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/PROMISPhysicalFunctionCATQuestionnaire 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/PROMISPhysicalFunctionCATQuestionnaire#0.9.12
... pf-cat-1 Does your health now limit you in doing two hours of physical labor? 0..1 choice Value Set: LOINC Answer Codes for LL1021-6
... pf-cat-2 Are you able to do chores such as vacuuming or yard work? 0..1 choice Value Set: LOINC Answer Codes for LL1022-4
... pf-cat-3 To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair? 0..1 choice Value Set: LOINC Answer Codes for LL1013-3
... tscore PROMIS physical function - version 2.0 T-score 0..1 decimal Value Set:

doco Documentation for this format

Profile: SDCBaseQuestionnaire version: 3.0.0

Does your health now limit you in doing two hours of physical labor?

Are you able to do chores such as vacuuming or yard work?

To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair?

Does your health now limit you in walking more than a mile?

PROMIS physical function - version 2.0 T-score

  • linkId: tscore
  • Answers:

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