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