description: Profile for PROMIS Depression Short Form 4a raw score observations (4-20 range)
package_name: de.medizininformatikinitiative.kerndatensatz.pros
derivation: constraint
name: MII_PR_PRO_PROMIS_Depression_SF4a_Raw_Score
type: Observation
elements:
  category:
    mustSupport: true
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: survey, system: 'http://terminology.hl7.org/CodeSystem/observation-category', display: Survey}
    type: CodeableConcept
    index: 2
  referenceRange:
    mustSupport: true
    index: 19
    elements:
      low:
        elements:
          value:
            pattern: {type: decimal, value: 4}
            type: decimal
            index: 20
      high:
        elements:
          value:
            pattern: {type: decimal, value: 20}
            type: decimal
            index: 21
      text:
        pattern: {type: string, value: Valid range for PROMIS Depression SF 4a raw scores}
        type: string
        index: 22
  value[x]:
    elements:
      value: {mustSupport: true, index: 15}
      unit:
        pattern: {type: string, value: score}
        type: string
        index: 16
      system:
        pattern: {type: uri, value: 'http://unitsofmeasure.org'}
        type: uri
        index: 17
      code:
        pattern: {type: code, value: '{score}'}
        type: code
        index: 18
  derivedFrom:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse']
    index: 23
  valueQuantity:
    type: Quantity
    mustSupport: true
    choiceOf: value
    index: 14
    slicing:
      slices:
        valueQuantity:
          match: {}
          schema: {type: Quantity, mustSupport: true, choiceOf: value, index: 14}
          min: 0
          max: 1
  value:
    choices: []
    index: 11
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: $this, type: type}
      min: null
      slices:
        valueQuantity:
          match: {}
          schema:
            mustSupport: true
            choices: [valueQuantity]
            index: 13
          min: 0
          max: 1
  component: {index: 24}
  extension:
    type: Extension
    mustSupport: true
    url: http://hl7.org/fhir/StructureDefinition/workflow-instantiatesCanonical
    index: 0
    slicing:
      slices:
        instantiatesCanonical:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/workflow-instantiatesCanonical', index: 0}
          min: 0
          max: 1
  effectiveDateTime:
    type: dateTime
    mustSupport: true
    choiceOf: effective
    index: 9
    slicing:
      slices:
        effectiveDateTime:
          match: {}
          schema: {type: dateTime, mustSupport: true, choiceOf: effective, index: 9}
          min: 0
          max: 1
  status:
    mustSupport: true
    pattern: {type: code, value: final}
    type: code
    index: 1
  effective:
    choices: []
    index: 6
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: $this, type: type}
      min: null
      slices:
        effectiveDateTime:
          match: {}
          schema:
            mustSupport: true
            choices: [effectiveDateTime]
            index: 8
          min: 0
          max: 1
  code:
    mustSupport: true
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: 77821-7, system: 'http://loinc.org', display: PROMIS short form - emotional distress - depression 4a - version 1.0 raw score}
    type: CodeableConcept
    index: 3
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 4
package_version: 2026.0.0-ballot
extensions:
  instantiatesCanonical: {url: 'http://hl7.org/fhir/StructureDefinition/workflow-instantiatesCanonical', min: 0, max: 1, type: Extension, mustSupport: true, index: 0}
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-promis-depression-sf4a-raw-score
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 2026.0.0-ballot