{
"description": "PROMIS-29 Profile v2.1 - Minimal variant for data collection without calculated expressions",
"_filename": "examples/Questionnaire-mii-qst-pro-promis-29-minimal.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,
"derivedFrom": [ "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-promis-29" ],
"name": null,
"item": [ {
"item": [ {
"text": "Please respond to each question or statement by marking one box per row. In the past 7 days...",
"type": "display",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Bitte beantworten Sie jede Frage oder Aussage, indem Sie ein Kästchen pro Zeile markieren. In den letzten 7 Tagen..."
} ]
} ]
},
"linkId": "PROMIS-29.Instructions"
}, {
"item": [ {
"code": [ {
"code": "61597-1",
"system": "http://loinc.org"
} ],
"text": "Are you able to do chores such as vacuuming or yard work?",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Sind Sie in der Lage, Hausarbeiten wie Staubsaugen oder Gartenarbeit zu erledigen?"
} ]
} ]
},
"linkId": "promis-pfa11",
"required": true,
"answerValueSet": "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-physical-function-response-scale"
}, {
"code": [ {
"code": "61598-9",
"system": "http://loinc.org"
} ],
"text": "Are you able to go up and down stairs at a normal pace?",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Sind Sie in der Lage, in normalem Tempo Treppen hinauf- und hinunterzugehen?"
} ]
} ]
},
"linkId": "promis-pfa21",
"required": true,
"answerValueSet": "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-physical-function-response-scale"
}, {
"code": [ {
"code": "61593-0",
"system": "http://loinc.org"
} ],
"text": "Are you able to go for a walk of at least 15 minutes?",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Sind Sie in der Lage, mindestens 15 Minuten spazieren zu gehen?"
} ]
} ]
},
"linkId": "promis-pfa23",
"required": true,
"answerValueSet": "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-physical-function-response-scale"
}, {
"code": [ {
"code": "61596-3",
"system": "http://loinc.org"
} ],
"text": "Are you able to run errands and shop?",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Sind Sie in der Lage, Besorgungen zu machen und einzukaufen?"
} ]
} ]
},
"linkId": "promis-pfa53",
"required": true,
"answerValueSet": "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-physical-function-response-scale"
} ],
"text": "Physical Function",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Körperliche Funktion"
} ]
} ]
},
"linkId": "PROMIS-29.PhysicalFunction"
}, {
"item": [ {
"code": [ {
"code": "61923-9",
"system": "http://loinc.org",
"display": "I felt fearful in past 7 days [PROMIS]"
} ],
"text": "I felt fearful",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Ich fühlte mich ängstlich"
} ]
} ]
},
"linkId": "promis-edanx01",
"required": true,
"answerValueSet": "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-frequency-response-scale"
}, {
"code": [ {
"code": "61941-1",
"system": "http://loinc.org",
"display": "I found it hard to focus on anything other than my anxiety in past 7 days"
} ],
"text": "I found it hard to focus on anything other than my anxiety",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Ich fand es schwer, mich auf etwas anderes als meine Angst zu konzentrieren"
} ]
} ]
},
"linkId": "promis-edanx40",
"required": true,
"answerValueSet": "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-frequency-response-scale"
}, {
"code": [ {
"code": "61942-9",
"system": "http://loinc.org",
"display": "My worries overwhelmed me in past 7 days"
} ],
"text": "My worries overwhelmed me",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Meine Sorgen überwältigten mich"
} ]
} ]
},
"linkId": "promis-edanx41",
"required": true,
"answerValueSet": "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-frequency-response-scale"
}, {
"code": [ {
"code": "61949-4",
"system": "http://loinc.org",
"display": "I felt uneasy in past 7 days"
} ],
"text": "I felt uneasy",
"type": "choice",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Ich fühlte mich unruhig"
} ]
} ]
},
"linkId": "promis-edanx53",
"required": true,
"answerValueSet": "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-frequency-response-scale"
} ],
"text": "Anxiety",
"type": "group",
"_text": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de"
}, {
"url": "content",
"valueString": "Angst"
} ]
} ]
},
"linkId": "PROMIS-29.Anxiety"
} ],
"text": "PROMIS-29 Profile v2.1",
"type": "group",
"linkId": "PROMIS-29"
} ],
"type": null,
"experimental": "true",
"resourceType": "Questionnaire",
"title": "MII QST PRO PROMIS-29 Minimal",
"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": false
}, {
"url": "extractable",
"valueBoolean": false
}, {
"url": "populatable",
"valueBoolean": false
} ]
} ],
"status": "active",
"language": "de",
"id": "ecf17f58-d0f8-4f21-9e11-eb7b2e95278f",
"kind": null,
"url": "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-promis-29-minimal",
"code": [ {
"code": "62337-1",
"system": "http://loinc.org",
"display": "PROMIS item bank - 29 profile"
} ],
"version": "2026.0.0-ballot"
}