CIRG-PEG.json

{
  "resourceType": "Questionnaire",
  "id": "CIRG-PEG",
  "name": "Pain intensity, Enjoyment of life, General activity (PEG) 3 item pain scale",
  "title": "Pain intensity, Enjoyment of life, General activity (PEG) 3 item pain scale",
  "status": "draft",
  "description": "Pain intensity, Enjoyment of life, General activity (PEG) 3 item pain scale. Reference: [https://pubmed.ncbi.nlm.nih.gov/19418100/](https://pubmed.ncbi.nlm.nih.gov/19418100/). The CIRG-PEG-SUM item is a scoring variant used at UW Medicine's Center for Pain Relief. <!-- This FHIR resource is based primarily on https://loinc.org/91148-7/ and to a lesser extent https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/91148-7, using codes from the former. Note that these two references had different codes for the first question and that it was implemented at fhir.loinc.org as a decimal (not a choice), but academic references did not support that. -->",
  "code": [
    {
      "system": "http://loinc.org",
      "code": "91148-7",
      "display": "Pain intensity, Enjoyment of life, General activity (PEG) 3 item pain scale"
    }
  ],
  "item": [
    {
      "linkId": "75893-8",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "75893-8"
        }
      ],
      "text": "What number best describes your pain on average in the past week?",
      "type": "choice",
      "answerOption": [
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6111-4",
            "display": "0"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6112-2",
            "display": "1"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6113-0",
            "display": "2"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6114-8",
            "display": "3"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6115-5",
            "display": "4"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA10137-0",
            "display": "5"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA10138-8",
            "display": "6"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA10139-6",
            "display": "7"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA10140-4",
            "display": "8"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA10141-2",
            "display": "9"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA13942-0",
            "display": "10"
          }
        }
      ]
    },
    {
      "linkId": "91145-3",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "91145-3",
          "display": "What number best describes how, during the past week, pain has interfered with your enjoyment of life?"
        }
      ],
      "text": "What number best describes how, during the past week, pain has interfered with your enjoyment of life?",
      "type": "choice",
      "answerOption": [
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6111-4",
            "display": "0"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6112-2",
            "display": "1"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6113-0",
            "display": "2"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6114-8",
            "display": "3"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6115-5",
            "display": "4"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA10137-0",
            "display": "5"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA10138-8",
            "display": "6"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA10139-6",
            "display": "7"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA10140-4",
            "display": "8"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA10141-2",
            "display": "9"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA13942-0",
            "display": "10"
          }
        }
      ]
    },
    {
      "linkId": "91146-1",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "91146-1",
          "display": "What number best describes how, during the past week, pain has interfered with your general activity?"
        }
      ],
      "text": "What number best describes how, during the past week, pain has interfered with your general activity?",
      "type": "choice",
      "answerOption": [
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6111-4",
            "display": "0"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6112-2",
            "display": "1"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6113-0",
            "display": "2"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6114-8",
            "display": "3"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6115-5",
            "display": "4"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA10137-0",
            "display": "5"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA10138-8",
            "display": "6"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA10139-6",
            "display": "7"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA10140-4",
            "display": "8"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA10141-2",
            "display": "9"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA13942-0",
            "display": "10"
          }
        }
      ]
    },
    {
      "linkId": "91147-9",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "91147-9",
          "display": "Mean score [PEG]"
        }
      ],
      "text": "Mean score",
      "type": "decimal"
    },
    {
      "linkId": "CIRG-PEG-SUM",
      "code": [
        {
          "system": "https://cirg.uw.edu",
          "code": "CIRG-PEG-SUM",
          "display": "Sum score [PEG]"
        }
      ],
      "text": "Sum score",
      "type": "decimal"
    }
  ]
}