{
  "description": "Patient Health Questionnaire (PHQ-9)",
  "_filename": "examples/Questionnaire-mii-qst-pro-phq-9.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,
  "name": null,
  "item": [ {
    "text": "Over the last two weeks, how often have you been bothered by any of the following problems?",
    "type": "display",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Wie oft fühlten Sie sich im Verlauf der letzten 2 Wochen durch die folgenden Beschwerden beeinträchtigt?"
        } ]
      } ]
    },
    "linkId": "PHQ-9.Description"
  }, {
    "code": [ {
      "code": "44250-9",
      "system": "http://loinc.org"
    } ],
    "text": "Little interest or pleasure in doing things",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Wenig Interesse oder Freude an Ihren Tätigkeiten"
        } ]
      } ]
    },
    "linkId": "phq-phq9-q01",
    "prefix": "1",
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
      "valueExpression": {
        "language": "text/fhirpath",
        "expression": "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q01').answer.value, {})"
      }
    } ],
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "LA6568-5",
        "system": "http://loinc.org",
        "display": "Not at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Überhaupt nicht"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "LA6569-3",
        "system": "http://loinc.org",
        "display": "Several days",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "An einzelnen Tagen"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "LA6570-1",
        "system": "http://loinc.org",
        "display": "More than half the days",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "An mehr als der Hälfte der Tage"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "LA6571-9",
        "system": "http://loinc.org",
        "display": "Nearly every day",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Beinahe jeden Tag"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "44255-8",
      "system": "http://loinc.org"
    } ],
    "text": "Feeling down, depressed, or hopeless",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Niedergeschlagenheit, Schwermut oder Hoffnungslosigkeit"
        } ]
      } ]
    },
    "linkId": "phq-phq9-q02",
    "prefix": "2",
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
      "valueExpression": {
        "language": "text/fhirpath",
        "expression": "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q02').answer.value, {})"
      }
    } ],
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "LA6568-5",
        "system": "http://loinc.org",
        "display": "Not at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Überhaupt nicht"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "LA6569-3",
        "system": "http://loinc.org",
        "display": "Several days",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "An einzelnen Tagen"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "LA6570-1",
        "system": "http://loinc.org",
        "display": "More than half the days",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "An mehr als der Hälfte der Tage"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "LA6571-9",
        "system": "http://loinc.org",
        "display": "Nearly every day",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Beinahe jeden Tag"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "44259-0",
      "system": "http://loinc.org"
    } ],
    "text": "Trouble falling or staying asleep, or sleeping too much",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Schwierigkeiten ein- oder durchzuschlafen oder vermehrter Schlaf"
        } ]
      } ]
    },
    "linkId": "phq-phq9-q03",
    "prefix": "3",
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
      "valueExpression": {
        "language": "text/fhirpath",
        "expression": "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q03').answer.value, {})"
      }
    } ],
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "LA6568-5",
        "system": "http://loinc.org",
        "display": "Not at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Überhaupt nicht"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "LA6569-3",
        "system": "http://loinc.org",
        "display": "Several days",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "An einzelnen Tagen"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "LA6570-1",
        "system": "http://loinc.org",
        "display": "More than half the days",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "An mehr als der Hälfte der Tage"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "LA6571-9",
        "system": "http://loinc.org",
        "display": "Nearly every day",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Beinahe jeden Tag"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "44254-1",
      "system": "http://loinc.org"
    } ],
    "text": "Feeling tired or having little energy",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Müdigkeit oder Gefühl, keine Energie zu haben"
        } ]
      } ]
    },
    "linkId": "phq-phq9-q04",
    "prefix": "4",
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
      "valueExpression": {
        "language": "text/fhirpath",
        "expression": "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q04').answer.value, {})"
      }
    } ],
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "LA6568-5",
        "system": "http://loinc.org",
        "display": "Not at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Überhaupt nicht"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "LA6569-3",
        "system": "http://loinc.org",
        "display": "Several days",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "An einzelnen Tagen"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "LA6570-1",
        "system": "http://loinc.org",
        "display": "More than half the days",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "An mehr als der Hälfte der Tage"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "LA6571-9",
        "system": "http://loinc.org",
        "display": "Nearly every day",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Beinahe jeden Tag"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "44251-7",
      "system": "http://loinc.org"
    } ],
    "text": "Poor appetite or overeating",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Verminderter Appetit oder übermäßiges Bedürfnis zu essen"
        } ]
      } ]
    },
    "linkId": "phq-phq9-q05",
    "prefix": "5",
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
      "valueExpression": {
        "language": "text/fhirpath",
        "expression": "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q05').answer.value, {})"
      }
    } ],
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "LA6568-5",
        "system": "http://loinc.org",
        "display": "Not at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Überhaupt nicht"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "LA6569-3",
        "system": "http://loinc.org",
        "display": "Several days",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "An einzelnen Tagen"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "LA6570-1",
        "system": "http://loinc.org",
        "display": "More than half the days",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "An mehr als der Hälfte der Tage"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "LA6571-9",
        "system": "http://loinc.org",
        "display": "Nearly every day",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Beinahe jeden Tag"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "44258-2",
      "system": "http://loinc.org"
    } ],
    "text": "Feeling bad about yourself - or that you are a failure or have let yourself or your family down",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Schlechte Meinung von sich selbst; Gefühl, ein Versager zu sein oder die Familie enttäuscht zu haben"
        } ]
      } ]
    },
    "linkId": "phq-phq9-q06",
    "prefix": "6",
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
      "valueExpression": {
        "language": "text/fhirpath",
        "expression": "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q06').answer.value, {})"
      }
    } ],
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "LA6568-5",
        "system": "http://loinc.org",
        "display": "Not at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Überhaupt nicht"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "LA6569-3",
        "system": "http://loinc.org",
        "display": "Several days",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "An einzelnen Tagen"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "LA6570-1",
        "system": "http://loinc.org",
        "display": "More than half the days",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "An mehr als der Hälfte der Tage"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "LA6571-9",
        "system": "http://loinc.org",
        "display": "Nearly every day",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Beinahe jeden Tag"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "44252-5",
      "system": "http://loinc.org"
    } ],
    "text": "Trouble concentrating on things, such as reading the newspaper or watching television",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Schwierigkeiten, sich auf etwas zu konzentrieren, z.B. beim Zeitunglesen oder Fernsehen"
        } ]
      } ]
    },
    "linkId": "phq-phq9-q07",
    "prefix": "7",
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
      "valueExpression": {
        "language": "text/fhirpath",
        "expression": "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q07').answer.value, {})"
      }
    } ],
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "LA6568-5",
        "system": "http://loinc.org",
        "display": "Not at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Überhaupt nicht"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "LA6569-3",
        "system": "http://loinc.org",
        "display": "Several days",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "An einzelnen Tagen"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "LA6570-1",
        "system": "http://loinc.org",
        "display": "More than half the days",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "An mehr als der Hälfte der Tage"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "LA6571-9",
        "system": "http://loinc.org",
        "display": "Nearly every day",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Beinahe jeden Tag"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "44253-3",
      "system": "http://loinc.org"
    } ],
    "text": "Moving or speaking so slowly that other people could have noticed? Or the opposite — being so fidgety or restless that you have been moving around a lot more than usual",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Waren Ihre Bewegungen oder Ihre Sprache so verlangsamt, dass es auch anderen auffallen würde? Oder waren Sie im Gegenteil 'zappelig' oder ruhelos und hatten dadurch einen stärkeren Bewegungsdrang als sonst?"
        } ]
      } ]
    },
    "linkId": "phq-phq9-q08",
    "prefix": "8",
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
      "valueExpression": {
        "language": "text/fhirpath",
        "expression": "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q08').answer.value, {})"
      }
    } ],
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "LA6568-5",
        "system": "http://loinc.org",
        "display": "Not at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Überhaupt nicht"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "LA6569-3",
        "system": "http://loinc.org",
        "display": "Several days",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "An einzelnen Tagen"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "LA6570-1",
        "system": "http://loinc.org",
        "display": "More than half the days",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "An mehr als der Hälfte der Tage"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "LA6571-9",
        "system": "http://loinc.org",
        "display": "Nearly every day",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Beinahe jeden Tag"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "44260-8",
      "system": "http://loinc.org"
    } ],
    "text": "Thoughts that you would be better off dead or of hurting yourself in some way",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Gedanken, dass Sie lieber tot wären oder sich Leid zufügen möchten"
        } ]
      } ]
    },
    "linkId": "phq-phq9-q09",
    "prefix": "9",
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
      "valueExpression": {
        "language": "text/fhirpath",
        "expression": "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q09').answer.value, {})"
      }
    } ],
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "LA6568-5",
        "system": "http://loinc.org",
        "display": "Not at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Überhaupt nicht"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "LA6569-3",
        "system": "http://loinc.org",
        "display": "Several days",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "An einzelnen Tagen"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "LA6570-1",
        "system": "http://loinc.org",
        "display": "More than half the days",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "An mehr als der Hälfte der Tage"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "LA6571-9",
        "system": "http://loinc.org",
        "display": "Nearly every day",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Beinahe jeden Tag"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "44261-6",
      "system": "http://loinc.org",
      "display": "Patient Health Questionnaire 9 item (PHQ-9) total score [Reported]"
    } ],
    "text": "PHQ-9 Total Score",
    "type": "decimal",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "PHQ-9 Gesamtwert"
        } ]
      } ]
    },
    "linkId": "phq-phq9-score-total",
    "prefix": "Auswertung",
    "readOnly": true,
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
      "valueExpression": {
        "name": "Scoreberechnung",
        "language": "text/fhirpath",
        "expression": "%phq9Score"
      }
    }, {
      "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": "69722-7",
      "system": "http://loinc.org"
    } ],
    "text": "If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Wenn eines oder mehrere dieser Probleme bei Ihnen vorliegen, geben Sie bitte an, wie sehr diese Probleme es Ihnen erschwert haben, Ihre Arbeit zu erledigen, Ihren Haushalt zu regeln oder mit anderen Menschen zurecht zu kommen"
        } ]
      } ]
    },
    "linkId": "phq-phq9-q10",
    "prefix": "10",
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
      "valueExpression": {
        "language": "text/fhirpath",
        "expression": "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q10').answer.value, {})"
      }
    } ],
    "answerOption": [ {
      "valueCoding": {
        "code": "LA6572-7",
        "system": "http://loinc.org",
        "display": "Not difficult at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Überhaupt nicht erschwert"
            } ]
          } ]
        }
      }
    }, {
      "valueCoding": {
        "code": "LA6573-5",
        "system": "http://loinc.org",
        "display": "Somewhat difficult",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Etwas erschwert"
            } ]
          } ]
        }
      }
    }, {
      "valueCoding": {
        "code": "LA6575-0",
        "system": "http://loinc.org",
        "display": "Very difficult",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Relativ stark erschwert"
            } ]
          } ]
        }
      }
    }, {
      "valueCoding": {
        "code": "LA6574-3",
        "system": "http://loinc.org",
        "display": "Extremely difficult",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Sehr stark erschwert"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "77861-3",
      "system": "http://loinc.org",
      "display": "PROMIS emotional distress - depression - version 1.0 Tscore"
    } ],
    "text": "PROMIS Depression T-Score (derived from PHQ-9)",
    "type": "decimal",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "PROMIS Depression T-Score (abgeleitet von PHQ-9)"
        } ]
      } ]
    },
    "linkId": "phq-phq9-promis-tscore",
    "prefix": "T-Score",
    "readOnly": true,
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
      "valueExpression": {
        "name": "promis-tscore-mapping",
        "language": "text/fhirpath",
        "expression": "iif(%phq9Score = 0, 37.4, iif(%phq9Score = 1, 42.7, iif(%phq9Score = 2, 45.9, iif(%phq9Score = 3, 48.3, iif(%phq9Score = 4, 50.5, iif(%phq9Score = 5, 52.5, iif(%phq9Score = 6, 54.2, iif(%phq9Score = 7, 55.8, iif(%phq9Score = 8, 57.2, iif(%phq9Score = 9, 58.6, iif(%phq9Score = 10, 59.9, iif(%phq9Score = 11, 61.1, iif(%phq9Score = 12, 62.3, iif(%phq9Score = 13, 63.5, iif(%phq9Score = 14, 64.7, iif(%phq9Score = 15, 65.8, iif(%phq9Score = 16, 66.9, iif(%phq9Score = 17, 68.0, iif(%phq9Score = 18, 69.2, iif(%phq9Score = 19, 70.3, iif(%phq9Score = 20, 71.5, iif(%phq9Score = 21, 72.7, iif(%phq9Score = 22, 74.0, iif(%phq9Score = 23, 75.3, iif(%phq9Score = 24, 76.7, iif(%phq9Score = 25, 78.3, iif(%phq9Score = 26, 80.0, iif(%phq9Score = 27, 82.3, 82.3))))))))))))))))))))))))))))"
      }
    }, {
      "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"
        } ]
      }
    } ]
  } ],
  "type": null,
  "experimental": "true",
  "resourceType": "Questionnaire",
  "title": "MII QST PRO PHQ-9",
  "package_version": "2026.0.0-rc.1",
  "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": "populatable",
      "valueBoolean": true
    }, {
      "url": "calculatable",
      "valueBoolean": true
    }, {
      "url": "extractable",
      "valueBoolean": true
    }, {
      "url": "domainAligned",
      "valueBoolean": true
    } ]
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/variable",
    "valueExpression": {
      "name": "rawScore",
      "language": "text/fhirpath",
      "expression": "%resource.item.where(linkId.matches('^phq-phq9-q0[1-9]$')).answer.value.ordinal().sum()"
    }
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/variable",
    "valueExpression": {
      "name": "phq9Score",
      "language": "text/fhirpath",
      "expression": "%resource.item.where(linkId.matches('^phq-phq9-q0[1-9]$')).answer.value.ordinal().sum()"
    }
  } ],
  "status": "active",
  "language": "en",
  "id": "1d7fd410-381a-4d7c-8df0-61f3ac71b12f",
  "kind": null,
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-phq-9",
  "code": [ {
    "code": "44249-1",
    "system": "http://loinc.org",
    "display": "PHQ-9 quick depression assessment panel [Reported.PHQ]"
  } ],
  "version": "2026.0.0-ballot"
}