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
{
"resourceType" : "QuestionnaireResponse",
"id" : "KOOSJRExample",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\"><p>KOOS JR QuestionnaireResponse for John Doe. Total interval score: 50.012.</p></div>"
},
"questionnaire" : "http://example.org/Questionnaire/KOOSJRQuestionnaire",
"status" : "completed",
"subject" : {
🔗 "reference" : "Patient/PatientExample"
},
"authored" : "2026-01-15T10:30:00Z",
"author" : {
🔗 "reference" : "Patient/PatientExample"
},
"item" : [
{
"linkId" : "koosjr-1",
"text" : "How severe is your knee stiffness after first wakening in the morning?",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA6751-7",
"display" : "Moderate"
}
}
]
},
{
"linkId" : "koosjr-2",
"text" : "Twisting/pivoting on your knee",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA6751-7",
"display" : "Moderate"
}
}
]
},
{
"linkId" : "koosjr-3",
"text" : "Straightening knee fully",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 1
}
],
"system" : "http://loinc.org",
"code" : "LA6752-5",
"display" : "Mild"
}
}
]
},
{
"linkId" : "koosjr-4",
"text" : "Going up or down stairs",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 3
}
],
"system" : "http://loinc.org",
"code" : "LA6750-9",
"display" : "Severe"
}
}
]
},
{
"linkId" : "koosjr-5",
"text" : "Standing upright",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA6751-7",
"display" : "Moderate"
}
}
]
},
{
"linkId" : "koosjr-6",
"text" : "Rising from sitting",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 2
}
],
"system" : "http://loinc.org",
"code" : "LA6751-7",
"display" : "Moderate"
}
}
]
},
{
"linkId" : "koosjr-7",
"text" : "Bending to floor/picking up an object",
"answer" : [
{
"valueCoding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal" : 3
}
],
"system" : "http://loinc.org",
"code" : "LA6750-9",
"display" : "Severe"
}
}
]
},
{
"linkId" : "total-interval-score",
"answer" : [
{
"valueDecimal" : 50.012
}
]
}
]
}