PackagesCanonicalsLogsProblems
    Packages
    de.medizininformatikinitiative.kerndatensatz.pros@2026.3.0
    https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-dass-dass21
{
  "description": "Depression Anxiety Stress Scales - 21 Items (DASS-21)",
  "_filename": "Questionnaire-mii-qst-pro-dass-dass21.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|2026.3.0" ]
  },
  "publisher": null,
  "name": null,
  "item": [ {
    "text": "Please read each statement and select a number 0, 1, 2 or 3 which indicates how much the statement applied to you over the past week.",
    "type": "display",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Bitte lesen Sie jede Aussage und wählen Sie eine Zahl 0, 1, 2 oder 3, die angibt, wie sehr die Aussage während der letzten Woche auf Sie zutraf."
        } ]
      } ]
    },
    "linkId": "DASS-21.Description"
  }, {
    "code": [ {
      "code": "dass-dass21-q01",
      "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21"
    } ],
    "text": "I found it hard to wind down",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Ich fand es schwer abzuschalten"
        } ]
      } ]
    },
    "linkId": "dass-dass21-q01",
    "prefix": "1",
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-0",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Did not apply to me at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf gar nicht auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-1",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to some degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf bis zu einem gewissen Grad auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-2",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to a considerable degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf in beträchtlichem Maße auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-3",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me very much",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf sehr stark auf mich zu"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "dass-dass21-q02",
      "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21"
    } ],
    "text": "I was aware of dryness of my mouth",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Ich bemerkte Mundtrockenheit"
        } ]
      } ]
    },
    "linkId": "dass-dass21-q02",
    "prefix": "2",
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-0",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Did not apply to me at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf gar nicht auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-1",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to some degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf bis zu einem gewissen Grad auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-2",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to a considerable degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf in beträchtlichem Maße auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-3",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me very much",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf sehr stark auf mich zu"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "dass-dass21-q03",
      "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21"
    } ],
    "text": "I couldn't seem to experience any positive feeling at all",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Ich konnte überhaupt keine positiven Gefühle mehr erleben"
        } ]
      } ]
    },
    "linkId": "dass-dass21-q03",
    "prefix": "3",
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-0",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Did not apply to me at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf gar nicht auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-1",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to some degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf bis zu einem gewissen Grad auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-2",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to a considerable degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf in beträchtlichem Maße auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-3",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me very much",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf sehr stark auf mich zu"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "dass-dass21-q04",
      "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21"
    } ],
    "text": "I experienced breathing difficulty",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Ich hatte Atemschwierigkeiten"
        } ]
      } ]
    },
    "linkId": "dass-dass21-q04",
    "prefix": "4",
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-0",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Did not apply to me at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf gar nicht auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-1",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to some degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf bis zu einem gewissen Grad auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-2",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to a considerable degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf in beträchtlichem Maße auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-3",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me very much",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf sehr stark auf mich zu"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "dass-dass21-q05",
      "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21"
    } ],
    "text": "I found it difficult to work up the initiative to do things",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Ich fand es schwierig, die Initiative zum Tun aufzubringen"
        } ]
      } ]
    },
    "linkId": "dass-dass21-q05",
    "prefix": "5",
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-0",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Did not apply to me at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf gar nicht auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-1",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to some degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf bis zu einem gewissen Grad auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-2",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to a considerable degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf in beträchtlichem Maße auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-3",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me very much",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf sehr stark auf mich zu"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "dass-dass21-q06",
      "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21"
    } ],
    "text": "I tended to over-react to situations",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Ich neigte dazu, auf Situationen überzureagieren"
        } ]
      } ]
    },
    "linkId": "dass-dass21-q06",
    "prefix": "6",
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-0",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Did not apply to me at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf gar nicht auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-1",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to some degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf bis zu einem gewissen Grad auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-2",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to a considerable degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf in beträchtlichem Maße auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-3",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me very much",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf sehr stark auf mich zu"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "dass-dass21-q07",
      "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21"
    } ],
    "text": "I experienced trembling (e.g., in the hands)",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Ich zitterte (z.B. an den Händen)"
        } ]
      } ]
    },
    "linkId": "dass-dass21-q07",
    "prefix": "7",
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-0",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Did not apply to me at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf gar nicht auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-1",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to some degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf bis zu einem gewissen Grad auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-2",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to a considerable degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf in beträchtlichem Maße auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-3",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me very much",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf sehr stark auf mich zu"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "dass-dass21-q08",
      "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21"
    } ],
    "text": "I felt that I was using a lot of nervous energy",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Ich merkte, dass ich viel nervöse Energie verbrauchte"
        } ]
      } ]
    },
    "linkId": "dass-dass21-q08",
    "prefix": "8",
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-0",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Did not apply to me at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf gar nicht auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-1",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to some degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf bis zu einem gewissen Grad auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-2",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to a considerable degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf in beträchtlichem Maße auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-3",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me very much",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf sehr stark auf mich zu"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "dass-dass21-q09",
      "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21"
    } ],
    "text": "I was worried about situations in which I might panic and make a fool of myself",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Ich machte mir Sorgen über Situationen, in denen ich in Panik geraten könnte"
        } ]
      } ]
    },
    "linkId": "dass-dass21-q09",
    "prefix": "9",
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-0",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Did not apply to me at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf gar nicht auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-1",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to some degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf bis zu einem gewissen Grad auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-2",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to a considerable degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf in beträchtlichem Maße auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-3",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me very much",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf sehr stark auf mich zu"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "dass-dass21-q10",
      "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21"
    } ],
    "text": "I felt that I had nothing to look forward to",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Ich hatte das Gefühl, dass ich nichts erwarten konnte"
        } ]
      } ]
    },
    "linkId": "dass-dass21-q10",
    "prefix": "10",
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-0",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Did not apply to me at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf gar nicht auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-1",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to some degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf bis zu einem gewissen Grad auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-2",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to a considerable degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf in beträchtlichem Maße auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-3",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me very much",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf sehr stark auf mich zu"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "dass-dass21-q11",
      "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21"
    } ],
    "text": "I found myself getting agitated",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Ich merkte, dass ich unruhig wurde"
        } ]
      } ]
    },
    "linkId": "dass-dass21-q11",
    "prefix": "11",
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-0",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Did not apply to me at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf gar nicht auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-1",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to some degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf bis zu einem gewissen Grad auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-2",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to a considerable degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf in beträchtlichem Maße auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-3",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me very much",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf sehr stark auf mich zu"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "dass-dass21-q12",
      "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21"
    } ],
    "text": "I found it difficult to relax",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Ich fand es schwierig, mich zu entspannen"
        } ]
      } ]
    },
    "linkId": "dass-dass21-q12",
    "prefix": "12",
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-0",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Did not apply to me at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf gar nicht auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-1",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to some degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf bis zu einem gewissen Grad auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-2",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to a considerable degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf in beträchtlichem Maße auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-3",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me very much",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf sehr stark auf mich zu"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "dass-dass21-q13",
      "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21"
    } ],
    "text": "I felt down-hearted and blue",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Ich fühlte mich niedergeschlagen und traurig"
        } ]
      } ]
    },
    "linkId": "dass-dass21-q13",
    "prefix": "13",
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-0",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Did not apply to me at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf gar nicht auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-1",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to some degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf bis zu einem gewissen Grad auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-2",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to a considerable degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf in beträchtlichem Maße auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-3",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me very much",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf sehr stark auf mich zu"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "dass-dass21-q14",
      "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21"
    } ],
    "text": "I was intolerant of anything that kept me from getting on with what I was doing",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Ich war ungeduldig, wenn ich aufgehalten wurde"
        } ]
      } ]
    },
    "linkId": "dass-dass21-q14",
    "prefix": "14",
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-0",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Did not apply to me at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf gar nicht auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-1",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to some degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf bis zu einem gewissen Grad auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-2",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to a considerable degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf in beträchtlichem Maße auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-3",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me very much",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf sehr stark auf mich zu"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "dass-dass21-q15",
      "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21"
    } ],
    "text": "I felt I was close to panic",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Ich fühlte mich einer Panik nahe"
        } ]
      } ]
    },
    "linkId": "dass-dass21-q15",
    "prefix": "15",
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-0",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Did not apply to me at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf gar nicht auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-1",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to some degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf bis zu einem gewissen Grad auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-2",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to a considerable degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf in beträchtlichem Maße auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-3",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me very much",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf sehr stark auf mich zu"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "dass-dass21-q16",
      "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21"
    } ],
    "text": "I was unable to become enthusiastic about anything",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Ich konnte mich für nichts begeistern"
        } ]
      } ]
    },
    "linkId": "dass-dass21-q16",
    "prefix": "16",
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-0",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Did not apply to me at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf gar nicht auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-1",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to some degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf bis zu einem gewissen Grad auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-2",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to a considerable degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf in beträchtlichem Maße auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-3",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me very much",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf sehr stark auf mich zu"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "dass-dass21-q17",
      "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21"
    } ],
    "text": "I felt I wasn't worth much as a person",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Ich hatte das Gefühl, nicht viel wert zu sein"
        } ]
      } ]
    },
    "linkId": "dass-dass21-q17",
    "prefix": "17",
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-0",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Did not apply to me at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf gar nicht auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-1",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to some degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf bis zu einem gewissen Grad auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-2",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to a considerable degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf in beträchtlichem Maße auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-3",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me very much",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf sehr stark auf mich zu"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "dass-dass21-q18",
      "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21"
    } ],
    "text": "I felt that I was rather touchy",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Ich merkte, dass ich ziemlich empfindlich war"
        } ]
      } ]
    },
    "linkId": "dass-dass21-q18",
    "prefix": "18",
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-0",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Did not apply to me at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf gar nicht auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-1",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to some degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf bis zu einem gewissen Grad auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-2",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to a considerable degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf in beträchtlichem Maße auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-3",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me very much",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf sehr stark auf mich zu"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "dass-dass21-q19",
      "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21"
    } ],
    "text": "I was aware of the action of my heart in the absence of physical exertion",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Ich nahm meinen Herzschlag wahr, ohne körperlich aktiv zu sein"
        } ]
      } ]
    },
    "linkId": "dass-dass21-q19",
    "prefix": "19",
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-0",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Did not apply to me at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf gar nicht auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-1",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to some degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf bis zu einem gewissen Grad auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-2",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to a considerable degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf in beträchtlichem Maße auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-3",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me very much",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf sehr stark auf mich zu"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "dass-dass21-q20",
      "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21"
    } ],
    "text": "I felt scared without any good reason",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Ich fürchtete mich ohne ersichtlichen Grund"
        } ]
      } ]
    },
    "linkId": "dass-dass21-q20",
    "prefix": "20",
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-0",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Did not apply to me at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf gar nicht auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-1",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to some degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf bis zu einem gewissen Grad auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-2",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to a considerable degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf in beträchtlichem Maße auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-3",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me very much",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf sehr stark auf mich zu"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "code": [ {
      "code": "dass-dass21-q21",
      "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21"
    } ],
    "text": "I felt that life was meaningless",
    "type": "choice",
    "_text": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "Ich fand das Leben sinnlos"
        } ]
      } ]
    },
    "linkId": "dass-dass21-q21",
    "prefix": "21",
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 0
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-0",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Did not apply to me at all",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf gar nicht auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-1",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to some degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf bis zu einem gewissen Grad auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-2",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me to a considerable degree",
        "_display": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf in beträchtlichem Maße auf mich zu"
            } ]
          } ]
        }
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "dass-dass21-answer-3",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
        "display": "Applied to me very much",
        "_display": {
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            "url": "http://hl7.org/fhir/StructureDefinition/translation",
            "extension": [ {
              "url": "lang",
              "valueCode": "de"
            }, {
              "url": "content",
              "valueString": "Traf sehr stark auf mich zu"
            } ]
          } ]
        }
      }
    } ]
  }, {
    "text": "DASS-21 Depression Raw Score",
    "type": "decimal",
    "_text": {
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        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "DASS-21 Depression Rohwert"
        } ]
      } ]
    },
    "linkId": "dass-dass21-score-raw-depression",
    "prefix": "Depression (Raw)",
    "readOnly": true,
    "extension": [ {
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      "valueExpression": {
        "name": "depressionRawScore",
        "language": "text/fhirpath",
        "expression": "%depressionRaw"
      }
    }, {
      "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"
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      }
    } ]
  }, {
    "text": "DASS-21 Anxiety Raw Score",
    "type": "decimal",
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        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "DASS-21 Angst Rohwert"
        } ]
      } ]
    },
    "linkId": "dass-dass21-score-raw-anxiety",
    "prefix": "Anxiety (Raw)",
    "readOnly": true,
    "extension": [ {
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      "valueExpression": {
        "name": "anxietyRawScore",
        "language": "text/fhirpath",
        "expression": "%anxietyRaw"
      }
    }, {
      "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"
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    }, {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observation-extract-category",
      "valueCodeableConcept": {
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          "code": "survey",
          "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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      }
    } ]
  }, {
    "text": "DASS-21 Stress Raw Score",
    "type": "decimal",
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        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "DASS-21 Stress Rohwert"
        } ]
      } ]
    },
    "linkId": "dass-dass21-score-raw-stress",
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    "extension": [ {
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        "name": "stressRawScore",
        "language": "text/fhirpath",
        "expression": "%stressRaw"
      }
    }, {
      "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"
        } ]
      }
    } ]
  }, {
    "text": "DASS-21 Depression Score (DASS-42 equivalent)",
    "type": "decimal",
    "_text": {
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        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
          "url": "content",
          "valueString": "DASS-21 Depression Score (DASS-42 Äquivalent)"
        } ]
      } ]
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    "linkId": "dass-dass21-score-equiv-depression",
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    "readOnly": true,
    "extension": [ {
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      "valueExpression": {
        "name": "depressionEquivScore",
        "language": "text/fhirpath",
        "expression": "%depressionRaw * 2"
      }
    }, {
      "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"
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      }
    } ]
  }, {
    "text": "DASS-21 Anxiety Score (DASS-42 equivalent)",
    "type": "decimal",
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        "extension": [ {
          "url": "lang",
          "valueCode": "de"
        }, {
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    "linkId": "dass-dass21-score-equiv-anxiety",
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        "system": "http://unitsofmeasure.org"
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          "valueCode": "de"
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        "system": "http://unitsofmeasure.org"
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    }, {
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      "valueCodeableConcept": {
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          "system": "http://terminology.hl7.org/CodeSystem/observation-category"
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      }
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  "type": null,
  "experimental": "true",
  "resourceType": "Questionnaire",
  "title": "MII QST PRO DASS-21",
  "package_version": "2026.3.0",
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    "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-ex-pro-questionnaire-capabilities",
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      "url": "displayable",
      "valueBoolean": true
    }, {
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      "url": "calculatable",
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    "valueExpression": {
      "name": "depressionRaw",
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      "expression": "%resource.item.where(linkId.matches('^dass-dass21-q(03|05|10|13|16|17|21)$')).answer.value.ordinal().sum()"
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  }, {
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  }, {
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      "name": "stressRaw",
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  } ],
  "status": "active",
  "language": "en",
  "id": "2e4320a6-0ab1-4f97-98d8-a1dfb7688fe1",
  "kind": null,
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-dass-dass21",
  "code": [ {
    "code": "dass-dass21",
    "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-questionnaire-catalogue",
    "display": "DASS-21 (Depression Anxiety Stress Scales - 21 Items)"
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}