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"urn:ietf:rfc:3986", "value": "urn:uuid:bdfd592e-d0b9-48c6-9757-0af97052b7de" } ], "lifecycleStatus": "active", "description": { "coding": [ { "system": "http://snomed.info/sct", "version": "http://snomed.info/sct/900000000000207008/version/20250201", "code": "1137437005", "display": "Has adequate sleep (finding)" } ], "text": "Patient hat adäquaten Schlaf." }, "subject": { "reference": "Patient/a1b2c3d4-e5f6-7890-abcd-ef1234567890" }, "startDate": "2026-02-20", "target": [ { "measure": { "text": "Ziel: Empfohlene Zeit im Bett" }, "detailQuantity": { "value": 8.5, "unit": "h", "system": "http://unitsofmeasure.org", "code": "h" }, "dueDate": "2026-02-27" } ], "outcomeReference": [ { "reference": "Observation/--obs-sleep-diary-1--d8a17f63-0b2c-4d79-80f2-be746c13ad38" }, { "reference": "Observation/--obs-sleep-diary-2--488ea92d-e292-4550-86cf-ff40e285c7a8" } ] } }, { "fullUrl": "https://weltcorp.com/fhir/mio/Questionnaire/--q-WIS--b22198d8-acbe-4fff-8a16-444efb3762d3", "resource": { "resourceType": "Questionnaire", "id": "--q-WIS--b22198d8-acbe-4fff-8a16-444efb3762d3", "meta": { "versionId": "1", "lastUpdated": "2026-02-20T00:00:00+00:00", "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_DIGA_Questionnaire|1.1.0" ] }, "language": "en", "url": "https://weltcorp.com/fhir/mio/Questionnaire/--q-WIS--b22198d8-acbe-4fff-8a16-444efb3762d3", "identifier": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "version": "2.9", "code": "RI", "display": "Resource identifier" } ] }, "system": "urn:ietf:rfc:3986", "value": "urn:uuid:b22198d8-acbe-4fff-8a16-444efb3762d3" } ], "title": "Questionnaire WIS", "status": "active", "date": "2026-02-20", "description": "TODO", "item": [ { "linkId": "sleepMedication", "text": "Nimmst du derzeit Schlafmittel (verschreibungspflichtige oder auch rezeptfreie Mittel wie z.B. Melatonin, Baldrian oder CBD-Öl) ein?", "type": "choice", "answerOption": [ { "valueString": "Nein" }, { "valueString": "Ja, täglich" }, { "valueString": "Ja, aber nur bei Bedarf" } ] }, { "linkId": "sleepMedicationFreetext", "text": "Bitte gib den Namen des Medikaments an.", "type": "string", "enableWhen": [ { "question": "sleepMedication", "operator": "!=", "answerString": "Nein" } ] }, { "linkId": "sleepCompanion", "text": "Schläfst du alleine oder teilst du dein Schlafzimmer mit jemand anderem?", "type": "choice", "answerOption": [ { "valueString": "Ich schlafe alleine" }, { "valueString": "Ich schlafe manchmal mit jemand anderem" }, { "valueString": "Ich schlafe immer mit jemand anderem" } ] }, { "linkId": "bedroomNoiseLevel", "text": "Wie ruhig oder laut ist es in deinem Schlafzimmer? (Umgebungsgeräusche von Draußen wie z.B. Straßenlärm, sowie Drinnen wie z.B. Gerätelärm, Schnarchgeräusche, etc.)", "type": "choice", "answerOption": [ { "valueString": "Sehr ruhig" }, { "valueString": "Eher ruhig" }, { "valueString": "Mittel" }, { "valueString": "Eher laut" }, { "valueString": "Sehr laut" } ] }, { "linkId": "bedroomTemperature", "text": "Wie ist die Temperatur in deinem Schlafzimmer?", "type": "choice", "answerOption": [ { "valueString": "Sehr kühl" }, { "valueString": "Eher kühl" }, { "valueString": "Neutral" }, { "valueString": "Eher warm" }, { "valueString": "Sehr warm" } ] }, { "linkId": "bedroomLightLevel", "text": "Wie sind die Lichtverhältnisse in deinem Schlafzimmer, wenn du schläfst?", "type": "choice", "answerOption": [ { "valueString": "Sehr dunkel" }, { "valueString": "Eher dunkel" }, { "valueString": "Neutral" }, { "valueString": "Eher hell" }, { "valueString": "Sehr hell" } ] }, { "linkId": "idealBedtime", "text": "Wann würdest du idealerweise schlafen gehen? (Unabhängig vom Wochentag)", "type": "time" }, { "linkId": "idealWakeUpTime", "text": "Wann würdest du idealerweise aufwachen? (Unabhängig vom Wochentag)", "type": "time" }, { "linkId": "dailySchedule", "text": "Wird dein Tagesrhythmus durch Arbeit oder andere feste Zeiten bestimmt?", "type": "choice", "answerOption": [ { "valueString": "Ich habe einen regelmäßigen Tagesablauf (z. B. durch feste Arbeitszeiten)." }, { "valueString": "Ich arbeite im Schichtdienst, mein Rhythmus wechselt (z. B. zwischen Tag- und Nachtschichten)." }, { "valueString": "Ich arbeite hauptsächlich nachts, aber mein Rhythmus bleibt dabei konstant." }, { "valueString": "Mein Tagesablauf ist flexibel und nicht durch feste Zeiten vorgegeben." } ] }, { "linkId": "dailyFatigue", "text": "Wie oft fühlst du dich tagsüber müde?", "type": "choice", "answerOption": [ { "valueString": "Nie" }, { "valueString": "Selten" }, { "valueString": "Gelegentlich" }, { "valueString": "Häufig" }, { "valueString": "Immer" } ] } ] } }, { "fullUrl": "https://weltcorp.com/fhir/mio/Questionnaire/--q-sleep-diary--c4b03647-9ce8-415f-88c8-6d33253b7bd8", "resource": { "resourceType": "Questionnaire", "id": "--q-sleep-diary--c4b03647-9ce8-415f-88c8-6d33253b7bd8", "meta": { "versionId": "1", "lastUpdated": "2026-02-20T00:00:00+00:00", "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_DIGA_Questionnaire|1.1.0" ] }, "language": "en", "url": "https://weltcorp.com/fhir/mio/Questionnaire/--q-sleep-diary--c4b03647-9ce8-415f-88c8-6d33253b7bd8", "identifier": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "version": "2.9", "code": "RI", "display": "Resource identifier" } ] }, "system": "urn:ietf:rfc:3986", "value": "urn:uuid:c4b03647-9ce8-415f-88c8-6d33253b7bd8" } ], "title": "Questionnaire Sleep Diary", "status": "active", "date": "2026-02-20", "description": "TODO", "item": [ { "linkId": "didNotSleep", "code": [ { "system": "http://snomed.info/sct", "version": "http://snomed.info/sct/900000000000207008/version/20250201", "code": "248255005", "display": "Cannot sleep at all" } ], "text": "Patient hat nicht geschlafen.", "type": "boolean" }, { "linkId": "lightsOutTime", "code": [ { "system": "https://weltcorp.com/fhir/mio/CodeSystem/welt-mio-code-system", "version": "0.0.1", "code": "lights-out-time", "display": "Lights out time" } ], "text": "Licht aus Zeit", "type": "time" }, { "linkId": "asleepEndTime", "code": [ { "system": "https://weltcorp.com/fhir/mio/CodeSystem/welt-mio-code-system", "version": "0.0.1", "code": "asleep-end-time", "display": "Asleep end time" } ], "text": "Aufwachzeit bzw. Aufstehzeit", "type": "time" }, { "linkId": "totalSleepTime", "code": [ { "system": "http://loinc.org", "version": "2.81", "code": "93832-4", "display": "Sleep duration" } ], "text": "Schlafdauer", "type": "quantity" }, { "linkId": "sleepEfficiency", "code": [ { "system": "https://weltcorp.com/fhir/mio/CodeSystem/welt-mio-code-system", "version": "0.0.1", "code": "sleep-efficiency", "display": "Sleep efficiency" } ], "text": "Schlafeffizienz", "type": "quantity" }, { "linkId": "sleepOnsetLatency", "code": [ { "system": "http://loinc.org", "version": "2.81", "code": "103212-7", "display": "Duration of falling asleep" } ], "text": "Einschlaflatenz", "type": "quantity" }, { "linkId": "wakeTimeAfterSleepOnset", "code": [ { "system": "http://loinc.org", "version": "2.81", "code": "103215-0", "display": "Wake time after sleep onset" } ], "text": "Wachzeit nach Einschlafen", "type": "quantity" }, { "linkId": "sleepMedicationTaken", "code": [ { "system": "https://weltcorp.com/fhir/mio/CodeSystem/welt-mio-code-system", "version": "0.0.1", "code": "sleep-medication-taken", "display": "Sleep medication taken" } ], "text": "Schlafmedikamente eingenommen", "type": "boolean" }, { "linkId": "napDuration", "code": [ { "system": "https://weltcorp.com/fhir/mio/CodeSystem/welt-mio-code-system", "version": "0.0.1", "code": "nap-duration", "display": "Nap duration" } ], "text": "Schlafdauer tagsüber (Minuten)", "type": "quantity" }, { "linkId": "sleepQuality", "code": [ { "system": "http://loinc.org", "version": "2.81", "code": "95607-8", "display": "Sleep quality - 1-5 numeric rating [Score] 24 hour" } ], "text": "Schlafqualität (1-5)", "type": "choice", "answerValueSet": "https://weltcorp.com/fhir/mio/ValueSet/welt-mio-sleep-quality-answer-option|0.0.1" }, { "linkId": "positiveFactors", "code": [ { "system": "https://weltcorp.com/fhir/mio/CodeSystem/welt-mio-code-system", "version": "0.0.1", "code": "positive-factors", "display": "Positive factors" } ], "text": "Positive Faktoren für guten Schlaf", "type": "choice", "repeats": true, "answerValueSet": "https://weltcorp.com/fhir/mio/ValueSet/welt-mio-positive-factors-answer-option|0.0.1" }, { "linkId": "negativeFactors", "code": [ { "system": "https://weltcorp.com/fhir/mio/CodeSystem/welt-mio-code-system", "version": "0.0.1", "code": "negative-factors", "display": "Negative factors" } ], "text": "Negative Faktoren für schlechten Schlaf", "type": "choice", "repeats": true, "answerValueSet": "https://weltcorp.com/fhir/mio/ValueSet/welt-mio-negative-factors-answer-option|0.0.1" }, { "linkId": "positiveFactorsFreetext", "code": [ { "system": "https://weltcorp.com/fhir/mio/CodeSystem/welt-mio-code-system", "version": "0.0.1", "code": "positive-custom-factors", "display": "Positive custom factors" } ], "text": "Freitexteingabe für weitere positive Faktoren", "type": "string", "repeats": true }, { "linkId": "negativeFactorsFreetext", "code": [ { "system": "https://weltcorp.com/fhir/mio/CodeSystem/welt-mio-code-system", "version": "0.0.1", "code": "negative-custom-factors", "display": "Negative custom factors" } ], "text": "Freitexteingabe für weitere negative Faktoren", "type": "string", "repeats": true } ] } }, { "fullUrl": "https://weltcorp.com/fhir/mio/Observation/--observation-phq9--bdcd7c36-7fbd-4565-9ac4-ba542b1b4b8d", "resource": { "resourceType": "Observation", "id": "--observation-phq9--bdcd7c36-7fbd-4565-9ac4-ba542b1b4b8d", "meta": { "versionId": "1", "lastUpdated": "2026-02-20T00:00:00+00:00", "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_DIGA_Observation_Score_or_Assessment_by_Scale|1.1.0" ] }, "identifier": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "version": "2.9", "code": "RI", "display": "Resource identifier" } ] }, "system": "urn:ietf:rfc:3986", "value": "urn:uuid:bdcd7c36-7fbd-4565-9ac4-ba542b1b4b8d" } ], "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "version": "2.81", "code": "44261-6", "display": "Patient Health Questionnaire 9 item (PHQ-9) total score [Reported]" } ] }, "subject": { "reference": "Patient/a1b2c3d4-e5f6-7890-abcd-ef1234567890" }, "effectiveDateTime": "2026-02-20T00:00:00Z", "valueQuantity": { "value": 12, "unit": "{score}" }, "interpretation": [ { "coding": [ { "system": "http://loinc.org", "version": "2.81", "code": "89193-7", "display": "Patient reported outcome measure score interpretation" } ], "text": "Scores range from 0 to 27, with higher scores indicating more severe depression symptoms." } ] } }, { "fullUrl": "https://weltcorp.com/fhir/mio/Observation/--observation-isi--1a2b3c4d-5e6f-7890-abcd-ef1234567891", "resource": { "resourceType": "Observation", "id": "--observation-isi--1a2b3c4d-5e6f-7890-abcd-ef1234567891", "meta": { "versionId": "1", "lastUpdated": "2026-02-20T00:00:00+00:00", "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_DIGA_Observation_Score_or_Assessment_by_Scale|1.1.0" ] }, "identifier": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "version": "2.9", "code": "RI", "display": "Resource identifier" } ] }, "system": "urn:ietf:rfc:3986", "value": "urn:uuid:1a2b3c4d-5e6f-7890-abcd-ef1234567891" } ], "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "version": "http://snomed.info/sct/900000000000207008/version/20250201", "code": "762989006", "display": "Insomnia Severity Index score (observable entity)" } ] }, "subject": { "reference": "Patient/a1b2c3d4-e5f6-7890-abcd-ef1234567890" }, "effectiveDateTime": "2026-02-20T00:00:00Z", "valueQuantity": { "value": 14, "unit": "{score}" }, "interpretation": [ { "coding": [ { "system": "http://loinc.org", "version": "2.81", "code": "89193-7", "display": "Patient reported outcome measure score interpretation" } ], "text": "Scores range from 0 to 28, with higher scores indicating more severe insomnia. 0-7: no clinically significant insomnia; 8-14: subthreshold; 15-21: moderate; 22-28: severe insomnia." } ] } }, { "fullUrl": "https://weltcorp.com/fhir/mio/Observation/--observation-dbas16--2b3c4d5e-6f70-8901-bcde-f01234567892", "resource": { "resourceType": "Observation", "id": "--observation-dbas16--2b3c4d5e-6f70-8901-bcde-f01234567892", "meta": { "versionId": "1", "lastUpdated": "2026-02-20T00:00:00+00:00", "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_DIGA_Observation_Score_or_Assessment_by_Scale|1.1.0" ] }, "identifier": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "version": "2.9", "code": "RI", "display": "Resource identifier" } ] }, "system": "urn:ietf:rfc:3986", "value": "urn:uuid:2b3c4d5e-6f70-8901-bcde-f01234567892" } ], "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "version": "2.81", "code": "89196-0", "display": "Patient reported outcome measure panel" } ], "text": "Dysfunctional Beliefs and Attitudes about Sleep (DBAS-16) - a 16-item scale assessing maladaptive cognitions about sleep and their consequences, used to evaluate sleep-related dysfunctional thinking in insomnia patients." }, "subject": { "reference": "Patient/a1b2c3d4-e5f6-7890-abcd-ef1234567890" }, "effectiveDateTime": "2026-02-20T00:00:00Z", "valueQuantity": { "value": 4.2, "unit": "{score}" }, "interpretation": [ { "coding": [ { "system": "http://loinc.org", "version": "2.81", "code": "89193-7", "display": "Patient reported outcome measure score interpretation" } ], "text": "Average score across 16 items, each rated 0-10. Higher scores indicate more dysfunctional beliefs about sleep." } ] } }, { "fullUrl": "https://weltcorp.com/fhir/mio/Observation/--observation-gad7--3c4d5e6f-7081-9012-cdef-012345678893", "resource": { "resourceType": "Observation", "id": "--observation-gad7--3c4d5e6f-7081-9012-cdef-012345678893", "meta": { "versionId": "1", "lastUpdated": "2026-02-20T00:00:00+00:00", "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_DIGA_Observation_Score_or_Assessment_by_Scale|1.1.0" ] }, "identifier": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "version": "2.9", "code": "RI", "display": "Resource identifier" } ] }, "system": "urn:ietf:rfc:3986", "value": "urn:uuid:3c4d5e6f-7081-9012-cdef-012345678893" } ], "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "version": "2.81", "code": "69737-5", "display": "Generalized anxiety disorder 7 item (GAD-7)" } ] }, "subject": { "reference": "Patient/a1b2c3d4-e5f6-7890-abcd-ef1234567890" }, "effectiveDateTime": "2026-02-20T00:00:00Z", "valueQuantity": { "value": 8, "unit": "{score}" }, "interpretation": [ { "coding": [ { "system": "http://loinc.org", "version": "2.81", "code": "89193-7", "display": "Patient reported outcome measure score interpretation" } ], "text": "Scores range from 0 to 28, with higher scores indicating more severe anxiety. 0-4: minimal; 5-9: mild; 10-14: moderate; 15-21: severe anxiety." } ] } }, { "fullUrl": "https://weltcorp.com/fhir/mio/Observation/--observation-pss--4d5e6f70-8192-0123-def0-123456789894", "resource": { "resourceType": "Observation", "id": "--observation-pss--4d5e6f70-8192-0123-def0-123456789894", "meta": { "versionId": "1", "lastUpdated": "2026-02-20T00:00:00+00:00", "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_DIGA_Observation_Score_or_Assessment_by_Scale|1.1.0" ] }, "identifier": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "version": "2.9", "code": "RI", "display": "Resource identifier" } ] }, "system": "urn:ietf:rfc:3986", "value": "urn:uuid:4d5e6f70-8192-0123-def0-123456789894" } ], "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "version": "2.81", "code": "106875-8", "display": "Perceived stress scale-10 [PSS-10]" } ] }, "subject": { "reference": "Patient/a1b2c3d4-e5f6-7890-abcd-ef1234567890" }, "effectiveDateTime": "2026-02-20T00:00:00Z", "valueQuantity": { "value": 18, "unit": "{score}" }, "interpretation": [ { "coding": [ { "system": "http://loinc.org", "version": "2.81", "code": "89193-7", "display": "Patient reported outcome measure score interpretation" } ], "text": "Scores range from 0 to 40, with higher scores indicating more perceived stress." } ] } }, { "fullUrl": "https://weltcorp.com/fhir/mio/QuestionnaireResponse/--qr-wis-1--fb11bd76-7216-44b1-93be-dfdd2974f5de", "resource": { "resourceType": "QuestionnaireResponse", "id": "--qr-wis-1--fb11bd76-7216-44b1-93be-dfdd2974f5de", "meta": { "versionId": "1", "lastUpdated": "2026-02-20T00:00:00+00:00", "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_DIGA_QuestionnaireResponse|1.1.0" ] }, "identifier": { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "version": "2.9", "code": "RI", "display": "Resource identifier" } ] }, "system": "urn:ietf:rfc:3986", "value": "urn:uuid:fb11bd76-7216-44b1-93be-dfdd2974f5de" }, "questionnaire": "https://weltcorp.com/fhir/mio/Questionnaire/--q-WIS--b22198d8-acbe-4fff-8a16-444efb3762d3", "status": "completed", "subject": { "reference": "Patient/a1b2c3d4-e5f6-7890-abcd-ef1234567890" }, "authored": "2026-02-20T00:00:00Z", "item": [ { "linkId": "sleepMedication", "answer": [ { "valueString": "Ja, aber nur bei Bedarf" } ] }, { "linkId": "sleepMedicationFreetext", "answer": [ { "valueString": "Melatonin 1mg" } ] }, { "linkId": "sleepCompanion", "answer": [ { "valueString": "Ich schlafe alleine" } ] }, { "linkId": "bedroomNoiseLevel", "answer": [ { "valueString": "Eher ruhig" } ] }, { "linkId": "bedroomTemperature", "answer": [ { "valueString": "Neutral" } ] }, { "linkId": "bedroomLightLevel", "answer": [ { "valueString": "Sehr dunkel" } ] }, { "linkId": "idealBedtime", "answer": [ { "valueTime": "23:00:00" } ] }, { "linkId": "idealWakeUpTime", "answer": [ { "valueTime": "07:00:00" } ] }, { "linkId": "dailySchedule", "answer": [ { "valueString": "Ich habe einen regelmäßigen Tagesablauf (z. B. durch feste Arbeitszeiten)." } ] }, { "linkId": "dailyFatigue", "answer": [ { "valueString": "Häufig" } ] } ] } } ] }