCESS Model API
0.9.12 - draft United States of America flag

This page is part of the ACCESS Model IG v0.9.12 DRAFT (v0.9.12: 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

Questionnaire:

Official URL: http://example.org/Questionnaire/KOOSJRQuestionnaire Version: 0.9.12
Active as of 2026-06-10 Computable Name:

Profile: SDCBaseQuestionnaire version: 3.0.0

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. Questionnaire http://example.org/Questionnaire/KOOSJRQuestionnaire#0.9.12
... koosjr-1 How severe is your knee stiffness after first wakening in the morning? 0..1 choice Value Set: LOINC Answer Codes for LL4051-0
... koosjr-2 Twisting/pivoting on your knee 0..1 choice Value Set: LOINC Answer Codes for LL4051-0
... koosjr-3 Straightening knee fully 0..1 choice Value Set: LOINC Answer Codes for LL4051-0
... koosjr-5 Standing upright 0..1 choice Value Set: LOINC Answer Codes for LL4051-0
... koosjr-6 Rising from sitting 0..1 choice Value Set: LOINC Answer Codes for LL4051-0
... koosjr-7 Bending to floor/picking up an object 0..1 choice Value Set: LOINC Answer Codes for LL4051-0
... total-interval-score Total interval score [KOOSJR] 0..1 decimal Value Set:

doco Documentation for this format

Profile: SDCBaseQuestionnaire version: 3.0.0

How severe is your knee stiffness after first wakening in the morning?

Twisting/pivoting on your knee

Straightening knee fully

Going up or down stairs

Standing upright

Rising from sitting

Bending to floor/picking up an object

Total interval score [KOOSJR]

  • linkId: total-interval-score
  • Answers:

Profile: SDCBaseQuestionnaire version: 3.0.0

LinkIDDescription & Constraintsdoco
.. koosjr-1 Value Set: LOINC Answer Codes for LL4051-0
.. koosjr-2 Value Set: LOINC Answer Codes for LL4051-0
.. koosjr-3 Value Set: LOINC Answer Codes for LL4051-0
.. koosjr-4 Value Set: LOINC Answer Codes for LL4051-0
.. koosjr-5 Value Set: LOINC Answer Codes for LL4051-0
.. koosjr-6 Value Set: LOINC Answer Codes for LL4051-0
.. koosjr-7 Value Set: LOINC Answer Codes for LL4051-0
.. total-interval-score Value Set:

doco Documentation for this format

Test this Questionnaire

Try this questionnaire out:

Responses for this Questionnaire