{
  "description": "CodeSystem for the Depression Anxiety Stress Scales - Short Form (DASS-21) with answer codes, item codes, and multilingual support (English primary, German translations from Nilges & Essau 2015)",
  "_filename": "CodeSystem-mii-cs-pro-dass-21.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.pros",
  "date": null,
  "publisher": null,
  "content": "complete",
  "name": "MII_CS_PRO_DASS_21",
  "type": null,
  "experimental": "true",
  "resourceType": "CodeSystem",
  "title": "MII CS PRO DASS-21 Response Scale and Item Codes",
  "package_version": "2026.4.1",
  "status": "active",
  "id": "48c4ad06-ad30-4735-bbe4-4aaf53953710",
  "kind": null,
  "count": 25,
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
  "concept": [ {
    "code": "dass-dass21-answer-0",
    "display": "Did not apply to me at all",
    "designation": [ {
      "value": "Traf gar nicht auf mich zu",
      "language": "de"
    } ]
  }, {
    "code": "dass-dass21-answer-1",
    "display": "Applied to me to some degree",
    "designation": [ {
      "value": "Traf bis zu einem gewissen Grad auf mich zu",
      "language": "de"
    } ]
  }, {
    "code": "dass-dass21-answer-2",
    "display": "Applied to me to a considerable degree",
    "designation": [ {
      "value": "Traf in beträchtlichem Maße auf mich zu",
      "language": "de"
    } ]
  }, {
    "code": "dass-dass21-answer-3",
    "display": "Applied to me very much",
    "designation": [ {
      "value": "Traf sehr stark auf mich zu",
      "language": "de"
    } ]
  }, {
    "code": "dass-dass21-q01",
    "display": "I found it hard to wind down",
    "designation": [ {
      "value": "Ich fand es schwer abzuschalten",
      "language": "de"
    } ]
  }, {
    "code": "dass-dass21-q02",
    "display": "I was aware of dryness of my mouth",
    "designation": [ {
      "value": "Ich bemerkte Mundtrockenheit",
      "language": "de"
    } ]
  }, {
    "code": "dass-dass21-q03",
    "display": "I couldn't seem to experience any positive feeling at all",
    "designation": [ {
      "value": "Ich konnte überhaupt keine positiven Gefühle mehr erleben",
      "language": "de"
    } ]
  }, {
    "code": "dass-dass21-q04",
    "display": "I experienced breathing difficulty",
    "designation": [ {
      "value": "Ich hatte Atemschwierigkeiten",
      "language": "de"
    } ]
  }, {
    "code": "dass-dass21-q05",
    "display": "I found it difficult to work up the initiative to do things",
    "designation": [ {
      "value": "Ich fand es schwierig, die Initiative zum Tun aufzubringen",
      "language": "de"
    } ]
  }, {
    "code": "dass-dass21-q06",
    "display": "I tended to over-react to situations",
    "designation": [ {
      "value": "Ich neigte dazu, auf Situationen überzureagieren",
      "language": "de"
    } ]
  }, {
    "code": "dass-dass21-q07",
    "display": "I experienced trembling (e.g., in the hands)",
    "designation": [ {
      "value": "Ich zitterte (z.B. an den Händen)",
      "language": "de"
    } ]
  }, {
    "code": "dass-dass21-q08",
    "display": "I felt that I was using a lot of nervous energy",
    "designation": [ {
      "value": "Ich merkte, dass ich viel nervöse Energie verbrauchte",
      "language": "de"
    } ]
  }, {
    "code": "dass-dass21-q09",
    "display": "I was worried about situations in which I might panic and make a fool of myself",
    "designation": [ {
      "value": "Ich machte mir Sorgen über Situationen, in denen ich in Panik geraten könnte",
      "language": "de"
    } ]
  }, {
    "code": "dass-dass21-q10",
    "display": "I felt that I had nothing to look forward to",
    "designation": [ {
      "value": "Ich hatte das Gefühl, dass ich nichts erwarten konnte",
      "language": "de"
    } ]
  }, {
    "code": "dass-dass21-q11",
    "display": "I found myself getting agitated",
    "designation": [ {
      "value": "Ich merkte, dass ich unruhig wurde",
      "language": "de"
    } ]
  }, {
    "code": "dass-dass21-q12",
    "display": "I found it difficult to relax",
    "designation": [ {
      "value": "Ich fand es schwierig, mich zu entspannen",
      "language": "de"
    } ]
  }, {
    "code": "dass-dass21-q13",
    "display": "I felt down-hearted and blue",
    "designation": [ {
      "value": "Ich fühlte mich niedergeschlagen und traurig",
      "language": "de"
    } ]
  }, {
    "code": "dass-dass21-q14",
    "display": "I was intolerant of anything that kept me from getting on with what I was doing",
    "designation": [ {
      "value": "Ich war ungeduldig, wenn ich aufgehalten wurde",
      "language": "de"
    } ]
  }, {
    "code": "dass-dass21-q15",
    "display": "I felt I was close to panic",
    "designation": [ {
      "value": "Ich fühlte mich einer Panik nahe",
      "language": "de"
    } ]
  }, {
    "code": "dass-dass21-q16",
    "display": "I was unable to become enthusiastic about anything",
    "designation": [ {
      "value": "Ich konnte mich für nichts begeistern",
      "language": "de"
    } ]
  }, {
    "code": "dass-dass21-q17",
    "display": "I felt I wasn't worth much as a person",
    "designation": [ {
      "value": "Ich hatte das Gefühl, nicht viel wert zu sein",
      "language": "de"
    } ]
  }, {
    "code": "dass-dass21-q18",
    "display": "I felt that I was rather touchy",
    "designation": [ {
      "value": "Ich merkte, dass ich ziemlich empfindlich war",
      "language": "de"
    } ]
  }, {
    "code": "dass-dass21-q19",
    "display": "I was aware of the action of my heart in the absence of physical exertion",
    "designation": [ {
      "value": "Ich nahm meinen Herzschlag wahr, ohne körperlich aktiv zu sein",
      "language": "de"
    } ]
  }, {
    "code": "dass-dass21-q20",
    "display": "I felt scared without any good reason",
    "designation": [ {
      "value": "Ich fürchtete mich ohne ersichtlichen Grund",
      "language": "de"
    } ]
  }, {
    "code": "dass-dass21-q21",
    "display": "I felt that life was meaningless",
    "designation": [ {
      "value": "Ich fand das Leben sinnlos",
      "language": "de"
    } ]
  } ],
  "caseSensitive": true,
  "version": "2026.4.1"
}