{
  "description": "PROMIS Cognitive Function Short Form 4a - Assessment of cognitive abilities and concerns",
  "_filename": "examples/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" ]
  },
  "publisher": null,
  "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",
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          "_display": {
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              "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"
  } ],
  "type": null,
  "experimental": "true",
  "resourceType": "Questionnaire",
  "title": "MII QST PRO PROMIS Cognitive Function SF 4a",
  "package_version": "2026.0.0-rc.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": "7730e6f4-4249-4ef6-97e0-2bb2ed5e0a22",
  "kind": null,
  "url": "http://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"
  } ],
  "version": "2026.0.0-ballot"
}