{
  "resourceType": "Bundle",
  "id": "mii-exa-pro-eortc-qlq-c30-bundle",
  "entry": [
    {
      "request": {
        "method": "PUT",
        "url": "Questionnaire/mii-qst-pro-eortc-qlq-c30"
      },
      "fullUrl": "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-eortc-qlq-c30",
      "resource": {
        "resourceType": "Questionnaire",
        "id": "mii-qst-pro-eortc-qlq-c30",
        "meta": {
          "profile": [
            "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire|2027.0.0-ballot.1"
          ]
        },
        "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-eortc-qlq-c30",
        "title": "EORTC QLQ-C30 Quality of Life Questionnaire Version 3.0",
        "description": "EORTC QLQ-C30 Version 3.0 Quality of Life Questionnaire - Complete implementation with all 30 items and 15 scale scores",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm",
            "valueCoding": {
              "code": "natural",
              "system": "http://hl7.org/fhir/version-algorithm",
              "display": "Natural"
            }
          },
          {
            "extension": [
              {
                "url": "displayable",
                "valueBoolean": true
              },
              {
                "url": "collectable",
                "valueBoolean": true
              },
              {
                "url": "calculatable",
                "valueBoolean": true
              },
              {
                "url": "extractable",
                "valueBoolean": true
              },
              {
                "url": "domainAligned",
                "valueBoolean": false
              }
            ],
            "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-ex-pro-questionnaire-capabilities"
          }
        ],
        "code": [
          {
            "system": "http://snomed.info/sct",
            "code": "273446001",
            "display": "European Organisation for Research and Treatment of Cancer - Quality of Life questionnaire (assessment scale)"
          },
          {
            "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-questionnaire-catalogue",
            "code": "eortc-qlq-c30",
            "display": "EORTC QLQ-C30 Quality of Life Questionnaire"
          }
        ],
        "item": [
          {
            "linkId": "QLQ-C30.Introduction",
            "type": "display",
            "text": "We are interested in some things about you and your health. Please answer all of the questions yourself by circling the number that best applies to you. There are no 'right' or 'wrong' answers. The information that you provide will remain strictly confidential."
          },
          {
            "linkId": "QLQ-C30.Section1",
            "type": "display",
            "text": "During the past week:"
          },
          {
            "linkId": "qlq-c30-q01",
            "type": "choice",
            "prefix": "1",
            "text": "Do you have any trouble doing strenuous activities, like carrying a heavy shopping bag or a suitcase?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Bereitet es Ihnen Schwierigkeiten, sich körperlich anzustrengen (z.B. eine schwere Einkaufstasche oder einen Koffer zu tragen)?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
          },
          {
            "linkId": "qlq-c30-q02",
            "type": "choice",
            "prefix": "2",
            "text": "Do you have any trouble taking a long walk?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Bereitet es Ihnen Schwierigkeiten, einen längeren Spaziergang zu machen?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
          },
          {
            "linkId": "qlq-c30-q03",
            "type": "choice",
            "prefix": "3",
            "text": "Do you have any trouble taking a short walk outside of the house?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Bereitet es Ihnen Schwierigkeiten, eine kurze Strecke außer Haus zu gehen?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
          },
          {
            "linkId": "qlq-c30-q04",
            "type": "choice",
            "prefix": "4",
            "text": "Do you need to stay in bed or a chair during the day?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Müssen Sie tagsüber im Bett liegen oder in einem Sessel sitzen?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
          },
          {
            "linkId": "qlq-c30-q05",
            "type": "choice",
            "prefix": "5",
            "text": "Do you need help with eating, dressing, washing yourself or using the toilet?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Brauchen Sie Hilfe beim Essen, Anziehen, Waschen oder Benutzen der Toilette?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
          },
          {
            "linkId": "qlq-c30-q06",
            "type": "choice",
            "prefix": "6",
            "text": "Were you limited in doing either your work or other daily activities?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Waren Sie bei Ihrer Arbeit oder bei anderen tagtäglichen Beschäftigungen eingeschränkt?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
          },
          {
            "linkId": "qlq-c30-q07",
            "type": "choice",
            "prefix": "7",
            "text": "Were you limited in pursuing your hobbies or other leisure time activities?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Waren Sie bei Ihren Hobbys oder anderen Freizeitbeschäftigungen eingeschränkt?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
          },
          {
            "linkId": "qlq-c30-q08",
            "type": "choice",
            "prefix": "8",
            "text": "Were you short of breath?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Waren Sie kurzatmig?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
          },
          {
            "linkId": "qlq-c30-q09",
            "type": "choice",
            "prefix": "9",
            "text": "Have you had pain?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Hatten Sie Schmerzen?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
          },
          {
            "linkId": "qlq-c30-q10",
            "type": "choice",
            "prefix": "10",
            "text": "Did you need to rest?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Mussten Sie sich ausruhen?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
          },
          {
            "linkId": "qlq-c30-q11",
            "type": "choice",
            "prefix": "11",
            "text": "Have you had trouble sleeping?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Hatten Sie Schlafstörungen?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
          },
          {
            "linkId": "qlq-c30-q12",
            "type": "choice",
            "prefix": "12",
            "text": "Have you felt weak?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Fühlten Sie sich schwach?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
          },
          {
            "linkId": "qlq-c30-q13",
            "type": "choice",
            "prefix": "13",
            "text": "Have you lacked appetite?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Hatten Sie Appetitmangel?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
          },
          {
            "linkId": "qlq-c30-q14",
            "type": "choice",
            "prefix": "14",
            "text": "Have you felt nauseated?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "War Ihnen übel?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
          },
          {
            "linkId": "qlq-c30-q15",
            "type": "choice",
            "prefix": "15",
            "text": "Have you vomited?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Haben Sie erbrochen?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
          },
          {
            "linkId": "qlq-c30-q16",
            "type": "choice",
            "prefix": "16",
            "text": "Have you been constipated?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Hatten Sie Verstopfung?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
          },
          {
            "linkId": "qlq-c30-q17",
            "type": "choice",
            "prefix": "17",
            "text": "Have you had diarrhea?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Hatten Sie Durchfall?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
          },
          {
            "linkId": "qlq-c30-q18",
            "type": "choice",
            "prefix": "18",
            "text": "Were you tired?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Waren Sie müde?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
          },
          {
            "linkId": "qlq-c30-q19",
            "type": "choice",
            "prefix": "19",
            "text": "Did pain interfere with your daily activities?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Fühlten Sie sich durch Schmerzen in Ihrem alltäglichen Leben beeinträchtigt?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
          },
          {
            "linkId": "qlq-c30-q20",
            "type": "choice",
            "prefix": "20",
            "text": "Have you had difficulty in concentrating on things, like reading a newspaper or watching television?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Hatten Sie Schwierigkeiten, sich auf etwas zu konzentrieren, z.B. auf das Zeitunglesen oder das Fernsehen?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
          },
          {
            "linkId": "qlq-c30-q21",
            "type": "choice",
            "prefix": "21",
            "text": "Did you feel tense?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Fühlten Sie sich angespannt?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
          },
          {
            "linkId": "qlq-c30-q22",
            "type": "choice",
            "prefix": "22",
            "text": "Did you worry?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Haben Sie sich Sorgen gemacht?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
          },
          {
            "linkId": "qlq-c30-q23",
            "type": "choice",
            "prefix": "23",
            "text": "Did you feel irritable?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Waren Sie reizbar?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
          },
          {
            "linkId": "qlq-c30-q24",
            "type": "choice",
            "prefix": "24",
            "text": "Did you feel depressed?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Fühlten Sie sich niedergeschlagen?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
          },
          {
            "linkId": "qlq-c30-q25",
            "type": "choice",
            "prefix": "25",
            "text": "Have you had difficulty remembering things?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Hatten Sie Schwierigkeiten, sich an Dinge zu erinnern?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
          },
          {
            "linkId": "qlq-c30-q26",
            "type": "choice",
            "prefix": "26",
            "text": "Has your physical condition or medical treatment interfered with your family life?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Hat Ihr körperlicher Zustand oder Ihre medizinische Behandlung Ihr Familienleben beeinträchtigt?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
          },
          {
            "linkId": "qlq-c30-q27",
            "type": "choice",
            "prefix": "27",
            "text": "Has your physical condition or medical treatment interfered with your social activities?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Hat Ihr körperlicher Zustand oder Ihre medizinische Behandlung Ihr Zusammensein oder Ihre gemeinsamen Unternehmungen mit anderen Menschen beeinträchtigt?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
          },
          {
            "linkId": "qlq-c30-q28",
            "type": "choice",
            "prefix": "28",
            "text": "Has your physical condition or medical treatment caused you financial difficulties?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Hat Ihr körperlicher Zustand oder Ihre medizinische Behandlung für Sie finanzielle Schwierigkeiten mit sich gebracht?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
          },
          {
            "linkId": "QLQ-C30.Section2",
            "type": "display",
            "text": "For the following questions please circle the number between 1 and 7 that best applies to you"
          },
          {
            "linkId": "qlq-c30-q29",
            "type": "choice",
            "prefix": "29",
            "text": "How would you rate your overall health during the past week?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Wie würden Sie insgesamt Ihren Gesundheitszustand während der letzten Woche einschätzen?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-7pt"
          },
          {
            "linkId": "qlq-c30-q30",
            "type": "choice",
            "prefix": "30",
            "text": "How would you rate your overall quality of life during the past week?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Wie würden Sie insgesamt Ihre Lebensqualität während der letzten Woche einschätzen?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-7pt"
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                    "valueExpression": {
                      "language": "text/fhirpath",
                      "expression": "(1 - (((%resource.item.where(linkId.matches('^qlq-c30-q0[1-5]$')).answer.value.weight().sum()) / 5) - 1) / 3) * 100"
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                  },
                  {
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                    "valueBoolean": true
                  }
                ],
                "linkId": "score-pf",
                "type": "decimal",
                "text": "Physical Functioning Score",
                "_text": {
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                      "extension": [
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                          "url": "lang",
                          "valueCode": "de"
                        },
                        {
                          "url": "content",
                          "valueString": "Skalenwert Körperliche Funktion"
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                      ],
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                    }
                  ]
                },
                "readOnly": true
              },
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                "extension": [
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                    "valueExpression": {
                      "language": "text/fhirpath",
                      "expression": "(1 - (((%resource.item.where(linkId='qlq-c30-q06' or linkId='qlq-c30-q07').answer.value.weight().sum()) / 2) - 1) / 3) * 100"
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                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"
                  },
                  {
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
                    "valueBoolean": true
                  }
                ],
                "linkId": "score-rf",
                "type": "decimal",
                "text": "Role Functioning Score",
                "_text": {
                  "extension": [
                    {
                      "extension": [
                        {
                          "url": "lang",
                          "valueCode": "de"
                        },
                        {
                          "url": "content",
                          "valueString": "Skalenwert Rollenfunktion"
                        }
                      ],
                      "url": "http://hl7.org/fhir/StructureDefinition/translation"
                    }
                  ]
                },
                "readOnly": true
              },
              {
                "extension": [
                  {
                    "valueExpression": {
                      "language": "text/fhirpath",
                      "expression": "(1 - (((%resource.item.where(linkId.matches('^qlq-c30-q2[1-4]$')).answer.value.weight().sum()) / 4) - 1) / 3) * 100"
                    },
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"
                  },
                  {
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
                    "valueBoolean": true
                  }
                ],
                "linkId": "score-ef",
                "type": "decimal",
                "text": "Emotional Functioning Score",
                "_text": {
                  "extension": [
                    {
                      "extension": [
                        {
                          "url": "lang",
                          "valueCode": "de"
                        },
                        {
                          "url": "content",
                          "valueString": "Skalenwert Emotionale Funktion"
                        }
                      ],
                      "url": "http://hl7.org/fhir/StructureDefinition/translation"
                    }
                  ]
                },
                "readOnly": true
              },
              {
                "extension": [
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                    "valueExpression": {
                      "language": "text/fhirpath",
                      "expression": "(1 - (((%resource.item.where(linkId='qlq-c30-q20' or linkId='qlq-c30-q25').answer.value.weight().sum()) / 2) - 1) / 3) * 100"
                    },
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"
                  },
                  {
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
                    "valueBoolean": true
                  }
                ],
                "linkId": "score-cf",
                "type": "decimal",
                "text": "Cognitive Functioning Score",
                "_text": {
                  "extension": [
                    {
                      "extension": [
                        {
                          "url": "lang",
                          "valueCode": "de"
                        },
                        {
                          "url": "content",
                          "valueString": "Skalenwert Kognitive Funktion"
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                      ],
                      "url": "http://hl7.org/fhir/StructureDefinition/translation"
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                  ]
                },
                "readOnly": true
              },
              {
                "extension": [
                  {
                    "valueExpression": {
                      "language": "text/fhirpath",
                      "expression": "(1 - (((%resource.item.where(linkId='qlq-c30-q26' or linkId='qlq-c30-q27').answer.value.weight().sum()) / 2) - 1) / 3) * 100"
                    },
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"
                  },
                  {
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
                    "valueBoolean": true
                  }
                ],
                "linkId": "score-sf",
                "type": "decimal",
                "text": "Social Functioning Score",
                "_text": {
                  "extension": [
                    {
                      "extension": [
                        {
                          "url": "lang",
                          "valueCode": "de"
                        },
                        {
                          "url": "content",
                          "valueString": "Skalenwert Soziale Funktion"
                        }
                      ],
                      "url": "http://hl7.org/fhir/StructureDefinition/translation"
                    }
                  ]
                },
                "readOnly": true
              },
              {
                "extension": [
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                    "valueExpression": {
                      "language": "text/fhirpath",
                      "expression": "(((%resource.item.where(linkId='qlq-c30-q10' or linkId='qlq-c30-q12' or linkId='qlq-c30-q18').answer.value.weight().sum()) / 3) - 1) / 3) * 100"
                    },
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"
                  },
                  {
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
                    "valueBoolean": true
                  }
                ],
                "linkId": "score-fa",
                "type": "decimal",
                "text": "Fatigue Score",
                "_text": {
                  "extension": [
                    {
                      "extension": [
                        {
                          "url": "lang",
                          "valueCode": "de"
                        },
                        {
                          "url": "content",
                          "valueString": "Skalenwert Fatigue"
                        }
                      ],
                      "url": "http://hl7.org/fhir/StructureDefinition/translation"
                    }
                  ]
                },
                "readOnly": true
              },
              {
                "extension": [
                  {
                    "valueExpression": {
                      "language": "text/fhirpath",
                      "expression": "(((%resource.item.where(linkId='qlq-c30-q14' or linkId='qlq-c30-q15').answer.value.weight().sum()) / 2) - 1) / 3) * 100"
                    },
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"
                  },
                  {
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
                    "valueBoolean": true
                  }
                ],
                "linkId": "score-nv",
                "type": "decimal",
                "text": "Nausea and Vomiting Score",
                "_text": {
                  "extension": [
                    {
                      "extension": [
                        {
                          "url": "lang",
                          "valueCode": "de"
                        },
                        {
                          "url": "content",
                          "valueString": "Skalenwert Übelkeit und Erbrechen"
                        }
                      ],
                      "url": "http://hl7.org/fhir/StructureDefinition/translation"
                    }
                  ]
                },
                "readOnly": true
              },
              {
                "extension": [
                  {
                    "valueExpression": {
                      "language": "text/fhirpath",
                      "expression": "(((%resource.item.where(linkId='qlq-c30-q09' or linkId='qlq-c30-q19').answer.value.weight().sum()) / 2) - 1) / 3) * 100"
                    },
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"
                  },
                  {
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
                    "valueBoolean": true
                  }
                ],
                "linkId": "score-pa",
                "type": "decimal",
                "text": "Pain Score",
                "_text": {
                  "extension": [
                    {
                      "extension": [
                        {
                          "url": "lang",
                          "valueCode": "de"
                        },
                        {
                          "url": "content",
                          "valueString": "Skalenwert Schmerz"
                        }
                      ],
                      "url": "http://hl7.org/fhir/StructureDefinition/translation"
                    }
                  ]
                },
                "readOnly": true
              },
              {
                "extension": [
                  {
                    "valueExpression": {
                      "language": "text/fhirpath",
                      "expression": "((%resource.item.where(linkId='qlq-c30-q08').answer.value.weight() - 1) / 3) * 100"
                    },
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"
                  },
                  {
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
                    "valueBoolean": true
                  }
                ],
                "linkId": "score-dy",
                "type": "decimal",
                "text": "Dyspnoea Score",
                "_text": {
                  "extension": [
                    {
                      "extension": [
                        {
                          "url": "lang",
                          "valueCode": "de"
                        },
                        {
                          "url": "content",
                          "valueString": "Skalenwert Atemnot"
                        }
                      ],
                      "url": "http://hl7.org/fhir/StructureDefinition/translation"
                    }
                  ]
                },
                "readOnly": true
              },
              {
                "extension": [
                  {
                    "valueExpression": {
                      "language": "text/fhirpath",
                      "expression": "((%resource.item.where(linkId='qlq-c30-q11').answer.value.weight() - 1) / 3) * 100"
                    },
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"
                  },
                  {
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
                    "valueBoolean": true
                  }
                ],
                "linkId": "score-sl",
                "type": "decimal",
                "text": "Insomnia Score",
                "_text": {
                  "extension": [
                    {
                      "extension": [
                        {
                          "url": "lang",
                          "valueCode": "de"
                        },
                        {
                          "url": "content",
                          "valueString": "Skalenwert Schlaflosigkeit"
                        }
                      ],
                      "url": "http://hl7.org/fhir/StructureDefinition/translation"
                    }
                  ]
                },
                "readOnly": true
              },
              {
                "extension": [
                  {
                    "valueExpression": {
                      "language": "text/fhirpath",
                      "expression": "((%resource.item.where(linkId='qlq-c30-q13').answer.value.weight() - 1) / 3) * 100"
                    },
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"
                  },
                  {
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
                    "valueBoolean": true
                  }
                ],
                "linkId": "score-ap",
                "type": "decimal",
                "text": "Appetite Loss Score",
                "_text": {
                  "extension": [
                    {
                      "extension": [
                        {
                          "url": "lang",
                          "valueCode": "de"
                        },
                        {
                          "url": "content",
                          "valueString": "Skalenwert Appetitverlust"
                        }
                      ],
                      "url": "http://hl7.org/fhir/StructureDefinition/translation"
                    }
                  ]
                },
                "readOnly": true
              },
              {
                "extension": [
                  {
                    "valueExpression": {
                      "language": "text/fhirpath",
                      "expression": "((%resource.item.where(linkId='qlq-c30-q16').answer.value.weight() - 1) / 3) * 100"
                    },
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"
                  },
                  {
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
                    "valueBoolean": true
                  }
                ],
                "linkId": "score-co",
                "type": "decimal",
                "text": "Constipation Score",
                "_text": {
                  "extension": [
                    {
                      "extension": [
                        {
                          "url": "lang",
                          "valueCode": "de"
                        },
                        {
                          "url": "content",
                          "valueString": "Skalenwert Verstopfung"
                        }
                      ],
                      "url": "http://hl7.org/fhir/StructureDefinition/translation"
                    }
                  ]
                },
                "readOnly": true
              },
              {
                "extension": [
                  {
                    "valueExpression": {
                      "language": "text/fhirpath",
                      "expression": "((%resource.item.where(linkId='qlq-c30-q17').answer.value.weight() - 1) / 3) * 100"
                    },
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"
                  },
                  {
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
                    "valueBoolean": true
                  }
                ],
                "linkId": "score-di",
                "type": "decimal",
                "text": "Diarrhoea Score",
                "_text": {
                  "extension": [
                    {
                      "extension": [
                        {
                          "url": "lang",
                          "valueCode": "de"
                        },
                        {
                          "url": "content",
                          "valueString": "Skalenwert Durchfall"
                        }
                      ],
                      "url": "http://hl7.org/fhir/StructureDefinition/translation"
                    }
                  ]
                },
                "readOnly": true
              },
              {
                "extension": [
                  {
                    "valueExpression": {
                      "language": "text/fhirpath",
                      "expression": "((%resource.item.where(linkId='qlq-c30-q28').answer.value.weight() - 1) / 3) * 100"
                    },
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"
                  },
                  {
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
                    "valueBoolean": true
                  }
                ],
                "linkId": "score-fi",
                "type": "decimal",
                "text": "Financial Difficulties Score",
                "_text": {
                  "extension": [
                    {
                      "extension": [
                        {
                          "url": "lang",
                          "valueCode": "de"
                        },
                        {
                          "url": "content",
                          "valueString": "Skalenwert Finanzielle Schwierigkeiten"
                        }
                      ],
                      "url": "http://hl7.org/fhir/StructureDefinition/translation"
                    }
                  ]
                },
                "readOnly": true
              },
              {
                "extension": [
                  {
                    "valueExpression": {
                      "language": "text/fhirpath",
                      "expression": "(((%resource.item.where(linkId='qlq-c30-q29' or linkId='qlq-c30-q30').answer.value.weight().sum()) / 2) - 1) / 6) * 100"
                    },
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression"
                  },
                  {
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
                    "valueBoolean": true
                  }
                ],
                "linkId": "score-ql",
                "type": "decimal",
                "text": "Global Health Status / Quality of Life Score",
                "_text": {
                  "extension": [
                    {
                      "extension": [
                        {
                          "url": "lang",
                          "valueCode": "de"
                        },
                        {
                          "url": "content",
                          "valueString": "Skalenwert Globaler Gesundheitsstatus / Lebensqualität"
                        }
                      ],
                      "url": "http://hl7.org/fhir/StructureDefinition/translation"
                    }
                  ]
                },
                "readOnly": true
              }
            ],
            "linkId": "QLQ-C30.Scores",
            "type": "group",
            "text": "Calculated Scores (0-100 scale)",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Berechnete Scores (Skala 0–100)"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            }
          }
        ],
        "version": "2027.0.0-ballot.1",
        "status": "active",
        "experimental": true,
        "language": "en",
        "publisher": "Medizininformatik Initiative (MII)",
        "copyright": "© Copyright 1995 EORTC Quality of Life Group. All rights reserved. Version 3.0"
      }
    },
    {
      "request": {
        "method": "PUT",
        "url": "QuestionnaireResponse/mii-exa-pro-eortc-qlq-c30-response"
      },
      "fullUrl": "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/QuestionnaireResponse/mii-exa-pro-eortc-qlq-c30-response",
      "resource": {
        "resourceType": "QuestionnaireResponse",
        "id": "mii-exa-pro-eortc-qlq-c30-response",
        "meta": {
          "profile": [
            "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response|2027.0.0-ballot.1"
          ]
        },
        "subject": {
          "reference": "Patient/mii-exa-pro-patient"
        },
        "item": [
          {
            "answer": [
              {
                "valueCoding": {
                  "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
                  "code": "a-little",
                  "display": "A little",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Wenig"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ],
            "linkId": "qlq-c30-q01",
            "text": "Do you have any trouble doing strenuous activities, like carrying a heavy shopping bag or a suitcase?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Bereitet es Ihnen Schwierigkeiten, sich körperlich anzustrengen (z.B. eine schwere Einkaufstasche oder einen Koffer zu tragen)?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            }
          },
          {
            "answer": [
              {
                "valueCoding": {
                  "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
                  "code": "quite-a-bit",
                  "display": "Quite a bit",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Mäßig"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ],
            "linkId": "qlq-c30-q02",
            "text": "Do you have any trouble taking a long walk?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Bereitet es Ihnen Schwierigkeiten, einen längeren Spaziergang zu machen?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            }
          },
          {
            "answer": [
              {
                "valueCoding": {
                  "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
                  "code": "a-little",
                  "display": "A little",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Wenig"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ],
            "linkId": "qlq-c30-q03",
            "text": "Do you have any trouble taking a short walk outside of the house?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Bereitet es Ihnen Schwierigkeiten, eine kurze Strecke außer Haus zu gehen?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            }
          },
          {
            "answer": [
              {
                "valueCoding": {
                  "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
                  "code": "not-at-all",
                  "display": "Not at all",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Überhaupt nicht"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ],
            "linkId": "qlq-c30-q04",
            "text": "Do you need to stay in bed or a chair during the day?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Müssen Sie tagsüber im Bett liegen oder in einem Sessel sitzen?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            }
          },
          {
            "answer": [
              {
                "valueCoding": {
                  "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
                  "code": "not-at-all",
                  "display": "Not at all",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Überhaupt nicht"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ],
            "linkId": "qlq-c30-q05",
            "text": "Do you need help with eating, dressing, washing yourself or using the toilet?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Brauchen Sie Hilfe beim Essen, Anziehen, Waschen oder Benutzen der Toilette?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            }
          },
          {
            "answer": [
              {
                "valueCoding": {
                  "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
                  "code": "a-little",
                  "display": "A little",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Wenig"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ],
            "linkId": "qlq-c30-q06",
            "text": "Were you limited in doing either your work or other daily activities?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Waren Sie bei Ihrer Arbeit oder bei anderen tagtäglichen Beschäftigungen eingeschränkt?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            }
          },
          {
            "answer": [
              {
                "valueCoding": {
                  "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
                  "code": "a-little",
                  "display": "A little",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Wenig"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ],
            "linkId": "qlq-c30-q07",
            "text": "Were you limited in pursuing your hobbies or other leisure time activities?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Waren Sie bei Ihren Hobbys oder anderen Freizeitbeschäftigungen eingeschränkt?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            }
          },
          {
            "answer": [
              {
                "valueCoding": {
                  "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
                  "code": "not-at-all",
                  "display": "Not at all",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Überhaupt nicht"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ],
            "linkId": "qlq-c30-q08",
            "text": "Were you short of breath?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Waren Sie kurzatmig?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            }
          },
          {
            "answer": [
              {
                "valueCoding": {
                  "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
                  "code": "a-little",
                  "display": "A little",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Wenig"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ],
            "linkId": "qlq-c30-q09",
            "text": "Have you had pain?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Hatten Sie Schmerzen?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            }
          },
          {
            "answer": [
              {
                "valueCoding": {
                  "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
                  "code": "quite-a-bit",
                  "display": "Quite a bit",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Mäßig"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ],
            "linkId": "qlq-c30-q10",
            "text": "Did you need to rest?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Mussten Sie sich ausruhen?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            }
          },
          {
            "answer": [
              {
                "valueCoding": {
                  "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
                  "code": "a-little",
                  "display": "A little",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Wenig"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ],
            "linkId": "qlq-c30-q11",
            "text": "Have you had trouble sleeping?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Hatten Sie Schlafstörungen?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            }
          },
          {
            "answer": [
              {
                "valueCoding": {
                  "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
                  "code": "a-little",
                  "display": "A little",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Wenig"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ],
            "linkId": "qlq-c30-q12",
            "text": "Have you felt weak?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Fühlten Sie sich schwach?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            }
          },
          {
            "answer": [
              {
                "valueCoding": {
                  "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
                  "code": "not-at-all",
                  "display": "Not at all",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Überhaupt nicht"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ],
            "linkId": "qlq-c30-q13",
            "text": "Have you lacked appetite?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Hatten Sie Appetitmangel?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            }
          },
          {
            "answer": [
              {
                "valueCoding": {
                  "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
                  "code": "not-at-all",
                  "display": "Not at all",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Überhaupt nicht"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ],
            "linkId": "qlq-c30-q14",
            "text": "Have you felt nauseated?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "War Ihnen übel?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            }
          },
          {
            "answer": [
              {
                "valueCoding": {
                  "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
                  "code": "not-at-all",
                  "display": "Not at all",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Überhaupt nicht"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ],
            "linkId": "qlq-c30-q15",
            "text": "Have you vomited?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Haben Sie erbrochen?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            }
          },
          {
            "answer": [
              {
                "valueCoding": {
                  "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
                  "code": "not-at-all",
                  "display": "Not at all",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Überhaupt nicht"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ],
            "linkId": "qlq-c30-q16",
            "text": "Have you been constipated?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Hatten Sie Verstopfung?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            }
          },
          {
            "answer": [
              {
                "valueCoding": {
                  "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
                  "code": "not-at-all",
                  "display": "Not at all",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Überhaupt nicht"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ],
            "linkId": "qlq-c30-q17",
            "text": "Have you had diarrhea?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Hatten Sie Durchfall?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            }
          },
          {
            "answer": [
              {
                "valueCoding": {
                  "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
                  "code": "a-little",
                  "display": "A little",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Wenig"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ],
            "linkId": "qlq-c30-q18",
            "text": "Were you tired?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Waren Sie müde?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            }
          },
          {
            "answer": [
              {
                "valueCoding": {
                  "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
                  "code": "not-at-all",
                  "display": "Not at all",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Überhaupt nicht"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ],
            "linkId": "qlq-c30-q19",
            "text": "Did pain interfere with your daily activities?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Fühlten Sie sich durch Schmerzen in Ihrem alltäglichen Leben beeinträchtigt?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            }
          },
          {
            "answer": [
              {
                "valueCoding": {
                  "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
                  "code": "not-at-all",
                  "display": "Not at all",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Überhaupt nicht"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ],
            "linkId": "qlq-c30-q20",
            "text": "Have you had difficulty in concentrating on things, like reading a newspaper or watching television?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Hatten Sie Schwierigkeiten, sich auf etwas zu konzentrieren, z.B. auf das Zeitunglesen oder das Fernsehen?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            }
          },
          {
            "answer": [
              {
                "valueCoding": {
                  "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
                  "code": "a-little",
                  "display": "A little",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Wenig"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ],
            "linkId": "qlq-c30-q21",
            "text": "Did you feel tense?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Fühlten Sie sich angespannt?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            }
          },
          {
            "answer": [
              {
                "valueCoding": {
                  "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
                  "code": "a-little",
                  "display": "A little",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Wenig"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ],
            "linkId": "qlq-c30-q22",
            "text": "Did you worry?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Haben Sie sich Sorgen gemacht?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            }
          },
          {
            "answer": [
              {
                "valueCoding": {
                  "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
                  "code": "not-at-all",
                  "display": "Not at all",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Überhaupt nicht"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ],
            "linkId": "qlq-c30-q23",
            "text": "Did you feel irritable?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Waren Sie reizbar?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            }
          },
          {
            "answer": [
              {
                "valueCoding": {
                  "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
                  "code": "not-at-all",
                  "display": "Not at all",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Überhaupt nicht"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ],
            "linkId": "qlq-c30-q24",
            "text": "Did you feel depressed?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Fühlten Sie sich niedergeschlagen?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            }
          },
          {
            "answer": [
              {
                "valueCoding": {
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                  "display": "Not at all",
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                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Überhaupt nicht"
                          }
                        ],
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                    ]
                  }
                }
              }
            ],
            "linkId": "qlq-c30-q25",
            "text": "Have you had difficulty remembering things?",
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                      "url": "lang",
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                    },
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                      "url": "content",
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          },
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                }
              }
            ],
            "linkId": "qlq-c30-q26",
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                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Hat Ihr körperlicher Zustand oder Ihre medizinische Behandlung Ihr Familienleben beeinträchtigt?"
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                  ],
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                            "valueString": "Wenig"
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                        ],
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                    ]
                  }
                }
              }
            ],
            "linkId": "qlq-c30-q27",
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                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Hat Ihr körperlicher Zustand oder Ihre medizinische Behandlung Ihr Zusammensein oder Ihre gemeinsamen Unternehmungen mit anderen Menschen beeinträchtigt?"
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                  ],
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          },
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            "linkId": "qlq-c30-q28",
            "text": "Has your physical condition or medical treatment caused you financial difficulties?",
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                      "url": "lang",
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                    },
                    {
                      "url": "content",
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            ],
            "linkId": "qlq-c30-q29",
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                    },
                    {
                      "url": "content",
                      "valueString": "Wie würden Sie insgesamt Ihren Gesundheitszustand während der letzten Woche einschätzen?"
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                  ],
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                }
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            ],
            "linkId": "qlq-c30-q30",
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                    },
                    {
                      "url": "content",
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                  ],
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          }
        ],
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