<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="THI" />
  <meta>
    <versionId value="1" />
    <profile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_DIGA_Questionnaire|1.1.0" />
  </meta>
  <url value="https://simplifier.net/silentcloud/thi" />
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
        <version value="2.9" />
        <code value="RI" />
        <display value="Resource identifier" />
      </coding>
    </type>
    <system value="urn:ietf:rfc:3986" />
    <value value="urn:uuid:dca5a08a-3179-11ec-8d3d-0242ac130003" />
  </identifier>
  <version value="1.0" />
  <name value="THI" />
  <title value="Tinnitus Handicap Inventory (THI)" />
  <status value="active" />
  <subjectType value="Patient" />
  <date value="2025-01-15" />
  <publisher value="SilentCloud" />
  <description value="The Tinnitus Handicap Inventory (THI) is a 25-item self-report questionnaire designed to assess the impact of tinnitus on daily living. Each item is scored as Yes (4), Sometimes (2), or No (0). Total score range: 0-100." />
  <purpose value="To quantify the impact of tinnitus on daily life across functional, emotional, and catastrophic domains." />
  <item>
    <linkId value="0" />
    <text value="Because of your tinnitus, is it difficult for you to concentrate?" />
    <type value="string" />
  </item>
  <item>
    <linkId value="1" />
    <text value="Does the loudness of your tinnitus make it difficult for you to hear people?" />
    <type value="string" />
  </item>
  <item>
    <linkId value="2" />
    <text value="Does your tinnitus make you angry?" />
    <type value="string" />
  </item>
  <item>
    <linkId value="3" />
    <text value="Does your tinnitus make you feel confused?" />
    <type value="string" />
  </item>
  <item>
    <linkId value="4" />
    <text value="Because of your tinnitus, do you feel desperate?" />
    <type value="string" />
  </item>
  <item>
    <linkId value="5" />
    <text value="Do you complain a great deal about your tinnitus?" />
    <type value="string" />
  </item>
  <item>
    <linkId value="6" />
    <text value="Because of your tinnitus, do you have trouble falling to sleep at night?" />
    <type value="string" />
  </item>
  <item>
    <linkId value="7" />
    <text value="Do you feel as though you cannot escape your tinnitus?" />
    <type value="string" />
  </item>
  <item>
    <linkId value="8" />
    <text value="Does your tinnitus interfere with your ability to enjoy social activities?" />
    <type value="string" />
  </item>
  <item>
    <linkId value="9" />
    <text value="Because of your tinnitus, do you feel frustrated?" />
    <type value="string" />
  </item>
  <item>
    <linkId value="10" />
    <text value="Because of your tinnitus, do you feel that you have a terrible disease?" />
    <type value="string" />
  </item>
  <item>
    <linkId value="11" />
    <text value="Does your tinnitus make it difficult for you to enjoy life?" />
    <type value="string" />
  </item>
  <item>
    <linkId value="12" />
    <text value="Does your tinnitus interfere with your job or household responsibilities?" />
    <type value="string" />
  </item>
  <item>
    <linkId value="13" />
    <text value="Because of your tinnitus, do you find that you are often irritable?" />
    <type value="string" />
  </item>
  <item>
    <linkId value="14" />
    <text value="Because of your tinnitus, is it difficult for you to read?" />
    <type value="string" />
  </item>
  <item>
    <linkId value="15" />
    <text value="Does your tinnitus make you upset?" />
    <type value="string" />
  </item>
  <item>
    <linkId value="16" />
    <text value="Do you feel that your tinnitus problem has placed stress on your relationships?" />
    <type value="string" />
  </item>
  <item>
    <linkId value="17" />
    <text value="Do you find it difficult to focus your attention away from your tinnitus?" />
    <type value="string" />
  </item>
  <item>
    <linkId value="18" />
    <text value="Do you feel that you have no control over your tinnitus?" />
    <type value="string" />
  </item>
  <item>
    <linkId value="19" />
    <text value="Because of your tinnitus, do you often feel tired?" />
    <type value="string" />
  </item>
  <item>
    <linkId value="20" />
    <text value="Because of your tinnitus, do you feel depressed?" />
    <type value="string" />
  </item>
  <item>
    <linkId value="21" />
    <text value="Does your tinnitus make you feel anxious?" />
    <type value="string" />
  </item>
  <item>
    <linkId value="22" />
    <text value="Do you feel that you can no longer cope with your tinnitus?" />
    <type value="string" />
  </item>
  <item>
    <linkId value="23" />
    <text value="Does your tinnitus get worse when you are under stress?" />
    <type value="string" />
  </item>
  <item>
    <linkId value="24" />
    <text value="Does your tinnitus make you feel insecure?" />
    <type value="string" />
  </item>
</Questionnaire>