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
<Questionnaire xmlns="http://hl7.org/fhir">
<id value="NeckDisabilityIndexQuestionnaire"/>
<meta>
<profile
value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire|3.0.0"/>
</meta>
<language value="en"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Questionnaire NeckDisabilityIndexQuestionnaire</b></p><a name="NeckDisabilityIndexQuestionnaire"> </a><a name="hcNeckDisabilityIndexQuestionnaire"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaire.html">SDCBaseQuestionnaire</a> version: 3.0.0</p></div><b>Structure</b><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the item can appear in the instance">Cardinality</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Other attributes of the item">Flags</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Additional information about the item">Description & Constraints</a><span style="float: right"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_q_root.gif" alt="." style="background-color: white; background-color: inherit" title="QuestionnaireRoot" class="hierarchy"/> </td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">http://example.org/Questionnaire/NeckDisabilityIndexQuestionnaire#0.9.7</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.ndi-1" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> ndi-1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Pain intensity</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.ndi-1">6 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.ndi-2" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> ndi-2</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Personal care (washing, dressing, etc.)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.ndi-2">6 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.ndi-3" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> ndi-3</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Lifting</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.ndi-3">6 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.ndi-4" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> ndi-4</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Reading</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.ndi-4">6 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.ndi-5" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> ndi-5</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Headaches</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.ndi-5">6 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.ndi-6" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> ndi-6</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Concentration</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.ndi-6">6 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.ndi-7" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> ndi-7</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Work</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.ndi-7">6 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.ndi-8" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> ndi-8</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Driving</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.ndi-8">6 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.ndi-9" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> ndi-9</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Sleeping</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.ndi-9">6 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.ndi-10" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> ndi-10</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Recreation</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.ndi-10">6 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" id="item.total-score" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> total-score</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Total score [NDI]</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly" title="Is Read Only"><img src="icon-qi-readonly.png" alt="icon"/></a><img src="icon-qi-readonly.png" alt="icon"/></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr><td colspan="6" class="hierarchy"><br/><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name="opt-item.ndi-1"> </a><p><b>Answer options for ndi-1 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA25853-5 ("I have no pain at the moment.")</li><li style="font-size: 11px">http://loinc.org#LA25854-3 ("The pain is very mild at the moment.")</li><li style="font-size: 11px">http://loinc.org#LA25855-0 ("The pain is moderate at the moment.")</li><li style="font-size: 11px">http://loinc.org#LA25856-8 ("The pain is fairly severe at the moment.")</li><li style="font-size: 11px">http://loinc.org#LA25857-6 ("The pain is very severe at the moment.")</li><li style="font-size: 11px">http://loinc.org#LA25858-4 ("The pain is the worst imaginable at the moment.")</li></ul><a name="opt-item.ndi-2"> </a><p><b>Answer options for ndi-2 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA25859-2 ("I can look after myself normally without causing extra pain.")</li><li style="font-size: 11px">http://loinc.org#LA25860-0 ("I can look after myself normally but it causes extra pain.")</li><li style="font-size: 11px">http://loinc.org#LA25861-8 ("It is painful to look after myself and I am slow and careful.")</li><li style="font-size: 11px">http://loinc.org#LA25862-6 ("I need some help but can manage most of my personal care.")</li><li style="font-size: 11px">http://loinc.org#LA25863-4 ("I need help every day in most aspects of self-care.")</li><li style="font-size: 11px">http://loinc.org#LA25864-2 ("I do not get dressed, I wash with difficulty and stay in bed.")</li></ul><a name="opt-item.ndi-3"> </a><p><b>Answer options for ndi-3 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA25865-9 ("I can lift heavy weights without extra pain.")</li><li style="font-size: 11px">http://loinc.org#LA25866-7 ("I can lift heavy weights but it gives extra pain.")</li><li style="font-size: 11px">http://loinc.org#LA25867-5 ("Pain prevents me lifting heavy weights off the floor, but I can manage if they are conveniently placed, for example on a table.")</li><li style="font-size: 11px">http://loinc.org#LA25868-3 ("Pain prevents me from lifting heavy weights but I can manage light to medium weights if they are conveniently positioned.")</li><li style="font-size: 11px">http://loinc.org#LA25869-1 ("I can only lift very light weights.")</li><li style="font-size: 11px">http://loinc.org#LA25870-9 ("I cannot lift or carry anything.")</li></ul><a name="opt-item.ndi-4"> </a><p><b>Answer options for ndi-4 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA25871-7 ("I can read as much as I want to with no pain in my neck.")</li><li style="font-size: 11px">http://loinc.org#LA25872-5 ("I can read as much as I want to with slight pain in my neck.")</li><li style="font-size: 11px">http://loinc.org#LA25873-3 ("I can read as much as I want with moderate pain in my neck.")</li><li style="font-size: 11px">http://loinc.org#LA25874-1 ("I can't read as much as I want because of moderate pain in my neck.")</li><li style="font-size: 11px">http://loinc.org#LA25875-8 ("I can hardly read at all because of severe pain in my neck.")</li><li style="font-size: 11px">http://loinc.org#LA25876-6 ("I can't read at all.")</li></ul><a name="opt-item.ndi-5"> </a><p><b>Answer options for ndi-5 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA25877-4 ("I have no headaches at all.")</li><li style="font-size: 11px">http://loinc.org#LA26365-9 ("I have slight headaches, which come infrequently.")</li><li style="font-size: 11px">http://loinc.org#LA26366-7 ("I have moderate headaches, which come infrequently.")</li><li style="font-size: 11px">http://loinc.org#LA26367-5 ("I have moderate headaches, which come frequently.")</li><li style="font-size: 11px">http://loinc.org#LA26368-3 ("I have severe headaches, which come frequently.")</li><li style="font-size: 11px">http://loinc.org#LA26369-1 ("I have headaches almost all the time.")</li></ul><a name="opt-item.ndi-6"> </a><p><b>Answer options for ndi-6 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA25878-2 ("I can concentrate fully when I want to with no difficulty.")</li><li style="font-size: 11px">http://loinc.org#LA25879-0 ("I can concentrate fully when I want to with slight difficulty.")</li><li style="font-size: 11px">http://loinc.org#LA25880-8 ("I have a fair degree of difficulty in concentrating when I want to.")</li><li style="font-size: 11px">http://loinc.org#LA25881-6 ("I have a lot of difficulty in concentrating when I want to.")</li><li style="font-size: 11px">http://loinc.org#LA25882-4 ("I have a great deal of difficulty in concentrating when I want to.")</li><li style="font-size: 11px">http://loinc.org#LA25883-2 ("I can't concentrate at all.")</li></ul><a name="opt-item.ndi-7"> </a><p><b>Answer options for ndi-7 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA25884-0 ("I can do as much work as I want to.")</li><li style="font-size: 11px">http://loinc.org#LA25885-7 ("I can only do my usual work, but no more.")</li><li style="font-size: 11px">http://loinc.org#LA25886-5 ("I can do most of my usual work, but no more.")</li><li style="font-size: 11px">http://loinc.org#LA25887-3 ("I cannot do my usual work.")</li><li style="font-size: 11px">http://loinc.org#LA25888-1 ("I can hardly do any work at all.")</li><li style="font-size: 11px">http://loinc.org#LA25889-9 ("I can't do any work at all.")</li></ul><a name="opt-item.ndi-8"> </a><p><b>Answer options for ndi-8 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA25890-7 ("I can drive my car without any neck pain.")</li><li style="font-size: 11px">http://loinc.org#LA25891-5 ("I can drive my car as long as I want with slight pain in my neck.")</li><li style="font-size: 11px">http://loinc.org#LA25892-3 ("I can drive my car as long as I want with moderate pain in my neck.")</li><li style="font-size: 11px">http://loinc.org#LA25893-1 ("I can't drive my car as long as I want because of moderate pain in my neck.")</li><li style="font-size: 11px">http://loinc.org#LA25894-9 ("I can hardly drive at all because of severe pain in my neck.")</li><li style="font-size: 11px">http://loinc.org#LA25895-6 ("I can't drive my car at all.")</li></ul><a name="opt-item.ndi-9"> </a><p><b>Answer options for ndi-9 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA25896-4 ("I have no trouble sleeping.")</li><li style="font-size: 11px">http://loinc.org#LA25897-2 ("My sleep is slightly disturbed (less than 1 hr sleepless).")</li><li style="font-size: 11px">http://loinc.org#LA25898-0 ("My sleep is mildly disturbed (1-2 hrs sleepless).")</li><li style="font-size: 11px">http://loinc.org#LA25899-8 ("My sleep is moderately disturbed (2-3 hrs sleepless).")</li><li style="font-size: 11px">http://loinc.org#LA25900-4 ("My sleep is greatly disturbed (3-5 hrs sleepless).")</li><li style="font-size: 11px">http://loinc.org#LA25901-2 ("My sleep is completely disturbed (5-7 hrs sleepless).")</li></ul><a name="opt-item.ndi-10"> </a><p><b>Answer options for ndi-10 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA25902-0 ("I am able to engage in all my recreation activities with no neck pain at all.")</li><li style="font-size: 11px">http://loinc.org#LA25903-8 ("I am able to engage in all my recreation activities, with some pain in my neck.")</li><li style="font-size: 11px">http://loinc.org#LA25904-6 ("I am able to engage in most, but not all of my usual recreation activities because of pain in my neck.")</li><li style="font-size: 11px">http://loinc.org#LA25905-3 ("I am able to engage in a few of my usual recreation activities because of pain in my neck.")</li><li style="font-size: 11px">http://loinc.org#LA25906-1 ("I can hardly do any recreation activities because of pain in my neck.")</li><li style="font-size: 11px">http://loinc.org#LA25907-9 ("I can't do any recreation activities due at all.")</li></ul></div>
</text>
<url
value="http://example.org/Questionnaire/NeckDisabilityIndexQuestionnaire"/>
<version value="0.9.7"/>
<status value="active"/>
<subjectType value="Patient"/>
<date value="2026-05-06T11:31:09-04:00"/>
<publisher value="Global Alliant, Inc."/>
<contact>
<name value="Global Alliant, Inc."/>
<telecom>
<system value="url"/>
<value value="https://globalalliantinc.com"/>
</telecom>
<telecom>
<system value="email"/>
<value value="david.h@globalalliantinc.org"/>
</telecom>
</contact>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
<display value="United States of America"/>
</coding>
</jurisdiction>
<code>
<system value="http://loinc.org"/>
<code value="82226-2"/>
<display value="Neck Disability Index [NDI]"/>
</code>
<item>
<linkId value="ndi-1"/>
<code>
<system value="http://loinc.org"/>
<code value="82227-0"/>
</code>
<text value="Pain intensity"/>
<type value="choice"/>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25853-5"/>
<display value="I have no pain at the moment."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25854-3"/>
<display value="The pain is very mild at the moment."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25855-0"/>
<display value="The pain is moderate at the moment."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25856-8"/>
<display value="The pain is fairly severe at the moment."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25857-6"/>
<display value="The pain is very severe at the moment."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25858-4"/>
<display value="The pain is the worst imaginable at the moment."/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="ndi-2"/>
<code>
<system value="http://loinc.org"/>
<code value="82228-8"/>
</code>
<text value="Personal care (washing, dressing, etc.)"/>
<type value="choice"/>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25859-2"/>
<display
value="I can look after myself normally without causing extra pain."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25860-0"/>
<display
value="I can look after myself normally but it causes extra pain."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25861-8"/>
<display
value="It is painful to look after myself and I am slow and careful."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25862-6"/>
<display
value="I need some help but can manage most of my personal care."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25863-4"/>
<display value="I need help every day in most aspects of self-care."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25864-2"/>
<display
value="I do not get dressed, I wash with difficulty and stay in bed."/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="ndi-3"/>
<code>
<system value="http://loinc.org"/>
<code value="82229-6"/>
</code>
<text value="Lifting"/>
<type value="choice"/>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25865-9"/>
<display value="I can lift heavy weights without extra pain."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25866-7"/>
<display value="I can lift heavy weights but it gives extra pain."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<valueCoding>
<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>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25868-3"/>
<display
value="Pain prevents me from lifting heavy weights but I can manage light to medium weights if they are conveniently positioned."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25869-1"/>
<display value="I can only lift very light weights."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25870-9"/>
<display value="I cannot lift or carry anything."/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="ndi-4"/>
<code>
<system value="http://loinc.org"/>
<code value="82230-4"/>
</code>
<text value="Reading"/>
<type value="choice"/>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25871-7"/>
<display
value="I can read as much as I want to with no pain in my neck."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25872-5"/>
<display
value="I can read as much as I want to with slight pain in my neck."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<valueCoding>
<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>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25874-1"/>
<display
value="I can't read as much as I want because of moderate pain in my neck."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25875-8"/>
<display
value="I can hardly read at all because of severe pain in my neck."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25876-6"/>
<display value="I can't read at all."/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="ndi-5"/>
<code>
<system value="http://loinc.org"/>
<code value="82231-2"/>
</code>
<text value="Headaches"/>
<type value="choice"/>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25877-4"/>
<display value="I have no headaches at all."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA26365-9"/>
<display value="I have slight headaches, which come infrequently."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA26366-7"/>
<display value="I have moderate headaches, which come infrequently."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA26367-5"/>
<display value="I have moderate headaches, which come frequently."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA26368-3"/>
<display value="I have severe headaches, which come frequently."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA26369-1"/>
<display value="I have headaches almost all the time."/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="ndi-6"/>
<code>
<system value="http://loinc.org"/>
<code value="82232-0"/>
</code>
<text value="Concentration"/>
<type value="choice"/>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25878-2"/>
<display
value="I can concentrate fully when I want to with no difficulty."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25879-0"/>
<display
value="I can concentrate fully when I want to with slight difficulty."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<valueCoding>
<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>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25881-6"/>
<display
value="I have a lot of difficulty in concentrating when I want to."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25882-4"/>
<display
value="I have a great deal of difficulty in concentrating when I want to."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25883-2"/>
<display value="I can't concentrate at all."/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="ndi-7"/>
<code>
<system value="http://loinc.org"/>
<code value="82233-8"/>
</code>
<text value="Work"/>
<type value="choice"/>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25884-0"/>
<display value="I can do as much work as I want to."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25885-7"/>
<display value="I can only do my usual work, but no more."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25886-5"/>
<display value="I can do most of my usual work, but no more."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25887-3"/>
<display value="I cannot do my usual work."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25888-1"/>
<display value="I can hardly do any work at all."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25889-9"/>
<display value="I can't do any work at all."/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="ndi-8"/>
<code>
<system value="http://loinc.org"/>
<code value="82234-6"/>
</code>
<text value="Driving"/>
<type value="choice"/>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25890-7"/>
<display value="I can drive my car without any neck pain."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25891-5"/>
<display
value="I can drive my car as long as I want with slight pain in my neck."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<valueCoding>
<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>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25893-1"/>
<display
value="I can't drive my car as long as I want because of moderate pain in my neck."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25894-9"/>
<display
value="I can hardly drive at all because of severe pain in my neck."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25895-6"/>
<display value="I can't drive my car at all."/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="ndi-9"/>
<code>
<system value="http://loinc.org"/>
<code value="82235-3"/>
</code>
<text value="Sleeping"/>
<type value="choice"/>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25896-4"/>
<display value="I have no trouble sleeping."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25897-2"/>
<display
value="My sleep is slightly disturbed (less than 1 hr sleepless)."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25898-0"/>
<display value="My sleep is mildly disturbed (1-2 hrs sleepless)."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25899-8"/>
<display
value="My sleep is moderately disturbed (2-3 hrs sleepless)."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25900-4"/>
<display value="My sleep is greatly disturbed (3-5 hrs sleepless)."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25901-2"/>
<display
value="My sleep is completely disturbed (5-7 hrs sleepless)."/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="ndi-10"/>
<code>
<system value="http://loinc.org"/>
<code value="82236-1"/>
</code>
<text value="Recreation"/>
<type value="choice"/>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="0"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25902-0"/>
<display
value="I am able to engage in all my recreation activities with no neck pain at all."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25903-8"/>
<display
value="I am able to engage in all my recreation activities, with some pain in my neck."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2"/>
</extension>
<valueCoding>
<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>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25905-3"/>
<display
value="I am able to engage in a few of my usual recreation activities because of pain in my neck."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25906-1"/>
<display
value="I can hardly do any recreation activities because of pain in my neck."/>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5"/>
</extension>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA25907-9"/>
<display value="I can't do any recreation activities due at all."/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="total-score"/>
<code>
<system value="http://loinc.org"/>
<code value="82237-9"/>
<display value="Total score [NDI]"/>
</code>
<text value="Total score [NDI]"/>
<type value="decimal"/>
<readOnly value="true"/>
</item>
</Questionnaire>