{
"description": "MII QST PRO EuroQol Five Dimension Five Level (EQ-5D-5L) Questionnaire",
"_filename": "examples/Questionnaire-mii-qst-pro-euroqol-eq5d5l-answer-coding.json",
"package_name": "de.medizininformatikinitiative.kerndatensatz.pros",
"date": null,
"meta": {
"profile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire" ]
},
"publisher": null,
"derivedFrom": [ "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-euroqol-eq5d5l" ],
"name": null,
"item": [ {
"text": "Bitte kreuzen Sie unter jeder Überschrift DAS Kästchen an, das Ihre Gesundheit HEUTE am besten beschreibt.",
"type": "display",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en"
}, {
"url": "content",
"valueString": "Under each heading, please tick the ONE box that best describes your health TODAY."
} ]
} ]
},
"linkId": "euroqol-eq5d5l-coded-instruction"
}, {
"text": "BEWEGLICHKEIT / MOBILITÄT",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en"
}, {
"url": "content",
"valueString": "MOBILITY"
} ]
} ]
},
"linkId": "euroqol-eq5d5l-coded-q01-MO",
"repeats": false,
"required": true,
"answerOption": [ {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
"valueString": "1"
} ],
"valueCoding": {
"code": "MO-1",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eq-5d-value-set"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
"valueString": "2"
} ],
"valueCoding": {
"code": "MO-2",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eq-5d-value-set"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
"valueString": "3"
} ],
"valueCoding": {
"code": "MO-3",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eq-5d-value-set"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
"valueString": "4"
} ],
"valueCoding": {
"code": "MO-4",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eq-5d-value-set"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
"valueString": "5"
} ],
"valueCoding": {
"code": "MO-5",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eq-5d-value-set"
}
} ]
}, {
"text": "FÜR SICH SELBST SORGEN",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en"
}, {
"url": "content",
"valueString": "SELF-CARE"
} ]
} ]
},
"linkId": "euroqol-eq5d5l-coded-q02-SC",
"repeats": false,
"required": true,
"answerOption": [ {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
"valueString": "1"
} ],
"valueCoding": {
"code": "SC-1",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eq-5d-value-set"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
"valueString": "2"
} ],
"valueCoding": {
"code": "SC-2",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eq-5d-value-set"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
"valueString": "3"
} ],
"valueCoding": {
"code": "SC-3",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eq-5d-value-set"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
"valueString": "4"
} ],
"valueCoding": {
"code": "SC-4",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eq-5d-value-set"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
"valueString": "5"
} ],
"valueCoding": {
"code": "SC-5",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eq-5d-value-set"
}
} ]
}, {
"text": "ALLTÄGLICHE TÄTIGKEITEN (z.B. Arbeit, Studium, Hausarbeit, Familien- / Freizeitaktivitäten)",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en"
}, {
"url": "content",
"valueString": "USUAL ACTIVITIES (e.g. work, study, housework, family or leisure activities)"
} ]
} ]
},
"linkId": "euroqol-eq5d5l-coded-q03-UA",
"repeats": false,
"required": true,
"answerOption": [ {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
"valueString": "1"
} ],
"valueCoding": {
"code": "UA-1",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eq-5d-value-set"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
"valueString": "2"
} ],
"valueCoding": {
"code": "UA-2",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eq-5d-value-set"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
"valueString": "3"
} ],
"valueCoding": {
"code": "UA-3",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eq-5d-value-set"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
"valueString": "4"
} ],
"valueCoding": {
"code": "UA-4",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eq-5d-value-set"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
"valueString": "5"
} ],
"valueCoding": {
"code": "UA-5",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eq-5d-value-set"
}
} ]
}, {
"text": "SCHMERZEN / KÖRPERLICHEN BESCHWERDEN",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en"
}, {
"url": "content",
"valueString": "PAIN / DISCOMFORT"
} ]
} ]
},
"linkId": "euroqol-eq5d5l-coded-q04-PD",
"repeats": false,
"required": true,
"answerOption": [ {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
"valueString": "1"
} ],
"valueCoding": {
"code": "PD-1",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eq-5d-value-set"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
"valueString": "2"
} ],
"valueCoding": {
"code": "PD-2",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eq-5d-value-set"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
"valueString": "3"
} ],
"valueCoding": {
"code": "PD-3",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eq-5d-value-set"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
"valueString": "4"
} ],
"valueCoding": {
"code": "PD-4",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eq-5d-value-set"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
"valueString": "5"
} ],
"valueCoding": {
"code": "PD-5",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eq-5d-value-set"
}
} ]
}, {
"text": "ANGST / NIEDERGESCHLAGENHEIT",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en"
}, {
"url": "content",
"valueString": "ANXIETY / DEPRESSION"
} ]
} ]
},
"linkId": "euroqol-eq5d5l-coded-q05-AD",
"repeats": false,
"required": true,
"answerOption": [ {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
"valueString": "1"
} ],
"valueCoding": {
"code": "AD-1",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eq-5d-value-set"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
"valueString": "2"
} ],
"valueCoding": {
"code": "AD-2",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eq-5d-value-set"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
"valueString": "3"
} ],
"valueCoding": {
"code": "AD-3",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eq-5d-value-set"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
"valueString": "4"
} ],
"valueCoding": {
"code": "AD-4",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eq-5d-value-set"
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
"valueString": "5"
} ],
"valueCoding": {
"code": "AD-5",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eq-5d-value-set"
}
} ]
}, {
"code": [ {
"code": "405157008",
"system": "http://snomed.info/sct",
"display": "Personal health status"
} ],
"text": "Gesundheitszustand",
"type": "decimal",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en"
}, {
"url": "content",
"valueString": "Health State"
} ]
} ]
},
"linkId": "euroqol-eq5d5l-coded-score-profile",
"readOnly": true
}, {
"text": "\n Wir wollen herausfinden, wie gut oder schlecht Ihre Gesundheit HEUTE ist.\n\n Die Skala is mit Zahlen von 0 bis 100 versehen.\n\n 100 ist die beste Gesundheit, die Sie sich vorstellen können.\n\n 0 (Null) ist die schlechteste Gesundheit, die Sie sich vorstellen können.\n\n Bitte kreuzen Sie den Punkt auf der Skala an, der Ihre Gesundheit HEUTE am besten beschreibt.\n\n Jetzt tragen Sie bitte die Zahl, die Sie auf der Skala angekreuzt haben, in das Kästchen unten ein.",
"type": "display",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en"
}, {
"url": "content",
"valueString": "\n We would like to know how good or bad your health is TODAY.\n\n This scale is numbered from 0 to 100.\n\n 100 means the best health you can imagine.\n\n 0 means the worst health you can imagine.\n\n Please mark an X on the scale to indicate how your health is TODAY.\n\n Now, write the number you marked on the scale in the box below."
} ]
} ]
},
"linkId": "euroqol-eq5d5l-coded-vas-instruction"
}, {
"linkId": "euroqol-eq5d5l-coded-vas",
"repeats": false,
"type": "integer",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/minValue",
"valueInteger": 0
}, {
"url": "http://hl7.org/fhir/StructureDefinition/maxValue",
"valueInteger": 100
}, {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
"valueBoolean": true
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding": {
"code": "{score}",
"system": "http://unitsofmeasure.org"
}
}, {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observation-extract-category",
"valueCodeableConcept": {
"coding": [ {
"code": "survey",
"system": "http://terminology.hl7.org/CodeSystem/observation-category"
} ]
}
} ],
"code": [ {
"code": "446515003",
"system": "http://snomed.info/sct",
"display": "Health assessment questionnaire score"
} ],
"initial": [ {
"valueInteger": 999
} ],
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en"
}, {
"url": "content",
"valueString": "YOUR HEALTH TODAY"
} ]
} ]
},
"required": true,
"text": "IHRE GESUNDHEIT HEUTE"
} ],
"type": null,
"experimental": "true",
"resourceType": "Questionnaire",
"title": "MII QST PRO EQ-5D-5L",
"package_version": "2026.0.0-ballot",
"extension": [ {
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-ex-pro-questionnaire-capabilities",
"extension": [ {
"url": "displayable",
"valueBoolean": true
}, {
"url": "collectable",
"valueBoolean": true
}, {
"url": "calculatable",
"valueBoolean": true
}, {
"url": "extractable",
"valueBoolean": true
}, {
"url": "domainAligned",
"valueBoolean": true
} ]
} ],
"status": "active",
"language": "de",
"id": "051f9f3b-a067-43df-b3d1-990d45ca033b",
"kind": null,
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-euroqol-eq5d5l-answer-coding",
"code": [ {
"code": "73041000052103",
"system": "http://snomed.info/sct",
"display": "EuroQoL five dimension five level questionnaire (assessment scale)"
}, {
"code": "euroqol-eq5d5l",
"system": "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-questionnaire-catalogue",
"display": "EuroQol EQ-5D-5L Questionnaire"
} ],
"version": "2026.0.0-ballot"
}