{
"description": "PROMIS Cognitive Function Short Form 4a - Assessment of cognitive abilities and concerns",
"_filename": "Questionnaire-mii-qst-pro-promis-cognitive-function-sf4a.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|2026.4.1" ]
},
"publisher": "Medizininformatik-Initiative (MII) – PRO Modul",
"name": null,
"item": [ {
"item": [ {
"text": "In the past 7 days",
"type": "display",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "In den letzten 7 Tagen:"
} ]
} ]
},
"linkId": "PROMIS-CognitiveFunction-SF4a.Instructions"
}, {
"code": [ {
"code": "81461-6",
"system": "http://loinc.org",
"display": "My thinking has been slow in past 7 days [PROMIS]"
} ],
"text": "My thinking has been slow",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Ich war langsam beim Denken"
} ]
} ]
},
"linkId": "promis-cognition-pc2r",
"required": true,
"answerOption": [ {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
} ],
"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": "Nie"
} ]
} ]
}
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
} ],
"valueCoding": {
"code": "LA10066-1",
"system": "http://loinc.org",
"display": "Rarely",
"_display": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Selten (einmal)"
} ]
} ]
}
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
} ],
"valueCoding": {
"code": "LA10082-8",
"system": "http://loinc.org",
"display": "Sometimes",
"_display": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Manchmal (zwei- oder dreimal)"
} ]
} ]
}
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
} ],
"valueCoding": {
"code": "LA10044-8",
"system": "http://loinc.org",
"display": "Often",
"_display": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Oft (ungefähr einmal täglich)"
} ]
} ]
}
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
} ],
"valueCoding": {
"code": "LA9933-8",
"system": "http://loinc.org",
"display": "Always",
"_display": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Sehr oft (mehrmals täglich)"
} ]
} ]
}
}
} ]
}, {
"code": [ {
"code": "81478-0",
"system": "http://loinc.org",
"display": "It has seemed like my brain was not working as well as usual in past 7 days [PROMIS]"
} ],
"text": "It has seemed like my brain was not working as well as usual",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Es kam mir so vor, als ob mein Gehirn nicht so gut wie sonst funktionierte"
} ]
} ]
},
"linkId": "promis-cognition-pc35r",
"required": true,
"answerOption": [ {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
} ],
"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": "Nie"
} ]
} ]
}
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
} ],
"valueCoding": {
"code": "LA10066-1",
"system": "http://loinc.org",
"display": "Rarely",
"_display": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Selten (einmal)"
} ]
} ]
}
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
} ],
"valueCoding": {
"code": "LA10082-8",
"system": "http://loinc.org",
"display": "Sometimes",
"_display": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Manchmal (zwei- oder dreimal)"
} ]
} ]
}
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
} ],
"valueCoding": {
"code": "LA10044-8",
"system": "http://loinc.org",
"display": "Often",
"_display": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Oft (ungefähr einmal täglich)"
} ]
} ]
}
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
} ],
"valueCoding": {
"code": "LA9933-8",
"system": "http://loinc.org",
"display": "Always",
"_display": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Sehr oft (mehrmals täglich)"
} ]
} ]
}
}
} ]
}, {
"code": [ {
"code": "81479-8",
"system": "http://loinc.org",
"display": "I have had to work harder than usual to keep track of what I was doing in past 7 days [PROMIS]"
} ],
"text": "I have had to work harder than usual to keep track of what I was doing",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Ich musste mir größere Mühe geben als sonst, um den Überblick über das zu bewahren, womit ich gerade beschäftigt war"
} ]
} ]
},
"linkId": "promis-cognition-pc36r",
"required": true,
"answerOption": [ {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
} ],
"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": "Nie"
} ]
} ]
}
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
} ],
"valueCoding": {
"code": "LA10066-1",
"system": "http://loinc.org",
"display": "Rarely",
"_display": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Selten (einmal)"
} ]
} ]
}
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
} ],
"valueCoding": {
"code": "LA10082-8",
"system": "http://loinc.org",
"display": "Sometimes",
"_display": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Manchmal (zwei- oder dreimal)"
} ]
} ]
}
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
} ],
"valueCoding": {
"code": "LA10044-8",
"system": "http://loinc.org",
"display": "Often",
"_display": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Oft (ungefähr einmal täglich)"
} ]
} ]
}
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
} ],
"valueCoding": {
"code": "LA9933-8",
"system": "http://loinc.org",
"display": "Always",
"_display": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Sehr oft (mehrmals täglich)"
} ]
} ]
}
}
} ]
}, {
"code": [ {
"code": "81485-5",
"system": "http://loinc.org",
"display": "I have had trouble shifting back and forth between different activities that require thinking in past 7 days [PROMIS]"
} ],
"text": "I have had trouble shifting back and forth between different activities that require thinking",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Ich hatte Schwierigkeiten, zwischen verschiedenen Aktivitäten, die ein gewisses Nachdenken erfordern, hin und her zu wechseln"
} ]
} ]
},
"linkId": "promis-cognition-pc42r",
"required": true,
"answerOption": [ {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
} ],
"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": "Nie"
} ]
} ]
}
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
} ],
"valueCoding": {
"code": "LA10066-1",
"system": "http://loinc.org",
"display": "Rarely",
"_display": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Selten (einmal)"
} ]
} ]
}
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
} ],
"valueCoding": {
"code": "LA10082-8",
"system": "http://loinc.org",
"display": "Sometimes",
"_display": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Manchmal (zwei- oder dreimal)"
} ]
} ]
}
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
} ],
"valueCoding": {
"code": "LA10044-8",
"system": "http://loinc.org",
"display": "Often",
"_display": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Oft (ungefähr einmal täglich)"
} ]
} ]
}
}
}, {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
} ],
"valueCoding": {
"code": "LA9933-8",
"system": "http://loinc.org",
"display": "Always",
"_display": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Sehr oft (mehrmals täglich)"
} ]
} ]
}
}
} ]
}, {
"code": [ {
"code": "81533-2",
"system": "http://loinc.org",
"display": "PROMIS short form - cognitive function 4a - version 2.0 raw score"
} ],
"text": "PROMIS Cognitive Function SF 4a Raw Score",
"type": "quantity",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "PROMIS Kognitive Funktion SF 4a Rohwert"
} ]
} ]
},
"linkId": "promis-cognition-sf4a-raw-score",
"readOnly": true,
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%cognitiveRawScore"
}
} ]
}, {
"code": [ {
"code": "81538-1",
"system": "http://loinc.org",
"display": "PROMIS cognitive function - version 2.0 T-score"
} ],
"text": "PROMIS Cognitive Function SF 4a T-Score",
"type": "quantity",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "PROMIS Kognitive Funktion SF 4a T-Score"
} ]
} ]
},
"linkId": "promis-cognition-sf4a-t-score",
"readOnly": true,
"extension": [ {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%cognitiveRawScore=4, 24.99, iif(%cognitiveRawScore=5, 28.95, iif(%cognitiveRawScore=6, 31.07, iif(%cognitiveRawScore=7, 32.94, iif(%cognitiveRawScore=8, 34.61, iif(%cognitiveRawScore=9, 36.17, iif(%cognitiveRawScore=10, 37.69, iif(%cognitiveRawScore=11, 39.19, iif(%cognitiveRawScore=12, 40.70, iif(%cognitiveRawScore=13, 42.25, iif(%cognitiveRawScore=14, 43.86, iif(%cognitiveRawScore=15, 45.54, iif(%cognitiveRawScore=16, 47.33, iif(%cognitiveRawScore=17, 49.28, iif(%cognitiveRawScore=18, 51.62, iif(%cognitiveRawScore=19, 54.58, iif(%cognitiveRawScore=20, 61.13, 50.0)))))))))))))))))"
}
} ]
} ],
"text": "PROMIS Kognitive Funktion SF 4a",
"type": "group",
"linkId": "PROMIS-CognitiveFunction-SF4a"
} ],
"useContext": [ {
"code": {
"code": "focus",
"system": "http://terminology.hl7.org/CodeSystem/usage-context-type"
},
"valueReference": {
"display": "PROMIS (Patient-Reported Outcomes Measurement Information System)",
"reference": "https://www.healthmeasures.net/explore-measurement-systems/promis"
}
}, {
"code": {
"code": "focus",
"system": "http://terminology.hl7.org/CodeSystem/usage-context-type"
},
"valueReference": {
"display": "PROMIS National Center Deutschland (CPCOR Charité) — Curator of the official German translations provided by PCOR-MII",
"reference": "https://cpcor.charite.de/promis_national_center_deutschland"
}
} ],
"copyright": "The FHIR Questionnaire resource (linkIds, extensions, score calculation logic, observation extraction definitions) is part of the MII PRO Module and is licensed under CC-BY 4.0.\n\nThe PROMIS items contained herein (item text, response options, scoring algorithms, IRT parameters) are © 2008–2024 PROMIS Health Organization and PROMIS Cooperative Group. PROMIS® is a registered trademark. See https://www.healthmeasures.net for the upstream license.\n\nThe official German translations are provided by PCOR-MII (Patient-Centered Outcomes Research within the Medizininformatik-Initiative) and curated by the PROMIS National Center Germany (CPCOR, Charité – Universitätsmedizin Berlin; head: Felix Fischer).\n\nInstitutional use outside the PCOR-MII / MII context requires a usage request to CPCOR: https://cpcor.charite.de/promis_national_center_deutschland/nutzungsanfragen\n\nLOINC® codes are © Regenstrief Institute, Inc. and used under the LOINC license: https://loinc.org/license/",
"type": null,
"experimental": "true",
"resourceType": "Questionnaire",
"title": "MII QST PRO PROMIS Cognitive Function SF 4a",
"package_version": "2026.4.1",
"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": "calculatable",
"valueBoolean": true
}, {
"url": "extractable",
"valueBoolean": true
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "cognitiveRawScore",
"language": "text/fhirpath",
"expression": "%resource.item.item.where(linkId.matches('^promis-cognition-(pc2r|pc35r|pc36r|pc42r)$')).answer.value.ordinal().sum()"
}
} ],
"status": "active",
"language": "en",
"id": "343f4596-f534-401e-864b-25dbbd9c3baa",
"kind": null,
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-promis-cognitive-function-sf4a",
"code": [ {
"code": "81525-8",
"system": "http://loinc.org",
"display": "PROMIS short form - cognitive function - abilities subset 4a - version 2.0"
}, {
"code": "promis-cognitive-function-sf4a",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-questionnaire-catalogue",
"display": "PROMIS Cognitive Function Abilities 4a Short Form Questionnaire"
} ],
"version": "2026.4.1",
"contact": [ {
"name": "PROMIS National Center Deutschland (CPCOR)",
"telecom": [ {
"value": "https://cpcor.charite.de/promis_national_center_deutschland/nutzungsanfragen",
"system": "url"
} ]
} ]
}