{
"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",
"linkId": "PROMIS-CognitiveFunction-SF4a.Instructions",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "In den letzten 7 Tagen:"
} ]
} ]
}, {
"code": [ {
"code": "81461-6",
"system": "http://loinc.org",
"display": "In the past 7 days - My thinking has been slow"
} ],
"text": "My thinking has been slow",
"type": "choice",
"linkId": "promis-cognition-pc2r",
"required": true,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Ich war langsam beim Denken"
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
} ],
"valueCoding": {
"code": "LA6568-5",
"system": "http://loinc.org",
"display": "Never",
"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 (Once)",
"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 (Two or three times)",
"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 (About once a day)",
"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": "LA10045-5",
"system": "http://loinc.org",
"display": "Very often (Several times a day)",
"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": "In the past 7 days - It has seemed like my brain was not working as well as usual"
} ],
"text": "It has seemed like my brain was not working as well as usual",
"type": "choice",
"linkId": "promis-cognition-pc35r",
"required": true,
"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"
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
} ],
"valueCoding": {
"code": "LA6568-5",
"system": "http://loinc.org",
"display": "Never",
"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 (Once)",
"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 (Two or three times)",
"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 (About once a day)",
"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": "LA10045-5",
"system": "http://loinc.org",
"display": "Very often (Several times a day)",
"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": "In the past 7 days - I have had to work harder than usual to keep track of what I was doing"
} ],
"text": "I have had to work harder than usual to keep track of what I was doing",
"type": "choice",
"linkId": "promis-cognition-pc36r",
"required": true,
"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"
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
} ],
"valueCoding": {
"code": "LA6568-5",
"system": "http://loinc.org",
"display": "Never",
"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 (Once)",
"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 (Two or three times)",
"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 (About once a day)",
"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": "LA10045-5",
"system": "http://loinc.org",
"display": "Very often (Several times a day)",
"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": "In the past 7 days - I have had trouble shifting back and forth between different activities that require thinking"
} ],
"text": "I have had trouble shifting back and forth between different activities that require thinking",
"type": "choice",
"linkId": "promis-cognition-pc42r",
"required": true,
"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"
} ]
} ],
"answerOption": [ {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
} ],
"valueCoding": {
"code": "LA6568-5",
"system": "http://loinc.org",
"display": "Never",
"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 (Once)",
"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 (Two or three times)",
"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 (About once a day)",
"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": "LA10045-5",
"system": "http://loinc.org",
"display": "Very often (Several times a day)",
"extension": [ {
"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",
"linkId": "promis-cognition-sf4a-raw-score",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "PROMIS Kognitive Funktion SF 4a Rohwert"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "readonly",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"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",
"linkId": "promis-cognition-sf4a-t-score",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "PROMIS Kognitive Funktion SF 4a T-Score"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [ {
"code": "readonly",
"system": "http://hl7.org/fhir/questionnaire-item-control"
} ]
}
}, {
"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-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": 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": "aa204f2b-662b-4276-8cc4-99960d6f2832",
"kind": null,
"url": "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-promis-cognitive-function-sf4a",
"code": [ {
"code": "71133-6",
"system": "http://loinc.org",
"display": "PROMIS SF v2.0 - Cognitive Function 4a"
} ],
"version": "2026.0.0-ballot"
}