{
  "description": "Medizininformatik Initiative - Erweiterungsmodul PRO",
  "_filename": "ImplementationGuide-mii-ig-pro.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.pros",
  "definition": {
    "page": {
      "page": [ {
        "title": "Home",
        "nameUrl": "index.html",
        "generation": "markdown"
      } ],
      "title": "Table of Contents",
      "nameUrl": "toc.html",
      "generation": "html"
    },
    "resource": [ {
      "name": "BDI-II Observation",
      "reference": {
        "reference": "Observation/mii-exa-pro-bdi-ii-observation"
      },
      "exampleBoolean": true
    }, {
      "name": "BDI-II Transaction Bundle Example",
      "reference": {
        "reference": "Bundle/mii-exa-pro-bdi-ii-bundle"
      },
      "description": "Transaction bundle containing BDI-II CodeSystem, ValueSets, questionnaire, response, and derived observation",
      "exampleBoolean": true
    }, {
      "name": "ConceptMap to derive PROMIS Depression T-Score from BDI-II Observation",
      "reference": {
        "reference": "ConceptMap/mii-cm-pro-bdi-ii-to-promis-depression-observation"
      },
      "exampleBoolean": false
    }, {
      "name": "EORTC QLQ-C30 Appetite Loss Score",
      "reference": {
        "reference": "Observation/mii-exa-pro-eortc-qlq-c30-observation-ap"
      },
      "exampleCanonical": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    }, {
      "name": "EORTC QLQ-C30 Appetite Loss Score Definition",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-ap"
      },
      "description": "ObservationDefinition for EORTC QLQ-C30 Appetite Loss Score (AP) - Higher scores indicate more appetite loss",
      "exampleBoolean": false
    }, {
      "name": "EORTC QLQ-C30 Cognitive Functioning Score",
      "reference": {
        "reference": "Observation/mii-exa-pro-eortc-qlq-c30-observation-cf"
      },
      "exampleCanonical": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    }, {
      "name": "EORTC QLQ-C30 Cognitive Functioning Score Definition",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-cf"
      },
      "description": "ObservationDefinition for EORTC QLQ-C30 Cognitive Functioning Score (CF) - Higher scores indicate better cognitive functioning",
      "exampleBoolean": false
    }, {
      "name": "EORTC QLQ-C30 Constipation Score",
      "reference": {
        "reference": "Observation/mii-exa-pro-eortc-qlq-c30-observation-co"
      },
      "exampleCanonical": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    }, {
      "name": "EORTC QLQ-C30 Constipation Score Definition",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-co"
      },
      "description": "ObservationDefinition for EORTC QLQ-C30 Constipation Score (CO) - Higher scores indicate more constipation",
      "exampleBoolean": false
    }, {
      "name": "EORTC QLQ-C30 Diarrhoea Score",
      "reference": {
        "reference": "Observation/mii-exa-pro-eortc-qlq-c30-observation-di"
      },
      "exampleCanonical": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    }, {
      "name": "EORTC QLQ-C30 Diarrhoea Score Definition",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-di"
      },
      "description": "ObservationDefinition for EORTC QLQ-C30 Diarrhoea Score (DI) - Higher scores indicate more diarrhoea",
      "exampleBoolean": false
    }, {
      "name": "EORTC QLQ-C30 Dyspnoea Score",
      "reference": {
        "reference": "Observation/mii-exa-pro-eortc-qlq-c30-observation-dy"
      },
      "exampleCanonical": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    }, {
      "name": "EORTC QLQ-C30 Dyspnoea Score Definition",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-dy"
      },
      "description": "ObservationDefinition for EORTC QLQ-C30 Dyspnoea Score (DY) - Higher scores indicate more dyspnoea",
      "exampleBoolean": false
    }, {
      "name": "EORTC QLQ-C30 Emotional Functioning Score",
      "reference": {
        "reference": "Observation/mii-exa-pro-eortc-qlq-c30-observation-ef"
      },
      "exampleCanonical": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    }, {
      "name": "EORTC QLQ-C30 Emotional Functioning Score Definition",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-ef"
      },
      "description": "ObservationDefinition for EORTC QLQ-C30 Emotional Functioning Score (EF) - Higher scores indicate better emotional functioning",
      "exampleBoolean": false
    }, {
      "name": "EORTC QLQ-C30 Fatigue Score",
      "reference": {
        "reference": "Observation/mii-exa-pro-eortc-qlq-c30-observation-fa"
      },
      "exampleCanonical": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    }, {
      "name": "EORTC QLQ-C30 Fatigue Score Definition",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-fa"
      },
      "description": "ObservationDefinition for EORTC QLQ-C30 Fatigue Score (FA) - Higher scores indicate more fatigue",
      "exampleBoolean": false
    }, {
      "name": "EORTC QLQ-C30 Financial Difficulties Score",
      "reference": {
        "reference": "Observation/mii-exa-pro-eortc-qlq-c30-observation-fi"
      },
      "exampleCanonical": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    }, {
      "name": "EORTC QLQ-C30 Financial Difficulties Score Definition",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-fi"
      },
      "description": "ObservationDefinition for EORTC QLQ-C30 Financial Difficulties Score (FI) - Higher scores indicate more financial difficulties",
      "exampleBoolean": false
    }, {
      "name": "EORTC QLQ-C30 Global Health Status / Quality of Life Score",
      "reference": {
        "reference": "Observation/mii-exa-pro-eortc-qlq-c30-observation-ql"
      },
      "exampleCanonical": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    }, {
      "name": "EORTC QLQ-C30 Global Health Status / Quality of Life Score Definition",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-ql"
      },
      "description": "ObservationDefinition for EORTC QLQ-C30 Global Health Status / Quality of Life Score (QL) - Higher scores indicate better quality of life",
      "exampleBoolean": false
    }, {
      "name": "EORTC QLQ-C30 Insomnia Score",
      "reference": {
        "reference": "Observation/mii-exa-pro-eortc-qlq-c30-observation-sl"
      },
      "exampleCanonical": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    }, {
      "name": "EORTC QLQ-C30 Insomnia Score Definition",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-sl"
      },
      "description": "ObservationDefinition for EORTC QLQ-C30 Insomnia Score (SL) - Higher scores indicate more sleep disturbance",
      "exampleBoolean": false
    }, {
      "name": "EORTC QLQ-C30 Nausea and Vomiting Score",
      "reference": {
        "reference": "Observation/mii-exa-pro-eortc-qlq-c30-observation-nv"
      },
      "exampleCanonical": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    }, {
      "name": "EORTC QLQ-C30 Nausea and Vomiting Score Definition",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-nv"
      },
      "description": "ObservationDefinition for EORTC QLQ-C30 Nausea and Vomiting Score (NV) - Higher scores indicate more nausea/vomiting",
      "exampleBoolean": false
    }, {
      "name": "EORTC QLQ-C30 Pain Score",
      "reference": {
        "reference": "Observation/mii-exa-pro-eortc-qlq-c30-observation-pa"
      },
      "exampleCanonical": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    }, {
      "name": "EORTC QLQ-C30 Pain Score Definition",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-pa"
      },
      "description": "ObservationDefinition for EORTC QLQ-C30 Pain Score (PA) - Higher scores indicate more pain",
      "exampleBoolean": false
    }, {
      "name": "EORTC QLQ-C30 Physical Functioning Score",
      "reference": {
        "reference": "Observation/mii-exa-pro-eortc-qlq-c30-observation-pf"
      },
      "description": "Physical Functioning Score from EORTC QLQ-C30",
      "exampleCanonical": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    }, {
      "name": "EORTC QLQ-C30 Physical Functioning Score Definition",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-pf"
      },
      "description": "ObservationDefinition for EORTC QLQ-C30 Physical Functioning Score (PF) - Higher scores indicate better physical functioning",
      "exampleBoolean": false
    }, {
      "name": "EORTC QLQ-C30 Role Functioning Score",
      "reference": {
        "reference": "Observation/mii-exa-pro-eortc-qlq-c30-observation-rf"
      },
      "exampleCanonical": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    }, {
      "name": "EORTC QLQ-C30 Role Functioning Score Definition",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-rf"
      },
      "description": "ObservationDefinition for EORTC QLQ-C30 Role Functioning Score (RF) - Higher scores indicate better role functioning",
      "exampleBoolean": false
    }, {
      "name": "EORTC QLQ-C30 Social Functioning Score",
      "reference": {
        "reference": "Observation/mii-exa-pro-eortc-qlq-c30-observation-sf"
      },
      "exampleCanonical": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    }, {
      "name": "EORTC QLQ-C30 Social Functioning Score Definition",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-sf"
      },
      "description": "ObservationDefinition for EORTC QLQ-C30 Social Functioning Score (SF) - Higher scores indicate better social functioning",
      "exampleBoolean": false
    }, {
      "name": "EORTC QLQ-C30 Transaction Bundle Example",
      "reference": {
        "reference": "Bundle/mii-exa-pro-eortc-qlq-c30-bundle"
      },
      "description": "Complete transaction bundle containing EORTC QLQ-C30 questionnaire, response with all 30 items, and derived observations with all 15 scale scores",
      "exampleBoolean": true
    }, {
      "name": "EQ-5D-5L Answer-Coding Response Example",
      "reference": {
        "reference": "QuestionnaireResponse/mii-exa-pro-euroqol-eq5d5l-coded-response"
      },
      "description": "Example of an EQ-5D-5L questionnaire response using the answer-coding variant with MII CodeSystem",
      "exampleCanonical": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"
    }, {
      "name": "EQ-5D-5L Questionnaire Response Example",
      "reference": {
        "reference": "QuestionnaireResponse/mii-exa-pro-euroqol-eq5d5l-response"
      },
      "exampleCanonical": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"
    }, {
      "name": "MII CS EQ-5D Value Set",
      "reference": {
        "reference": "CodeSystem/mii-cs-pro-eq-5d-value-set"
      },
      "description": "EuroQol EQ-5D Value Set",
      "exampleBoolean": false
    }, {
      "name": "MII CS PRO BDI-II",
      "reference": {
        "reference": "CodeSystem/mii-cs-pro-bdi-bdi2"
      },
      "description": "MII CS PRO BDI-II ValueSet for Beck Depression Inventory II (BDI-II) Questionnaire",
      "exampleBoolean": false
    }, {
      "name": "MII CS PRO EORTC QLQ-C30 Response Scale",
      "reference": {
        "reference": "CodeSystem/mii-cs-pro-eortc-qlq-c30"
      },
      "description": "Response scale for EORTC QLQ-C30 questionnaire items with multilingual support",
      "exampleBoolean": false
    }, {
      "name": "MII CS PRO Questionnaire Catalogue",
      "reference": {
        "reference": "CodeSystem/mii-cs-pro-questionnaire-catalogue"
      },
      "description": "MII CS PRO Questionnaire Catalogue for PRO Questionnaires used in the MII PROMs Module",
      "exampleBoolean": false
    }, {
      "name": "MII CS PRO Score Catalogue",
      "reference": {
        "reference": "CodeSystem/mii-cs-pro-score-catalogue"
      },
      "description": "MII CS PRO Score Catalogue for PRO Scores used in the MII PROMs Module",
      "exampleBoolean": false
    }, {
      "name": "MII Ex PRO Score Score Health Correlation",
      "reference": {
        "reference": "StructureDefinition/mii-ex-pro-score-score-health-correlation"
      },
      "description": "MII Ex PRO Score Score Health Correlation",
      "exampleBoolean": false
    }, {
      "name": "MII EXA PRO BDI-II",
      "reference": {
        "reference": "QuestionnaireResponse/mii-exa-pro-bdi-bdi2"
      },
      "description": "MII EXA PRO Beck Depression Inventory II (BDI-II) Questionnaire",
      "exampleBoolean": false
    }, {
      "name": "MII EXA PRO EORTC QLQ-C30 Response",
      "reference": {
        "reference": "QuestionnaireResponse/mii-exa-pro-eortc-qlq-c30-response"
      },
      "description": "Complete EORTC QLQ-C30 QuestionnaireResponse example with all 30 items and calculated scores",
      "exampleCanonical": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"
    }, {
      "name": "MII EXA PRO Patient",
      "reference": {
        "reference": "Patient/mii-exa-pro-patient"
      },
      "description": "Example patient for PRO demonstrations",
      "exampleBoolean": true
    }, {
      "name": "MII EXA PRO PROMIS Depression SF 4a Bundle",
      "reference": {
        "reference": "Bundle/mii-exa-pro-promis-depression-sf4a-bundle"
      },
      "description": "Example bundle containing PROMIS Depression SF 4a QuestionnaireResponse and derived observations",
      "exampleBoolean": true
    }, {
      "name": "MII EXA PRO PROMIS Depression SF 4a Raw Score",
      "reference": {
        "reference": "Observation/mii-exa-pro-promis-depression-sf4a-raw-score"
      },
      "description": "Example raw score observation for PROMIS Depression Short Form 4a",
      "exampleCanonical": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-promis-depression-sf4a-raw-score"
    }, {
      "name": "MII EXA PRO PROMIS Depression SF 4a Response",
      "reference": {
        "reference": "QuestionnaireResponse/mii-exa-pro-promis-depression-sf4a-response"
      },
      "description": "Example QuestionnaireResponse for PROMIS Depression Short Form 4a",
      "exampleBoolean": true
    }, {
      "name": "MII EXA PRO PROMIS Depression SF 4a T-Score",
      "reference": {
        "reference": "Observation/mii-exa-pro-promis-depression-sf4a-tscore"
      },
      "description": "Example T-score observation for PROMIS Depression Short Form 4a",
      "exampleCanonical": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-depression-t-score"
    }, {
      "name": "MII Logical Model Modul PRO - Patient-Reported Outcomes und abgeleitete Metriken",
      "reference": {
        "reference": "StructureDefinition/mii-lm-pro"
      },
      "description": "Logisches Modell für die strukturierte Erfassung und Verarbeitung von Patient-Reported Outcomes (PROs) inklusive Fragebögen, Antworten, Scores und Domain-Mappings.",
      "exampleBoolean": false
    }, {
      "name": "MII ObsDef PRO Depression Domain T-Score",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-depression-t-score"
      },
      "description": "ObservationDefinition for depression domain T-score across all depression questionnaires with European population reference ranges",
      "exampleBoolean": false
    }, {
      "name": "MII ObsDef PRO PROMIS Cognitive Function SF 4a Raw Score",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-promis-cognitive-function-sf4a-raw-score"
      },
      "description": "PROMIS Cognitive Function Short Form 4a Raw Score (4-20 range)",
      "exampleBoolean": false
    }, {
      "name": "MII ObsDef PRO PROMIS Cognitive Function SF 4a T-Score",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-promis-cognitive-function-sf4a-tscore"
      },
      "description": "PROMIS Cognitive Function Short Form 4a T-Score",
      "exampleBoolean": false
    }, {
      "name": "MII ObsDef PRO PROMIS-29 Anxiety T-Score",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-promis-29-anxiety-tscore"
      },
      "description": "PROMIS Anxiety T-Score from PROMIS-29 Profile v2.1",
      "exampleBoolean": false
    }, {
      "name": "MII ObsDef PRO PROMIS-29 Depression T-Score",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-promis-29-depression-tscore"
      },
      "description": "PROMIS Depression T-Score from PROMIS-29 Profile v2.1",
      "exampleBoolean": false
    }, {
      "name": "MII ObsDef PRO PROMIS-29 Fatigue T-Score",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-promis-29-fatigue-tscore"
      },
      "description": "PROMIS Fatigue T-Score from PROMIS-29 Profile v2.1",
      "exampleBoolean": false
    }, {
      "name": "MII ObsDef PRO PROMIS-29 Pain Intensity",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-promis-29-pain-intensity"
      },
      "description": "PROMIS Pain Intensity single item from PROMIS-29 Profile v2.1",
      "exampleBoolean": false
    }, {
      "name": "MII ObsDef PRO PROMIS-29 Pain Interference T-Score",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-promis-29-pain-interference-tscore"
      },
      "description": "PROMIS Pain Interference T-Score from PROMIS-29 Profile v2.1",
      "exampleBoolean": false
    }, {
      "name": "MII ObsDef PRO PROMIS-29 Physical Function T-Score",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-promis-29-physical-function-tscore"
      },
      "description": "PROMIS Physical Function T-Score from PROMIS-29 Profile v2.1",
      "exampleBoolean": false
    }, {
      "name": "MII ObsDef PRO PROMIS-29 Sleep Disturbance T-Score",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-promis-29-sleep-disturbance-tscore"
      },
      "description": "PROMIS Sleep Disturbance T-Score from PROMIS-29 Profile v2.1",
      "exampleBoolean": false
    }, {
      "name": "MII ObsDef PRO PROMIS-29 Social Function T-Score",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-promis-29-social-function-tscore"
      },
      "description": "PROMIS Ability to Participate in Social Roles and Activities T-Score from PROMIS-29 Profile v2.1",
      "exampleBoolean": false
    }, {
      "name": "MII ObsDef PRO Score BDI-II",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-score-bdi-ii"
      },
      "description": "Beck Depression Inventory II (BDI-II) Total Score",
      "exampleBoolean": false
    }, {
      "name": "MII ObsDef PRO Score EQ-5D-5L Index",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-score-eq5d5l-index"
      },
      "description": "EuroQol 5 Dimensions 5 Levels (EQ-5D-5L) Index Score",
      "exampleCanonical": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-blueprint"
    }, {
      "name": "MII ObsDef PRO Score EQ-5D-5L Profile",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-score-eq5d5l-profile"
      },
      "description": "EuroQol 5 Dimensions 5 Levels (EQ-5D-5L) Profile",
      "exampleCanonical": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-blueprint"
    }, {
      "name": "MII ObsDef PRO Score EQ-5D-5L VAS",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-score-eq5d5l-vas"
      },
      "description": "EuroQol 5 Dimensions 5 Levels (EQ-5D-5L) Visual Analog Scale (VAS) Score",
      "exampleCanonical": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-blueprint"
    }, {
      "name": "MII ObsDef PRO Score PHQ-9",
      "reference": {
        "reference": "ObservationDefinition/mii-obsdef-pro-score-phq-9"
      },
      "description": "Patient Health Questionnaire (PHQ-9)",
      "exampleBoolean": false
    }, {
      "name": "MII PR PRO Depression Domain T-Score",
      "reference": {
        "reference": "StructureDefinition/mii-pr-pro-depression-t-score"
      },
      "description": "Generic profile for depression domain T-score observations (all depression questionnaires)",
      "exampleBoolean": false
    }, {
      "name": "MII PR PRO Observation BDI-II",
      "reference": {
        "reference": "StructureDefinition/mii-pr-pro-observation-bdi-ii"
      },
      "description": "Profile for Beck Depression Inventory II (BDI-II) Total Score Observations",
      "exampleBoolean": false
    }, {
      "name": "MII PR PRO Observation EQ-5D-5L Index",
      "reference": {
        "reference": "StructureDefinition/mii-pr-pro-observation-eq5d5l-index"
      },
      "description": "Profile for EQ-5D-5L Index Score Observations with German value set reference ranges",
      "exampleBoolean": false
    }, {
      "name": "MII PR PRO Observation EQ-5D-5L Profile",
      "reference": {
        "reference": "StructureDefinition/mii-pr-pro-observation-eq5d5l-profile"
      },
      "description": "Profile for EQ-5D-5L Profile String Observations (e.g., '11111')",
      "exampleBoolean": false
    }, {
      "name": "MII PR PRO Observation EQ-5D-5L VAS",
      "reference": {
        "reference": "StructureDefinition/mii-pr-pro-observation-eq5d5l-vas"
      },
      "description": "Profile for EQ-5D-5L Visual Analogue Scale Score Observations",
      "exampleBoolean": false
    }, {
      "name": "MII PR PRO PROMIS Cognitive Function SF 4a Raw Score",
      "reference": {
        "reference": "StructureDefinition/mii-pr-pro-promis-cognitive-function-sf4a-raw-score"
      },
      "description": "Profile for PROMIS Cognitive Function Short Form 4a raw score observations (4-20 range)",
      "exampleBoolean": false
    }, {
      "name": "MII PR PRO PROMIS Cognitive Function SF 4a T-Score",
      "reference": {
        "reference": "StructureDefinition/mii-pr-pro-promis-cognitive-function-sf4a-tscore"
      },
      "description": "Profile for PROMIS Cognitive Function Short Form 4a T-Score observations",
      "exampleBoolean": false
    }, {
      "name": "MII PR PRO PROMIS Depression SF 4a Raw Score",
      "reference": {
        "reference": "StructureDefinition/mii-pr-pro-promis-depression-sf4a-raw-score"
      },
      "description": "Profile for PROMIS Depression Short Form 4a raw score observations (4-20 range)",
      "exampleBoolean": false
    }, {
      "name": "MII PR PRO PROMIS-29 Anxiety T-Score",
      "reference": {
        "reference": "StructureDefinition/mii-pr-pro-promis-29-anxiety-tscore"
      },
      "description": "Profile for PROMIS-29 Anxiety T-Score Observations",
      "exampleBoolean": false
    }, {
      "name": "MII PR PRO PROMIS-29 Depression T-Score",
      "reference": {
        "reference": "StructureDefinition/mii-pr-pro-promis-29-depression-tscore"
      },
      "description": "Profile for PROMIS-29 Depression T-Score Observations",
      "exampleBoolean": false
    }, {
      "name": "MII PR PRO PROMIS-29 Fatigue T-Score",
      "reference": {
        "reference": "StructureDefinition/mii-pr-pro-promis-29-fatigue-tscore"
      },
      "description": "Profile for PROMIS-29 Fatigue T-Score Observations",
      "exampleBoolean": false
    }, {
      "name": "MII PR PRO PROMIS-29 Pain Intensity",
      "reference": {
        "reference": "StructureDefinition/mii-pr-pro-promis-29-pain-intensity"
      },
      "description": "Profile for PROMIS-29 Pain Intensity single item Observations",
      "exampleBoolean": false
    }, {
      "name": "MII PR PRO PROMIS-29 Pain Interference T-Score",
      "reference": {
        "reference": "StructureDefinition/mii-pr-pro-promis-29-pain-interference-tscore"
      },
      "description": "Profile for PROMIS-29 Pain Interference T-Score Observations",
      "exampleBoolean": false
    }, {
      "name": "MII PR PRO PROMIS-29 Physical Function T-Score",
      "reference": {
        "reference": "StructureDefinition/mii-pr-pro-promis-29-physical-function-tscore"
      },
      "description": "Profile for PROMIS-29 Physical Function T-Score Observations",
      "exampleBoolean": false
    }, {
      "name": "MII PR PRO PROMIS-29 Sleep Disturbance T-Score",
      "reference": {
        "reference": "StructureDefinition/mii-pr-pro-promis-29-sleep-disturbance-tscore"
      },
      "description": "Profile for PROMIS-29 Sleep Disturbance T-Score Observations",
      "exampleBoolean": false
    }, {
      "name": "MII PR PRO PROMIS-29 Social Function T-Score",
      "reference": {
        "reference": "StructureDefinition/mii-pr-pro-promis-29-social-function-tscore"
      },
      "description": "Profile for PROMIS-29 Ability to Participate in Social Roles and Activities T-Score Observations",
      "exampleBoolean": false
    }, {
      "name": "MII PR PRO Questionnaire",
      "reference": {
        "reference": "StructureDefinition/mii-pr-pro-questionnaire"
      },
      "description": "MII PR PRO Questionnaire, based on the FHIR Structure Data Capture Specification",
      "exampleBoolean": false
    }, {
      "name": "MII PR PRO Questionnaire Capabilities",
      "reference": {
        "reference": "StructureDefinition/mii-ex-pro-questionnaire-capabilities"
      },
      "description": "MII PR PRO Questionnaire Capabilities, based on the FHIR Structure Data Capture Specification",
      "exampleBoolean": false
    }, {
      "name": "MII PR PRO QuestionnaireResponse",
      "reference": {
        "reference": "StructureDefinition/mii-pr-pro-questionnaire-response"
      },
      "description": "MII PR PRO QuestionnaireResponse, based on the FHIR Structure Data Capture Specification",
      "exampleBoolean": false
    }, {
      "name": "MII PR PRO Score Blueprint / Template",
      "reference": {
        "reference": "StructureDefinition/mii-pr-pro-score-blueprint"
      },
      "description": "MII PR PRO Questionnaire, based on the FHIR Structure Data Capture Specification",
      "exampleBoolean": false
    }, {
      "name": "MII PR PRO Score Instance",
      "reference": {
        "reference": "StructureDefinition/mii-pr-pro-score-instance"
      },
      "description": "MII PR PRO Score Instance",
      "exampleBoolean": false
    }, {
      "name": "MII QST PRO BDI-II",
      "reference": {
        "reference": "Questionnaire/mii-qst-pro-bdi-bdi2"
      },
      "description": "MII QST PRO Beck Depression Inventory II (BDI-II) Questionnaire",
      "exampleBoolean": false
    }, {
      "name": "MII QST PRO CES-D",
      "reference": {
        "reference": "Questionnaire/mii-qst-pro-ces-d"
      },
      "description": "Center for Epidemiologic Studies Depression Scale (CES-D) - Metadata-only reference implementation",
      "exampleBoolean": false
    }, {
      "name": "MII QST PRO EORTC QLQ-C30",
      "reference": {
        "reference": "Questionnaire/mii-qst-pro-eortc-qlq-c30"
      },
      "description": "EORTC QLQ-C30 Version 3.0 Quality of Life Questionnaire - Complete implementation with all 30 items and 15 scale scores",
      "exampleBoolean": false
    }, {
      "name": "MII QST PRO EORTC QLQ-C30 Variant A",
      "reference": {
        "reference": "Questionnaire/mii-qst-pro-eortc-qlq-c30-variant-a"
      },
      "description": "EORTC QLQ-C30 Version 3.0 - Variant A: Without contained CodeSystem (ValueSets reference external CodeSystem URL)",
      "exampleBoolean": false
    }, {
      "name": "MII QST PRO EORTC QLQ-C30 Variant B",
      "reference": {
        "reference": "Questionnaire/mii-qst-pro-eortc-qlq-c30-variant-b"
      },
      "description": "EORTC QLQ-C30 Version 3.0 - Variant B: With contained CodeSystem and ValueSets referencing it via local reference #eortc-qlq-c30-cs-b",
      "exampleBoolean": false
    }, {
      "name": "MII QST PRO EPDS",
      "reference": {
        "reference": "Questionnaire/mii-qst-pro-epds"
      },
      "description": "Edinburgh Postnatal Depression Scale (EPDS) - Metadata-only reference implementation",
      "exampleBoolean": false
    }, {
      "name": "MII QST PRO EQ-5D-5L",
      "reference": {
        "reference": "Questionnaire/mii-qst-pro-euroqol-eq5d5l-answer-coding"
      },
      "description": "MII QST PRO EuroQol Five Dimension Five Level (EQ-5D-5L) Questionnaire",
      "exampleBoolean": false
    }, {
      "name": "MII QST PRO EQ-5D-5L",
      "reference": {
        "reference": "Questionnaire/mii-qst-pro-eq-5d-5l-minimal"
      },
      "description": "MII QST PRO EuroQol Five Dimension Five Level (EQ-5D-5L) Questionnaire",
      "exampleBoolean": false
    }, {
      "name": "MII QST PRO EQ-5D-5L (Displayable)",
      "reference": {
        "reference": "Questionnaire/mii-qst-pro-euroqol-eq5d5l-displayable"
      },
      "description": "MII QST PRO EuroQol Five Dimension Five Level (EQ-5D-5L) Questionnaire - Displayable version",
      "exampleBoolean": false
    }, {
      "name": "MII QST PRO EQ-5D-5L Collectable",
      "reference": {
        "reference": "Questionnaire/mii-qst-pro-euroqol-eq5d5l-collectable"
      },
      "description": "MII QST PRO EuroQol Five Dimension Five Level (EQ-5D-5L) Questionnaire - Collectable Version",
      "exampleBoolean": false
    }, {
      "name": "MII QST PRO HADS",
      "reference": {
        "reference": "Questionnaire/mii-qst-pro-hads"
      },
      "description": "Hospital Anxiety and Depression Scale (HADS) - Metadata-only reference implementation",
      "exampleBoolean": false
    }, {
      "name": "MII QST PRO K6",
      "reference": {
        "reference": "Questionnaire/mii-qst-pro-k6"
      },
      "description": "Kessler Psychological Distress Scale (K6) - Metadata-only reference implementation",
      "exampleBoolean": false
    }, {
      "name": "MII QST PRO PHQ-9",
      "reference": {
        "reference": "Questionnaire/mii-qst-pro-phq-9"
      },
      "description": "Patient Health Questionnaire (PHQ-9)",
      "exampleBoolean": false
    }, {
      "name": "MII QST PRO PROMIS Cognitive Function SF 4a",
      "reference": {
        "reference": "Questionnaire/mii-qst-pro-promis-cognitive-function-sf4a"
      },
      "description": "PROMIS Cognitive Function Short Form 4a - Assessment of cognitive abilities and concerns",
      "exampleBoolean": false
    }, {
      "name": "MII QST PRO PROMIS Depression SF 4a (Adults)",
      "reference": {
        "reference": "Questionnaire/mii-qst-pro-promis-depression-sf4a"
      },
      "description": "PROMIS Depression Short Form 4a - Adults - Item Bank v1.0",
      "exampleBoolean": false
    }, {
      "name": "MII QST PRO PROMIS-29 (Adults)",
      "reference": {
        "reference": "Questionnaire/mii-qst-pro-promis-29"
      },
      "description": "PROMIS-29 Profile v2.1 - Comprehensive health-related quality of life assessment across 7 domains",
      "exampleBoolean": false
    }, {
      "name": "MII QST PRO PROMIS-29 Minimal",
      "reference": {
        "reference": "Questionnaire/mii-qst-pro-promis-29-minimal"
      },
      "description": "PROMIS-29 Profile v2.1 - Minimal variant for data collection without calculated expressions",
      "exampleBoolean": false
    }, {
      "name": "MII VS PRO BDI-II",
      "reference": {
        "reference": "ValueSet/mii-vs-pro-bdi-bdi2-short"
      },
      "description": "MII VS PRO BDI-II ValueSet for Beck Depression Inventory II (BDI-II) Questionnaire",
      "exampleBoolean": false
    }, {
      "name": "MII VS PRO BDI-II",
      "reference": {
        "reference": "ValueSet/mii-vs-pro-bdi-bdi2-long"
      },
      "description": "MII VS PRO BDI-II ValueSet for Beck Depression Inventory II (BDI-II) Questionnaire",
      "exampleBoolean": false
    }, {
      "name": "MII VS PRO EORTC QLQ-C30 4-Point Scale",
      "reference": {
        "reference": "ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      "description": "Standard 4-point response scale for EORTC QLQ-C30 items",
      "exampleBoolean": false
    }, {
      "name": "MII VS PRO EORTC QLQ-C30 7-Point Scale",
      "reference": {
        "reference": "ValueSet/mii-vs-pro-eortc-qlq-c30-scale-7pt"
      },
      "description": "7-point response scale for EORTC QLQ-C30 global health status and quality of life items",
      "exampleBoolean": false
    }, {
      "name": "MII VS PRO EORTC QLQ-C30 Role Functioning Scale",
      "reference": {
        "reference": "ValueSet/mii-vs-pro-eortc-qlq-c30-scale-role"
      },
      "description": "4-point response scale for EORTC QLQ-C30 role functioning items",
      "exampleBoolean": false
    }, {
      "name": "MII VS PRO PHQ-9 Answer List LL358-3",
      "reference": {
        "reference": "ValueSet/mii-vs-pro-phq-9-answer-list-ll358-3"
      },
      "description": "Patient Health Questionnaire (PHQ-9) Not at all/Several days/More than half the days/Nearly every day",
      "exampleBoolean": false
    }, {
      "name": "MII VS PRO PHQ-9 Answer List LL359-1",
      "reference": {
        "reference": "ValueSet/mii-vs-pro-phq-9-answer-list-ll359-1"
      },
      "description": "Not difficult at all/Somewhat difficult/Very difficult/Extremely difficult-Perceived difficulty (PHQ-9)",
      "exampleBoolean": false
    }, {
      "name": "MII VS PRO PROMIS Frequency Response Scale",
      "reference": {
        "reference": "ValueSet/mii-vs-pro-promis-frequency-response-scale"
      },
      "description": "PROMIS Frequency response scale based on LOINC LL1016-6",
      "exampleBoolean": false
    }, {
      "name": "MII VS PRO PROMIS Physical Function Response Scale",
      "reference": {
        "reference": "ValueSet/mii-vs-pro-promis-physical-function-response-scale"
      },
      "description": "PROMIS Physical Function response scale based on LOINC LL1022-4",
      "exampleBoolean": false
    }, {
      "name": "PHQ-9 Observation Example",
      "reference": {
        "reference": "Observation/mii-exa-pro-phq-9-observation"
      },
      "exampleCanonical": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    }, {
      "name": "PHQ-9 Questionnaire Response Example",
      "reference": {
        "reference": "QuestionnaireResponse/mii-exa-pro-phq-9-response"
      },
      "exampleCanonical": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"
    }, {
      "name": "PHQ-9 Transaction Bundle Example",
      "reference": {
        "reference": "Bundle/mii-exa-pro-phq-9-bundle"
      },
      "description": "Transaction bundle containing PHQ-9 questionnaire, response, and derived observation - flagship example",
      "exampleBoolean": true
    }, {
      "name": "PROMIS Depression T-Score, derived from BDI-II Observation",
      "reference": {
        "reference": "Observation/mii-exa-pro-promis-depression-tscpoe-from-bdi-ii-observation"
      },
      "exampleBoolean": true
    } ],
    "parameter": [ {
      "code": "copyrightyear",
      "value": "2025+"
    }, {
      "code": "releaselabel",
      "value": "ci-build"
    } ]
  },
  "date": null,
  "publisher": "Medizininformatik-Initiative",
  "fhirVersion": [ "4.0.1" ],
  "license": "CC0-1.0",
  "jurisdiction": [ {
    "coding": [ {
      "code": "276",
      "system": "http://unstats.un.org/unsd/methods/m49/m49.htm"
    } ]
  } ],
  "dependsOn": [ {
    "id": "de_medizininformatikinitiative_kerndatensatz_meta",
    "uri": "http://fhir.org/packages/de.medizininformatikinitiative.kerndatensatz.meta/ImplementationGuide/de.medizininformatikinitiative.kerndatensatz.meta",
    "version": "2025.0.0",
    "packageId": "de.medizininformatikinitiative.kerndatensatz.meta"
  }, {
    "id": "hl7_fhir_uv_sdc",
    "uri": "http://hl7.org/fhir/uv/sdc/ImplementationGuide/hl7.fhir.uv.sdc",
    "version": "3.0.0",
    "packageId": "hl7.fhir.uv.sdc"
  }, {
    "id": "de_gematik_isik",
    "uri": "http://fhir.org/packages/de.gematik.isik/ImplementationGuide/de.gematik.isik",
    "version": "5.0.0",
    "packageId": "de.gematik.isik"
  }, {
    "id": "ext",
    "uri": "http://hl7.org/fhir/extensions/ImplementationGuide/hl7.fhir.uv.extensions",
    "version": "5.1.0",
    "packageId": "hl7.fhir.uv.extensions.r4"
  } ],
  "name": "MII_IG_PRO",
  "type": null,
  "experimental": null,
  "resourceType": "ImplementationGuide",
  "title": "MII IG PRO",
  "package_version": "2026.0.0-rc.1",
  "status": "draft",
  "language": "de-DE",
  "id": "85c4ab75-0114-4db6-b0a3-9207c32c8e74",
  "kind": null,
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ImplementationGuide/mii-ig-pro",
  "version": "2026.0.0-rc.1",
  "packageId": "de.medizininformatikinitiative.kerndatensatz.pro",
  "contact": [ {
    "name": "Medizininformatik-Initiative",
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    }, {
      "value": "office@medizininformatik-initiative.de",
      "system": "email"
    } ]
  } ]
}