{
  "synthetic": true,
  "patient_id": "PAT-00002",
  "beneficiary_id": null,
  "clinical_track": "MSK",
  "care_period_id": null,
  "reporting_type": "baseline",
  "collection_date": "2026-07-10",

  "prom_instruments": [
    {
      "instrument_name": "PROMIS Physical Function v2.0",
      "instrument_version": "2.0",
      "fhir_code": "174250002",
      "body_site": "Right shoulder",
      "raw_responses": {
        "item_1": 3,
        "item_2": 2,
        "item_3": 4,
        "item_4": 2,
        "item_5": 3,
        "item_6": 4,
        "item_7": 3,
        "item_8": 2,
        "item_9": 3,
        "item_10": 2,
        "item_11": 4,
        "item_12": 3
      },
      "calculated_score": 38.5,
      "score_t_score": 36.2,
      "score_standard_error": 2.1,
      "interpretation": "Significant physical function limitation",
      "response_options": {
        "scale": "1-5",
        "labels": ["Not at all", "A little bit", "Half the time", "Most of the time", "All of the time"]
      }
    },
    {
      "instrument_name": "PROMIS Pain Interference v2.0",
      "instrument_version": "2.0",
      "fhir_code": "174251009",
      "body_site": "Right shoulder",
      "raw_responses": {
        "item_1": 4,
        "item_2": 4,
        "item_3": 5,
        "item_4": 3,
        "item_5": 4,
        "item_6": 3,
        "item_7": 4,
        "item_8": 3,
        "item_9": 4,
        "item_10": 4,
        "item_11": 3,
        "item_12": 4
      },
      "calculated_score": 62.8,
      "score_t_score": 64.5,
      "score_standard_error": 2.3,
      "interpretation": "Moderate-to-severe pain interference",
      "response_options": {
        "scale": "1-5",
        "labels": ["Not at all", "A little bit", "Half the time", "Most of the time", "All of the time"]
      }
    },
    {
      "instrument_name": "PROMIS Sleep Disturbance v1.0",
      "instrument_version": "1.0",
      "fhir_code": "721329000",
      "body_site": null,
      "raw_responses": {
        "item_1": 3,
        "item_2": 4,
        "item_3": 3,
        "item_4": 2,
        "item_5": 4,
        "item_6": 3,
        "item_7": 3,
        "item_8": 2,
        "item_9": 3,
        "item_10": 3,
        "item_11": 4
      },
      "calculated_score": 55.2,
      "score_t_score": 57.1,
      "score_standard_error": 2.5,
      "interpretation": "Moderate sleep disturbance",
      "response_options": {
        "scale": "1-5",
        "labels": ["Not at all / Never", "A little bit / Once or twice a month", "Half the time / About once a week", "Most of the time / Several times a week", "All of the time / Every day or almost every day"]
      }
    }
  ],

  "metadata": {
    "collection_method": "online_form",
    "browser": "Chrome 127.0",
    "device": "Desktop",
    "completion_time_seconds": 342,
    "form_version": "promis_v2_20260710"
  }
}