MII-Initiative

Medizininformatik Initiative - ImplementationGuide - Modul PRO v2026

PROMIS Global Health

PROMIS Scale v1.2 – Global Health – Technische Dokumentation

Questionnaire
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"title": "MII QST PRO PROMIS Global Health v1.2",
"status": "draft",
"experimental": true,
"publisher": "Medizininformatik-Initiative (MII) – PRO Modul",
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"code": "LA8967-7",
"display": "Good",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Gut"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA8968-5",
"display": "Fair",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Einigermaßen"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA8969-3",
"display": "Poor",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Schlecht"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "promis-global06",
"code": [
{
"system": "http://loinc.org",
"code": "61582-3",
"display": "To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair [PROMIS]"
}
],
"prefix": "Global06",
"text": "To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair?",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13937-0",
"display": "Completely"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13938-8",
"display": "Mostly"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13939-6",
"display": "Moderately"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13940-4",
"display": "A little"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6568-5",
"display": "Not at all"
}
}
]
},
{
"linkId": "PROMIS-GH.Past7Days",
"text": "In the past 7 days…",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "In den letzten 7 Tagen:"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type": "display"
},
{
"linkId": "promis-global10",
"code": [
{
"system": "http://loinc.org",
"code": "61586-4",
"display": "How often have you been bothered by emotional problems such as feeling anxious, depressed or irritable in past 7 days [PROMIS]"
}
],
"prefix": "Global10",
"text": "How often have you been bothered by emotional problems such as feeling anxious, depressed or irritable?",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6270-8",
"display": "Never",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Nie"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10066-1",
"display": "Rarely",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Selten"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10082-8",
"display": "Sometimes",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Manchmal"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10044-8",
"display": "Often",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Oft"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA9933-8",
"display": "Always",
"_display": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Immer"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
}
}
}
]
},
{
"linkId": "promis-global08",
"code": [
{
"system": "http://loinc.org",
"code": "61584-9",
"display": "How would you rate your fatigue on average in past 7 days [PROMIS]"
}
],
"prefix": "Global08",
"text": "How would you rate your fatigue on average?",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 5
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA137-2",
"display": "None"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 4
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6752-5",
"display": "Mild"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6751-7",
"display": "Moderate"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6750-9",
"display": "Severe"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13958-6",
"display": "Very severe"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding": {
"system": "http://unitsofmeasure.org",
"code": "{score}",
"display": "{score}"
}
}
],
"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]"
}
],
"prefix": "Global07",
"text": "How would you rate your pain on average?",
"_text": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de"
},
{
"url": "content",
"valueString": "Wie würden Sie Ihre Schmerzen im Allgemeinen einschätzen?"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 5
}
],
"valueInteger": 0
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 4
}
],
"valueInteger": 1
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 4
}
],
"valueInteger": 2
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 4
}
],
"valueInteger": 3
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
}
],
"valueInteger": 4
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
}
],
"valueInteger": 5
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 3
}
],
"valueInteger": 6
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueInteger": 7
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueInteger": 8
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 2
}
],
"valueInteger": 9
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal": 1
}
],
"valueInteger": 10
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"name": "Scoreberechnung",
"language": "text/fhirpath",
"expression": "%gphRaw"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
"valueBoolean": true
},
{
"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-observation-extract-category",
"valueCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey"
}
]
}
}
],
"linkId": "promis-global-health-score-physical-raw",
"code": [
{
"system": "http://loinc.org",
"code": "71972-4",
"display": "PROMIS-10 Global Physical Health score"
},
{
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-score-catalogue",
"code": "promis-global-health-physical-raw",
"display": "PROMIS Global Health - Global Physical Health Raw Score (4-20)"
}
],
"prefix": "GPH",
"text": "Global Physical Health raw score (4-20)",
"type": "decimal",
"readOnly": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"name": "Scoreberechnung",
"language": "text/fhirpath",
"expression": "%gmhRaw"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
"valueBoolean": true
},
{
"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-observation-extract-category",
"valueCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey"
}
]
}
}
],
"linkId": "promis-global-health-score-mental-raw",
"code": [
{
"system": "http://loinc.org",
"code": "71970-8",
"display": "PROMIS-10 Global Mental Health score"
},
{
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-score-catalogue",
"code": "promis-global-health-mental-raw",
"display": "PROMIS Global Health - Global Mental Health Raw Score (4-20)"
}
],
"prefix": "GMH",
"text": "Global Mental Health raw score (4-20)",
"type": "decimal",
"readOnly": true
}
]
}
<Questionnaire xmlns="http://hl7.org/fhir">
<id value="mii-qst-pro-promis-global-health" />
<meta>
<profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire|2027.0.0-ballot.1" />
</meta>
<language value="en" />
<extension url="http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm">
<valueCoding>
<system value="http://hl7.org/fhir/version-algorithm" />
<code value="natural" />
<display value="Natural" />
</valueCoding>
</extension>
<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="gphRaw" />
<language value="text/fhirpath" />
<expression value="iif(%resource.item.where(linkId.matches('^promis-global0[3678]$')).answer.count() = 4, %resource.item.where(linkId.matches('^promis-global0[3678]$')).answer.value.weight().sum(), {})" />
</valueExpression>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/variable">
<valueExpression>
<name value="gmhRaw" />
<language value="text/fhirpath" />
<expression value="iif(%resource.item.where(linkId.matches('^promis-global(02|04|05|10)$')).answer.count() = 4, %resource.item.where(linkId.matches('^promis-global(02|04|05|10)$')).answer.value.weight().sum(), {})" />
</valueExpression>
</extension>
<url value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-promis-global-health" />
<version value="2027.0.0-ballot.1" />
<title value="MII QST PRO PROMIS Global Health v1.2" />
<status value="draft" />
<experimental value="true" />
<publisher value="Medizininformatik-Initiative (MII) – PRO Modul" />
<contact>
<name value="PROMIS National Center Deutschland (CPCOR)" />
<telecom>
<system value="url" />
<value value="https://cpcor.charite.de/promis_national_center_deutschland/nutzungsanfragen" />
</telecom>
</contact>
<description value="PROMIS Scale v1.2 – Global Health: 10 items (Global01–Global10) yielding the Global Physical Health and Global Mental Health raw scores (4–20 each). English primary; German translation only where the official wording is available in the module (Global01, Global02, Global07)." />
<useContext>
<code>
<system value="http://terminology.hl7.org/CodeSystem/usage-context-type" />
<code value="focus" />
</code>
<valueReference>
<display value="PROMIS (Patient-Reported Outcomes Measurement Information System) (https://www.healthmeasures.net/explore-measurement-systems/promis)" />
</valueReference>
</useContext>
<useContext>
<code>
<system value="http://terminology.hl7.org/CodeSystem/usage-context-type" />
<code value="focus" />
</code>
<valueReference>
<display value="PROMIS National Center Deutschland (CPCOR Charité) — Curator of the official German translations provided by PCOR-MII (https://cpcor.charite.de/promis_national_center_deutschland)" />
</valueReference>
</useContext>
<useContext>
<code>
<system value="http://terminology.hl7.org/CodeSystem/usage-context-type" />
<code value="focus" />
</code>
<valueReference>
<display value="PROMIS Global Health Scoring Manual (https://www.healthmeasures.net/images/PROMIS/manuals/Scoring_Manual_Only/PROMIS_Global_Scoring_Manual.pdf)" />
</valueReference>
</useContext>
<copyright value="The FHIR Questionnaire resource (linkIds, extensions, score calculation logic, observation extraction definitions) is part of the MII PRO Module and is licensed under CC-BY 4.0.\n\nThe PROMIS items contained herein (item text, response options, scoring algorithms, IRT parameters) are © 2008–2024 PROMIS Health Organization and PROMIS Cooperative Group. PROMIS® is a registered trademark. See https://www.healthmeasures.net for the upstream license.\n\nThe official German translations are provided by PCOR-MII (Patient-Centered Outcomes Research within the Medizininformatik-Initiative) and curated by the PROMIS National Center Germany (CPCOR, Charité – Universitätsmedizin Berlin; head: Felix Fischer).\n\nInstitutional use outside the PCOR-MII / MII context requires a usage request to CPCOR: https://cpcor.charite.de/promis_national_center_deutschland/nutzungsanfragen\n\nLOINC® codes are © Regenstrief Institute, Inc. and used under the LOINC license: https://loinc.org/license/" />
<code>
<system value="http://loinc.org" />
<code value="85524-7" />
<display value="PROMIS short form - global - version 1.2" />
</code>
<code>
<system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-questionnaire-catalogue" />
<code value="promis-global-health" />
<display value="PROMIS Scale v1.2 - Global Health (10 items)" />
</code>
<item>
<linkId value="promis-global01" />
<code>
<system value="http://loinc.org" />
<code value="61577-3" />
<display value="In general, would you say your health is [PROMIS]" />
</code>
<prefix value="Global01" />
<text value="In general, would you say your health is:">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Wie würden Sie Ihren Gesundheitszustand insgesamt beschreiben?" />
</extension>
</extension>
</text>
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA9206-9" />
<display value="Excellent">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Ausgezeichnet" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13913-1" />
<display value="Very good">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Sehr gut" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA8967-7" />
<display value="Good">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Gut" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA8968-5" />
<display value="Fair">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Einigermaßen" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA8969-3" />
<display value="Poor">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Schlecht" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="promis-global02" />
<code>
<system value="http://loinc.org" />
<code value="61578-1" />
<display value="In general, would you say your quality of life is [PROMIS]" />
</code>
<prefix value="Global02" />
<text value="In general, would you say your quality of life is:">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Wie würden Sie Ihre Lebensqualität insgesamt beschreiben?" />
</extension>
</extension>
</text>
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA9206-9" />
<display value="Excellent">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Ausgezeichnet" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13913-1" />
<display value="Very good">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Sehr gut" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA8967-7" />
<display value="Good">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Gut" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA8968-5" />
<display value="Fair">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Einigermaßen" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA8969-3" />
<display value="Poor">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Schlecht" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="promis-global03" />
<code>
<system value="http://loinc.org" />
<code value="61579-9" />
<display value="In general, how would you rate your physical health [PROMIS]" />
</code>
<prefix value="Global03" />
<text value="In general, how would you rate your physical health?" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA9206-9" />
<display value="Excellent">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Ausgezeichnet" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13913-1" />
<display value="Very good">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Sehr gut" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA8967-7" />
<display value="Good">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Gut" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA8968-5" />
<display value="Fair">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Einigermaßen" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA8969-3" />
<display value="Poor">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Schlecht" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="promis-global04" />
<code>
<system value="http://loinc.org" />
<code value="61580-7" />
<display value="In general, how would you rate your mental health, including your mood and your ability to think [PROMIS]" />
</code>
<prefix value="Global04" />
<text value="In general, how would you rate your mental health, including your mood and your ability to think?" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA9206-9" />
<display value="Excellent">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Ausgezeichnet" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13913-1" />
<display value="Very good">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Sehr gut" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA8967-7" />
<display value="Good">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Gut" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA8968-5" />
<display value="Fair">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Einigermaßen" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA8969-3" />
<display value="Poor">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Schlecht" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="promis-global05" />
<code>
<system value="http://loinc.org" />
<code value="61581-5" />
<display value="In general, how would you rate your satisfaction with you social activities and relationships [PROMIS]" />
</code>
<prefix value="Global05" />
<text value="In general, how would you rate your satisfaction with your social activities and relationships?" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA9206-9" />
<display value="Excellent">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Ausgezeichnet" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13913-1" />
<display value="Very good">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Sehr gut" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA8967-7" />
<display value="Good">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Gut" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA8968-5" />
<display value="Fair">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Einigermaßen" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA8969-3" />
<display value="Poor">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Schlecht" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="promis-global09" />
<code>
<system value="http://loinc.org" />
<code value="61585-6" />
<display value="In general, please rate how well you carry out your usual social activities and roles [PROMIS]" />
</code>
<prefix value="Global09" />
<text value="In general, please rate how well you carry out your usual social activities and roles. (This includes activities at home, at work and in your community, and responsibilities as a parent, child, spouse, employee, friend, etc.)" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA9206-9" />
<display value="Excellent">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Ausgezeichnet" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13913-1" />
<display value="Very good">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Sehr gut" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA8967-7" />
<display value="Good">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Gut" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA8968-5" />
<display value="Fair">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Einigermaßen" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA8969-3" />
<display value="Poor">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Schlecht" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="promis-global06" />
<code>
<system value="http://loinc.org" />
<code value="61582-3" />
<display value="To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair [PROMIS]" />
</code>
<prefix value="Global06" />
<text value="To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair?" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13937-0" />
<display value="Completely" />
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13938-8" />
<display value="Mostly" />
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13939-6" />
<display value="Moderately" />
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13940-4" />
<display value="A little" />
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6568-5" />
<display value="Not at all" />
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="PROMIS-GH.Past7Days" />
<text value="In the past 7 days…">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="In den letzten 7 Tagen:" />
</extension>
</extension>
</text>
<type value="display" />
</item>
<item>
<linkId value="promis-global10" />
<code>
<system value="http://loinc.org" />
<code value="61586-4" />
<display value="How often have you been bothered by emotional problems such as feeling anxious, depressed or irritable in past 7 days [PROMIS]" />
</code>
<prefix value="Global10" />
<text value="How often have you been bothered by emotional problems such as feeling anxious, depressed or irritable?" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6270-8" />
<display value="Never">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Nie" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10066-1" />
<display value="Rarely">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Selten" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10082-8" />
<display value="Sometimes">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Manchmal" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA10044-8" />
<display value="Often">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Oft" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA9933-8" />
<display value="Always">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Immer" />
</extension>
</extension>
</display>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="promis-global08" />
<code>
<system value="http://loinc.org" />
<code value="61584-9" />
<display value="How would you rate your fatigue on average in past 7 days [PROMIS]" />
</code>
<prefix value="Global08" />
<text value="How would you rate your fatigue on average?" />
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="5" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA137-2" />
<display value="None" />
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="4" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6752-5" />
<display value="Mild" />
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="3" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6751-7" />
<display value="Moderate" />
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="2" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA6750-9" />
<display value="Severe" />
</valueCoding>
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="1" />
</extension>
<valueCoding>
<system value="http://loinc.org" />
<code value="LA13958-6" />
<display value="Very severe" />
</valueCoding>
</answerOption>
</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>
<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>
<prefix value="Global07" />
<text value="How would you rate your pain on average?">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de" />
</extension>
<extension url="content">
<valueString value="Wie würden Sie Ihre Schmerzen im Allgemeinen einschätzen?" />
</extension>
</extension>
</text>
<type value="choice" />
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="5" />
</extension>
<valueInteger value="0" />
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="4" />
</extension>
<valueInteger value="1" />
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="4" />
</extension>
<valueInteger value="2" />
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="4" />
</extension>
<valueInteger value="3" />
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="3" />
</extension>
<valueInteger value="4" />
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="3" />
</extension>
<valueInteger value="5" />
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="3" />
</extension>
<valueInteger value="6" />
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="2" />
</extension>
<valueInteger value="7" />
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="2" />
</extension>
<valueInteger value="8" />
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="2" />
</extension>
<valueInteger value="9" />
</answerOption>
<answerOption>
<extension url="http://hl7.org/fhir/StructureDefinition/itemWeight">
<valueDecimal value="1" />
</extension>
<valueInteger value="10" />
</answerOption>
</item>
<item>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
<valueExpression>
<name value="Scoreberechnung" />
<language value="text/fhirpath" />
<expression value="%gphRaw" />
</valueExpression>
</extension>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
<valueBoolean value="true" />
</extension>
<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-observation-extract-category">
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/observation-category" />
<code value="survey" />
</coding>
</valueCodeableConcept>
</extension>
<linkId value="promis-global-health-score-physical-raw" />
<code>
<system value="http://loinc.org" />
<code value="71972-4" />
<display value="PROMIS-10 Global Physical Health score" />
</code>
<code>
<system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-score-catalogue" />
<code value="promis-global-health-physical-raw" />
<display value="PROMIS Global Health - Global Physical Health Raw Score (4-20)" />
</code>
<prefix value="GPH" />
<text value="Global Physical Health raw score (4-20)" />
<type value="decimal" />
<readOnly value="true" />
</item>
<item>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
<valueExpression>
<name value="Scoreberechnung" />
<language value="text/fhirpath" />
<expression value="%gmhRaw" />
</valueExpression>
</extension>
<extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
<valueBoolean value="true" />
</extension>
<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-observation-extract-category">
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/observation-category" />
<code value="survey" />
</coding>
</valueCodeableConcept>
</extension>
<linkId value="promis-global-health-score-mental-raw" />
<code>
<system value="http://loinc.org" />
<code value="71970-8" />
<display value="PROMIS-10 Global Mental Health score" />
</code>
<code>
<system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-score-catalogue" />
<code value="promis-global-health-mental-raw" />
<display value="PROMIS Global Health - Global Mental Health Raw Score (4-20)" />
</code>
<prefix value="GMH" />
<text value="Global Mental Health raw score (4-20)" />
<type value="decimal" />
<readOnly value="true" />
</item>
</Questionnaire>

Klinischer Kontext

Die PROMIS Scale v1.2 – Global Health (PROMIS-GH, „PROMIS-10") erfasst mit zehn Items die globale körperliche und psychische Gesundheit sowie Lebensqualität, soziale Teilhabe, Schmerz und Erschöpfung. Aus je vier Items werden Global Physical Health (GPH) und Global Mental Health (GMH) gebildet; Global01 und Global09 sind Einzelindikatoren.

Score Items Umkodierung (v1.2) Rohwert
Global Physical Health Global03, Global06, Global07, Global08 Global07 (NRS 0–10): 0→5, 1–3→4, 4–6→3, 7–9→2, 10→1; Global08: Keine=5 … Sehr stark=1 4–20
Global Mental Health Global02, Global04, Global05, Global10 Global10: Nie=5 … Immer=1 4–20

Höhere Werte = bessere Gesundheit. T-Scores (LOINC 71971-6/71969-0) sind im Questionnaire nicht enthalten; sie folgen als CQL-Library, sobald die offizielle Umrechnungstabelle verifiziert hinterlegt ist.

PCOR-MII erhebt Global01, Global02 und Global07 in allen drei Entitäten und führt dafür bislang den lokalen 2-Item-Questionnaire PROMISGH. Diese Instanz ist die kanonische Vollfassung; der Zuschnitt wird in der Use-Case-Schicht per derivedFrom abgeleitet.

FHIR-Implementierung

Sprachstrategie: Englisch als Primärsprache (Formular v1.2 = LOINC-Komponentennamen des Panels 85524-7). Die offizielle deutsche Übersetzung liegt nur für Global01, Global02 (PCOR-MII/CPCOR) und Global07 (wortgleich mit PROMIS-29) vor. Für Global03–06 und Global08–10 ist bewusst keine Eigenübersetzung hinterlegt; Nachtrag aus dem offiziellen CPCOR-Dokument. Bis dahin status = draft.

Canonical URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-promis-global-health

Capabilities: Displayable, Collectable, Calculatable, Extractable, Domain-aligned

Besonderheiten:

  • linkIds promis-global01…promis-global10; promis-global07 = derselbe linkId wie das Schmerzintensitäts-Item in PROMIS-29. Reihenfolge wie auf dem Formular (01, 02, 03, 04, 05, 09, 06, 10, 08, 07), flache Struktur.
  • Item-Codes aus dem LOINC-Panel 85524-7, Antwortoptionen aus den LOINC-Answerlists (LL1012-5, LL1013-3, LL1016-6, LL1015-8) mit itemWeight an der answerOption — die Gewichte sind bereits die umkodierten Werte.
  • Global07 als choice mit Integer-Optionen 0–10 (Umkodierung als itemWeight), Antwortdatentyp valueInteger wie in PROMIS-29.
  • Rohwerte als Variablen gphRaw/gmhRaw mit Count-Guard; Score-Items promis-global-health-score-physical-raw (LOINC 71972-4) und promis-global-health-score-mental-raw (LOINC 71970-8).

Score-Repräsentation

  1. Berechnete Items in der QuestionnaireResponse
  2. Observations mit LOINC 71972-4/71970-8 und MII-Score-Codes promis-global-health-physical-raw/promis-global-health-mental-raw
  3. ObservationDefinitions mii-obsdef-pro-promis-global-health-physical-raw / -mental-raw (je 4–20, höher = besser)

Lizenz

Vierschichtiges Attributionsmodell des Moduls (siehe PROMIS): FHIR-Struktur © MII (CC-BY 4.0), Items © PROMIS Health Organization, deutsche Übersetzungen via PCOR-MII/CPCOR, LOINC © Regenstrief. Nutzung außerhalb von PCOR-MII: Nutzungsanfrage bei CPCOR.

Quellen

  • Hays RD, Bjorner JB, Revicki DA, Spritzer KL, Cella D. Development of physical and mental health summary scores from the PROMIS global items. Qual Life Res 2009;18(7):873–880. doi:10.1007/s11136-009-9496-9
  • HealthMeasures. PROMIS Scale v1.2 – Global Health: Scoring Manual.
  • LOINC 2.83, Panel 85524-7.

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