{ "description": "PROMIS-29 Profile v2.1 - Minimal variant for data collection without calculated expressions", "_filename": "examples/Questionnaire-mii-qst-pro-promis-29-minimal.json", "package_name": "de.medizininformatikinitiative.kerndatensatz.pros", "date": null, "meta": { "profile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire" ] }, "publisher": null, "derivedFrom": [ "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-promis-29" ], "name": null, "item": [ { "item": [ { "text": "Please respond to each question or statement by marking one box per row. In the past 7 days...", "type": "display", "linkId": "PROMIS-29.Instructions", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Bitte beantworten Sie jede Frage oder Aussage, indem Sie ein Kästchen pro Zeile markieren. In den letzten 7 Tagen..." } ] } ] }, { "item": [ { "code": [ { "code": "61597-1", "system": "http://loinc.org" } ], "text": "Are you able to do chores such as vacuuming or yard work?", "type": "choice", "linkId": "promis-pfa11", "required": true, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Sind Sie in der Lage, Hausarbeiten wie Staubsaugen oder Gartenarbeit zu erledigen?" } ] } ], "answerValueSet": "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-physical-function-response-scale" }, { "code": [ { "code": "61598-9", "system": "http://loinc.org" } ], "text": "Are you able to go up and down stairs at a normal pace?", "type": "choice", "linkId": "promis-pfa21", "required": true, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Sind Sie in der Lage, in normalem Tempo Treppen hinauf- und hinunterzugehen?" } ] } ], "answerValueSet": "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-physical-function-response-scale" }, { "code": [ { "code": "61593-0", "system": "http://loinc.org" } ], "text": "Are you able to go for a walk of at least 15 minutes?", "type": "choice", "linkId": "promis-pfa23", "required": true, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Sind Sie in der Lage, mindestens 15 Minuten spazieren zu gehen?" } ] } ], "answerValueSet": "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-physical-function-response-scale" }, { "code": [ { "code": "61596-3", "system": "http://loinc.org" } ], "text": "Are you able to run errands and shop?", "type": "choice", "linkId": "promis-pfa53", "required": true, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Sind Sie in der Lage, Besorgungen zu machen und einzukaufen?" } ] } ], "answerValueSet": "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-physical-function-response-scale" } ], "text": "Physical Function", "type": "group", "linkId": "PROMIS-29.PhysicalFunction", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Körperliche Funktion" } ] } ] }, { "item": [ { "code": [ { "code": "71951-1", "system": "http://loinc.org" } ], "text": "I felt fearful", "type": "choice", "linkId": "promis-edanx01", "required": true, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Ich fühlte mich ängstlich" } ] } ], "answerValueSet": "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-frequency-response-scale" }, { "code": [ { "code": "71949-5", "system": "http://loinc.org" } ], "text": "I found it hard to focus on anything other than my anxiety", "type": "choice", "linkId": "promis-edanx40", "required": true, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Ich fand es schwer, mich auf etwas anderes als meine Angst zu konzentrieren" } ] } ], "answerValueSet": "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-frequency-response-scale" }, { "code": [ { "code": "71950-3", "system": "http://loinc.org" } ], "text": "My worries overwhelmed me", "type": "choice", "linkId": "promis-edanx41", "required": true, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Meine Sorgen überwältigten mich" } ] } ], "answerValueSet": "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-frequency-response-scale" }, { "code": [ { "code": "71948-7", "system": "http://loinc.org" } ], "text": "I felt uneasy", "type": "choice", "linkId": "promis-edanx53", "required": true, "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Ich fühlte mich unruhig" } ] } ], "answerValueSet": "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-frequency-response-scale" } ], "text": "Anxiety", "type": "group", "linkId": "PROMIS-29.Anxiety", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "de" }, { "url": "content", "valueString": "Angst" } ] } ] } ], "text": "PROMIS-29 Profile v2.1", "type": "group", "linkId": "PROMIS-29" } ], "type": null, "experimental": "true", "resourceType": "Questionnaire", "title": "MII QST PRO PROMIS-29 Minimal", "package_version": "2026.0.0-ballot", "extension": [ { "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-ex-pro-questionnaire-capabilities", "extension": [ { "url": "displayable", "valueBoolean": true }, { "url": "collectable", "valueBoolean": true }, { "url": "calculatable", "valueBoolean": false }, { "url": "extractable", "valueBoolean": false }, { "url": "populatable", "valueBoolean": false } ] } ], "status": "active", "language": "de", "id": "3fa7678b-36da-4175-86a5-07989eda2d08", "kind": null, "url": "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-promis-29-minimal", "code": [ { "code": "71968-5", "system": "http://loinc.org", "display": "PROMIS-29 Profile v2.1" } ], "version": "2026.0.0-ballot" }