{
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  "meta" : {
    "profile" : ["http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareableimplementationguide",
    "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableimplementationguide",
    "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-implementationguide"]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: ImplementationGuide mii-ig-pro</b></p><a name=\"mii-ig-pro\"> </a><a name=\"hcmii-ig-pro\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: en</p><p style=\"margin-bottom: 0px\">Profiles: <a href=\"http://hl7.org/fhir/uv/crmi/STU2/StructureDefinition-crmi-shareableimplementationguide.html\">CRMI Shareable ImplementationGuide</a>, <a href=\"http://hl7.org/fhir/uv/crmi/STU2/StructureDefinition-crmi-publishableimplementationguide.html\">CRMI Publishable ImplementationGuide</a>, <a href=\"http://hl7.org/fhir/uv/crmi/STU2/StructureDefinition-crmi-implementationguide.html\">CRMI ImplementationGuide</a></p></div><h2>MII_IG_PRO</h2><p>The official URL for this implementation guide is: </p><pre>https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ImplementationGuide/mii-ig-pro</pre><div><p>Medizininformatik Initiative - Modul PROs, PROMs und abgeleitete Metriken</p>\n</div></div><div xml:lang=\"de\" lang=\"de\"><hr/><p><b>German</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: ImplementationGuide mii-ig-pro</b></p><a name=\"de-mii-ig-pro\"> </a><a name=\"de-hcmii-ig-pro\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: en</p><p style=\"margin-bottom: 0px\">Profiles: <a href=\"http://hl7.org/fhir/uv/crmi/STU2/StructureDefinition-crmi-shareableimplementationguide.html\">CRMI Shareable ImplementationGuide</a>, <a href=\"http://hl7.org/fhir/uv/crmi/STU2/StructureDefinition-crmi-publishableimplementationguide.html\">CRMI Publishable ImplementationGuide</a>, <a href=\"http://hl7.org/fhir/uv/crmi/STU2/StructureDefinition-crmi-implementationguide.html\">CRMI ImplementationGuide</a></p></div><h2>MII_IG_PRO</h2><p>The official URL for this implementation guide is: </p><pre>https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ImplementationGuide/mii-ig-pro</pre><div><p>Medizininformatik Initiative - Modul PROs, PROMs und abgeleitete Metriken</p>\n</div></div></div>"
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      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/expansion-parameters",
      "valueReference" : {
        "reference" : "Parameters/expansion-parameters"
      }
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-internal-dependency",
      "valueCode" : "hl7.fhir.uv.tools.r4#1.1.2"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "copyrightyear"
      },
      {
        "url" : "value",
        "valueString" : "2025+"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "releaselabel"
      },
      {
        "url" : "value",
        "valueString" : "ci-build"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "i18n-default-lang"
      },
      {
        "url" : "value",
        "valueString" : "en"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "i18n-lang"
      },
      {
        "url" : "value",
        "valueString" : "de"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "translation-sources"
      },
      {
        "url" : "value",
        "valueString" : "input/translations/de"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "excludexml"
      },
      {
        "url" : "value",
        "valueString" : "false"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "excludejson"
      },
      {
        "url" : "value",
        "valueString" : "false"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "excludettl"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "excludemap"
      },
      {
        "url" : "value",
        "valueString" : "false"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "logging"
      },
      {
        "url" : "value",
        "valueString" : "init"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "logging"
      },
      {
        "url" : "value",
        "valueString" : "progress"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "logging"
      },
      {
        "url" : "value",
        "valueString" : "context"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "logging"
      },
      {
        "url" : "value",
        "valueString" : "html"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "logging"
      },
      {
        "url" : "value",
        "valueString" : "tx"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "pin-canonicals"
      },
      {
        "url" : "value",
        "valueString" : "pin-all"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-expansion-params"
      },
      {
        "url" : "value",
        "valueString" : "../../input/resources/Parameters-expansion-manifest.json"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "pin-manifest"
      },
      {
        "url" : "value",
        "valueString" : "mii-param-pro-manifest"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "suppress-mappings"
      },
      {
        "url" : "value",
        "valueString" : "http://hl7.org/v3"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "suppress-mappings"
      },
      {
        "url" : "value",
        "valueString" : "http://hl7.org/v3/cda"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "autoload-resources"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-liquid"
      },
      {
        "url" : "value",
        "valueString" : "template/liquid"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-liquid"
      },
      {
        "url" : "value",
        "valueString" : "input/liquid"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-qa"
      },
      {
        "url" : "value",
        "valueString" : "temp/qa"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-temp"
      },
      {
        "url" : "value",
        "valueString" : "temp/pages"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-output"
      },
      {
        "url" : "value",
        "valueString" : "output"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-suppressed-warnings"
      },
      {
        "url" : "value",
        "valueString" : "input/ignoreWarnings.txt"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-history"
      },
      {
        "url" : "value",
        "valueString" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/history.html"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "template-html"
      },
      {
        "url" : "value",
        "valueString" : "template-page.html"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "template-md"
      },
      {
        "url" : "value",
        "valueString" : "template-page-md.html"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-contact"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-context"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-copyright"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-jurisdiction"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-license"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-publisher"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-version"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-wg"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "active-tables"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "fmm-definition"
      },
      {
        "url" : "value",
        "valueString" : "http://hl7.org/fhir/versions.html#maturity"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "propagate-status"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "excludelogbinaryformat"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "tabbed-snapshots"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "wantGen-ttl"
      },
      {
        "url" : "value",
        "valueString" : "false"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "wantGen-ttl-html"
      },
      {
        "url" : "value",
        "valueString" : "false"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    }],
    "resource" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-bdi-ii-observation"
      },
      "name" : "BDI-II Observation Example",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Bundle"
      }],
      "reference" : {
        "reference" : "Bundle/mii-exa-pro-bdi-ii-bundle"
      },
      "name" : "BDI-II Transaction Bundle Example",
      "description" : "Transaction bundle containing BDI-II CodeSystem, ValueSets, questionnaire, response, and derived observation",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-dass-dass21-score-anxiety-equiv"
      },
      "name" : "DASS-21 Anxiety DASS-42 Equivalent Score Observation",
      "description" : "DASS-21 Anxiety subscale DASS-42 equivalent score observation (raw 5 * 2 = 10)",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-score-dass21-anxiety-raw"
      },
      "name" : "DASS-21 Anxiety Raw Score",
      "description" : "Sum of 7 anxiety items (2, 4, 7, 9, 15, 19, 20), each scored 0-3. Cut-offs: Normal 0-3, Mild 4-5, Moderate 6-7, Severe 8-9, Extremely severe 10+.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-dass-dass21-score-anxiety-raw"
      },
      "name" : "DASS-21 Anxiety Raw Score Observation",
      "description" : "DASS-21 Anxiety subscale raw score observation (mild: 5)",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-score-dass21-anxiety-equiv"
      },
      "name" : "DASS-21 Anxiety Score (DASS-42 Equivalent)",
      "description" : "DASS-21 anxiety raw score multiplied by 2 for comparability with DASS-42 normative data and published severity cut-offs.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-dass-dass21-score-depression-equiv"
      },
      "name" : "DASS-21 Depression DASS-42 Equivalent Score Observation",
      "description" : "DASS-21 Depression subscale DASS-42 equivalent score observation (raw 12 * 2 = 24)",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-score-dass21-depression-raw"
      },
      "name" : "DASS-21 Depression Raw Score",
      "description" : "Sum of 7 depression items (3, 5, 10, 13, 16, 17, 21), each scored 0-3. Cut-offs: Normal 0-4, Mild 5-6, Moderate 7-10, Severe 11-13, Extremely severe 14+.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-dass-dass21-score-depression-raw"
      },
      "name" : "DASS-21 Depression Raw Score Observation",
      "description" : "DASS-21 Depression subscale raw score observation (severe: 12)",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-score-dass21-depression-equiv"
      },
      "name" : "DASS-21 Depression Score (DASS-42 Equivalent)",
      "description" : "DASS-21 depression raw score multiplied by 2 for comparability with DASS-42 normative data and published severity cut-offs.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-dass-dass21-score-stress-equiv"
      },
      "name" : "DASS-21 Stress DASS-42 Equivalent Score Observation",
      "description" : "DASS-21 Stress subscale DASS-42 equivalent score observation (raw 11 * 2 = 22)",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-score-dass21-stress-raw"
      },
      "name" : "DASS-21 Stress Raw Score",
      "description" : "Sum of 7 stress items (1, 6, 8, 11, 12, 14, 18), each scored 0-3. Cut-offs: Normal 0-7, Mild 8-9, Moderate 10-12, Severe 13-16, Extremely severe 17+.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-dass-dass21-score-stress-raw"
      },
      "name" : "DASS-21 Stress Raw Score Observation",
      "description" : "DASS-21 Stress subscale raw score observation (moderate: 11)",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-score-dass21-stress-equiv"
      },
      "name" : "DASS-21 Stress Score (DASS-42 Equivalent)",
      "description" : "DASS-21 stress raw score multiplied by 2 for comparability with DASS-42 normative data and published severity cut-offs.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-eortc-qlq-c30-observation-ap"
      },
      "name" : "EORTC QLQ-C30 Appetite Loss Score",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-ap"
      },
      "name" : "EORTC QLQ-C30 Appetite Loss Score Definition",
      "description" : "ObservationDefinition for EORTC QLQ-C30 Appetite Loss Score (AP) - Higher scores indicate more appetite loss",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-eortc-qlq-c30-observation-cf"
      },
      "name" : "EORTC QLQ-C30 Cognitive Functioning Score",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-cf"
      },
      "name" : "EORTC QLQ-C30 Cognitive Functioning Score Definition",
      "description" : "ObservationDefinition for EORTC QLQ-C30 Cognitive Functioning Score (CF) - Higher scores indicate better cognitive functioning",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-eortc-qlq-c30-observation-co"
      },
      "name" : "EORTC QLQ-C30 Constipation Score",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-co"
      },
      "name" : "EORTC QLQ-C30 Constipation Score Definition",
      "description" : "ObservationDefinition for EORTC QLQ-C30 Constipation Score (CO) - Higher scores indicate more constipation",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-eortc-qlq-c30-observation-di"
      },
      "name" : "EORTC QLQ-C30 Diarrhoea Score",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-di"
      },
      "name" : "EORTC QLQ-C30 Diarrhoea Score Definition",
      "description" : "ObservationDefinition for EORTC QLQ-C30 Diarrhoea Score (DI) - Higher scores indicate more diarrhoea",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-eortc-qlq-c30-observation-dy"
      },
      "name" : "EORTC QLQ-C30 Dyspnoea Score",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-dy"
      },
      "name" : "EORTC QLQ-C30 Dyspnoea Score Definition",
      "description" : "ObservationDefinition for EORTC QLQ-C30 Dyspnoea Score (DY) - Higher scores indicate more dyspnoea",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-eortc-qlq-c30-observation-ef"
      },
      "name" : "EORTC QLQ-C30 Emotional Functioning Score",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-ef"
      },
      "name" : "EORTC QLQ-C30 Emotional Functioning Score Definition",
      "description" : "ObservationDefinition for EORTC QLQ-C30 Emotional Functioning Score (EF) - Higher scores indicate better emotional functioning",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-eortc-qlq-c30-observation-fa"
      },
      "name" : "EORTC QLQ-C30 Fatigue Score",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-fa"
      },
      "name" : "EORTC QLQ-C30 Fatigue Score Definition",
      "description" : "ObservationDefinition for EORTC QLQ-C30 Fatigue Score (FA) - Higher scores indicate more fatigue",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-eortc-qlq-c30-observation-fi"
      },
      "name" : "EORTC QLQ-C30 Financial Difficulties Score",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-fi"
      },
      "name" : "EORTC QLQ-C30 Financial Difficulties Score Definition",
      "description" : "ObservationDefinition for EORTC QLQ-C30 Financial Difficulties Score (FI) - Higher scores indicate more financial difficulties",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-eortc-qlq-c30-observation-ql"
      },
      "name" : "EORTC QLQ-C30 Global Health Status / Quality of Life Score",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-ql"
      },
      "name" : "EORTC QLQ-C30 Global Health Status / Quality of Life Score Definition",
      "description" : "ObservationDefinition for EORTC QLQ-C30 Global Health Status / Quality of Life Score (QL) - Higher scores indicate better quality of life",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-eortc-qlq-c30-observation-sl"
      },
      "name" : "EORTC QLQ-C30 Insomnia Score",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-sl"
      },
      "name" : "EORTC QLQ-C30 Insomnia Score Definition",
      "description" : "ObservationDefinition for EORTC QLQ-C30 Insomnia Score (SL) - Higher scores indicate more sleep disturbance",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-eortc-qlq-c30-observation-nv"
      },
      "name" : "EORTC QLQ-C30 Nausea and Vomiting Score",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-nv"
      },
      "name" : "EORTC QLQ-C30 Nausea and Vomiting Score Definition",
      "description" : "ObservationDefinition for EORTC QLQ-C30 Nausea and Vomiting Score (NV) - Higher scores indicate more nausea/vomiting",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-eortc-qlq-c30-observation-pa"
      },
      "name" : "EORTC QLQ-C30 Pain Score",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-pa"
      },
      "name" : "EORTC QLQ-C30 Pain Score Definition",
      "description" : "ObservationDefinition for EORTC QLQ-C30 Pain Score (PA) - Higher scores indicate more pain",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-eortc-qlq-c30-observation-pf"
      },
      "name" : "EORTC QLQ-C30 Physical Functioning Score",
      "description" : "Physical Functioning Score from EORTC QLQ-C30",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-pf"
      },
      "name" : "EORTC QLQ-C30 Physical Functioning Score Definition",
      "description" : "ObservationDefinition for EORTC QLQ-C30 Physical Functioning Score (PF) - Higher scores indicate better physical functioning",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-eortc-qlq-c30-observation-rf"
      },
      "name" : "EORTC QLQ-C30 Role Functioning Score",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-rf"
      },
      "name" : "EORTC QLQ-C30 Role Functioning Score Definition",
      "description" : "ObservationDefinition for EORTC QLQ-C30 Role Functioning Score (RF) - Higher scores indicate better role functioning",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-eortc-qlq-c30-observation-sf"
      },
      "name" : "EORTC QLQ-C30 Social Functioning Score",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-sf"
      },
      "name" : "EORTC QLQ-C30 Social Functioning Score Definition",
      "description" : "ObservationDefinition for EORTC QLQ-C30 Social Functioning Score (SF) - Higher scores indicate better social functioning",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Bundle"
      }],
      "reference" : {
        "reference" : "Bundle/mii-exa-pro-eortc-qlq-c30-bundle"
      },
      "name" : "EORTC QLQ-C30 Transaction Bundle Example",
      "description" : "Complete transaction bundle containing EORTC QLQ-C30 questionnaire, response with all 30 items, and derived observations with all 15 scale scores",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "QuestionnaireResponse"
      }],
      "reference" : {
        "reference" : "QuestionnaireResponse/mii-exa-pro-euroqol-eq5d5l-coded-response"
      },
      "name" : "EQ-5D-5L Answer-Coding Response Example",
      "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"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "QuestionnaireResponse"
      }],
      "reference" : {
        "reference" : "QuestionnaireResponse/mii-exa-pro-euroqol-eq5d5l-response"
      },
      "name" : "EQ-5D-5L Questionnaire Response Example",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "QuestionnaireResponse"
      }],
      "reference" : {
        "reference" : "QuestionnaireResponse/mii-exa-pro-euronet-soma-response"
      },
      "name" : "EURONET-SOMA Questionnaire Response Example",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "QuestionnaireResponse"
      }],
      "reference" : {
        "reference" : "QuestionnaireResponse/mii-exa-pro-gad-7-response"
      },
      "name" : "GAD-7 Questionnaire Response Example",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-gad-7-score"
      },
      "name" : "GAD-7 Score Observation Example",
      "description" : "GAD-7 Summenwert aus der Beispiel-QuestionnaireResponse: 7 von 21",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "QuestionnaireResponse"
      }],
      "reference" : {
        "reference" : "QuestionnaireResponse/mii-exa-pro-isr-z-response"
      },
      "name" : "ISR-Z Questionnaire Response Example",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-isr-z-score"
      },
      "name" : "ISR-Z Score Observation Example",
      "description" : "ISR-Z Skalenwert (Mittelwert) aus der Beispiel-QuestionnaireResponse: 2.0 von 4",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ConceptMap"
      }],
      "reference" : {
        "reference" : "ConceptMap/mii-cm-pro-gad-7-linkids"
      },
      "name" : "MII CM PRO GAD-7 Item-Nummerierung → PHQ-D-linkIds",
      "description" : "Bildet die übliche GAD-7-Itemnummerierung (Item 1–7, wie publiziert und in Fremdsystemen verbreitet) auf die kanonischen linkIds des PHQ-D-Block-Namespace (phq-phq5a…phq-phq5g) ab. Lesehilfe für die Übernahme von Daten aus Systemen, die die konventionelle Nummerierung verwenden — keine Migration einer veröffentlichten Fassung.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ConceptMap"
      }],
      "reference" : {
        "reference" : "ConceptMap/mii-cm-pro-phq-9-linkid-migration"
      },
      "name" : "MII CM PRO PHQ-9 linkId Migration (2026.4.x → 2026.5.0)",
      "description" : "Maps PHQ-9 item linkIds from the pre-2026.5.0 scheme (phq-phq9-q01…q10) to the PHQ-D block namespace (phq-phq2a…i and phq-phq9-difficulty) introduced in 2026.5.0. Apply to existing PHQ-9 QuestionnaireResponses so their item.linkId values match the current Questionnaire. The calculated items phq-phq9-score-total and phq-phq9-promis-tscore were not renamed.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CapabilityStatement"
      }],
      "reference" : {
        "reference" : "CapabilityStatement/mii-cps-pro-capabilitystatement"
      },
      "name" : "MII CPS PRO CapabilityStatement",
      "description" : "Das vorliegende CapabilityStatement beschreibt alle verpflichtenden Interaktionen die ein konformes System unterstützen muss, um das Modul PRO der Medizininformatik Initiative zu implementieren.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/mii-cs-pro-eq-5d-value-set"
      },
      "name" : "MII CS EQ-5D Value Set",
      "description" : "EuroQol EQ-5D Value Set",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/mii-cs-pro-bdi-bdi2"
      },
      "name" : "MII CS PRO BDI-II",
      "description" : "MII CS PRO BDI-II ValueSet for Beck Depression Inventory II (BDI-II) Questionnaire",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/mii-cs-pro-dass-21"
      },
      "name" : "MII CS PRO DASS-21 Response Scale and Item Codes",
      "description" : "CodeSystem for the Depression Anxiety Stress Scales - Short Form (DASS-21) with answer codes, item codes, and multilingual support (English primary, German translations from Nilges & Essau 2015)",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/mii-cs-pro-eortc-qlq-c30"
      },
      "name" : "MII CS PRO EORTC QLQ-C30 Response Scale",
      "description" : "Response scale for EORTC QLQ-C30 questionnaire items with multilingual support",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/mii-cs-pro-isr-z-answers"
      },
      "name" : "MII CS PRO ISR-Z Answers",
      "description" : "MII-controlled Zustimmungsskala des ISR (0-4), deutsches Original. itemWeight-Property je Konzept ermöglicht SDC-Ordinalscoring via answerValueSet.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/mii-cs-pro-loinc-supplement"
      },
      "name" : "MII CS PRO LOINC Supplement (validated answer wordings)",
      "description" : "Supplement to LOINC adding the validated German answer wordings (PHQ-D; PROMIS German via PHO/CPCOR; EQ-VAS anchors) as designations on the LOINC answer codes used by this module, plus two full PROMIS item wordings in English. Enables display validation of the instrument-validated wordings; claims no translation authority over LOINC.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/mii-cs-pro-midos2"
      },
      "name" : "MII CS PRO MIDOS2 Items and Response Scales",
      "description" : "CodeSystem for the Minimal Documentation System v2 (MIDOS2) — German palliative care symptom screening instrument. Contains item codes, DGP-4-stufige Severity-Skala, and 4-stufige Wohlbefinden-Skala. German primary language, English translations as designations.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/mii-cs-pro-phq-15-answers"
      },
      "name" : "MII CS PRO PHQ-15 Answers",
      "description" : "MII-controlled bother severity answer scale for PHQ-15 (0–2). English primary with German designations. itemWeight properties on each concept enable SDC ordinal scoring via answerValueSet.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/mii-cs-pro-pro-ctcae"
      },
      "name" : "MII CS PRO PRO-CTCAE Item Library",
      "description" : "CodeSystem for the Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE). Contains all 124 items across 78 adverse events with English primary text and German designations from the NCI-authorized translation. Item Library Version 1.0.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/mii-cs-pro-questionnaire-catalogue"
      },
      "name" : "MII CS PRO Questionnaire Catalogue",
      "description" : "MII CS PRO Questionnaire Catalogue for PRO Questionnaires used in the MII PROMs Module",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/mii-cs-pro-score-catalogue"
      },
      "name" : "MII CS PRO Score Catalogue",
      "description" : "MII CS PRO Score Catalogue for PRO Scores used in the MII PROMs Module",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/mii-cs-pro-ssd-12-answers"
      },
      "name" : "MII CS PRO SSD-12 Answers",
      "description" : "MII-controlled frequency answer scale for SSD-12 (0-4). English display with German designation (original instrument wording). itemWeight properties on each concept enable SDC ordinal scoring via answerValueSet.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/mii-cs-pro-whodas-12"
      },
      "name" : "MII CS PRO WHODAS 2.0 12-Item Response Scale and Item Codes",
      "description" : "CodeSystem for the WHO Disability Assessment Schedule 2.0, 12-item self-administered version (WHODAS-12), with item codes and a 5-point answer scale. English primary displays with German designations. The answer concepts carry itemWeight properties (0-4) enabling SDC ordinal scoring via answerValueSet. WHODAS 2.0 © WHO 2010; electronic use requires a WHO licence (see copyright).",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/mii-ex-pro-score-score-health-correlation"
      },
      "name" : "MII Ex PRO Score Score Health Correlation",
      "description" : "MII Ex PRO Score Score Health Correlation",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "QuestionnaireResponse"
      }],
      "reference" : {
        "reference" : "QuestionnaireResponse/mii-exa-pro-bdi-bdi2"
      },
      "name" : "MII EXA PRO BDI-II",
      "description" : "MII EXA PRO Beck Depression Inventory II (BDI-II) Questionnaire",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "QuestionnaireResponse"
      }],
      "reference" : {
        "reference" : "QuestionnaireResponse/mii-exa-pro-dass-dass21-response-01"
      },
      "name" : "MII EXA PRO DASS-21 Response",
      "description" : "Complete DASS-21 QuestionnaireResponse example with mixed severity: Depression severe (12), Anxiety mild (5), Stress moderate (11)",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "QuestionnaireResponse"
      }],
      "reference" : {
        "reference" : "QuestionnaireResponse/mii-exa-pro-eortc-qlq-c30-response"
      },
      "name" : "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"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "QuestionnaireResponse"
      }],
      "reference" : {
        "reference" : "QuestionnaireResponse/mii-exa-pro-midos2-response-01"
      },
      "name" : "MII EXA PRO MIDOS2 Response",
      "description" : "MIDOS2 QuestionnaireResponse Beispiel — Palliativpatient mit moderater Symptomlast (Summe 19/33, Wohlbefinden eher schlecht)",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Patient"
      }],
      "reference" : {
        "reference" : "Patient/mii-exa-pro-patient"
      },
      "name" : "MII EXA PRO Patient",
      "description" : "Example patient for PRO demonstrations",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "QuestionnaireResponse"
      }],
      "reference" : {
        "reference" : "QuestionnaireResponse/mii-exa-pro-pro-ctcae-onkologisches-basisscreening-response-01"
      },
      "name" : "MII EXA PRO PRO-CTCAE Onkologisches Basisscreening Response",
      "description" : "PRO-CTCAE Onkologisches Basisscreening Beispiel — Onkologischer Patient unter Chemotherapie mit moderater Symptomlast",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Bundle"
      }],
      "reference" : {
        "reference" : "Bundle/mii-exa-pro-promis-depression-sf4a-bundle"
      },
      "name" : "MII EXA PRO PROMIS Depression SF 4a Bundle",
      "description" : "Example bundle containing PROMIS Depression SF 4a QuestionnaireResponse and derived observations",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-promis-depression-sf4a-raw-score"
      },
      "name" : "MII EXA PRO PROMIS Depression SF 4a 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"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "QuestionnaireResponse"
      }],
      "reference" : {
        "reference" : "QuestionnaireResponse/mii-exa-pro-promis-depression-sf4a-response"
      },
      "name" : "MII EXA PRO PROMIS Depression SF 4a Response",
      "description" : "Example QuestionnaireResponse for PROMIS Depression Short Form 4a",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-promis-depression-sf4a-tscore"
      },
      "name" : "MII EXA PRO PROMIS Depression SF 4a T-Score",
      "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"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Bundle"
      }],
      "reference" : {
        "reference" : "Bundle/mii-exa-pro-promis-29-bundle"
      },
      "name" : "MII EXA PRO PROMIS-29 Bundle with Extracted Observations",
      "description" : "Example Bundle demonstrating PROMIS-29 QuestionnaireResponse with all extracted T-Score Observations and Pain Intensity observation. This bundle shows the complete SDC observation-based extraction workflow.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "QuestionnaireResponse"
      }],
      "reference" : {
        "reference" : "QuestionnaireResponse/mii-exa-pro-promis-29-response"
      },
      "name" : "MII EXA PRO PROMIS-29 Response",
      "description" : "Example QuestionnaireResponse for PROMIS-29 Profile v2.1 (English variant)",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "QuestionnaireResponse"
      }],
      "reference" : {
        "reference" : "QuestionnaireResponse/mii-exa-pro-promis-29-de-response"
      },
      "name" : "MII EXA PRO PROMIS-29 Response (German)",
      "description" : "Example QuestionnaireResponse for PROMIS-29 Profile v2.1 (German variant) - demonstrates response compatibility between language variants",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "QuestionnaireResponse"
      }],
      "reference" : {
        "reference" : "QuestionnaireResponse/mii-exa-pro-whodas12-response-01"
      },
      "name" : "MII EXA PRO WHODAS 2.0 12-Item Response",
      "description" : "Complete WHODAS-12 QuestionnaireResponse example. All 12 items answered 'Moderate' (ordinal 2); simple sum = 24.",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:logical"
      }],
      "reference" : {
        "reference" : "StructureDefinition/mii-lm-pro"
      },
      "name" : "MII Logical Model Modul PRO - Patient-Reported Outcomes und abgeleitete Metriken",
      "description" : "Logisches Modell für die strukturierte Erfassung und Verarbeitung von Patient-Reported Outcomes (PROs) inklusive Fragebögen, Antworten, Scores und Domain-Mappings.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-depression-t-score"
      },
      "name" : "MII ObsDef PRO Depression Domain T-Score",
      "description" : "ObservationDefinition for depression domain T-score across all depression questionnaires with European population reference ranges",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-promis-cognitive-function-sf4a-raw-score"
      },
      "name" : "MII ObsDef PRO PROMIS Cognitive Function SF 4a Raw Score",
      "description" : "PROMIS Cognitive Function Short Form 4a Raw Score (4-20 range)",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-promis-cognitive-function-sf4a-tscore"
      },
      "name" : "MII ObsDef PRO PROMIS Cognitive Function SF 4a T-Score",
      "description" : "PROMIS Cognitive Function Short Form 4a T-Score",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-promis-29-anxiety-tscore"
      },
      "name" : "MII ObsDef PRO PROMIS-29 Anxiety T-Score",
      "description" : "PROMIS Anxiety T-Score from PROMIS-29 Profile v2.1",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-promis-29-depression-tscore"
      },
      "name" : "MII ObsDef PRO PROMIS-29 Depression T-Score",
      "description" : "PROMIS Depression T-Score from PROMIS-29 Profile v2.1",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-promis-29-fatigue-tscore"
      },
      "name" : "MII ObsDef PRO PROMIS-29 Fatigue T-Score",
      "description" : "PROMIS Fatigue T-Score from PROMIS-29 Profile v2.1",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-promis-29-pain-intensity"
      },
      "name" : "MII ObsDef PRO PROMIS-29 Pain Intensity",
      "description" : "PROMIS Pain Intensity single item from PROMIS-29 Profile v2.1",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-promis-29-pain-interference-tscore"
      },
      "name" : "MII ObsDef PRO PROMIS-29 Pain Interference T-Score",
      "description" : "PROMIS Pain Interference T-Score from PROMIS-29 Profile v2.1",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-promis-29-physical-function-tscore"
      },
      "name" : "MII ObsDef PRO PROMIS-29 Physical Function T-Score",
      "description" : "PROMIS Physical Function T-Score from PROMIS-29 Profile v2.1",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-promis-29-sleep-disturbance-tscore"
      },
      "name" : "MII ObsDef PRO PROMIS-29 Sleep Disturbance T-Score",
      "description" : "PROMIS Sleep Disturbance T-Score from PROMIS-29 Profile v2.1",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-promis-29-social-function-tscore"
      },
      "name" : "MII ObsDef PRO PROMIS-29 Social Function T-Score",
      "description" : "PROMIS Ability to Participate in Social Roles and Activities T-Score from PROMIS-29 Profile v2.1",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-score-bdi-ii"
      },
      "name" : "MII ObsDef PRO Score BDI-II",
      "description" : "Beck Depression Inventory II (BDI-II) Total Score",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-score-eq5d5l-index"
      },
      "name" : "MII ObsDef PRO Score EQ-5D-5L Index",
      "description" : "EuroQol 5 Dimensions 5 Levels (EQ-5D-5L) Index Score",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-score-eq5d5l-profile"
      },
      "name" : "MII ObsDef PRO Score EQ-5D-5L Profile",
      "description" : "EuroQol 5 Dimensions 5 Levels (EQ-5D-5L) Profile",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-score-eq5d5l-vas"
      },
      "name" : "MII ObsDef PRO Score EQ-5D-5L VAS",
      "description" : "EuroQol 5 Dimensions 5 Levels (EQ-5D-5L) Visual Analog Scale (VAS) Score",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-score-gad-7"
      },
      "name" : "MII ObsDef PRO Score GAD-7",
      "description" : "GAD-7 Summenscore (0-21) — Screening auf generalisierte Angststörung",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-score-isr-z"
      },
      "name" : "MII ObsDef PRO Score ISR-Z",
      "description" : "ISR-Z Skalenwert (Mittelwert, Bereich 0-4) — Subskala Zwang des ICD-10-Symptom-Rating",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-score-pc-ptsd"
      },
      "name" : "MII ObsDef PRO Score PC-PTSD",
      "description" : "PC-PTSD total score (0-4) — screening for posttraumatic stress disorder",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-score-phq-15"
      },
      "name" : "MII ObsDef PRO Score PHQ-15",
      "description" : "Patient Health Questionnaire-15 (PHQ-15) total somatic symptom severity score (0–30)",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-score-phq-9"
      },
      "name" : "MII ObsDef PRO Score PHQ-9",
      "description" : "Patient Health Questionnaire (PHQ-9)",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-score-scoff"
      },
      "name" : "MII ObsDef PRO Score SCOFF",
      "description" : "SCOFF total score (0-5) — screening for eating disorders",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-score-ssd-12"
      },
      "name" : "MII ObsDef PRO Score SSD-12",
      "description" : "SSD-12 total score (0-48) — somatic symptom disorder B-criteria burden",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-score-wi-7"
      },
      "name" : "MII ObsDef PRO Score WI-7",
      "description" : "WI-7 (Whiteley-7) total score (0-7) — screening for hypochondriasis and somatization",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/mii-pr-pro-depression-t-score"
      },
      "name" : "MII PR PRO Depression Domain T-Score",
      "description" : "Generic profile for depression domain T-score observations (all depression questionnaires)",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/mii-pr-pro-observation-bdi-ii"
      },
      "name" : "MII PR PRO Observation BDI-II",
      "description" : "Profile for Beck Depression Inventory II (BDI-II) Total Score Observations",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/mii-pr-pro-observation-eq5d5l-index"
      },
      "name" : "MII PR PRO Observation EQ-5D-5L Index",
      "description" : "Profile for EQ-5D-5L Index Score Observations with German value set reference ranges",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/mii-pr-pro-observation-eq5d5l-profile"
      },
      "name" : "MII PR PRO Observation EQ-5D-5L Profile",
      "description" : "Profile for EQ-5D-5L Profile String Observations (e.g., '11111')",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/mii-pr-pro-observation-eq5d5l-vas"
      },
      "name" : "MII PR PRO Observation EQ-5D-5L VAS",
      "description" : "Profile for EQ-5D-5L Visual Analogue Scale Score Observations",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/mii-pr-pro-observation-phq-15"
      },
      "name" : "MII PR PRO Observation PHQ-15",
      "description" : "Profile for Patient Health Questionnaire-15 (PHQ-15) total somatic symptom severity score Observations (0-30; higher scores indicate greater somatic symptom burden).",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/mii-pr-pro-observation-phq-9"
      },
      "name" : "MII PR PRO Observation PHQ-9",
      "description" : "Profile for Patient Health Questionnaire-9 (PHQ-9) total score Observations (0-27; higher scores indicate more severe depression).",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/mii-pr-pro-observation-whodas12"
      },
      "name" : "MII PR PRO Observation WHODAS 2.0 12-Item",
      "description" : "Profile for WHODAS 2.0 12-item simple sum (disability) score Observations (0-48; higher scores indicate greater disability). No suitable LOINC code exists; SNOMED CT and the MII score catalogue are used.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/mii-pr-pro-promis-cognitive-function-sf4a-raw-score"
      },
      "name" : "MII PR PRO PROMIS Cognitive Function SF 4a Raw Score",
      "description" : "Profile for PROMIS Cognitive Function Short Form 4a raw score observations (4-20 range)",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/mii-pr-pro-promis-cognitive-function-sf4a-tscore"
      },
      "name" : "MII PR PRO PROMIS Cognitive Function SF 4a T-Score",
      "description" : "Profile for PROMIS Cognitive Function Short Form 4a T-Score observations",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/mii-pr-pro-promis-depression-sf4a-raw-score"
      },
      "name" : "MII PR PRO PROMIS Depression SF 4a Raw Score",
      "description" : "Profile for PROMIS Depression Short Form 4a raw score observations (4-20 range)",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/mii-pr-pro-promis-29-anxiety-tscore"
      },
      "name" : "MII PR PRO PROMIS-29 Anxiety T-Score",
      "description" : "Profile for PROMIS-29 Anxiety T-Score Observations",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/mii-pr-pro-promis-29-depression-tscore"
      },
      "name" : "MII PR PRO PROMIS-29 Depression T-Score",
      "description" : "Profile for PROMIS-29 Depression T-Score Observations",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/mii-pr-pro-promis-29-fatigue-tscore"
      },
      "name" : "MII PR PRO PROMIS-29 Fatigue T-Score",
      "description" : "Profile for PROMIS-29 Fatigue T-Score Observations",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/mii-pr-pro-promis-29-pain-intensity"
      },
      "name" : "MII PR PRO PROMIS-29 Pain Intensity",
      "description" : "Profile for PROMIS-29 Pain Intensity single item Observations",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/mii-pr-pro-promis-29-pain-interference-tscore"
      },
      "name" : "MII PR PRO PROMIS-29 Pain Interference T-Score",
      "description" : "Profile for PROMIS-29 Pain Interference T-Score Observations",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/mii-pr-pro-promis-29-physical-function-tscore"
      },
      "name" : "MII PR PRO PROMIS-29 Physical Function T-Score",
      "description" : "Profile for PROMIS-29 Physical Function T-Score Observations",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/mii-pr-pro-promis-29-sleep-disturbance-tscore"
      },
      "name" : "MII PR PRO PROMIS-29 Sleep Disturbance T-Score",
      "description" : "Profile for PROMIS-29 Sleep Disturbance T-Score Observations",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/mii-pr-pro-promis-29-social-function-tscore"
      },
      "name" : "MII PR PRO PROMIS-29 Social Function T-Score",
      "description" : "Profile for PROMIS-29 Ability to Participate in Social Roles and Activities T-Score Observations",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/mii-pr-pro-questionnaire"
      },
      "name" : "MII PR PRO Questionnaire",
      "description" : "MII PR PRO Questionnaire, based on the FHIR Structure Data Capture Specification",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/mii-ex-pro-questionnaire-capabilities"
      },
      "name" : "MII PR PRO Questionnaire Capabilities",
      "description" : "MII PR PRO Questionnaire Capabilities, based on the FHIR Structure Data Capture Specification",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/mii-pr-pro-questionnaire-response"
      },
      "name" : "MII PR PRO QuestionnaireResponse",
      "description" : "MII PR PRO QuestionnaireResponse, based on the FHIR Structure Data Capture Specification",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/mii-pr-pro-score-blueprint"
      },
      "name" : "MII PR PRO Score Blueprint / Template",
      "description" : "MII PR PRO Questionnaire, based on the FHIR Structure Data Capture Specification",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/mii-pr-pro-score-instance"
      },
      "name" : "MII PR PRO Score Instance",
      "description" : "MII PR PRO Score Instance",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-bdi-bdi2"
      },
      "name" : "MII QST PRO BDI-II",
      "description" : "MII QST PRO Beck Depression Inventory II (BDI-II) Questionnaire",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-ces-d"
      },
      "name" : "MII QST PRO CES-D",
      "description" : "Center for Epidemiologic Studies Depression Scale (CES-D) - Metadata-only reference implementation",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-dass-dass21"
      },
      "name" : "MII QST PRO DASS-21",
      "description" : "Depression Anxiety Stress Scales - 21 Items (DASS-21)",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-eortc-qlq-c30"
      },
      "name" : "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
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-epds"
      },
      "name" : "MII QST PRO EPDS",
      "description" : "Edinburgh Postnatal Depression Scale (EPDS) - Metadata-only reference implementation",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-euroqol-eq5d5l-answer-coding"
      },
      "name" : "MII QST PRO EQ-5D-5L",
      "description" : "MII QST PRO EuroQol Five Dimension Five Level (EQ-5D-5L) Questionnaire",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-euroqol-eq5d5l-minimal"
      },
      "name" : "MII QST PRO EQ-5D-5L",
      "description" : "MII QST PRO EuroQol Five Dimension Five Level (EQ-5D-5L) Questionnaire",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-euroqol-eq5d5l-displayable"
      },
      "name" : "MII QST PRO EQ-5D-5L (Displayable)",
      "description" : "MII QST PRO EuroQol Five Dimension Five Level (EQ-5D-5L) Questionnaire - Displayable version",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-euroqol-eq5d5l-collectable"
      },
      "name" : "MII QST PRO EQ-5D-5L Collectable",
      "description" : "MII QST PRO EuroQol Five Dimension Five Level (EQ-5D-5L) Questionnaire - Collectable Version",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-euronet-soma"
      },
      "name" : "MII QST PRO EURONET-SOMA",
      "description" : "EURONET-SOMA — two core outcome NRS items for somatic symptom intensity and interference (Rief et al. 2017) with German translation",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-gad-7"
      },
      "name" : "MII QST PRO GAD-7",
      "description" : "Generalized Anxiety Disorder Scale-7 (GAD-7) — Screening auf generalisierte Angststoerung, mit deutscher Uebersetzung (PHQ-D)",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-hads"
      },
      "name" : "MII QST PRO HADS",
      "description" : "Hospital Anxiety and Depression Scale (HADS) - Metadata-only reference implementation",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-isr-z"
      },
      "name" : "MII QST PRO ISR-Z",
      "description" : "ISR-Z — Subskala Zwang (3 Items) des ICD-10-Symptom-Rating (Tritt et al. 2008); Skalenwert als Mittelwert, nicht Summe",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-k6"
      },
      "name" : "MII QST PRO K6",
      "description" : "Kessler Psychological Distress Scale (K6) - Metadata-only reference implementation",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-midos-midos2"
      },
      "name" : "MII QST PRO MIDOS2",
      "description" : "MIDOS2 (Minimales Dokumentationssystem für Palliativpatienten, v2) — Symptom-Screening für die Palliativmedizin nach DGP. 11 Symptom-Items mit 4-stufiger DGP-Skala, ein Wohlbefinden-Item, ein offenes Item für sonstige Beschwerden.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-pc-ptsd"
      },
      "name" : "MII QST PRO PC-PTSD",
      "description" : "PC-PTSD — Primary Care PTSD Screen, four-item screening questionnaire for posttraumatic stress disorder (Prins et al. 2003; German: Schäfer & Schulze 2010)",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-phq-15"
      },
      "name" : "MII QST PRO PHQ-15",
      "description" : "Patient Health Questionnaire-15 (PHQ-15) — somatic symptom severity (PHQ-D German validated)",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-phq-9"
      },
      "name" : "MII QST PRO PHQ-9",
      "description" : "Patient Health Questionnaire (PHQ-9)",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-pro-ctcae-onkologisches-basisscreening"
      },
      "name" : "MII QST PRO PRO-CTCAE Onkologisches Basisscreening",
      "description" : "Onkologisches Basisscreening basierend auf PRO-CTCAE-Items. Erfasst die wichtigsten Symptome onkologischer Patienten mit den 5-stufigen PRO-CTCAE-Skalen (Häufigkeit, Schweregrad, Beeinträchtigung). Symptomauswahl konzeptuell parallel zu MIDOS2 für eine gemeinsame Problem List zwischen Onkologie und Palliativmedizin.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-promis-cognitive-function-sf4a"
      },
      "name" : "MII QST PRO PROMIS Cognitive Function SF 4a",
      "description" : "PROMIS Cognitive Function Short Form 4a - Assessment of cognitive abilities and concerns",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-promis-depression-sf4a"
      },
      "name" : "MII QST PRO PROMIS Depression SF 4a (Adults)",
      "description" : "PROMIS Depression Short Form 4a - Adults - Item Bank v1.0",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-promis-16"
      },
      "name" : "MII QST PRO PROMIS-16 (Adults)",
      "description" : "PROMIS-16 Profile v1.0 - Ultra-short 16-item HRQoL Profile across 8 domains (Edelen et al. 2024, doi:10.1007/s11136-023-03597-6). T-score calculation per Supplement S4 is delegated to a CQL Library (see roadmap 2027).",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-promis-29"
      },
      "name" : "MII QST PRO PROMIS-29 (Adults)",
      "description" : "PROMIS-29 Profile v2.1 - Comprehensive health-related quality of life assessment across 7 domains",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-promis-29-de"
      },
      "name" : "MII QST PRO PROMIS-29 (German)",
      "description" : "PROMIS-29 Profile v2.1 - German language variant derived from English source",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-promis-29-minimal"
      },
      "name" : "MII QST PRO PROMIS-29 Minimal",
      "description" : "PROMIS-29 Profile v2.1 - Minimal variant for data collection without calculated expressions",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-scoff"
      },
      "name" : "MII QST PRO SCOFF",
      "description" : "SCOFF questionnaire — five-item screening tool for eating disorders (Morgan et al. 1999) with German translation",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-ssd-12"
      },
      "name" : "MII QST PRO SSD-12",
      "description" : "SSD-12 — Somatic Symptom Disorder – B Criteria Scale (Toussaint et al. 2016/2017), 12-item German self-report scale",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-whodas-whodas12"
      },
      "name" : "MII QST PRO WHODAS 2.0 12-Item",
      "description" : "WHO Disability Assessment Schedule 2.0, 12-item self-administered version (WHODAS-12). English primary with German translations (validated PCOR-MII wording). WHODAS 2.0 © WHO 2010 — see copyright for licensing conditions (a WHO licence is required for electronic/data-capture use).",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-wi-7"
      },
      "name" : "MII QST PRO WI-7",
      "description" : "WI-7 (Whiteley-7) questionnaire — seven-item screening scale for hypochondriasis and somatization (Fink et al. 1999) with German translation",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/mii-vs-pro-bdi-bdi2-short"
      },
      "name" : "MII VS PRO BDI-II",
      "description" : "MII VS PRO BDI-II ValueSet for Beck Depression Inventory II (BDI-II) Questionnaire",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/mii-vs-pro-bdi-bdi2-long"
      },
      "name" : "MII VS PRO BDI-II",
      "description" : "MII VS PRO BDI-II ValueSet for Beck Depression Inventory II (BDI-II) Questionnaire",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/mii-vs-pro-dass-21-answer-list"
      },
      "name" : "MII VS PRO DASS-21 Answer List",
      "description" : "4-point Likert response scale for all DASS-21 items (0 = Did not apply to me at all, 3 = Applied to me very much)",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      "name" : "MII VS PRO EORTC QLQ-C30 4-Point Scale",
      "description" : "Standard 4-point response scale for EORTC QLQ-C30 items",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/mii-vs-pro-eortc-qlq-c30-scale-7pt"
      },
      "name" : "MII VS PRO EORTC QLQ-C30 7-Point Scale",
      "description" : "7-point response scale for EORTC QLQ-C30 global health status and quality of life items",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/mii-vs-pro-eortc-qlq-c30-scale-role"
      },
      "name" : "MII VS PRO EORTC QLQ-C30 Role Functioning Scale",
      "description" : "4-point response scale for EORTC QLQ-C30 role functioning items",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/mii-vs-pro-isr-z-answers"
      },
      "name" : "MII VS PRO ISR-Z Answers",
      "description" : "ISR-Zustimmungsskala (0 = trifft nicht zu, 1 = trifft kaum zu, 2 = trifft ziemlich zu, 3 = trifft deutlich zu, 4 = trifft extrem zu). MII-controlled für zuverlässige ordinal()-Scoreberechnung.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/mii-vs-pro-midos2-severity"
      },
      "name" : "MII VS PRO MIDOS2 DGP-Severity-Skala",
      "description" : "DGP-4-stufige Severity-Skala (keine, leichte, mittlere, starke) — wird für die 11 Symptom-Items des MIDOS2 verwendet.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/mii-vs-pro-midos2-wellbeing"
      },
      "name" : "MII VS PRO MIDOS2 Wohlbefinden-Skala",
      "description" : "4-stufige Wohlbefinden-Skala (sehr gut, eher gut, eher schlecht, sehr schlecht) — wird für das Wohlbefinden-Item des MIDOS2 verwendet.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/mii-vs-pro-phq-15-answers"
      },
      "name" : "MII VS PRO PHQ-15 Answers",
      "description" : "PHQ-15 somatic symptom bother severity answer options (0 = Nicht beeinträchtigt, 1 = Wenig beeinträchtigt, 2 = Stark beeinträchtigt). MII-controlled for reliable ordinal() score calculation.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/mii-vs-pro-phq-9-answer-list-ll358-3"
      },
      "name" : "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
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/mii-vs-pro-phq-9-answer-list-ll359-1"
      },
      "name" : "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
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/mii-vs-pro-pro-ctcae-frequency"
      },
      "name" : "MII VS PRO PRO-CTCAE Frequency Scale",
      "description" : "5-point frequency response scale for PRO-CTCAE items (0=Never, 4=Almost constantly)",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/mii-vs-pro-pro-ctcae-frequency-sexual"
      },
      "name" : "MII VS PRO PRO-CTCAE Frequency Scale (Sexual Function)",
      "description" : "7-point frequency scale for sexual function items: standard 5 options plus 'Not sexually active' and 'Prefer not to answer'",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/mii-vs-pro-pro-ctcae-interference"
      },
      "name" : "MII VS PRO PRO-CTCAE Interference Scale",
      "description" : "5-point interference response scale for PRO-CTCAE items (0=Not at all, 4=Very much)",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/mii-vs-pro-pro-ctcae-presence"
      },
      "name" : "MII VS PRO PRO-CTCAE Presence Scale",
      "description" : "Binary presence/absence response scale for PRO-CTCAE items",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/mii-vs-pro-pro-ctcae-presence-sexual"
      },
      "name" : "MII VS PRO PRO-CTCAE Presence Scale (Sexual Function)",
      "description" : "4-option presence scale for sexual function: Yes / No / Not sexually active / Prefer not to answer",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/mii-vs-pro-pro-ctcae-presence-na"
      },
      "name" : "MII VS PRO PRO-CTCAE Presence Scale (with Not Applicable)",
      "description" : "3-option presence scale: Yes / No / Not applicable",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/mii-vs-pro-pro-ctcae-severity"
      },
      "name" : "MII VS PRO PRO-CTCAE Severity Scale",
      "description" : "5-point severity response scale for PRO-CTCAE items (0=None, 4=Very severe)",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/mii-vs-pro-pro-ctcae-severity-radiation"
      },
      "name" : "MII VS PRO PRO-CTCAE Severity Scale (Radiation)",
      "description" : "6-point severity scale for radiation items: standard 5 options plus 'Not applicable'",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/mii-vs-pro-pro-ctcae-severity-sexual"
      },
      "name" : "MII VS PRO PRO-CTCAE Severity Scale (Sexual Function)",
      "description" : "7-point severity scale for sexual function items: standard 5 options plus 'Not sexually active' and 'Prefer not to answer'",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/mii-vs-pro-promis-frequency-response-scale"
      },
      "name" : "MII VS PRO PROMIS Frequency Response Scale",
      "description" : "PROMIS Frequency response scale based on LOINC LL1016-6",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/mii-vs-pro-promis-intensity-response-scale"
      },
      "name" : "MII VS PRO PROMIS Intensity Response Scale",
      "description" : "PROMIS Intensity response scale (Not at all / A little bit / Somewhat / Quite a bit / Very much) based on LOINC LL1024-0",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/mii-vs-pro-promis-physical-function-response-scale"
      },
      "name" : "MII VS PRO PROMIS Physical Function Response Scale",
      "description" : "PROMIS Physical Function response scale based on LOINC LL1022-4",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/mii-vs-pro-ssd-12-answers"
      },
      "name" : "MII VS PRO SSD-12 Answers",
      "description" : "SSD-12 frequency answer options (0 = nie, 1 = selten, 2 = manchmal, 3 = oft, 4 = sehr oft). MII-controlled for reliable ordinal() score calculation.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/mii-vs-pro-whodas-12-answer-list"
      },
      "name" : "MII VS PRO WHODAS 2.0 12-Item Answer List",
      "description" : "5-point response scale for all WHODAS-12 items (0 = None, 1 = Mild, 2 = Moderate, 3 = Severe, 4 = Extreme or cannot do). MII-controlled for reliable ordinal() score calculation; German labels via designations on mii-cs-pro-whodas-12.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Parameters"
      }],
      "reference" : {
        "reference" : "Parameters/mii-param-pro-manifest"
      },
      "name" : "mii-param-pro-manifest",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "SearchParameter"
      }],
      "reference" : {
        "reference" : "SearchParameter/mii-sp-pro-observationdefinition-code"
      },
      "name" : "mii-sp-pro-observationdefinition-code",
      "description" : "SearchParameter for ObservationDefinition.code to find score definitions by code (LOINC, SNOMED, MII)",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "SearchParameter"
      }],
      "reference" : {
        "reference" : "SearchParameter/mii-sp-pro-observationdefinition-health-correlation"
      },
      "name" : "mii-sp-pro-observationdefinition-health-correlation",
      "description" : "SearchParameter for ObservationDefinition.qualifiedInterval.range.extension[ScoreHealthCorrelation] to filter by health correlation direction (higher scores = better/worse health)",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "SearchParameter"
      }],
      "reference" : {
        "reference" : "SearchParameter/mii-sp-pro-observationdefinition-interval-category"
      },
      "name" : "mii-sp-pro-observationdefinition-interval-category",
      "description" : "SearchParameter for ObservationDefinition.qualifiedInterval.category to filter by reference range category (reference, critical, absolute)",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "SearchParameter"
      }],
      "reference" : {
        "reference" : "SearchParameter/mii-sp-pro-observationdefinition-permitted-datatype"
      },
      "name" : "mii-sp-pro-observationdefinition-permitted-datatype",
      "description" : "SearchParameter for ObservationDefinition.permittedDataType to filter score definitions by data type (Quantity, string, etc.)",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "SearchParameter"
      }],
      "reference" : {
        "reference" : "SearchParameter/mii-sp-pro-observationdefinition-preferred-report-name"
      },
      "name" : "mii-sp-pro-observationdefinition-preferred-report-name",
      "description" : "SearchParameter for ObservationDefinition.preferredReportName to search score definitions by display name",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "SearchParameter"
      }],
      "reference" : {
        "reference" : "SearchParameter/mii-sp-pro-observationdefinition-unit"
      },
      "name" : "mii-sp-pro-observationdefinition-unit",
      "description" : "SearchParameter for ObservationDefinition.quantitativeDetails.unit to filter score definitions by measurement unit",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "SearchParameter"
      }],
      "reference" : {
        "reference" : "SearchParameter/mii-sp-pro-questionnaire-capabilities"
      },
      "name" : "mii-sp-pro-questionnaire-capabilities",
      "description" : "SearchParameter for Questionnaire.extension[capabilities] to filter questionnaires by capability flags (displayable, collectable, calculatable, extractable, populatable, domainAligned)",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "QuestionnaireResponse"
      }],
      "reference" : {
        "reference" : "QuestionnaireResponse/mii-exa-pro-pc-ptsd-response"
      },
      "name" : "PC-PTSD Questionnaire Response Example",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-pc-ptsd-score"
      },
      "name" : "PC-PTSD Score Observation Example",
      "description" : "PC-PTSD Total Score aus der Beispiel-QuestionnaireResponse (3 von 4)",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "QuestionnaireResponse"
      }],
      "reference" : {
        "reference" : "QuestionnaireResponse/mii-exa-pro-phq-15-response"
      },
      "name" : "PHQ-15 Questionnaire Response Example",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-phq-15-observation"
      },
      "name" : "PHQ-15 Score Observation Example",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-observation-phq-15"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-phq-9-observation"
      },
      "name" : "PHQ-9 Observation Example",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-observation-phq-9"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "QuestionnaireResponse"
      }],
      "reference" : {
        "reference" : "QuestionnaireResponse/mii-exa-pro-phq-9-response"
      },
      "name" : "PHQ-9 Questionnaire Response Example",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Bundle"
      }],
      "reference" : {
        "reference" : "Bundle/mii-exa-pro-phq-9-bundle"
      },
      "name" : "PHQ-9 Transaction Bundle Example",
      "description" : "Transaction bundle containing PHQ-9 questionnaire, response, and derived observation - flagship example",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-score-proctcae-acs"
      },
      "name" : "PRO-CTCAE Average Composite Score (ACS)",
      "description" : "Average of all PRO-CTCAE composite grades at a given timepoint, reflecting overall symptomatic adverse event burden. Symptoms with opt-out responses are excluded from the average. Range 0.0-3.0 (continuous). ACS = sum(composite grades) / count(scored symptoms).",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-score-proctcae-composite-grade"
      },
      "name" : "PRO-CTCAE Composite Grade",
      "description" : "Composite grade for a single PRO-CTCAE adverse event, computed from frequency, severity, and/or interference scores using the NCI composite grading algorithm (Basch et al., 2021). Range 0-3, mapped to CTCAE grade equivalents. Grade 0 = no symptom, Grade 3 = most severe patient-reported burden. May have dataAbsentReason when patient selected opt-out answers.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Questionnaire"
      }],
      "reference" : {
        "reference" : "Questionnaire/mii-qst-pro-pro-ctcae-breast-de"
      },
      "name" : "PRO-CTCAE Deutsches Brustkrebszentrum-Subset (21 Symptome)",
      "description" : "PRO-CTCAE Brustkrebszentrum-Subset: 21 Symptome ausgewählt nach Prävalenz und Wichtigkeit bei ambulanten Brustkrebspatientinnen (Hamacher et al., BMC Cancer 2023). Scoring via CQL Library (CompositeGrade pro Symptom + Average Composite Score).",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-promis-depression-tscore-from-bdi-ii-observation"
      },
      "name" : "PROMIS Depression T-Score, derived from BDI-II Observation Example",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "QuestionnaireResponse"
      }],
      "reference" : {
        "reference" : "QuestionnaireResponse/mii-exa-pro-scoff-response"
      },
      "name" : "SCOFF Questionnaire Response Example",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-scoff-score"
      },
      "name" : "SCOFF Score Observation Example",
      "description" : "SCOFF Total Score aus der Beispiel-QuestionnaireResponse (3 von 5)",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "QuestionnaireResponse"
      }],
      "reference" : {
        "reference" : "QuestionnaireResponse/mii-exa-pro-ssd-12-response"
      },
      "name" : "SSD-12 Questionnaire Response Example",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-ssd-12-score"
      },
      "name" : "SSD-12 Score Observation Example",
      "description" : "SSD-12 Total Score aus der Beispiel-QuestionnaireResponse (24 von 48)",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ObservationDefinition"
      }],
      "reference" : {
        "reference" : "ObservationDefinition/mii-obsdef-pro-score-whodas12-simple-sum"
      },
      "name" : "WHODAS 2.0 12-Item Simple Sum Score",
      "description" : "Sum of the 12 WHODAS 2.0 item scores (each 0-4), range 0-48. Higher scores indicate greater disability. WHO simple scoring method; complex IRT-based scoring deferred to future work.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
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      "reference" : {
        "reference" : "Observation/mii-exa-pro-whodas12-score-simple-sum"
      },
      "name" : "WHODAS 2.0 12-Item Simple Sum Score Observation",
      "description" : "WHODAS-12 simple sum score observation (all items 'Moderate': 12 × 2 = 24).",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-observation-whodas12"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "QuestionnaireResponse"
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        "reference" : "QuestionnaireResponse/mii-exa-pro-wi-7-response"
      },
      "name" : "WI-7 Questionnaire Response Example",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Observation"
      }],
      "reference" : {
        "reference" : "Observation/mii-exa-pro-wi-7-score"
      },
      "name" : "WI-7 Score Observation Example",
      "description" : "Whiteley-7 Total Score aus der Beispiel-QuestionnaireResponse (3 von 7)",
      "exampleCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"
    }],
    "page" : {
      "extension" : [{
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        "valueUrl" : "toc.html"
      }],
      "nameUrl" : "toc.html",
      "title" : "Table of Contents",
      "generation" : "html",
      "page" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "index.html"
        }],
        "nameUrl" : "index.html",
        "title" : "Home",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "guidance.html"
        }],
        "nameUrl" : "guidance.html",
        "title" : "Guidance",
        "generation" : "markdown",
        "page" : [{
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "researcher-guidance.html"
          }],
          "nameUrl" : "researcher-guidance.html",
          "title" : "Guidance for Researchers",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "implementer-guidance.html"
          }],
          "nameUrl" : "implementer-guidance.html",
          "title" : "Guidance for Implementers",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "uml-diagrams.html"
          }],
          "nameUrl" : "uml-diagrams.html",
          "title" : "UML Diagrams",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "use-cases.html"
          }],
          "nameUrl" : "use-cases.html",
          "title" : "Use Cases",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "module-description.html"
          }],
          "nameUrl" : "module-description.html",
          "title" : "Module Description",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "project-context.html"
          }],
          "nameUrl" : "project-context.html",
          "title" : "Context within the MII",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "datasets-and-descriptions.html"
          }],
          "nameUrl" : "datasets-and-descriptions.html",
          "title" : "Datasets and Descriptions",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "technical-implementation.html"
          }],
          "nameUrl" : "technical-implementation.html",
          "title" : "Technical Implementation",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "workflows.html"
          }],
          "nameUrl" : "workflows.html",
          "title" : "Workflows",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "id-systematics.html"
          }],
          "nameUrl" : "id-systematics.html",
          "title" : "ID Systematics",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "terminology-strategies.html"
          }],
          "nameUrl" : "terminology-strategies.html",
          "title" : "Terminology Strategies",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "questionnaire-capabilities.html"
          }],
          "nameUrl" : "questionnaire-capabilities.html",
          "title" : "Questionnaire Capabilities",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "domains.html"
          }],
          "nameUrl" : "domains.html",
          "title" : "Domains",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "cat.html"
          }],
          "nameUrl" : "cat.html",
          "title" : "Computer-Adaptive Testing (CAT)",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "national-questionnaire-server.html"
          }],
          "nameUrl" : "national-questionnaire-server.html",
          "title" : "National Questionnaire Server (Concept 2027)",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "validation.html"
          }],
          "nameUrl" : "validation.html",
          "title" : "Validation",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "references.html"
          }],
          "nameUrl" : "references.html",
          "title" : "References",
          "generation" : "markdown"
        }]
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "security-and-privacy.html"
        }],
        "nameUrl" : "security-and-privacy.html",
        "title" : "Security and Privacy",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "pro-library.html"
        }],
        "nameUrl" : "pro-library.html",
        "title" : "PRO Library",
        "generation" : "markdown",
        "page" : [{
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "phq-9.html"
          }],
          "nameUrl" : "phq-9.html",
          "title" : "PHQ-9",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "phq-15.html"
          }],
          "nameUrl" : "phq-15.html",
          "title" : "PHQ-15",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "gad-7.html"
          }],
          "nameUrl" : "gad-7.html",
          "title" : "GAD-7",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "bdi-ii.html"
          }],
          "nameUrl" : "bdi-ii.html",
          "title" : "BDI-II",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "dass-21.html"
          }],
          "nameUrl" : "dass-21.html",
          "title" : "DASS-21",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "eq-5d-5l.html"
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          "nameUrl" : "eq-5d-5l.html",
          "title" : "EQ-5D-5L",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "eq-5d-5l-scores.html"
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          "nameUrl" : "eq-5d-5l-scores.html",
          "title" : "EQ-5D-5L Scores",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "promis.html"
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          "title" : "PROMIS",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "promis-29.html"
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          "nameUrl" : "promis-29.html",
          "title" : "PROMIS-29",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "promis-16.html"
          }],
          "nameUrl" : "promis-16.html",
          "title" : "PROMIS-16",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "promis-depression.html"
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          "nameUrl" : "promis-depression.html",
          "title" : "PROMIS Depression SF 4a",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "promis-cognitive-function.html"
          }],
          "nameUrl" : "promis-cognitive-function.html",
          "title" : "PROMIS Cognitive Function SF 4a",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "eortc-qlq-c30.html"
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          "nameUrl" : "eortc-qlq-c30.html",
          "title" : "EORTC QLQ-C30",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "eortc-qlq-c30-scoring.html"
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          "nameUrl" : "eortc-qlq-c30-scoring.html",
          "title" : "EORTC QLQ-C30 Scoring",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
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          "nameUrl" : "pro-ctcae.html",
          "title" : "PRO-CTCAE",
          "generation" : "markdown"
        },
        {
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            "valueUrl" : "proms-onkologisches-basisscreening.html"
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          "nameUrl" : "proms-onkologisches-basisscreening.html",
          "title" : "Oncology Base Screening",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "midos2.html"
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          "nameUrl" : "midos2.html",
          "title" : "MIDOS2",
          "generation" : "markdown"
        },
        {
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            "valueUrl" : "whodas.html"
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          "generation" : "markdown"
        },
        {
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            "valueUrl" : "scoff.html"
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          "nameUrl" : "scoff.html",
          "title" : "SCOFF",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "wi-7.html"
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          "nameUrl" : "wi-7.html",
          "title" : "Whiteley-7",
          "generation" : "markdown"
        },
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            "valueUrl" : "pc-ptsd.html"
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          "nameUrl" : "pc-ptsd.html",
          "title" : "PC-PTSD",
          "generation" : "markdown"
        },
        {
          "extension" : [{
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            "valueUrl" : "ssd-12.html"
          }],
          "nameUrl" : "ssd-12.html",
          "title" : "SSD-12",
          "generation" : "markdown"
        },
        {
          "extension" : [{
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            "valueUrl" : "isr-z.html"
          }],
          "nameUrl" : "isr-z.html",
          "title" : "ISR-Z",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "euronet-soma.html"
          }],
          "nameUrl" : "euronet-soma.html",
          "title" : "EURONET-SOMA",
          "generation" : "markdown"
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "minimal-reference-questionnaires.html"
          }],
          "nameUrl" : "minimal-reference-questionnaires.html",
          "title" : "Minimal Reference Questionnaires",
          "generation" : "markdown"
        }]
      },
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          "valueUrl" : "scoring.html"
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        "nameUrl" : "scoring.html",
        "title" : "Scoring",
        "generation" : "markdown",
        "page" : [{
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            "valueUrl" : "domain-based-scoring.html"
          }],
          "nameUrl" : "domain-based-scoring.html",
          "title" : "Domain-based Scoring",
          "generation" : "markdown"
        },
        {
          "extension" : [{
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            "valueUrl" : "cross-instrument-mappings.html"
          }],
          "nameUrl" : "cross-instrument-mappings.html",
          "title" : "Cross-Instrument Mappings",
          "generation" : "markdown"
        },
        {
          "extension" : [{
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            "valueUrl" : "derived-metrics.html"
          }],
          "nameUrl" : "derived-metrics.html",
          "title" : "Derived Metrics",
          "generation" : "markdown"
        }]
      },
      {
        "extension" : [{
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        "nameUrl" : "profiles.html",
        "title" : "Profiles",
        "generation" : "markdown"
      },
      {
        "extension" : [{
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          "valueUrl" : "extensions.html"
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        "generation" : "markdown"
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        "nameUrl" : "capability-statements.html",
        "title" : "Capability Statements",
        "generation" : "markdown"
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        "nameUrl" : "logical-models.html",
        "title" : "Logical Models",
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        "generation" : "markdown"
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        "nameUrl" : "code-systems.html",
        "title" : "Code Systems",
        "generation" : "markdown"
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      "value" : "input/capabilities"
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      "value" : "input/models"
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    {
      "code" : "path-resource",
      "value" : "input/vocabulary"
    },
    {
      "code" : "path-resource",
      "value" : "input/testing"
    },
    {
      "code" : "path-resource",
      "value" : "input/history"
    },
    {
      "code" : "path-resource",
      "value" : "fsh-generated/resources"
    },
    {
      "code" : "path-pages",
      "value" : "template/config"
    },
    {
      "code" : "path-pages",
      "value" : "input/images"
    },
    {
      "code" : "path-tx-cache",
      "value" : "input-cache/txcache"
    }]
  }
}