{
  "resourceType" : "QuestionnaireResponse",
  "id" : "QuickDASHExample",
  "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>QuickDASH QuestionnaireResponse for John Doe. Score: 50.</p></div>"
  },
  "questionnaire" : "http://example.org/Questionnaire/QuickDASHQuestionnaire",
  "status" : "completed",
  "subject" : {
    "reference" : "Patient/PatientExample"
  },
  "authored" : "2026-01-15T10:30:00Z",
  "author" : {
    "reference" : "Patient/PatientExample"
  },
  "item" : [{
    "linkId" : "qd-1",
    "text" : "Open a tight or new jar.",
    "answer" : [{
      "valueCoding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
          "valueDecimal" : 3
        }],
        "display" : "Moderate difficulty"
      }
    }]
  },
  {
    "linkId" : "qd-2",
    "text" : "Do heavy household chores (e.g., wash walls, wash floors).",
    "answer" : [{
      "valueCoding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
          "valueDecimal" : 4
        }],
        "display" : "Severe difficulty"
      }
    }]
  },
  {
    "linkId" : "qd-3",
    "text" : "Carry a shopping bag or briefcase.",
    "answer" : [{
      "valueCoding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
          "valueDecimal" : 3
        }],
        "display" : "Moderate difficulty"
      }
    }]
  },
  {
    "linkId" : "qd-4",
    "text" : "Wash your back.",
    "answer" : [{
      "valueCoding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
          "valueDecimal" : 2
        }],
        "display" : "Mild difficulty"
      }
    }]
  },
  {
    "linkId" : "qd-5",
    "text" : "Use a knife to cut food.",
    "answer" : [{
      "valueCoding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
          "valueDecimal" : 2
        }],
        "display" : "Mild difficulty"
      }
    }]
  },
  {
    "linkId" : "qd-6",
    "text" : "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" : 4
        }],
        "display" : "Severe difficulty"
      }
    }]
  },
  {
    "linkId" : "qd-7",
    "text" : "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" : 3
        }],
        "display" : "Moderately"
      }
    }]
  },
  {
    "linkId" : "qd-8",
    "text" : "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" : 4
        }],
        "display" : "Very limited"
      }
    }]
  },
  {
    "linkId" : "qd-9",
    "text" : "Arm, shoulder, or hand pain",
    "answer" : [{
      "valueCoding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
          "valueDecimal" : 3
        }],
        "display" : "Moderate"
      }
    }]
  },
  {
    "linkId" : "qd-10",
    "text" : "Tingling (pins and needles) in your arm, shoulder, or hand",
    "answer" : [{
      "valueCoding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
          "valueDecimal" : 2
        }],
        "display" : "Mild"
      }
    }]
  },
  {
    "linkId" : "qd-11",
    "text" : "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" : 3
        }],
        "display" : "Moderate difficulty"
      }
    }]
  },
  {
    "linkId" : "score",
    "answer" : [{
      "valueDecimal" : 50
    }]
  }]
}