<Bundle xmlns="http://hl7.org/fhir">
  <id value="mii-exa-pro-eortc-qlq-c30-bundle" />
  <type value="transaction" />
  <entry>
    <fullUrl value="http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-eortc-qlq-c30" />
    <resource>
      <Questionnaire>
        <id value="mii-qst-pro-eortc-qlq-c30" />
        <meta>
          <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire|2027.0.0-ballot.1" />
        </meta>
        <language value="en" />
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            <system value="http://hl7.org/fhir/version-algorithm" />
            <code value="natural" />
            <display value="Natural" />
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        <url value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-eortc-qlq-c30" />
        <version value="2027.0.0-ballot.1" />
        <title value="EORTC QLQ-C30 Quality of Life Questionnaire Version 3.0" />
        <status value="active" />
        <experimental value="true" />
        <publisher value="Medizininformatik Initiative (MII)" />
        <description value="EORTC QLQ-C30 Version 3.0 Quality of Life Questionnaire - Complete implementation with all 30 items and 15 scale scores" />
        <copyright value="© Copyright 1995 EORTC Quality of Life Group. All rights reserved. Version 3.0" />
        <code>
          <system value="http://snomed.info/sct" />
          <code value="273446001" />
          <display value="European Organisation for Research and Treatment of Cancer - Quality of Life questionnaire (assessment scale)" />
        </code>
        <code>
          <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-questionnaire-catalogue" />
          <code value="eortc-qlq-c30" />
          <display value="EORTC QLQ-C30 Quality of Life Questionnaire" />
        </code>
        <item>
          <linkId value="QLQ-C30.Introduction" />
          <text value="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." />
          <type value="display" />
        </item>
        <item>
          <linkId value="QLQ-C30.Section1" />
          <text value="During the past week:" />
          <type value="display" />
        </item>
        <item>
          <linkId value="qlq-c30-q01" />
          <prefix value="1" />
          <text value="Do you have any trouble doing strenuous activities, like carrying a heavy shopping bag or a suitcase?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Bereitet es Ihnen Schwierigkeiten, sich körperlich anzustrengen (z.B. eine schwere Einkaufstasche oder einen Koffer zu tragen)?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt" />
        </item>
        <item>
          <linkId value="qlq-c30-q02" />
          <prefix value="2" />
          <text value="Do you have any trouble taking a long walk?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Bereitet es Ihnen Schwierigkeiten, einen längeren Spaziergang zu machen?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt" />
        </item>
        <item>
          <linkId value="qlq-c30-q03" />
          <prefix value="3" />
          <text value="Do you have any trouble taking a short walk outside of the house?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Bereitet es Ihnen Schwierigkeiten, eine kurze Strecke außer Haus zu gehen?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt" />
        </item>
        <item>
          <linkId value="qlq-c30-q04" />
          <prefix value="4" />
          <text value="Do you need to stay in bed or a chair during the day?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Müssen Sie tagsüber im Bett liegen oder in einem Sessel sitzen?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt" />
        </item>
        <item>
          <linkId value="qlq-c30-q05" />
          <prefix value="5" />
          <text value="Do you need help with eating, dressing, washing yourself or using the toilet?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Brauchen Sie Hilfe beim Essen, Anziehen, Waschen oder Benutzen der Toilette?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt" />
        </item>
        <item>
          <linkId value="qlq-c30-q06" />
          <prefix value="6" />
          <text value="Were you limited in doing either your work or other daily activities?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Waren Sie bei Ihrer Arbeit oder bei anderen tagtäglichen Beschäftigungen eingeschränkt?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt" />
        </item>
        <item>
          <linkId value="qlq-c30-q07" />
          <prefix value="7" />
          <text value="Were you limited in pursuing your hobbies or other leisure time activities?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Waren Sie bei Ihren Hobbys oder anderen Freizeitbeschäftigungen eingeschränkt?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt" />
        </item>
        <item>
          <linkId value="qlq-c30-q08" />
          <prefix value="8" />
          <text value="Were you short of breath?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Waren Sie kurzatmig?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt" />
        </item>
        <item>
          <linkId value="qlq-c30-q09" />
          <prefix value="9" />
          <text value="Have you had pain?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Hatten Sie Schmerzen?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt" />
        </item>
        <item>
          <linkId value="qlq-c30-q10" />
          <prefix value="10" />
          <text value="Did you need to rest?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Mussten Sie sich ausruhen?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt" />
        </item>
        <item>
          <linkId value="qlq-c30-q11" />
          <prefix value="11" />
          <text value="Have you had trouble sleeping?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Hatten Sie Schlafstörungen?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt" />
        </item>
        <item>
          <linkId value="qlq-c30-q12" />
          <prefix value="12" />
          <text value="Have you felt weak?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Fühlten Sie sich schwach?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt" />
        </item>
        <item>
          <linkId value="qlq-c30-q13" />
          <prefix value="13" />
          <text value="Have you lacked appetite?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Hatten Sie Appetitmangel?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt" />
        </item>
        <item>
          <linkId value="qlq-c30-q14" />
          <prefix value="14" />
          <text value="Have you felt nauseated?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="War Ihnen übel?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt" />
        </item>
        <item>
          <linkId value="qlq-c30-q15" />
          <prefix value="15" />
          <text value="Have you vomited?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Haben Sie erbrochen?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt" />
        </item>
        <item>
          <linkId value="qlq-c30-q16" />
          <prefix value="16" />
          <text value="Have you been constipated?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Hatten Sie Verstopfung?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt" />
        </item>
        <item>
          <linkId value="qlq-c30-q17" />
          <prefix value="17" />
          <text value="Have you had diarrhea?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Hatten Sie Durchfall?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt" />
        </item>
        <item>
          <linkId value="qlq-c30-q18" />
          <prefix value="18" />
          <text value="Were you tired?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Waren Sie müde?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt" />
        </item>
        <item>
          <linkId value="qlq-c30-q19" />
          <prefix value="19" />
          <text value="Did pain interfere with your daily activities?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Fühlten Sie sich durch Schmerzen in Ihrem alltäglichen Leben beeinträchtigt?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt" />
        </item>
        <item>
          <linkId value="qlq-c30-q20" />
          <prefix value="20" />
          <text value="Have you had difficulty in concentrating on things, like reading a newspaper or watching television?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Hatten Sie Schwierigkeiten, sich auf etwas zu konzentrieren, z.B. auf das Zeitunglesen oder das Fernsehen?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt" />
        </item>
        <item>
          <linkId value="qlq-c30-q21" />
          <prefix value="21" />
          <text value="Did you feel tense?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Fühlten Sie sich angespannt?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt" />
        </item>
        <item>
          <linkId value="qlq-c30-q22" />
          <prefix value="22" />
          <text value="Did you worry?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Haben Sie sich Sorgen gemacht?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt" />
        </item>
        <item>
          <linkId value="qlq-c30-q23" />
          <prefix value="23" />
          <text value="Did you feel irritable?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Waren Sie reizbar?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt" />
        </item>
        <item>
          <linkId value="qlq-c30-q24" />
          <prefix value="24" />
          <text value="Did you feel depressed?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Fühlten Sie sich niedergeschlagen?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt" />
        </item>
        <item>
          <linkId value="qlq-c30-q25" />
          <prefix value="25" />
          <text value="Have you had difficulty remembering things?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Hatten Sie Schwierigkeiten, sich an Dinge zu erinnern?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt" />
        </item>
        <item>
          <linkId value="qlq-c30-q26" />
          <prefix value="26" />
          <text value="Has your physical condition or medical treatment interfered with your family life?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Hat Ihr körperlicher Zustand oder Ihre medizinische Behandlung Ihr Familienleben beeinträchtigt?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt" />
        </item>
        <item>
          <linkId value="qlq-c30-q27" />
          <prefix value="27" />
          <text value="Has your physical condition or medical treatment interfered with your social activities?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Hat Ihr körperlicher Zustand oder Ihre medizinische Behandlung Ihr Zusammensein oder Ihre gemeinsamen Unternehmungen mit anderen Menschen beeinträchtigt?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt" />
        </item>
        <item>
          <linkId value="qlq-c30-q28" />
          <prefix value="28" />
          <text value="Has your physical condition or medical treatment caused you financial difficulties?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Hat Ihr körperlicher Zustand oder Ihre medizinische Behandlung für Sie finanzielle Schwierigkeiten mit sich gebracht?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt" />
        </item>
        <item>
          <linkId value="QLQ-C30.Section2" />
          <text value="For the following questions please circle the number between 1 and 7 that best applies to you" />
          <type value="display" />
        </item>
        <item>
          <linkId value="qlq-c30-q29" />
          <prefix value="29" />
          <text value="How would you rate your overall health during the past week?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Wie würden Sie insgesamt Ihren Gesundheitszustand während der letzten Woche einschätzen?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-7pt" />
        </item>
        <item>
          <linkId value="qlq-c30-q30" />
          <prefix value="30" />
          <text value="How would you rate your overall quality of life during the past week?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Wie würden Sie insgesamt Ihre Lebensqualität während der letzten Woche einschätzen?" />
              </extension>
            </extension>
          </text>
          <type value="choice" />
          <answerValueSet value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-7pt" />
        </item>
        <item>
          <linkId value="QLQ-C30.Scores" />
          <text value="Calculated Scores (0-100 scale)">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Berechnete Scores (Skala 0–100)" />
              </extension>
            </extension>
          </text>
          <type value="group" />
          <item>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
              <valueExpression>
                <language value="text/fhirpath" />
                <expression value="(1 - (((%resource.item.where(linkId.matches('^qlq-c30-q0[1-5]$')).answer.value.weight().sum()) / 5) - 1) / 3) * 100" />
              </valueExpression>
            </extension>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
              <valueBoolean value="true" />
            </extension>
            <linkId value="score-pf" />
            <text value="Physical Functioning Score">
              <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                <extension url="lang">
                  <valueCode value="de" />
                </extension>
                <extension url="content">
                  <valueString value="Skalenwert Körperliche Funktion" />
                </extension>
              </extension>
            </text>
            <type value="decimal" />
            <readOnly value="true" />
          </item>
          <item>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
              <valueExpression>
                <language value="text/fhirpath" />
                <expression value="(1 - (((%resource.item.where(linkId='qlq-c30-q06' or linkId='qlq-c30-q07').answer.value.weight().sum()) / 2) - 1) / 3) * 100" />
              </valueExpression>
            </extension>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
              <valueBoolean value="true" />
            </extension>
            <linkId value="score-rf" />
            <text value="Role Functioning Score">
              <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                <extension url="lang">
                  <valueCode value="de" />
                </extension>
                <extension url="content">
                  <valueString value="Skalenwert Rollenfunktion" />
                </extension>
              </extension>
            </text>
            <type value="decimal" />
            <readOnly value="true" />
          </item>
          <item>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
              <valueExpression>
                <language value="text/fhirpath" />
                <expression value="(1 - (((%resource.item.where(linkId.matches('^qlq-c30-q2[1-4]$')).answer.value.weight().sum()) / 4) - 1) / 3) * 100" />
              </valueExpression>
            </extension>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
              <valueBoolean value="true" />
            </extension>
            <linkId value="score-ef" />
            <text value="Emotional Functioning Score">
              <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                <extension url="lang">
                  <valueCode value="de" />
                </extension>
                <extension url="content">
                  <valueString value="Skalenwert Emotionale Funktion" />
                </extension>
              </extension>
            </text>
            <type value="decimal" />
            <readOnly value="true" />
          </item>
          <item>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
              <valueExpression>
                <language value="text/fhirpath" />
                <expression value="(1 - (((%resource.item.where(linkId='qlq-c30-q20' or linkId='qlq-c30-q25').answer.value.weight().sum()) / 2) - 1) / 3) * 100" />
              </valueExpression>
            </extension>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
              <valueBoolean value="true" />
            </extension>
            <linkId value="score-cf" />
            <text value="Cognitive Functioning Score">
              <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                <extension url="lang">
                  <valueCode value="de" />
                </extension>
                <extension url="content">
                  <valueString value="Skalenwert Kognitive Funktion" />
                </extension>
              </extension>
            </text>
            <type value="decimal" />
            <readOnly value="true" />
          </item>
          <item>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
              <valueExpression>
                <language value="text/fhirpath" />
                <expression value="(1 - (((%resource.item.where(linkId='qlq-c30-q26' or linkId='qlq-c30-q27').answer.value.weight().sum()) / 2) - 1) / 3) * 100" />
              </valueExpression>
            </extension>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
              <valueBoolean value="true" />
            </extension>
            <linkId value="score-sf" />
            <text value="Social Functioning Score">
              <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                <extension url="lang">
                  <valueCode value="de" />
                </extension>
                <extension url="content">
                  <valueString value="Skalenwert Soziale Funktion" />
                </extension>
              </extension>
            </text>
            <type value="decimal" />
            <readOnly value="true" />
          </item>
          <item>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
              <valueExpression>
                <language value="text/fhirpath" />
                <expression value="(((%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" />
              </valueExpression>
            </extension>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
              <valueBoolean value="true" />
            </extension>
            <linkId value="score-fa" />
            <text value="Fatigue Score">
              <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                <extension url="lang">
                  <valueCode value="de" />
                </extension>
                <extension url="content">
                  <valueString value="Skalenwert Fatigue" />
                </extension>
              </extension>
            </text>
            <type value="decimal" />
            <readOnly value="true" />
          </item>
          <item>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
              <valueExpression>
                <language value="text/fhirpath" />
                <expression value="(((%resource.item.where(linkId='qlq-c30-q14' or linkId='qlq-c30-q15').answer.value.weight().sum()) / 2) - 1) / 3) * 100" />
              </valueExpression>
            </extension>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
              <valueBoolean value="true" />
            </extension>
            <linkId value="score-nv" />
            <text value="Nausea and Vomiting Score">
              <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                <extension url="lang">
                  <valueCode value="de" />
                </extension>
                <extension url="content">
                  <valueString value="Skalenwert Übelkeit und Erbrechen" />
                </extension>
              </extension>
            </text>
            <type value="decimal" />
            <readOnly value="true" />
          </item>
          <item>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
              <valueExpression>
                <language value="text/fhirpath" />
                <expression value="(((%resource.item.where(linkId='qlq-c30-q09' or linkId='qlq-c30-q19').answer.value.weight().sum()) / 2) - 1) / 3) * 100" />
              </valueExpression>
            </extension>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
              <valueBoolean value="true" />
            </extension>
            <linkId value="score-pa" />
            <text value="Pain Score">
              <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                <extension url="lang">
                  <valueCode value="de" />
                </extension>
                <extension url="content">
                  <valueString value="Skalenwert Schmerz" />
                </extension>
              </extension>
            </text>
            <type value="decimal" />
            <readOnly value="true" />
          </item>
          <item>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
              <valueExpression>
                <language value="text/fhirpath" />
                <expression value="((%resource.item.where(linkId='qlq-c30-q08').answer.value.weight() - 1) / 3) * 100" />
              </valueExpression>
            </extension>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
              <valueBoolean value="true" />
            </extension>
            <linkId value="score-dy" />
            <text value="Dyspnoea Score">
              <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                <extension url="lang">
                  <valueCode value="de" />
                </extension>
                <extension url="content">
                  <valueString value="Skalenwert Atemnot" />
                </extension>
              </extension>
            </text>
            <type value="decimal" />
            <readOnly value="true" />
          </item>
          <item>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
              <valueExpression>
                <language value="text/fhirpath" />
                <expression value="((%resource.item.where(linkId='qlq-c30-q11').answer.value.weight() - 1) / 3) * 100" />
              </valueExpression>
            </extension>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
              <valueBoolean value="true" />
            </extension>
            <linkId value="score-sl" />
            <text value="Insomnia Score">
              <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                <extension url="lang">
                  <valueCode value="de" />
                </extension>
                <extension url="content">
                  <valueString value="Skalenwert Schlaflosigkeit" />
                </extension>
              </extension>
            </text>
            <type value="decimal" />
            <readOnly value="true" />
          </item>
          <item>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
              <valueExpression>
                <language value="text/fhirpath" />
                <expression value="((%resource.item.where(linkId='qlq-c30-q13').answer.value.weight() - 1) / 3) * 100" />
              </valueExpression>
            </extension>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
              <valueBoolean value="true" />
            </extension>
            <linkId value="score-ap" />
            <text value="Appetite Loss Score">
              <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                <extension url="lang">
                  <valueCode value="de" />
                </extension>
                <extension url="content">
                  <valueString value="Skalenwert Appetitverlust" />
                </extension>
              </extension>
            </text>
            <type value="decimal" />
            <readOnly value="true" />
          </item>
          <item>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
              <valueExpression>
                <language value="text/fhirpath" />
                <expression value="((%resource.item.where(linkId='qlq-c30-q16').answer.value.weight() - 1) / 3) * 100" />
              </valueExpression>
            </extension>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
              <valueBoolean value="true" />
            </extension>
            <linkId value="score-co" />
            <text value="Constipation Score">
              <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                <extension url="lang">
                  <valueCode value="de" />
                </extension>
                <extension url="content">
                  <valueString value="Skalenwert Verstopfung" />
                </extension>
              </extension>
            </text>
            <type value="decimal" />
            <readOnly value="true" />
          </item>
          <item>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
              <valueExpression>
                <language value="text/fhirpath" />
                <expression value="((%resource.item.where(linkId='qlq-c30-q17').answer.value.weight() - 1) / 3) * 100" />
              </valueExpression>
            </extension>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
              <valueBoolean value="true" />
            </extension>
            <linkId value="score-di" />
            <text value="Diarrhoea Score">
              <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                <extension url="lang">
                  <valueCode value="de" />
                </extension>
                <extension url="content">
                  <valueString value="Skalenwert Durchfall" />
                </extension>
              </extension>
            </text>
            <type value="decimal" />
            <readOnly value="true" />
          </item>
          <item>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
              <valueExpression>
                <language value="text/fhirpath" />
                <expression value="((%resource.item.where(linkId='qlq-c30-q28').answer.value.weight() - 1) / 3) * 100" />
              </valueExpression>
            </extension>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
              <valueBoolean value="true" />
            </extension>
            <linkId value="score-fi" />
            <text value="Financial Difficulties Score">
              <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                <extension url="lang">
                  <valueCode value="de" />
                </extension>
                <extension url="content">
                  <valueString value="Skalenwert Finanzielle Schwierigkeiten" />
                </extension>
              </extension>
            </text>
            <type value="decimal" />
            <readOnly value="true" />
          </item>
          <item>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
              <valueExpression>
                <language value="text/fhirpath" />
                <expression value="(((%resource.item.where(linkId='qlq-c30-q29' or linkId='qlq-c30-q30').answer.value.weight().sum()) / 2) - 1) / 6) * 100" />
              </valueExpression>
            </extension>
            <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
              <valueBoolean value="true" />
            </extension>
            <linkId value="score-ql" />
            <text value="Global Health Status / Quality of Life Score">
              <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                <extension url="lang">
                  <valueCode value="de" />
                </extension>
                <extension url="content">
                  <valueString value="Skalenwert Globaler Gesundheitsstatus / Lebensqualität" />
                </extension>
              </extension>
            </text>
            <type value="decimal" />
            <readOnly value="true" />
          </item>
        </item>
      </Questionnaire>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Questionnaire/mii-qst-pro-eortc-qlq-c30" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/QuestionnaireResponse/mii-exa-pro-eortc-qlq-c30-response" />
    <resource>
      <QuestionnaireResponse>
        <id value="mii-exa-pro-eortc-qlq-c30-response" />
        <meta>
          <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response|2027.0.0-ballot.1" />
        </meta>
        <language value="en" />
        <questionnaire value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-eortc-qlq-c30|2027.0.0-ballot.1" />
        <status value="completed" />
        <subject>
          <reference value="Patient/mii-exa-pro-patient" />
        </subject>
        <authored value="2024-01-15T10:30:00Z" />
        <item>
          <linkId value="qlq-c30-q01" />
          <text value="Do you have any trouble doing strenuous activities, like carrying a heavy shopping bag or a suitcase?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Bereitet es Ihnen Schwierigkeiten, sich körperlich anzustrengen (z.B. eine schwere Einkaufstasche oder einen Koffer zu tragen)?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="a-little" />
              <display value="A little">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="Wenig" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q02" />
          <text value="Do you have any trouble taking a long walk?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Bereitet es Ihnen Schwierigkeiten, einen längeren Spaziergang zu machen?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="quite-a-bit" />
              <display value="Quite a bit">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="Mäßig" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q03" />
          <text value="Do you have any trouble taking a short walk outside of the house?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Bereitet es Ihnen Schwierigkeiten, eine kurze Strecke außer Haus zu gehen?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="a-little" />
              <display value="A little">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="Wenig" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q04" />
          <text value="Do you need to stay in bed or a chair during the day?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Müssen Sie tagsüber im Bett liegen oder in einem Sessel sitzen?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="not-at-all" />
              <display value="Not at all">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="Überhaupt nicht" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q05" />
          <text value="Do you need help with eating, dressing, washing yourself or using the toilet?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Brauchen Sie Hilfe beim Essen, Anziehen, Waschen oder Benutzen der Toilette?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="not-at-all" />
              <display value="Not at all">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="Überhaupt nicht" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q06" />
          <text value="Were you limited in doing either your work or other daily activities?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Waren Sie bei Ihrer Arbeit oder bei anderen tagtäglichen Beschäftigungen eingeschränkt?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="a-little" />
              <display value="A little">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="Wenig" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q07" />
          <text value="Were you limited in pursuing your hobbies or other leisure time activities?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Waren Sie bei Ihren Hobbys oder anderen Freizeitbeschäftigungen eingeschränkt?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="a-little" />
              <display value="A little">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="Wenig" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q08" />
          <text value="Were you short of breath?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Waren Sie kurzatmig?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="not-at-all" />
              <display value="Not at all">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="Überhaupt nicht" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q09" />
          <text value="Have you had pain?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Hatten Sie Schmerzen?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="a-little" />
              <display value="A little">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="Wenig" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q10" />
          <text value="Did you need to rest?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Mussten Sie sich ausruhen?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="quite-a-bit" />
              <display value="Quite a bit">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="Mäßig" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q11" />
          <text value="Have you had trouble sleeping?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Hatten Sie Schlafstörungen?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="a-little" />
              <display value="A little">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="Wenig" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q12" />
          <text value="Have you felt weak?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Fühlten Sie sich schwach?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="a-little" />
              <display value="A little">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="Wenig" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q13" />
          <text value="Have you lacked appetite?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Hatten Sie Appetitmangel?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="not-at-all" />
              <display value="Not at all">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="Überhaupt nicht" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q14" />
          <text value="Have you felt nauseated?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="War Ihnen übel?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="not-at-all" />
              <display value="Not at all">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="Überhaupt nicht" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q15" />
          <text value="Have you vomited?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Haben Sie erbrochen?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="not-at-all" />
              <display value="Not at all">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="Überhaupt nicht" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q16" />
          <text value="Have you been constipated?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Hatten Sie Verstopfung?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="not-at-all" />
              <display value="Not at all">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="Überhaupt nicht" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q17" />
          <text value="Have you had diarrhea?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Hatten Sie Durchfall?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="not-at-all" />
              <display value="Not at all">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="Überhaupt nicht" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q18" />
          <text value="Were you tired?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Waren Sie müde?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="a-little" />
              <display value="A little">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="Wenig" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q19" />
          <text value="Did pain interfere with your daily activities?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Fühlten Sie sich durch Schmerzen in Ihrem alltäglichen Leben beeinträchtigt?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="not-at-all" />
              <display value="Not at all">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="Überhaupt nicht" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q20" />
          <text value="Have you had difficulty in concentrating on things, like reading a newspaper or watching television?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Hatten Sie Schwierigkeiten, sich auf etwas zu konzentrieren, z.B. auf das Zeitunglesen oder das Fernsehen?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="not-at-all" />
              <display value="Not at all">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="Überhaupt nicht" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q21" />
          <text value="Did you feel tense?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Fühlten Sie sich angespannt?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="a-little" />
              <display value="A little">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="Wenig" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q22" />
          <text value="Did you worry?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Haben Sie sich Sorgen gemacht?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="a-little" />
              <display value="A little">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="Wenig" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q23" />
          <text value="Did you feel irritable?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Waren Sie reizbar?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="not-at-all" />
              <display value="Not at all">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="Überhaupt nicht" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q24" />
          <text value="Did you feel depressed?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Fühlten Sie sich niedergeschlagen?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="not-at-all" />
              <display value="Not at all">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="Überhaupt nicht" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q25" />
          <text value="Have you had difficulty remembering things?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Hatten Sie Schwierigkeiten, sich an Dinge zu erinnern?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="not-at-all" />
              <display value="Not at all">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="Überhaupt nicht" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q26" />
          <text value="Has your physical condition or medical treatment interfered with your family life?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Hat Ihr körperlicher Zustand oder Ihre medizinische Behandlung Ihr Familienleben beeinträchtigt?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="not-at-all" />
              <display value="Not at all">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="Überhaupt nicht" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q27" />
          <text value="Has your physical condition or medical treatment interfered with your social activities?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Hat Ihr körperlicher Zustand oder Ihre medizinische Behandlung Ihr Zusammensein oder Ihre gemeinsamen Unternehmungen mit anderen Menschen beeinträchtigt?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="a-little" />
              <display value="A little">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="Wenig" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q28" />
          <text value="Has your physical condition or medical treatment caused you financial difficulties?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Hat Ihr körperlicher Zustand oder Ihre medizinische Behandlung für Sie finanzielle Schwierigkeiten mit sich gebracht?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="not-at-all" />
              <display value="Not at all">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="Überhaupt nicht" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q29" />
          <text value="How would you rate your overall health during the past week?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Wie würden Sie insgesamt Ihren Gesundheitszustand während der letzten Woche einschätzen?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="5-very-good" />
              <display value="5 - Very good">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="5 - Sehr gut" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="qlq-c30-q30" />
          <text value="How would you rate your overall quality of life during the past week?">
            <extension url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de" />
              </extension>
              <extension url="content">
                <valueString value="Wie würden Sie insgesamt Ihre Lebensqualität während der letzten Woche einschätzen?" />
              </extension>
            </extension>
          </text>
          <answer>
            <valueCoding>
              <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30" />
              <code value="5-very-good" />
              <display value="5 - Very good">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de" />
                  </extension>
                  <extension url="content">
                    <valueString value="5 - Sehr gut" />
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
      </QuestionnaireResponse>
    </resource>
    <request>
      <method value="PUT" />
      <url value="QuestionnaireResponse/mii-exa-pro-eortc-qlq-c30-response" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Observation/mii-exa-pro-eortc-qlq-c30-observation-pf" />
    <resource>
      <Observation>
        <id value="mii-exa-pro-eortc-qlq-c30-observation-pf" />
        <meta>
          <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance|2027.0.0-ballot.1" />
        </meta>
        <status value="final" />
        <category>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
            <code value="survey" />
            <display value="Survey" />
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://snomed.info/sct" />
            <code value="273446001" />
            <display value="European Organisation for Research and Treatment of Cancer - Quality of Life questionnaire (assessment scale)" />
          </coding>
          <coding>
            <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-score-catalogue" />
            <code value="eortc-qlq-c30-pf" />
            <display value="EORTC QLQ-C30 Physical Functioning Score" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/mii-exa-pro-patient" />
        </subject>
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      <url value="Observation/mii-exa-pro-eortc-qlq-c30-observation-fi" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Observation/mii-exa-pro-eortc-qlq-c30-observation-ql" />
    <resource>
      <Observation>
        <id value="mii-exa-pro-eortc-qlq-c30-observation-ql" />
        <meta>
          <profile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance|2027.0.0-ballot.1" />
        </meta>
        <status value="final" />
        <category>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
            <code value="survey" />
            <display value="Survey" />
          </coding>
        </category>
        <code>
          <coding>
            <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-score-catalogue" />
            <code value="eortc-qlq-c30-ql" />
            <display value="EORTC QLQ-C30 Global Health Status / Quality of Life Score" />
          </coding>
        </code>
        <subject>
          <reference value="Patient/mii-exa-pro-patient" />
        </subject>
        <effectiveDateTime value="2024-01-15T10:30:00Z" />
        <valueQuantity>
          <value value="66.67" />
          <unit value="{score}" />
          <system value="http://unitsofmeasure.org" />
          <code value="{score}" />
        </valueQuantity>
        <derivedFrom>
          <reference value="QuestionnaireResponse/mii-exa-pro-eortc-qlq-c30-response" />
        </derivedFrom>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/mii-exa-pro-eortc-qlq-c30-observation-ql" />
    </request>
  </entry>
  <entry>
    <fullUrl value="http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Patient/mii-exa-pro-patient" />
    <resource>
      <Patient>
        <id value="mii-exa-pro-patient" />
        <active value="true" />
        <name>
          <family value="Example" />
          <given value="Patient" />
        </name>
        <gender value="other" />
        <birthDate value="1960-01-01" />
      </Patient>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Patient/mii-exa-pro-patient" />
    </request>
  </entry>
</Bundle>