MII-Initiative

Medizininformatik Initiative - ImplementationGuide - Modul PRO v2026

PROMIS-29 Profile v2.1

Übersicht

Status: Vollständig implementiert
Version: 2026.0.0-ballot
Letzte Aktualisierung: 2025-08-28

Der PROMIS-29 ist ein umfassendes Instrument zur Erfassung der gesundheitsbezogenen Lebensqualität über 7 Domänen plus Schmerzintensität.

Ressourcen in Simplifier:

Questionnaire
{
"resourceType": "Questionnaire",
"id": "mii-qst-pro-promis-29-de",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire|2026.2.0"
]
},
"language": "de",
"extension": [
{
"extension": [
{
"url": "displayable",
"valueBoolean": true
},
{
"url": "collectable",
"valueBoolean": true
},
{
"url": "calculatable",
"valueBoolean": true
},
{
"url": "extractable",
"valueBoolean": true
},
{
"url": "domainAligned",
"valueBoolean": true
}
],
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-ex-pro-questionnaire-capabilities"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "physicalFunctionRaw",
"language": "text/fhirpath",
"expression": "%resource.item.item.where(linkId.matches('^promis-pfa(11|21|23|53)$')).answer.value.ordinal().sum()"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "anxietyRaw",
"language": "text/fhirpath",
"expression": "%resource.item.item.where(linkId.matches('^promis-edanx(01|40|41|53)$')).answer.value.ordinal().sum()"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "depressionRaw",
"language": "text/fhirpath",
"expression": "%resource.item.item.where(linkId.matches('^promis-eddep(04|06|29|41)$')).answer.value.ordinal().sum()"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "fatigueRaw",
"language": "text/fhirpath",
"expression": "%resource.item.item.where(linkId.matches('^promis-(hi7|an3|fatexp41|fatexp40)$')).answer.value.ordinal().sum()"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "sleepRaw",
"language": "text/fhirpath",
"expression": "%resource.item.item.where(linkId.matches('^promis-(sleep109|sleep116|sleep20|sleep44)$')).answer.value.ordinal().sum()"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "socialRaw",
"language": "text/fhirpath",
"expression": "%resource.item.item.where(linkId.matches('^promis-srpper(11-caps|18-caps|23-caps|46-caps)$')).answer.value.ordinal().sum()"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "painInterferenceRaw",
"language": "text/fhirpath",
"expression": "%resource.item.item.where(linkId.matches('^promis-painin(9|22|31|34)$')).answer.value.ordinal().sum()"
}
}
],
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-promis-29-de",
"version": "2026.2.0",
"title": "MII QST PRO PROMIS-29 (German)",
"derivedFrom": [
"https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-promis-29"
],
"status": "active",
"experimental": true,
"description": "PROMIS-29 Profile v2.1 - German language variant derived from English source",
"useContext": [
{
"code": {
"system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code": "focus"
},
"valueReference": {
"reference": "https://www.healthmeasures.net/explore-measurement-systems/promis",
"display": "PROMIS-29 Profile Documentation"
}
}
],
"code": [
{
"system": "http://loinc.org",
"code": "62337-1",
"display": "PROMIS item bank - 29 profile"
},
{
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-questionnaire-catalogue",
"code": "promis-promis29",
"display": "PROMIS-29 Questionnaire"
}
],
"item": [
{
"linkId": "PROMIS-29.PhysicalFunction",
"text": "KÖRPERLICHE FUNKTION",
"type": "group",
"item": [
{
"linkId": "PROMIS-29.PhysicalFunction.Description",
"text": "Sind Sie zu folgenden Tätigkeiten imstande:",
"type": "display"
},
{
"linkId": "promis-pfa11",
"code": [
{
"system": "http://loinc.org",
"code": "61597-1",
"display": "Are you able to do chores such as vacuuming or yard work [PROMIS]"
}
],
"text": "Können Sie Hausarbeiten erledigen, z.B. Staubsaugen oder Gartenarbeit?",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Are you able to do chores such as vacuuming or yard work [PROMIS]"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13912-3",
"display": "Kann ich gar nicht",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Unable to do"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13919-8",
"display": "Mit großen Schwierigkeiten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "With much difficulty"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13920-6",
"display": "Mit einigen Schwierigkeiten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "With some difficulty"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13918-0",
"display": "Mit geringen Schwierigkeiten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "With a little difficulty"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13921-4",
"display": "Ohne jede Schwierigkeiten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Without any difficulty"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "promis-pfa21",
"code": [
{
"system": "http://loinc.org",
"code": "61607-8",
"display": "Are you able to go up and down stairs at a normal pace [PROMIS]"
}
],
"text": "Können Sie mit normaler Geschwindigkeit Treppen hoch- und runtergehen?",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Are you able to go up and down stairs at a normal pace [PROMIS]"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13912-3",
"display": "Kann ich gar nicht",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Unable to do"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13919-8",
"display": "Mit großen Schwierigkeiten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "With much difficulty"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13920-6",
"display": "Mit einigen Schwierigkeiten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "With some difficulty"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13918-0",
"display": "Mit geringen Schwierigkeiten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "With a little difficulty"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13921-4",
"display": "Ohne jede Schwierigkeiten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Without any difficulty"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "promis-pfa23",
"code": [
{
"system": "http://loinc.org",
"code": "61609-4",
"display": "Are you able to go for a walk of at least 15 minutes [PROMIS]"
}
],
"text": "Können Sie mindestens 15 Minuten lang spazieren gehen?",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Are you able to go for a walk of at least 15 minutes [PROMIS]"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13912-3",
"display": "Kann ich gar nicht",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Unable to do"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13919-8",
"display": "Mit großen Schwierigkeiten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "With much difficulty"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13920-6",
"display": "Mit einigen Schwierigkeiten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "With some difficulty"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13918-0",
"display": "Mit geringen Schwierigkeiten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "With a little difficulty"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13921-4",
"display": "Ohne jede Schwierigkeiten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Without any difficulty"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "promis-pfa53",
"code": [
{
"system": "http://loinc.org",
"code": "61635-9",
"display": "Are you able to run errands and shop [PROMIS]"
}
],
"text": "Können Sie Besorgungen machen und einkaufen gehen?",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Are you able to run errands and shop [PROMIS]"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13912-3",
"display": "Kann ich gar nicht",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Unable to do"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13919-8",
"display": "Mit großen Schwierigkeiten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "With much difficulty"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13920-6",
"display": "Mit einigen Schwierigkeiten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "With some difficulty"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13918-0",
"display": "Mit geringen Schwierigkeiten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "With a little difficulty"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13921-4",
"display": "Ohne jede Schwierigkeiten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Without any difficulty"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
}
]
},
{
"linkId": "PROMIS-29.Anxiety",
"text": "ANGST",
"type": "group",
"item": [
{
"linkId": "PROMIS-29.Anxiety.Description",
"text": "In den vergangenen 7 Tagen...",
"type": "display"
},
{
"linkId": "promis-edanx01",
"code": [
{
"system": "http://loinc.org",
"code": "61923-9",
"display": "I felt fearful in past 7 days [PROMIS]"
}
],
"text": "...fühlte ich mich ängstlich",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6270-8",
"display": "Nie",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Never"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10066-1",
"display": "Selten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Rarely"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10082-8",
"display": "Manchmal",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Sometimes"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10044-8",
"display": "Oft",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Often"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA9933-8",
"display": "Immer",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Always"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "promis-edanx40",
"code": [
{
"system": "http://loinc.org",
"code": "61941-1",
"display": "I found it hard to focus on anything other than my anxiety in past 7 days"
}
],
"text": "...fiel es mir schwer, mich auf etwas anderes als meine Angst zu konzentrieren",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6270-8",
"display": "Nie",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Never"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10066-1",
"display": "Selten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Rarely"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10082-8",
"display": "Manchmal",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Sometimes"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10044-8",
"display": "Oft",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Often"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA9933-8",
"display": "Immer",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Always"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "promis-edanx41",
"code": [
{
"system": "http://loinc.org",
"code": "61942-9",
"display": "My worries overwhelmed me in past 7 days"
}
],
"text": "...überwältigten mich meine Sorgen",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6270-8",
"display": "Nie",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Never"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10066-1",
"display": "Selten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Rarely"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10082-8",
"display": "Manchmal",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Sometimes"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10044-8",
"display": "Oft",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Often"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA9933-8",
"display": "Immer",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Always"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "promis-edanx53",
"code": [
{
"system": "http://loinc.org",
"code": "61949-4",
"display": "I felt uneasy in past 7 days"
}
],
"text": "...fühlte ich mich unruhig",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6270-8",
"display": "Nie",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Never"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10066-1",
"display": "Selten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Rarely"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10082-8",
"display": "Manchmal",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Sometimes"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10044-8",
"display": "Oft",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Often"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA9933-8",
"display": "Immer",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Always"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
}
]
},
{
"linkId": "PROMIS-29.Depression",
"text": "DEPRESSION",
"type": "group",
"item": [
{
"linkId": "PROMIS-29.Depression.Description",
"text": "In den vergangenen 7 Tagen...",
"type": "display"
},
{
"linkId": "promis-eddep04",
"code": [
{
"system": "http://loinc.org",
"code": "61953-6",
"display": "I felt worthless in past 7 days [PROMIS]"
}
],
"text": "...fühlte ich mich wertlos",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6270-8",
"display": "Nie",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Never"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10066-1",
"display": "Selten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Rarely"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10082-8",
"display": "Manchmal",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Sometimes"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10044-8",
"display": "Oft",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Often"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA9933-8",
"display": "Immer",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Always"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "promis-eddep06",
"code": [
{
"system": "http://loinc.org",
"code": "61955-1",
"display": "I felt helpless in past 7 days [PROMIS]"
}
],
"text": "...fühlte ich mich hilflos",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6270-8",
"display": "Nie",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Never"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10066-1",
"display": "Selten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Rarely"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10082-8",
"display": "Manchmal",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Sometimes"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10044-8",
"display": "Oft",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Often"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA9933-8",
"display": "Immer",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Always"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "promis-eddep29",
"code": [
{
"system": "http://loinc.org",
"code": "61967-6",
"display": "I felt depressed in past 7 days [PROMIS]"
}
],
"text": "...fühlte ich mich deprimiert",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6270-8",
"display": "Nie",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Never"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10066-1",
"display": "Selten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Rarely"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10082-8",
"display": "Manchmal",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Sometimes"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10044-8",
"display": "Oft",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Often"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA9933-8",
"display": "Immer",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Always"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "promis-eddep41",
"code": [
{
"system": "http://loinc.org",
"code": "61973-4",
"display": "I felt hopeless in past 7 days [PROMIS]"
}
],
"text": "...fühlte ich mich hoffnungslos",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6270-8",
"display": "Nie",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Never"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10066-1",
"display": "Selten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Rarely"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10082-8",
"display": "Manchmal",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Sometimes"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10044-8",
"display": "Oft",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Often"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA9933-8",
"display": "Immer",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Always"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
}
]
},
{
"linkId": "PROMIS-29.Fatigue",
"text": "ERSCHÖPFUNG",
"type": "group",
"item": [
{
"linkId": "PROMIS-29.Fatigue.Description",
"text": "In den vergangenen 7 Tagen...",
"type": "display"
},
{
"linkId": "promis-hi7",
"code": [
{
"system": "http://loinc.org",
"code": "61878-5",
"display": "I feel fatigued during the past 7 days [PROMIS]"
}
],
"text": "...fühlte ich mich erschöpft",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6270-8",
"display": "Nie",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Never"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10066-1",
"display": "Selten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Rarely"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10082-8",
"display": "Manchmal",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Sometimes"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10044-8",
"display": "Oft",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Often"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA9933-8",
"display": "Immer",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Always"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "promis-an3",
"code": [
{
"system": "http://loinc.org",
"code": "61882-7",
"display": "I had trouble starting things because I was tired in past 7 days [PROMIS]"
}
],
"text": "...hatte ich Schwierigkeiten, Dinge anzufangen, weil ich müde war",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6270-8",
"display": "Nie",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Never"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10066-1",
"display": "Selten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Rarely"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10082-8",
"display": "Manchmal",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Sometimes"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10044-8",
"display": "Oft",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Often"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA9933-8",
"display": "Immer",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Always"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "promis-fatexp41",
"code": [
{
"system": "http://loinc.org",
"code": "61863-7",
"display": "How fatigued were you on the day you felt most fatigued in past 7 days [PROMIS]"
}
],
"text": "...wie abgeschlagen fühlten Sie sich im Durchschnitt?",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6568-5",
"display": "Überhaupt nicht",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Not at all"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13863-8",
"display": "Ein wenig",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "A little bit"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13909-9",
"display": "Mäßig",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Somewhat"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13902-4",
"display": "Ziemlich",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Quite a bit"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13914-9",
"display": "Sehr",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Very much"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "promis-fatexp40",
"code": [
{
"system": "http://loinc.org",
"code": "61864-5",
"display": "How fatigued were you on average in past 7 days [PROMIS]"
}
],
"text": "...wie erschöpft waren Sie im Durchschnitt?",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6568-5",
"display": "Überhaupt nicht",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Not at all"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13863-8",
"display": "Ein wenig",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "A little bit"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13909-9",
"display": "Mäßig",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Somewhat"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13902-4",
"display": "Ziemlich",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Quite a bit"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13914-9",
"display": "Sehr",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Very much"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
}
]
},
{
"linkId": "PROMIS-29.Sleep",
"text": "SCHLAFSTÖRUNGEN",
"type": "group",
"item": [
{
"linkId": "PROMIS-29.Sleep.Description",
"text": "In den vergangenen 7 Tagen...",
"type": "display"
},
{
"linkId": "promis-sleep109",
"code": [
{
"system": "http://loinc.org",
"code": "61987-4",
"display": "My sleep quality was...in past 7 days [PROMIS]"
}
],
"text": "...war meine Schlafqualität...",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA9615-1",
"display": "Sehr schlecht",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Very poor"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA8969-3",
"display": "Schlecht",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Poor"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA8968-5",
"display": "Mäßig",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Fair"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA8967-7",
"display": "Gut",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Good"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13913-1",
"display": "Sehr gut",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Very Good"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "promis-sleep116",
"code": [
{
"system": "http://loinc.org",
"code": "61986-6",
"display": "My sleep was refreshing in past 7 days [PROMIS]"
}
],
"text": "...war mein Schlaf erholsam",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6270-8",
"display": "Nie",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Never"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10066-1",
"display": "Selten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Rarely"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10082-8",
"display": "Manchmal",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Sometimes"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10044-8",
"display": "Oft",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Often"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA9933-8",
"display": "Immer",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Always"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "promis-sleep20",
"code": [
{
"system": "http://loinc.org",
"code": "61998-1",
"display": "I had a problem with my sleep 7 days [PROMIS]"
}
],
"text": "...hatte ich Probleme mit meinem Schlaf",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6270-8",
"display": "Nie",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Never"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10066-1",
"display": "Selten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Rarely"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10082-8",
"display": "Manchmal",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Sometimes"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10044-8",
"display": "Oft",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Often"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA9933-8",
"display": "Immer",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Always"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "promis-sleep44",
"code": [
{
"system": "http://loinc.org",
"code": "61999-9",
"display": "I had difficulty falling asleep in past 7 days [PROMIS]"
}
],
"text": "...hatte ich Schwierigkeiten beim Einschlafen",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6270-8",
"display": "Nie",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Never"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10066-1",
"display": "Selten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Rarely"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10082-8",
"display": "Manchmal",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Sometimes"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10044-8",
"display": "Oft",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Often"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA9933-8",
"display": "Immer",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Always"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
}
]
},
{
"linkId": "PROMIS-29.Social",
"text": "SOZIALE TEILHABE",
"type": "group",
"item": [
{
"linkId": "PROMIS-29.Social.Description",
"text": "In den vergangenen 7 Tagen...",
"type": "display"
},
{
"linkId": "promis-srpper23-caps",
"code": [
{
"system": "http://loinc.org",
"code": "62041-9",
"display": "I was satisfied with how much work I can do (include work at home) in past 7 days [PROMIS]"
}
],
"text": "...war ich zufrieden damit, wie viel Arbeit ich schaffen konnte (einschließlich Hausarbeit)",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6270-8",
"display": "Nie",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Never"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10066-1",
"display": "Selten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Rarely"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10082-8",
"display": "Manchmal",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Sometimes"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10044-8",
"display": "Oft",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Often"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA9933-8",
"display": "Immer",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Always"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "promis-srpper11-caps",
"code": [
{
"system": "http://loinc.org",
"code": "75417-6",
"display": "I have trouble doing all of my regular leisure activities with others [PROMIS]"
}
],
"text": "...hatte ich Schwierigkeiten, alle meine üblichen Freizeitaktivitäten mit anderen zu machen",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6270-8",
"display": "Nie",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Never"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10066-1",
"display": "Selten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Rarely"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10082-8",
"display": "Manchmal",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Sometimes"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10044-8",
"display": "Oft",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Often"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA9933-8",
"display": "Immer",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Always"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "promis-srpper18-caps",
"code": [
{
"system": "http://loinc.org",
"code": "76708-7",
"display": "I have trouble doing all of the family activities that I want to do [PROMIS]"
}
],
"text": "...hatte ich Schwierigkeiten, alle Familienaktivitäten zu machen, die ich machen wollte",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6270-8",
"display": "Nie",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Never"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10066-1",
"display": "Selten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Rarely"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10082-8",
"display": "Manchmal",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Sometimes"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10044-8",
"display": "Oft",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Often"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA9933-8",
"display": "Immer",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Always"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "promis-srpper46-caps",
"code": [
{
"system": "http://loinc.org",
"code": "76712-9",
"display": "I have trouble doing all of the activities with friends that I want to do [PROMIS]"
}
],
"text": "...hatte ich Schwierigkeiten, alle Aktivitäten mit Freunden zu machen, die ich machen wollte",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6270-8",
"display": "Nie",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Never"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10066-1",
"display": "Selten",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Rarely"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10082-8",
"display": "Manchmal",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Sometimes"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10044-8",
"display": "Oft",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Often"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA9933-8",
"display": "Immer",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Always"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
}
]
},
{
"linkId": "PROMIS-29.PainInterference",
"text": "SCHMERZBEDINGTE BEEINTRÄCHTIGUNG",
"type": "group",
"item": [
{
"linkId": "PROMIS-29.PainInterference.Description",
"text": "In den vergangenen 7 Tagen - Inwieweit beeinträchtigten Schmerzen...",
"type": "display"
},
{
"linkId": "promis-painin9",
"code": [
{
"system": "http://loinc.org",
"code": "61758-9",
"display": "How much did pain interfere with your day to day activities in past 7 days [PROMIS]"
}
],
"text": "...Ihre alltäglichen Aktivitäten?",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6568-5",
"display": "Überhaupt nicht",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Not at all"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13863-8",
"display": "Ein wenig",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "A little bit"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13909-9",
"display": "Mäßig",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Somewhat"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13902-4",
"display": "Ziemlich",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Quite a bit"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13914-9",
"display": "Sehr",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Very much"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "promis-painin22",
"code": [
{
"system": "http://loinc.org",
"code": "61769-6",
"display": "How much did pain interfere with work around the home in past 7 days [PROMIS]"
}
],
"text": "...Arbeiten rund um das Haus?",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6568-5",
"display": "Überhaupt nicht",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Not at all"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13863-8",
"display": "Ein wenig",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "A little bit"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13909-9",
"display": "Mäßig",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Somewhat"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13902-4",
"display": "Ziemlich",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Quite a bit"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13914-9",
"display": "Sehr",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Very much"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "promis-painin31",
"code": [
{
"system": "http://loinc.org",
"code": "61773-8",
"display": "How much did pain interfere with your ability to participate in social activities in past 7 days [PROMIS]"
}
],
"text": "...Ihre Fähigkeit zur Teilnahme an sozialen Aktivitäten?",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6568-5",
"display": "Überhaupt nicht",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Not at all"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13863-8",
"display": "Ein wenig",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "A little bit"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13909-9",
"display": "Mäßig",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Somewhat"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13902-4",
"display": "Ziemlich",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Quite a bit"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13914-9",
"display": "Sehr",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Very much"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "promis-painin34",
"code": [
{
"system": "http://loinc.org",
"code": "61775-3",
"display": "How much did pain interfere with your household chores in past 7 days [PROMIS]"
}
],
"text": "...Ihre Hausarbeiten?",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6568-5",
"display": "Überhaupt nicht",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Not at all"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13863-8",
"display": "Ein wenig",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "A little bit"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13909-9",
"display": "Mäßig",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Somewhat"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13902-4",
"display": "Ziemlich",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Quite a bit"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13914-9",
"display": "Sehr",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "en"
},
{
"url": "content",
"valueString": "Very much"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
}
]
},
{
"linkId": "PROMIS-29.PainIntensity",
"text": "SCHMERZINTENSITÄT",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding": {
"system": "http://unitsofmeasure.org",
"code": "{score}",
"display": "{score}"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/minValue",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 10
}
],
"linkId": "promis-global07",
"code": [
{
"system": "http://loinc.org",
"code": "61583-1",
"display": "How would you rate your pain on average in past 7 days [PROMIS]"
}
],
"text": "In den vergangenen 7 Tagen - Wie würden Sie Ihre Schmerzen im Durchschnitt bewerten?",
"type": "integer"
}
]
},
{
"linkId": "PROMIS-29.Scores",
"text": "BEREICHS-BEWERTUNGEN",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding": {
"system": "http://unitsofmeasure.org",
"code": "{score}",
"display": "{score}"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%physicalFunctionRaw"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
"valueBoolean": true
}
],
"linkId": "promis-29-physical-function-raw",
"code": [
{
"system": "http://loinc.org",
"code": "71960-9",
"display": "PROMIS-29 Physical function score"
}
],
"text": "PROMIS-29 Körperliche Funktion - Rohwert",
"type": "decimal",
"readOnly": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%physicalFunctionRaw=4, 24.5, iif(%physicalFunctionRaw=5, 28.0, iif(%physicalFunctionRaw=6, 30.6, iif(%physicalFunctionRaw=7, 32.8, iif(%physicalFunctionRaw=8, 34.7, iif(%physicalFunctionRaw=9, 36.5, iif(%physicalFunctionRaw=10, 38.1, iif(%physicalFunctionRaw=11, 39.7, iif(%physicalFunctionRaw=12, 41.2, iif(%physicalFunctionRaw=13, 42.6, iif(%physicalFunctionRaw=14, 44.0, iif(%physicalFunctionRaw=15, 45.4, iif(%physicalFunctionRaw=16, 46.8, iif(%physicalFunctionRaw=17, 48.2, iif(%physicalFunctionRaw=18, 49.6, iif(%physicalFunctionRaw=19, 51.1, iif(%physicalFunctionRaw=20, 52.6, {})))))))))))))))))"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
"valueBoolean": true
}
],
"linkId": "promis-29-physical-function-tscore",
"code": [
{
"system": "http://loinc.org",
"code": "91721-1",
"display": "PROMIS physical function - version 2.0 T-score"
}
],
"text": "PROMIS-29 Körperliche Funktion - T-Score",
"type": "decimal",
"readOnly": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding": {
"system": "http://unitsofmeasure.org",
"code": "{score}",
"display": "{score}"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%anxietyRaw"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
"valueBoolean": true
}
],
"linkId": "promis-29-anxiety-raw",
"code": [
{
"system": "http://loinc.org",
"code": "71968-2",
"display": "PROMIS-29 Anxiety score"
}
],
"text": "PROMIS-29 Angst - Rohwert",
"type": "decimal",
"readOnly": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%anxietyRaw=4, 38.2, iif(%anxietyRaw=5, 44.7, iif(%anxietyRaw=6, 48.8, iif(%anxietyRaw=7, 51.9, iif(%anxietyRaw=8, 54.5, iif(%anxietyRaw=9, 56.8, iif(%anxietyRaw=10, 58.9, iif(%anxietyRaw=11, 60.9, iif(%anxietyRaw=12, 62.8, iif(%anxietyRaw=13, 64.7, iif(%anxietyRaw=14, 66.6, iif(%anxietyRaw=15, 68.6, iif(%anxietyRaw=16, 70.7, iif(%anxietyRaw=17, 72.9, iif(%anxietyRaw=18, 75.4, iif(%anxietyRaw=19, 78.5, iif(%anxietyRaw=20, 83.1, {})))))))))))))))))"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
"valueBoolean": true
}
],
"linkId": "promis-29-anxiety-tscore",
"code": [
{
"system": "http://loinc.org",
"code": "71967-4",
"display": "PROMIS-29 Anxiety score T-score"
}
],
"text": "PROMIS-29 Angst - T-Score",
"type": "decimal",
"readOnly": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding": {
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"code": "{score}",
"display": "{score}"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%depressionRaw"
}
},
{
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"valueBoolean": true
}
],
"linkId": "promis-29-depression-raw",
"code": [
{
"system": "http://loinc.org",
"code": "71966-6",
"display": "PROMIS-29 Depression score"
}
],
"text": "PROMIS-29 Depression - Rohwert",
"type": "decimal",
"readOnly": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
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}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
"valueBoolean": true
}
],
"linkId": "promis-29-depression-tscore",
"code": [
{
"system": "http://loinc.org",
"code": "77861-3",
"display": "PROMIS emotional distress - depression - version 1.0 Tscore"
}
],
"text": "PROMIS-29 Depression - T-Score",
"type": "decimal",
"readOnly": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding": {
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"code": "{score}",
"display": "{score}"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
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"expression": "%fatigueRaw"
}
},
{
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"valueBoolean": true
}
],
"linkId": "promis-29-fatigue-raw",
"code": [
{
"system": "http://loinc.org",
"code": "71964-1",
"display": "PROMIS-29 Fatigue score"
}
],
"text": "PROMIS-29 Erschöpfung - Rohwert",
"type": "decimal",
"readOnly": true
},
{
"extension": [
{
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"language": "text/fhirpath",
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}
},
{
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"valueBoolean": true
}
],
"linkId": "promis-29-fatigue-tscore",
"code": [
{
"system": "http://loinc.org",
"code": "77864-7",
"display": "PROMIS fatigue - version 1.0 Tscore"
}
],
"text": "PROMIS-29 Erschöpfung - T-Score",
"type": "decimal",
"readOnly": true
},
{
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"display": "{score}"
}
},
{
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}
},
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"valueBoolean": true
}
],
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"code": [
{
"system": "http://loinc.org",
"code": "71956-7",
"display": "PROMIS-29 Sleep disturbance score"
}
],
"text": "PROMIS-29 Schlafstörungen - Rohwert",
"type": "decimal",
"readOnly": true
},
{
"extension": [
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"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
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}
},
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"valueBoolean": true
}
],
"linkId": "promis-29-sleep-tscore",
"code": [
{
"system": "http://loinc.org",
"code": "77860-5",
"display": "PROMIS sleep disturbance - version 1.0 Tscore"
}
],
"text": "PROMIS-29 Schlafstörungen - T-Score",
"type": "decimal",
"readOnly": true
},
{
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"code": "{score}",
"display": "{score}"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
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}
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"valueBoolean": true
}
],
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"code": [
{
"system": "http://loinc.org",
"code": "71958-3",
"display": "PROMIS-29 Satisfaction with participation in social roles score"
}
],
"text": "PROMIS-29 Soziale Teilhabe - Rohwert",
"type": "decimal",
"readOnly": true
},
{
"extension": [
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}
},
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"valueBoolean": true
}
],
"linkId": "promis-29-social-tscore",
"code": [
{
"system": "http://loinc.org",
"code": "77854-8",
"display": "PROMIS ability to participate in social roles and activities - version 2.0 Tscore"
}
],
"text": "PROMIS-29 Soziale Teilhabe - T-Score",
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"readOnly": true
},
{
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"valueBoolean": true
}
],
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"code": [
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"system": "http://loinc.org",
"code": "71962-5",
"display": "PROMIS-29 Pain interference score"
}
],
"text": "PROMIS-29 Schmerzbedingte Beeinträchtigung - Rohwert",
"type": "decimal",
"readOnly": true
},
{
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}
],
"linkId": "promis-29-pain-interference-tscore",
"code": [
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"system": "http://loinc.org",
"code": "77865-4",
"display": "PROMIS pain interference - version 1.0 Tscore"
}
],
"text": "PROMIS-29 Schmerzbedingte Beeinträchtigung - T-Score",
"type": "decimal",
"readOnly": true
}
]
}
]
}
<Questionnaire xmlns="http://hl7.org/fhir">
<id value="mii-qst-pro-promis-29-de" />
<meta>
<profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire|2026.2.0" />
</meta>
<language value="de" />
<extension url="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-ex-pro-questionnaire-capabilities">
<extension url="displayable">
<valueBoolean value="true" />
</extension>
<extension url="collectable">
<valueBoolean value="true" />
</extension>
<extension url="calculatable">
<valueBoolean value="true" />
</extension>
<extension url="extractable">
<valueBoolean value="true" />
</extension>
<extension url="domainAligned">
<valueBoolean value="true" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="physicalFunctionRaw" />
<language value="text/fhirpath" />
<expression value="%resource.item.item.where(linkId.matches('^promis-pfa(11|21|23|53)$')).answer.value.ordinal().sum()" />
</valueExpression>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="anxietyRaw" />
<language value="text/fhirpath" />
<expression value="%resource.item.item.where(linkId.matches('^promis-edanx(01|40|41|53)$')).answer.value.ordinal().sum()" />
</valueExpression>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="depressionRaw" />
<language value="text/fhirpath" />
<expression value="%resource.item.item.where(linkId.matches('^promis-eddep(04|06|29|41)$')).answer.value.ordinal().sum()" />
</valueExpression>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="fatigueRaw" />
<language value="text/fhirpath" />
<expression value="%resource.item.item.where(linkId.matches('^promis-(hi7|an3|fatexp41|fatexp40)$')).answer.value.ordinal().sum()" />
</valueExpression>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="sleepRaw" />
<language value="text/fhirpath" />
<expression value="%resource.item.item.where(linkId.matches('^promis-(sleep109|sleep116|sleep20|sleep44)$')).answer.value.ordinal().sum()" />
</valueExpression>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="socialRaw" />
<language value="text/fhirpath" />
<expression value="%resource.item.item.where(linkId.matches('^promis-srpper(11-caps|18-caps|23-caps|46-caps)$')).answer.value.ordinal().sum()" />
</valueExpression>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="painInterferenceRaw" />
<language value="text/fhirpath" />
<expression value="%resource.item.item.where(linkId.matches('^promis-painin(9|22|31|34)$')).answer.value.ordinal().sum()" />
</valueExpression>
</extension>
<url value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-promis-29-de" />
<version value="2026.2.0" />
<title value="MII QST PRO PROMIS-29 (German)" />
<derivedFrom value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-promis-29" />
<status value="active" />
<experimental value="true" />
<description value="PROMIS-29 Profile v2.1 - German language variant derived from English source" />
<useContext>
<code>
<system value="http://terminology.hl7.org/CodeSystem/usage-context-type" />
<code value="focus" />
</code>
<valueReference>
<reference value="https://www.healthmeasures.net/explore-measurement-systems/promis" />
<display value="PROMIS-29 Profile Documentation" />
</valueReference>
</useContext>
<code>
<system value="http://loinc.org" />
<code value="62337-1" />
<display value="PROMIS item bank - 29 profile" />
</code>
<code>
<system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-questionnaire-catalogue" />
<code value="promis-promis29" />
<display value="PROMIS-29 Questionnaire" />
</code>
<item>
<linkId value="PROMIS-29.PhysicalFunction" />
<text value="KÖRPERLICHE FUNKTION" />
<type value="group" />
<item>
<linkId value="PROMIS-29.PhysicalFunction.Description" />
<text value="Sind Sie zu folgenden Tätigkeiten imstande:" />
<type value="display" />
</item>
<item>
<linkId value="promis-pfa11" />
<code>
<system value="http://loinc.org" />
<code value="61597-1" />
<display value="Are you able to do chores such as vacuuming or yard work [PROMIS]" />
</code>
<text value="Können Sie Hausarbeiten erledigen, z.B. Staubsaugen oder Gartenarbeit?">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Are you able to do chores such as vacuuming or yard work [PROMIS]" />
</extension>
</extension>
</text>
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13912-3" />
<display value="Kann ich gar nicht">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Unable to do" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13919-8" />
<display value="Mit großen Schwierigkeiten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="With much difficulty" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13920-6" />
<display value="Mit einigen Schwierigkeiten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="With some difficulty" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13918-0" />
<display value="Mit geringen Schwierigkeiten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="With a little difficulty" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13921-4" />
<display value="Ohne jede Schwierigkeiten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Without any difficulty" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="promis-pfa21" />
<code>
<system value="http://loinc.org" />
<code value="61607-8" />
<display value="Are you able to go up and down stairs at a normal pace [PROMIS]" />
</code>
<text value="Können Sie mit normaler Geschwindigkeit Treppen hoch- und runtergehen?">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Are you able to go up and down stairs at a normal pace [PROMIS]" />
</extension>
</extension>
</text>
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13912-3" />
<display value="Kann ich gar nicht">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Unable to do" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13919-8" />
<display value="Mit großen Schwierigkeiten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="With much difficulty" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13920-6" />
<display value="Mit einigen Schwierigkeiten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="With some difficulty" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13918-0" />
<display value="Mit geringen Schwierigkeiten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="With a little difficulty" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13921-4" />
<display value="Ohne jede Schwierigkeiten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Without any difficulty" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="promis-pfa23" />
<code>
<system value="http://loinc.org" />
<code value="61609-4" />
<display value="Are you able to go for a walk of at least 15 minutes [PROMIS]" />
</code>
<text value="Können Sie mindestens 15 Minuten lang spazieren gehen?">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Are you able to go for a walk of at least 15 minutes [PROMIS]" />
</extension>
</extension>
</text>
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13912-3" />
<display value="Kann ich gar nicht">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Unable to do" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13919-8" />
<display value="Mit großen Schwierigkeiten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="With much difficulty" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13920-6" />
<display value="Mit einigen Schwierigkeiten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="With some difficulty" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13918-0" />
<display value="Mit geringen Schwierigkeiten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="With a little difficulty" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13921-4" />
<display value="Ohne jede Schwierigkeiten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Without any difficulty" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="promis-pfa53" />
<code>
<system value="http://loinc.org" />
<code value="61635-9" />
<display value="Are you able to run errands and shop [PROMIS]" />
</code>
<text value="Können Sie Besorgungen machen und einkaufen gehen?">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Are you able to run errands and shop [PROMIS]" />
</extension>
</extension>
</text>
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13912-3" />
<display value="Kann ich gar nicht">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Unable to do" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13919-8" />
<display value="Mit großen Schwierigkeiten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="With much difficulty" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13920-6" />
<display value="Mit einigen Schwierigkeiten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="With some difficulty" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13918-0" />
<display value="Mit geringen Schwierigkeiten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="With a little difficulty" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13921-4" />
<display value="Ohne jede Schwierigkeiten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Without any difficulty" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
</item>
<item>
<linkId value="PROMIS-29.Anxiety" />
<text value="ANGST" />
<type value="group" />
<item>
<linkId value="PROMIS-29.Anxiety.Description" />
<text value="In den vergangenen 7 Tagen..." />
<type value="display" />
</item>
<item>
<linkId value="promis-edanx01" />
<code>
<system value="http://loinc.org" />
<code value="61923-9" />
<display value="I felt fearful in past 7 days [PROMIS]" />
</code>
<text value="...fühlte ich mich ängstlich" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6270-8" />
<display value="Nie">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Never" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10066-1" />
<display value="Selten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Rarely" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10082-8" />
<display value="Manchmal">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Sometimes" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10044-8" />
<display value="Oft">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Often" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA9933-8" />
<display value="Immer">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Always" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="promis-edanx40" />
<code>
<system value="http://loinc.org" />
<code value="61941-1" />
<display value="I found it hard to focus on anything other than my anxiety in past 7 days" />
</code>
<text value="...fiel es mir schwer, mich auf etwas anderes als meine Angst zu konzentrieren" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6270-8" />
<display value="Nie">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Never" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10066-1" />
<display value="Selten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Rarely" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10082-8" />
<display value="Manchmal">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Sometimes" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10044-8" />
<display value="Oft">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Often" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA9933-8" />
<display value="Immer">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Always" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="promis-edanx41" />
<code>
<system value="http://loinc.org" />
<code value="61942-9" />
<display value="My worries overwhelmed me in past 7 days" />
</code>
<text value="...überwältigten mich meine Sorgen" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6270-8" />
<display value="Nie">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Never" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10066-1" />
<display value="Selten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Rarely" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10082-8" />
<display value="Manchmal">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Sometimes" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10044-8" />
<display value="Oft">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Often" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA9933-8" />
<display value="Immer">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Always" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="promis-edanx53" />
<code>
<system value="http://loinc.org" />
<code value="61949-4" />
<display value="I felt uneasy in past 7 days" />
</code>
<text value="...fühlte ich mich unruhig" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6270-8" />
<display value="Nie">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Never" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10066-1" />
<display value="Selten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Rarely" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10082-8" />
<display value="Manchmal">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Sometimes" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10044-8" />
<display value="Oft">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Often" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA9933-8" />
<display value="Immer">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Always" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
</item>
<item>
<linkId value="PROMIS-29.Depression" />
<text value="DEPRESSION" />
<type value="group" />
<item>
<linkId value="PROMIS-29.Depression.Description" />
<text value="In den vergangenen 7 Tagen..." />
<type value="display" />
</item>
<item>
<linkId value="promis-eddep04" />
<code>
<system value="http://loinc.org" />
<code value="61953-6" />
<display value="I felt worthless in past 7 days [PROMIS]" />
</code>
<text value="...fühlte ich mich wertlos" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6270-8" />
<display value="Nie">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Never" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10066-1" />
<display value="Selten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Rarely" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10082-8" />
<display value="Manchmal">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Sometimes" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10044-8" />
<display value="Oft">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Often" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA9933-8" />
<display value="Immer">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Always" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="promis-eddep06" />
<code>
<system value="http://loinc.org" />
<code value="61955-1" />
<display value="I felt helpless in past 7 days [PROMIS]" />
</code>
<text value="...fühlte ich mich hilflos" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6270-8" />
<display value="Nie">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Never" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10066-1" />
<display value="Selten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Rarely" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10082-8" />
<display value="Manchmal">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Sometimes" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10044-8" />
<display value="Oft">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Often" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA9933-8" />
<display value="Immer">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Always" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="promis-eddep29" />
<code>
<system value="http://loinc.org" />
<code value="61967-6" />
<display value="I felt depressed in past 7 days [PROMIS]" />
</code>
<text value="...fühlte ich mich deprimiert" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6270-8" />
<display value="Nie">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Never" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10066-1" />
<display value="Selten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Rarely" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10082-8" />
<display value="Manchmal">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Sometimes" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10044-8" />
<display value="Oft">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Often" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA9933-8" />
<display value="Immer">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Always" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="promis-eddep41" />
<code>
<system value="http://loinc.org" />
<code value="61973-4" />
<display value="I felt hopeless in past 7 days [PROMIS]" />
</code>
<text value="...fühlte ich mich hoffnungslos" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6270-8" />
<display value="Nie">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Never" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10066-1" />
<display value="Selten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Rarely" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10082-8" />
<display value="Manchmal">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Sometimes" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10044-8" />
<display value="Oft">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Often" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA9933-8" />
<display value="Immer">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Always" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
</item>
<item>
<linkId value="PROMIS-29.Fatigue" />
<text value="ERSCHÖPFUNG" />
<type value="group" />
<item>
<linkId value="PROMIS-29.Fatigue.Description" />
<text value="In den vergangenen 7 Tagen..." />
<type value="display" />
</item>
<item>
<linkId value="promis-hi7" />
<code>
<system value="http://loinc.org" />
<code value="61878-5" />
<display value="I feel fatigued during the past 7 days [PROMIS]" />
</code>
<text value="...fühlte ich mich erschöpft" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6270-8" />
<display value="Nie">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Never" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10066-1" />
<display value="Selten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Rarely" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10082-8" />
<display value="Manchmal">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Sometimes" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10044-8" />
<display value="Oft">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Often" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA9933-8" />
<display value="Immer">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Always" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="promis-an3" />
<code>
<system value="http://loinc.org" />
<code value="61882-7" />
<display value="I had trouble starting things because I was tired in past 7 days [PROMIS]" />
</code>
<text value="...hatte ich Schwierigkeiten, Dinge anzufangen, weil ich müde war" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6270-8" />
<display value="Nie">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Never" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10066-1" />
<display value="Selten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Rarely" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10082-8" />
<display value="Manchmal">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Sometimes" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10044-8" />
<display value="Oft">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Often" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA9933-8" />
<display value="Immer">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Always" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="promis-fatexp41" />
<code>
<system value="http://loinc.org" />
<code value="61863-7" />
<display value="How fatigued were you on the day you felt most fatigued in past 7 days [PROMIS]" />
</code>
<text value="...wie abgeschlagen fühlten Sie sich im Durchschnitt?" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6568-5" />
<display value="Überhaupt nicht">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Not at all" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13863-8" />
<display value="Ein wenig">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="A little bit" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13909-9" />
<display value="Mäßig">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Somewhat" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13902-4" />
<display value="Ziemlich">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Quite a bit" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13914-9" />
<display value="Sehr">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Very much" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="promis-fatexp40" />
<code>
<system value="http://loinc.org" />
<code value="61864-5" />
<display value="How fatigued were you on average in past 7 days [PROMIS]" />
</code>
<text value="...wie erschöpft waren Sie im Durchschnitt?" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6568-5" />
<display value="Überhaupt nicht">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Not at all" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13863-8" />
<display value="Ein wenig">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="A little bit" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13909-9" />
<display value="Mäßig">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Somewhat" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13902-4" />
<display value="Ziemlich">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Quite a bit" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13914-9" />
<display value="Sehr">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Very much" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
</item>
<item>
<linkId value="PROMIS-29.Sleep" />
<text value="SCHLAFSTÖRUNGEN" />
<type value="group" />
<item>
<linkId value="PROMIS-29.Sleep.Description" />
<text value="In den vergangenen 7 Tagen..." />
<type value="display" />
</item>
<item>
<linkId value="promis-sleep109" />
<code>
<system value="http://loinc.org" />
<code value="61987-4" />
<display value="My sleep quality was...in past 7 days [PROMIS]" />
</code>
<text value="...war meine Schlafqualität..." />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA9615-1" />
<display value="Sehr schlecht">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Very poor" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA8969-3" />
<display value="Schlecht">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Poor" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA8968-5" />
<display value="Mäßig">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Fair" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA8967-7" />
<display value="Gut">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Good" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13913-1" />
<display value="Sehr gut">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Very Good" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="promis-sleep116" />
<code>
<system value="http://loinc.org" />
<code value="61986-6" />
<display value="My sleep was refreshing in past 7 days [PROMIS]" />
</code>
<text value="...war mein Schlaf erholsam" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6270-8" />
<display value="Nie">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Never" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10066-1" />
<display value="Selten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Rarely" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10082-8" />
<display value="Manchmal">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Sometimes" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10044-8" />
<display value="Oft">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Often" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA9933-8" />
<display value="Immer">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Always" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="promis-sleep20" />
<code>
<system value="http://loinc.org" />
<code value="61998-1" />
<display value="I had a problem with my sleep 7 days [PROMIS]" />
</code>
<text value="...hatte ich Probleme mit meinem Schlaf" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6270-8" />
<display value="Nie">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Never" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10066-1" />
<display value="Selten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Rarely" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10082-8" />
<display value="Manchmal">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Sometimes" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10044-8" />
<display value="Oft">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Often" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA9933-8" />
<display value="Immer">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Always" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="promis-sleep44" />
<code>
<system value="http://loinc.org" />
<code value="61999-9" />
<display value="I had difficulty falling asleep in past 7 days [PROMIS]" />
</code>
<text value="...hatte ich Schwierigkeiten beim Einschlafen" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6270-8" />
<display value="Nie">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Never" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10066-1" />
<display value="Selten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Rarely" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10082-8" />
<display value="Manchmal">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Sometimes" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10044-8" />
<display value="Oft">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Often" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA9933-8" />
<display value="Immer">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Always" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
</item>
<item>
<linkId value="PROMIS-29.Social" />
<text value="SOZIALE TEILHABE" />
<type value="group" />
<item>
<linkId value="PROMIS-29.Social.Description" />
<text value="In den vergangenen 7 Tagen..." />
<type value="display" />
</item>
<item>
<linkId value="promis-srpper23-caps" />
<code>
<system value="http://loinc.org" />
<code value="62041-9" />
<display value="I was satisfied with how much work I can do (include work at home) in past 7 days [PROMIS]" />
</code>
<text value="...war ich zufrieden damit, wie viel Arbeit ich schaffen konnte (einschließlich Hausarbeit)" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6270-8" />
<display value="Nie">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Never" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10066-1" />
<display value="Selten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Rarely" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10082-8" />
<display value="Manchmal">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Sometimes" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10044-8" />
<display value="Oft">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Often" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA9933-8" />
<display value="Immer">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Always" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="promis-srpper11-caps" />
<code>
<system value="http://loinc.org" />
<code value="75417-6" />
<display value="I have trouble doing all of my regular leisure activities with others [PROMIS]" />
</code>
<text value="...hatte ich Schwierigkeiten, alle meine üblichen Freizeitaktivitäten mit anderen zu machen" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6270-8" />
<display value="Nie">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Never" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10066-1" />
<display value="Selten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Rarely" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10082-8" />
<display value="Manchmal">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Sometimes" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10044-8" />
<display value="Oft">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Often" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA9933-8" />
<display value="Immer">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Always" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="promis-srpper18-caps" />
<code>
<system value="http://loinc.org" />
<code value="76708-7" />
<display value="I have trouble doing all of the family activities that I want to do [PROMIS]" />
</code>
<text value="...hatte ich Schwierigkeiten, alle Familienaktivitäten zu machen, die ich machen wollte" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6270-8" />
<display value="Nie">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Never" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10066-1" />
<display value="Selten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Rarely" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10082-8" />
<display value="Manchmal">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Sometimes" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10044-8" />
<display value="Oft">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Often" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA9933-8" />
<display value="Immer">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Always" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="promis-srpper46-caps" />
<code>
<system value="http://loinc.org" />
<code value="76712-9" />
<display value="I have trouble doing all of the activities with friends that I want to do [PROMIS]" />
</code>
<text value="...hatte ich Schwierigkeiten, alle Aktivitäten mit Freunden zu machen, die ich machen wollte" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6270-8" />
<display value="Nie">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Never" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10066-1" />
<display value="Selten">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Rarely" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10082-8" />
<display value="Manchmal">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Sometimes" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10044-8" />
<display value="Oft">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Often" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA9933-8" />
<display value="Immer">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Always" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
</item>
<item>
<linkId value="PROMIS-29.PainInterference" />
<text value="SCHMERZBEDINGTE BEEINTRÄCHTIGUNG" />
<type value="group" />
<item>
<linkId value="PROMIS-29.PainInterference.Description" />
<text value="In den vergangenen 7 Tagen - Inwieweit beeinträchtigten Schmerzen..." />
<type value="display" />
</item>
<item>
<linkId value="promis-painin9" />
<code>
<system value="http://loinc.org" />
<code value="61758-9" />
<display value="How much did pain interfere with your day to day activities in past 7 days [PROMIS]" />
</code>
<text value="...Ihre alltäglichen Aktivitäten?" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6568-5" />
<display value="Überhaupt nicht">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Not at all" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13863-8" />
<display value="Ein wenig">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="A little bit" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13909-9" />
<display value="Mäßig">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Somewhat" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13902-4" />
<display value="Ziemlich">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Quite a bit" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13914-9" />
<display value="Sehr">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Very much" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="promis-painin22" />
<code>
<system value="http://loinc.org" />
<code value="61769-6" />
<display value="How much did pain interfere with work around the home in past 7 days [PROMIS]" />
</code>
<text value="...Arbeiten rund um das Haus?" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6568-5" />
<display value="Überhaupt nicht">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Not at all" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13863-8" />
<display value="Ein wenig">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="A little bit" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13909-9" />
<display value="Mäßig">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Somewhat" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13902-4" />
<display value="Ziemlich">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Quite a bit" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13914-9" />
<display value="Sehr">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Very much" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="promis-painin31" />
<code>
<system value="http://loinc.org" />
<code value="61773-8" />
<display value="How much did pain interfere with your ability to participate in social activities in past 7 days [PROMIS]" />
</code>
<text value="...Ihre Fähigkeit zur Teilnahme an sozialen Aktivitäten?" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6568-5" />
<display value="Überhaupt nicht">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Not at all" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13863-8" />
<display value="Ein wenig">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="A little bit" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13909-9" />
<display value="Mäßig">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Somewhat" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13902-4" />
<display value="Ziemlich">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Quite a bit" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13914-9" />
<display value="Sehr">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Very much" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="promis-painin34" />
<code>
<system value="http://loinc.org" />
<code value="61775-3" />
<display value="How much did pain interfere with your household chores in past 7 days [PROMIS]" />
</code>
<text value="...Ihre Hausarbeiten?" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6568-5" />
<display value="Überhaupt nicht">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Not at all" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13863-8" />
<display value="Ein wenig">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="A little bit" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13909-9" />
<display value="Mäßig">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Somewhat" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13902-4" />
<display value="Ziemlich">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Quite a bit" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13914-9" />
<display value="Sehr">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en" />
</extension>
<extension url="content">
<valueString value="Very much" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
</item>
<item>
<linkId value="PROMIS-29.PainIntensity" />
<text value="SCHMERZINTENSITÄT" />
<type value="group" />
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
<valueCoding>
<system value="http://unitsofmeasure.org" />
<code value="{score}" />
<display value="{score}" />
</valueCoding>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/minValue">
<valueInteger value="0" />
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/maxValue">
<valueInteger value="10" />
</extension>
<linkId value="promis-global07" />
<code>
<system value="http://loinc.org" />
<code value="61583-1" />
<display value="How would you rate your pain on average in past 7 days [PROMIS]" />
</code>
<text value="In den vergangenen 7 Tagen - Wie würden Sie Ihre Schmerzen im Durchschnitt bewerten?" />
<type value="integer" />
</item>
</item>
<item>
<linkId value="PROMIS-29.Scores" />
<text value="BEREICHS-BEWERTUNGEN" />
<type value="group" />
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
<valueCoding>
<system value="http://unitsofmeasure.org" />
<code value="{score}" />
<display value="{score}" />
</valueCoding>
</extension>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
<valueExpression>
<language value="text/fhirpath" />
<expression value="%physicalFunctionRaw" />
</valueExpression>
</extension>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
<valueBoolean value="true" />
</extension>
<linkId value="promis-29-physical-function-raw" />
<code>
<system value="http://loinc.org" />
<code value="71960-9" />
<display value="PROMIS-29 Physical function score" />
</code>
<text value="PROMIS-29 Körperliche Funktion - Rohwert" />
<type value="decimal" />
<readOnly value="true" />
</item>
<item>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
<valueExpression>
<language value="text/fhirpath" />
<expression value="iif(%physicalFunctionRaw=4, 24.5, iif(%physicalFunctionRaw=5, 28.0, iif(%physicalFunctionRaw=6, 30.6, iif(%physicalFunctionRaw=7, 32.8, iif(%physicalFunctionRaw=8, 34.7, iif(%physicalFunctionRaw=9, 36.5, iif(%physicalFunctionRaw=10, 38.1, iif(%physicalFunctionRaw=11, 39.7, iif(%physicalFunctionRaw=12, 41.2, iif(%physicalFunctionRaw=13, 42.6, iif(%physicalFunctionRaw=14, 44.0, iif(%physicalFunctionRaw=15, 45.4, iif(%physicalFunctionRaw=16, 46.8, iif(%physicalFunctionRaw=17, 48.2, iif(%physicalFunctionRaw=18, 49.6, iif(%physicalFunctionRaw=19, 51.1, iif(%physicalFunctionRaw=20, 52.6, {})))))))))))))))))" />
</valueExpression>
</extension>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
<valueBoolean value="true" />
</extension>
<linkId value="promis-29-physical-function-tscore" />
<code>
<system value="http://loinc.org" />
<code value="91721-1" />
<display value="PROMIS physical function - version 2.0 T-score" />
</code>
<text value="PROMIS-29 Körperliche Funktion - T-Score" />
<type value="decimal" />
<readOnly value="true" />
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
<valueCoding>
<system value="http://unitsofmeasure.org" />
<code value="{score}" />
<display value="{score}" />
</valueCoding>
</extension>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
<valueExpression>
<language value="text/fhirpath" />
<expression value="%anxietyRaw" />
</valueExpression>
</extension>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
<valueBoolean value="true" />
</extension>
<linkId value="promis-29-anxiety-raw" />
<code>
<system value="http://loinc.org" />
<code value="71968-2" />
<display value="PROMIS-29 Anxiety score" />
</code>
<text value="PROMIS-29 Angst - Rohwert" />
<type value="decimal" />
<readOnly value="true" />
</item>
<item>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
<valueExpression>
<language value="text/fhirpath" />
<expression value="iif(%anxietyRaw=4, 38.2, iif(%anxietyRaw=5, 44.7, iif(%anxietyRaw=6, 48.8, iif(%anxietyRaw=7, 51.9, iif(%anxietyRaw=8, 54.5, iif(%anxietyRaw=9, 56.8, iif(%anxietyRaw=10, 58.9, iif(%anxietyRaw=11, 60.9, iif(%anxietyRaw=12, 62.8, iif(%anxietyRaw=13, 64.7, iif(%anxietyRaw=14, 66.6, iif(%anxietyRaw=15, 68.6, iif(%anxietyRaw=16, 70.7, iif(%anxietyRaw=17, 72.9, iif(%anxietyRaw=18, 75.4, iif(%anxietyRaw=19, 78.5, iif(%anxietyRaw=20, 83.1, {})))))))))))))))))" />
</valueExpression>
</extension>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
<valueBoolean value="true" />
</extension>
<linkId value="promis-29-anxiety-tscore" />
<code>
<system value="http://loinc.org" />
<code value="71967-4" />
<display value="PROMIS-29 Anxiety score T-score" />
</code>
<text value="PROMIS-29 Angst - T-Score" />
<type value="decimal" />
<readOnly value="true" />
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
<valueCoding>
<system value="http://unitsofmeasure.org" />
<code value="{score}" />
<display value="{score}" />
</valueCoding>
</extension>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
<valueExpression>
<language value="text/fhirpath" />
<expression value="%depressionRaw" />
</valueExpression>
</extension>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
<valueBoolean value="true" />
</extension>
<linkId value="promis-29-depression-raw" />
<code>
<system value="http://loinc.org" />
<code value="71966-6" />
<display value="PROMIS-29 Depression score" />
</code>
<text value="PROMIS-29 Depression - Rohwert" />
<type value="decimal" />
<readOnly value="true" />
</item>
<item>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
<valueExpression>
<language value="text/fhirpath" />
<expression value="iif(%depressionRaw=4, 41.0, iif(%depressionRaw=5, 49.0, iif(%depressionRaw=6, 51.8, iif(%depressionRaw=7, 53.9, iif(%depressionRaw=8, 55.7, iif(%depressionRaw=9, 57.3, iif(%depressionRaw=10, 58.9, iif(%depressionRaw=11, 60.5, iif(%depressionRaw=12, 62.2, iif(%depressionRaw=13, 63.9, iif(%depressionRaw=14, 65.7, iif(%depressionRaw=15, 67.5, iif(%depressionRaw=16, 69.4, iif(%depressionRaw=17, 71.2, iif(%depressionRaw=18, 73.3, iif(%depressionRaw=19, 75.7, iif(%depressionRaw=20, 79.4, {})))))))))))))))))" />
</valueExpression>
</extension>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
<valueBoolean value="true" />
</extension>
<linkId value="promis-29-depression-tscore" />
<code>
<system value="http://loinc.org" />
<code value="77861-3" />
<display value="PROMIS emotional distress - depression - version 1.0 Tscore" />
</code>
<text value="PROMIS-29 Depression - T-Score" />
<type value="decimal" />
<readOnly value="true" />
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
<valueCoding>
<system value="http://unitsofmeasure.org" />
<code value="{score}" />
<display value="{score}" />
</valueCoding>
</extension>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
<valueExpression>
<language value="text/fhirpath" />
<expression value="%fatigueRaw" />
</valueExpression>
</extension>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
<valueBoolean value="true" />
</extension>
<linkId value="promis-29-fatigue-raw" />
<code>
<system value="http://loinc.org" />
<code value="71964-1" />
<display value="PROMIS-29 Fatigue score" />
</code>
<text value="PROMIS-29 Erschöpfung - Rohwert" />
<type value="decimal" />
<readOnly value="true" />
</item>
<item>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
<valueExpression>
<language value="text/fhirpath" />
<expression value="iif(%fatigueRaw=4, 33.7, iif(%fatigueRaw=5, 40.3, iif(%fatigueRaw=6, 44.4, iif(%fatigueRaw=7, 47.6, iif(%fatigueRaw=8, 50.2, iif(%fatigueRaw=9, 52.5, iif(%fatigueRaw=10, 54.7, iif(%fatigueRaw=11, 56.8, iif(%fatigueRaw=12, 58.8, iif(%fatigueRaw=13, 60.8, iif(%fatigueRaw=14, 62.8, iif(%fatigueRaw=15, 64.9, iif(%fatigueRaw=16, 67.1, iif(%fatigueRaw=17, 69.4, iif(%fatigueRaw=18, 72.0, iif(%fatigueRaw=19, 75.0, iif(%fatigueRaw=20, 78.8, {})))))))))))))))))" />
</valueExpression>
</extension>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
<valueBoolean value="true" />
</extension>
<linkId value="promis-29-fatigue-tscore" />
<code>
<system value="http://loinc.org" />
<code value="77864-7" />
<display value="PROMIS fatigue - version 1.0 Tscore" />
</code>
<text value="PROMIS-29 Erschöpfung - T-Score" />
<type value="decimal" />
<readOnly value="true" />
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
<valueCoding>
<system value="http://unitsofmeasure.org" />
<code value="{score}" />
<display value="{score}" />
</valueCoding>
</extension>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
<valueExpression>
<language value="text/fhirpath" />
<expression value="%sleepRaw" />
</valueExpression>
</extension>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
<valueBoolean value="true" />
</extension>
<linkId value="promis-29-sleep-raw" />
<code>
<system value="http://loinc.org" />
<code value="71956-7" />
<display value="PROMIS-29 Sleep disturbance score" />
</code>
<text value="PROMIS-29 Schlafstörungen - Rohwert" />
<type value="decimal" />
<readOnly value="true" />
</item>
<item>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
<valueExpression>
<language value="text/fhirpath" />
<expression value="iif(%sleepRaw=4, 28.0, iif(%sleepRaw=5, 36.0, iif(%sleepRaw=6, 40.6, iif(%sleepRaw=7, 44.0, iif(%sleepRaw=8, 46.8, iif(%sleepRaw=9, 49.3, iif(%sleepRaw=10, 51.5, iif(%sleepRaw=11, 53.6, iif(%sleepRaw=12, 55.6, iif(%sleepRaw=13, 57.5, iif(%sleepRaw=14, 59.4, iif(%sleepRaw=15, 61.3, iif(%sleepRaw=16, 63.3, iif(%sleepRaw=17, 65.4, iif(%sleepRaw=18, 67.7, iif(%sleepRaw=19, 70.4, iif(%sleepRaw=20, 73.9, {})))))))))))))))))" />
</valueExpression>
</extension>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
<valueBoolean value="true" />
</extension>
<linkId value="promis-29-sleep-tscore" />
<code>
<system value="http://loinc.org" />
<code value="77860-5" />
<display value="PROMIS sleep disturbance - version 1.0 Tscore" />
</code>
<text value="PROMIS-29 Schlafstörungen - T-Score" />
<type value="decimal" />
<readOnly value="true" />
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
<valueCoding>
<system value="http://unitsofmeasure.org" />
<code value="{score}" />
<display value="{score}" />
</valueCoding>
</extension>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
<valueExpression>
<language value="text/fhirpath" />
<expression value="%socialRaw" />
</valueExpression>
</extension>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
<valueBoolean value="true" />
</extension>
<linkId value="promis-29-social-raw" />
<code>
<system value="http://loinc.org" />
<code value="71958-3" />
<display value="PROMIS-29 Satisfaction with participation in social roles score" />
</code>
<text value="PROMIS-29 Soziale Teilhabe - Rohwert" />
<type value="decimal" />
<readOnly value="true" />
</item>
<item>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
<valueExpression>
<language value="text/fhirpath" />
<expression value="iif(%socialRaw=4, 24.5, iif(%socialRaw=5, 28.0, iif(%socialRaw=6, 30.6, iif(%socialRaw=7, 32.8, iif(%socialRaw=8, 34.7, iif(%socialRaw=9, 36.5, iif(%socialRaw=10, 38.1, iif(%socialRaw=11, 39.7, iif(%socialRaw=12, 41.2, iif(%socialRaw=13, 42.6, iif(%socialRaw=14, 44.0, iif(%socialRaw=15, 45.4, iif(%socialRaw=16, 46.8, iif(%socialRaw=17, 48.2, iif(%socialRaw=18, 49.6, iif(%socialRaw=19, 51.1, iif(%socialRaw=20, 52.6, {})))))))))))))))))" />
</valueExpression>
</extension>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
<valueBoolean value="true" />
</extension>
<linkId value="promis-29-social-tscore" />
<code>
<system value="http://loinc.org" />
<code value="77854-8" />
<display value="PROMIS ability to participate in social roles and activities - version 2.0 Tscore" />
</code>
<text value="PROMIS-29 Soziale Teilhabe - T-Score" />
<type value="decimal" />
<readOnly value="true" />
</item>
<item>
<extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
<valueCoding>
<system value="http://unitsofmeasure.org" />
<code value="{score}" />
<display value="{score}" />
</valueCoding>
</extension>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
<valueExpression>
<language value="text/fhirpath" />
<expression value="%painInterferenceRaw" />
</valueExpression>
</extension>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
<valueBoolean value="true" />
</extension>
<linkId value="promis-29-pain-interference-raw" />
<code>
<system value="http://loinc.org" />
<code value="71962-5" />
<display value="PROMIS-29 Pain interference score" />
</code>
<text value="PROMIS-29 Schmerzbedingte Beeinträchtigung - Rohwert" />
<type value="decimal" />
<readOnly value="true" />
</item>
<item>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
<valueExpression>
<language value="text/fhirpath" />
<expression value="iif(%painInterferenceRaw=4, 38.2, iif(%painInterferenceRaw=5, 44.7, iif(%painInterferenceRaw=6, 48.8, iif(%painInterferenceRaw=7, 51.9, iif(%painInterferenceRaw=8, 54.5, iif(%painInterferenceRaw=9, 56.8, iif(%painInterferenceRaw=10, 58.9, iif(%painInterferenceRaw=11, 60.9, iif(%painInterferenceRaw=12, 62.8, iif(%painInterferenceRaw=13, 64.7, iif(%painInterferenceRaw=14, 66.6, iif(%painInterferenceRaw=15, 68.6, iif(%painInterferenceRaw=16, 70.7, iif(%painInterferenceRaw=17, 72.9, iif(%painInterferenceRaw=18, 75.4, iif(%painInterferenceRaw=19, 78.5, iif(%painInterferenceRaw=20, 83.1, {})))))))))))))))))" />
</valueExpression>
</extension>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
<valueBoolean value="true" />
</extension>
<linkId value="promis-29-pain-interference-tscore" />
<code>
<system value="http://loinc.org" />
<code value="77865-4" />
<display value="PROMIS pain interference - version 1.0 Tscore" />
</code>
<text value="PROMIS-29 Schmerzbedingte Beeinträchtigung - T-Score" />
<type value="decimal" />
<readOnly value="true" />
</item>
</item>
</Questionnaire>

Domänen

Domäne Items Score-Bereich LOINC
Physical Function 4 T-Score 20-80 61758-9
Anxiety 4 T-Score 20-80 61759-7
Depression 4 T-Score 20-80 61760-5
Fatigue 4 T-Score 20-80 61761-3
Sleep Disturbance 4 T-Score 20-80 61762-1
Social Roles 4 T-Score 20-80 61763-9
Pain Interference 4 T-Score 20-80 61764-7
Pain Intensity 1 0-10 75262-6

Technische Details

Questionnaire Resource

Questionnaire/mii-qst-pro-promis-29

Capabilities:

  • displayable
  • collectable
  • calculatable (alle Domänen-Scores)
  • extractable
  • domainAligned

Score-Berechnung

Jede Domäne (außer Pain Intensity) wird als T-Score berechnet:

// FHIRPath
// Beispiel: Depression Domain
%rawScore = %resource.item
  .where(linkId.matches('^promis-eddep(04|05|06|29)$'))
  .answer.value.ordinal()
  .sum()

// T-Score Lookup (vereinfacht)
%tScore = iif(%rawScore = 4, 41.0,
          iif(%rawScore = 5, 49.0,
          iif(%rawScore = 6, 52.5, ...)))

Sprachunterstützung

Primärsprache: Englisch (validierte Version)
Deutsche Übersetzung: Via Extension

// JSON
{
  "text": "In the past 7 days... I could do chores",
  "extension": [{
    "url": "http://hl7.org/fhir/StructureDefinition/translation",
    "extension": [
      {"url": "lang", "valueCode": "de"},
      {"url": "content", "valueString": "In den letzten 7 Tagen... konnte ich Hausarbeiten erledigen"}
    ]
  }]
}

Implementierungshinweise

Variable-basierte Architektur

Der PROMIS-29 nutzt FHIR Variables für effiziente Multi-Score-Berechnung:

// FSH
* extension[variable][+].name = "promisDepRaw"
* extension[variable][=].expression = "[sum of depression items]"

// Raw Score Item
* item[dep-raw].calculatedExpression = "%promisDepRaw"

// T-Score Item  
* item[dep-tscore].calculatedExpression = "iif(%promisDepRaw = 4, 41.0, ...)"

Bekannte Einschränkungen

  1. Item-IDs: Aktuell MII-spezifisch (promis-pfa11), nicht LOINC-konform
  2. Validation Study Alignment: IDs basieren auf deutschen Validierungsstudien
  3. Partial Responses: Keine Behandlung fehlender Items

Beispiel QuestionnaireResponse

// JSON
{
  "resourceType": "QuestionnaireResponse",
  "questionnaire": "Questionnaire/mii-qst-pro-promis-29",
  "status": "completed",
  "item": [
    {
      "linkId": "promis-pfa11",
      "text": "Are you able to do chores?",
      "answer": [{
        "valueCoding": {
          "code": "3",
          "display": "With a little difficulty"
        }
      }]
    }
    // ... weitere 28 Items
  ]
}

Referenzen

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