{
  "description": "ISR-Z — Subskala Zwang (3 Items) des ICD-10-Symptom-Rating (Tritt et al. 2008); Skalenwert als Mittelwert, nicht Summe",
  "_filename": "Questionnaire-mii-qst-pro-isr-z.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|2026.6.0" ]
  },
  "publisher": null,
  "name": null,
  "item": [ {
    "text": "Bitte geben Sie jetzt an, ob eine der nachfolgenden Beschwerden in den letzten zwei Wochen auf Sie selbst zutrifft:",
    "type": "display",
    "linkId": "isr-z-intro"
  }, {
    "text": "Ich leide unter meinen ständig wiederkehrenden, sinnlosen Gedanken oder Handlungen, gegen die ich mich aber nicht wehren kann (z.B. Hände waschen).",
    "type": "choice",
    "linkId": "isr-z-q01",
    "prefix": "1",
    "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-isr-z-answers"
  }, {
    "text": "Ich leiste Widerstand gegen immer wiederkehrende, unsinnige Gedanken oder Handlungen, auch wenn mir das nicht immer gelingt.",
    "type": "choice",
    "linkId": "isr-z-q02",
    "prefix": "2",
    "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-isr-z-answers"
  }, {
    "text": "Ich leide unter quälenden, sinnlosen Gedanken oder Handlungen, die mein normales Leben beeinträchtigen.",
    "type": "choice",
    "linkId": "isr-z-q03",
    "prefix": "3",
    "answerValueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-isr-z-answers"
  }, {
    "code": [ {
      "code": "isr-z-mean",
      "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-score-catalogue",
      "display": "ISR-Z Skalenwert (Mittelwert 0-4)"
    } ],
    "text": "ISR-Z Skalenwert (Mittelwert der 3 Zwang-Items, Bereich 0-4)",
    "type": "decimal",
    "linkId": "isr-z-score-mean",
    "prefix": "Skalenwert",
    "readOnly": true,
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
      "valueExpression": {
        "name": "Scoreberechnung",
        "language": "text/fhirpath",
        "expression": "%isrZMean"
      }
    }, {
      "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"
        } ]
      }
    } ]
  } ],
  "copyright": "ICD-10-Symptom-Rating (ISR) © Tritt, von Heymann, Zaudig, Zacharias, Söllner & Loew 2008. Freely available — no permission required for reproduction, translation, display or use. Lizenz-Status: frei verfügbar (Tier A).",
  "type": null,
  "experimental": "true",
  "resourceType": "Questionnaire",
  "title": "MII QST PRO ISR-Z",
  "package_version": "2026.6.0",
  "extension": [ {
    "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-ex-pro-questionnaire-capabilities",
    "extension": [ {
      "url": "displayable",
      "valueBoolean": true
    }, {
      "url": "collectable",
      "valueBoolean": true
    }, {
      "url": "calculatable",
      "valueBoolean": true
    }, {
      "url": "extractable",
      "valueBoolean": true
    }, {
      "url": "domainAligned",
      "valueBoolean": true
    } ]
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/variable",
    "valueExpression": {
      "name": "isrZMean",
      "language": "text/fhirpath",
      "expression": "%resource.item.where(linkId.matches('^isr-z-q0[1-3]$')).answer.value.ordinal().avg()"
    }
  } ],
  "status": "active",
  "language": "de",
  "id": "3d33d293-3d63-43f2-98fc-826fb4d8c685",
  "kind": null,
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-isr-z",
  "code": [ {
    "code": "isr-z",
    "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-questionnaire-catalogue",
    "display": "ISR-Z (ICD-10-Symptom-Rating, Subskala Zwang, Tritt et al. 2008)"
  } ],
  "version": "2026.6.0"
}