<QuestionnaireResponse xmlns="http://hl7.org/fhir">
  <id value="le-DataStandardsWales-PSOM-QuestionnaireResponse-EQ5D5L-Response" />
  <meta>
    <profile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-QuestionnaireResponse" />
  </meta>
  <language value="en" />
  <identifier>
    <system value="https://acme.com/fhir/identifier/NPROMS-QuestionnaireId" />
    <value value="828da5f2-b779-11ed-afa1-0242ac120002" />
    <assigner>
      <reference value="Organization/Example-DataStandardsWales-PSOM-Organization-NPROMS" />
      <display value="NPROMS" />
    </assigner>
  </identifier>
  <questionnaire value="https://fhir.nhs.wales/Questionnaire/DataStandardsWales-PSOM-EQ5D5L|2022014" />
  <status value="completed" />
  <subject>
    <reference value="Patient/Example-DataStandardsWales-PSOM-Patient-AliceJones" />
    <display value="Alice Jones" />
  </subject>
  <authored value="2020-10-11T04:44:16+00:00" />
  <item>
    <linkId value="E5DPX001X" />
    <answer>
      <valueCoding>
        <system value="https://fhir.nhs.wales/CodeSystem/EQ5D5L-MobilityCS" />
        <code value="4" />
        <display value="I have slight problems in walking about" />
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="E5DPX002X" />
    <answer>
      <valueCoding>
        <system value="https://fhir.nhs.wales/CodeSystem/EQ5D5L-SelfCareCS" />
        <code value="2" />
        <display value="I have severe problems washing or dressing myself" />
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="E5DPX003X" />
    <answer>
      <valueCoding>
        <system value="https://fhir.nhs.wales/CodeSystem/EQ5D5L-UsualActivitiesCS" />
        <code value="5" />
        <display value="I have no problems doing my usual activities" />
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="E5DPX004X" />
    <answer>
      <valueCoding>
        <system value="https://fhir.nhs.wales/CodeSystem/EQ5D5L-PainOrDiscomfortCS" />
        <code value="5" />
        <display value="I have no pain or discomfort" />
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="E5DPX005X" />
    <answer>
      <valueCoding>
        <system value="https://fhir.nhs.wales/CodeSystem/EQ5D5L-AnxietyOrDepressionCS" />
        <code value="3" />
        <display value="I am moderately anxious or depressed" />
      </valueCoding>
    </answer>
  </item>
  <item>
    <linkId value="E5DPX006X" />
    <answer>
      <valueDecimal value="67.0" />
    </answer>
  </item>
  <item>
    <linkId value="E5DPX007X" />
    <answer>
      <valueDecimal value="0.766" />
    </answer>
  </item>
</QuestionnaireResponse>