{
  "description": "PROMIS Depression Short Form 4a - Adults - Item Bank v1.0",
  "_filename": "examples/Questionnaire-mii-qst-pro-promis-depression-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": [ {
    "text": "In den vergangenen 7 Tagen...",
    "type": "display",
    "linkId": "PROMIS-Depression.Description"
  }, {
    "code": [ {
      "code": "61953-6",
      "system": "http://loinc.org",
      "display": "I felt worthless in past 7 days [PROMIS]"
    } ],
    "text": "...fühlte ich mich wertlos",
    "type": "choice",
    "linkId": "promis-eddep04",
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "LA6270-8",
        "system": "http://loinc.org",
        "display": "Never"
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "LA10066-1",
        "system": "http://loinc.org",
        "display": "Rarely"
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "LA10082-8",
        "system": "http://loinc.org",
        "display": "Sometimes"
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 4
      } ],
      "valueCoding": {
        "code": "LA10044-8",
        "system": "http://loinc.org",
        "display": "Often"
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 5
      } ],
      "valueCoding": {
        "code": "LA9933-8",
        "system": "http://loinc.org",
        "display": "Always"
      }
    } ]
  }, {
    "code": [ {
      "code": "61955-1",
      "system": "http://loinc.org",
      "display": "I felt helpless in past 7 days [PROMIS]"
    } ],
    "text": "...fühlte ich mich hilflos",
    "type": "choice",
    "linkId": "promis-eddep06",
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "LA6270-8",
        "system": "http://loinc.org",
        "display": "Never"
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "LA10066-1",
        "system": "http://loinc.org",
        "display": "Rarely"
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "LA10082-8",
        "system": "http://loinc.org",
        "display": "Sometimes"
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 4
      } ],
      "valueCoding": {
        "code": "LA10044-8",
        "system": "http://loinc.org",
        "display": "Often"
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 5
      } ],
      "valueCoding": {
        "code": "LA9933-8",
        "system": "http://loinc.org",
        "display": "Always"
      }
    } ]
  }, {
    "code": [ {
      "code": "61967-6",
      "system": "http://loinc.org",
      "display": "I felt depressed in past 7 days [PROMIS]"
    } ],
    "text": "...fühlte ich mich deprimiert",
    "type": "choice",
    "linkId": "promis-eddep29",
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "LA6270-8",
        "system": "http://loinc.org",
        "display": "Never"
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "LA10066-1",
        "system": "http://loinc.org",
        "display": "Rarely"
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "LA10082-8",
        "system": "http://loinc.org",
        "display": "Sometimes"
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 4
      } ],
      "valueCoding": {
        "code": "LA10044-8",
        "system": "http://loinc.org",
        "display": "Often"
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 5
      } ],
      "valueCoding": {
        "code": "LA9933-8",
        "system": "http://loinc.org",
        "display": "Always"
      }
    } ]
  }, {
    "code": [ {
      "code": "61973-4",
      "system": "http://loinc.org",
      "display": "I felt hopeless in past 7 days [PROMIS]"
    } ],
    "text": "...fühlte ich mich hoffnungslos",
    "type": "choice",
    "linkId": "promis-eddep41",
    "answerOption": [ {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 1
      } ],
      "valueCoding": {
        "code": "LA6270-8",
        "system": "http://loinc.org",
        "display": "Never"
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 2
      } ],
      "valueCoding": {
        "code": "LA10066-1",
        "system": "http://loinc.org",
        "display": "Rarely"
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 3
      } ],
      "valueCoding": {
        "code": "LA10082-8",
        "system": "http://loinc.org",
        "display": "Sometimes"
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 4
      } ],
      "valueCoding": {
        "code": "LA10044-8",
        "system": "http://loinc.org",
        "display": "Often"
      }
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal": 5
      } ],
      "valueCoding": {
        "code": "LA9933-8",
        "system": "http://loinc.org",
        "display": "Always"
      }
    } ]
  }, {
    "code": [ {
      "code": "77821-7",
      "system": "http://loinc.org",
      "display": "PROMIS short form - emotional distress - depression 4a - version 1.0 raw score"
    } ],
    "text": "PROMIS Depression Raw Score",
    "type": "decimal",
    "linkId": "promis-depression-score-raw",
    "readOnly": true,
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
      "valueCoding": {
        "code": "{score}",
        "system": "http://unitsofmeasure.org",
        "display": "score"
      }
    }, {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
      "valueExpression": {
        "language": "text/fhirpath",
        "expression": "%rawScore"
      }
    }, {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
      "valueBoolean": true
    } ]
  }, {
    "code": [ {
      "code": "77861-3",
      "system": "http://loinc.org",
      "display": "PROMIS emotional distress - depression - version 1.0 T-score"
    } ],
    "text": "PROMIS Depression T-Score",
    "type": "decimal",
    "linkId": "promis-depression-score-tscore",
    "readOnly": true,
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
      "valueExpression": {
        "language": "text/fhirpath",
        "expression": "iif(%rawScore=4, 41.0, iif(%rawScore=5, 49.0, iif(%rawScore=6, 51.8, iif(%rawScore=7, 53.9, iif(%rawScore=8, 55.7, iif(%rawScore=9, 57.3, iif(%rawScore=10, 58.9, iif(%rawScore=11, 60.5, iif(%rawScore=12, 62.2, iif(%rawScore=13, 63.9, iif(%rawScore=14, 65.7, iif(%rawScore=15, 67.5, iif(%rawScore=16, 69.4, iif(%rawScore=17, 71.2, iif(%rawScore=18, 73.3, iif(%rawScore=19, 75.7, iif(%rawScore=20, 79.4, {})))))))))))))))))"
      }
    }, {
      "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
      "valueBoolean": true
    } ]
  } ],
  "useContext": [ {
    "code": {
      "code": "focus",
      "system": "http://terminology.hl7.org/CodeSystem/usage-context-type"
    },
    "valueReference": {
      "display": "PROMIS Depression Scoring Manual",
      "reference": "https://www.healthmeasures.net/images/PROMIS/manuals/Scoring_Manuals_/PROMIS_Depression_Scoring_Manual.pdf"
    }
  } ],
  "type": null,
  "experimental": "true",
  "resourceType": "Questionnaire",
  "title": "MII QST PRO PROMIS Depression SF 4a (Adults)",
  "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": "domainAligned",
      "valueBoolean": true
    } ]
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/variable",
    "valueExpression": {
      "name": "rawScore",
      "language": "text/fhirpath",
      "expression": "%resource.item.where(linkId.matches('^promis-eddep(04|06|29|41)$')).answer.value.ordinal().sum()"
    }
  } ],
  "status": "active",
  "language": "de",
  "id": "caf7c3c8-b5f5-47c5-912d-c5c9fd1b7ebe",
  "kind": null,
  "url": "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-promis-depression-sf4a",
  "code": [ {
    "code": "76343-3",
    "system": "http://loinc.org",
    "display": "PROMIS short form - emotional distress - depression 4a - version 1.0"
  } ],
  "version": "2026.0.0-ballot"
}