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Cut-offs: Normal 0-4, Mild 5-6, Moderate 7-10, Severe 11-13, Extremely severe 14+."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Observation"/> </extension> <reference> <reference value="Observation/mii-exa-pro-dass-dass21-score-depression-raw"/> </reference> <name value="DASS-21 Depression Raw Score Observation"/> <description value="DASS-21 Depression subscale raw score observation (severe: 12)"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-score-dass21-depression-equiv"/> </reference> <name value="DASS-21 Depression Score (DASS-42 Equivalent)"/> <description value="DASS-21 depression raw score multiplied by 2 for comparability with DASS-42 normative data and published severity cut-offs."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Observation"/> </extension> <reference> <reference value="Observation/mii-exa-pro-dass-dass21-score-stress-equiv"/> </reference> <name value="DASS-21 Stress DASS-42 Equivalent Score Observation"/> <description value="DASS-21 Stress subscale DASS-42 equivalent score observation (raw 11 * 2 = 22)"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-score-dass21-stress-raw"/> </reference> <name value="DASS-21 Stress Raw Score"/> <description value="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 value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Observation"/> </extension> <reference> <reference value="Observation/mii-exa-pro-dass-dass21-score-stress-raw"/> </reference> <name value="DASS-21 Stress Raw Score Observation"/> <description value="DASS-21 Stress subscale raw score observation (moderate: 11)"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-score-dass21-stress-equiv"/> </reference> <name value="DASS-21 Stress Score (DASS-42 Equivalent)"/> <description value="DASS-21 stress raw score multiplied by 2 for comparability with DASS-42 normative data and published severity cut-offs."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Observation"/> </extension> <reference> <reference value="Observation/mii-exa-pro-eortc-qlq-c30-observation-ap"/> </reference> <name value="EORTC QLQ-C30 Appetite Loss Score"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-ap"/> </reference> <name value="EORTC QLQ-C30 Appetite Loss Score Definition"/> <description value="ObservationDefinition for EORTC QLQ-C30 Appetite Loss Score (AP) - Higher scores indicate more appetite loss"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Observation"/> </extension> <reference> <reference value="Observation/mii-exa-pro-eortc-qlq-c30-observation-cf"/> </reference> <name value="EORTC QLQ-C30 Cognitive Functioning Score"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-cf"/> </reference> <name value="EORTC QLQ-C30 Cognitive Functioning Score Definition"/> <description value="ObservationDefinition for EORTC QLQ-C30 Cognitive Functioning Score (CF) - Higher scores indicate better cognitive functioning"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Observation"/> </extension> <reference> <reference value="Observation/mii-exa-pro-eortc-qlq-c30-observation-co"/> </reference> <name value="EORTC QLQ-C30 Constipation Score"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-co"/> </reference> <name value="EORTC QLQ-C30 Constipation Score Definition"/> <description value="ObservationDefinition for EORTC QLQ-C30 Constipation Score (CO) - Higher scores indicate more constipation"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Observation"/> </extension> <reference> <reference value="Observation/mii-exa-pro-eortc-qlq-c30-observation-di"/> </reference> <name value="EORTC QLQ-C30 Diarrhoea Score"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-di"/> </reference> <name value="EORTC QLQ-C30 Diarrhoea Score Definition"/> <description value="ObservationDefinition for EORTC QLQ-C30 Diarrhoea Score (DI) - Higher scores indicate more diarrhoea"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Observation"/> </extension> <reference> <reference value="Observation/mii-exa-pro-eortc-qlq-c30-observation-dy"/> </reference> <name value="EORTC QLQ-C30 Dyspnoea Score"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-dy"/> </reference> <name value="EORTC QLQ-C30 Dyspnoea Score Definition"/> <description value="ObservationDefinition for EORTC QLQ-C30 Dyspnoea Score (DY) - Higher scores indicate more dyspnoea"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Observation"/> </extension> <reference> <reference value="Observation/mii-exa-pro-eortc-qlq-c30-observation-ef"/> </reference> <name value="EORTC QLQ-C30 Emotional Functioning Score"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-ef"/> </reference> <name value="EORTC QLQ-C30 Emotional Functioning Score Definition"/> <description value="ObservationDefinition for EORTC QLQ-C30 Emotional Functioning Score (EF) - Higher scores indicate better emotional functioning"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Observation"/> </extension> <reference> <reference value="Observation/mii-exa-pro-eortc-qlq-c30-observation-fa"/> </reference> <name value="EORTC QLQ-C30 Fatigue Score"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-fa"/> </reference> <name value="EORTC QLQ-C30 Fatigue Score Definition"/> <description value="ObservationDefinition for EORTC QLQ-C30 Fatigue Score (FA) - 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Higher scores indicate more nausea/vomiting"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Observation"/> </extension> <reference> <reference value="Observation/mii-exa-pro-eortc-qlq-c30-observation-pa"/> </reference> <name value="EORTC QLQ-C30 Pain Score"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-pa"/> </reference> <name value="EORTC QLQ-C30 Pain Score Definition"/> <description value="ObservationDefinition for EORTC QLQ-C30 Pain Score (PA) - Higher scores indicate more pain"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Observation"/> </extension> <reference> <reference value="Observation/mii-exa-pro-eortc-qlq-c30-observation-pf"/> </reference> <name value="EORTC QLQ-C30 Physical Functioning Score"/> <description value="Physical Functioning Score from EORTC QLQ-C30"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-pf"/> </reference> <name value="EORTC QLQ-C30 Physical Functioning Score Definition"/> <description value="ObservationDefinition for EORTC QLQ-C30 Physical Functioning Score (PF) - Higher scores indicate better physical functioning"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Observation"/> </extension> <reference> <reference value="Observation/mii-exa-pro-eortc-qlq-c30-observation-rf"/> </reference> <name value="EORTC QLQ-C30 Role Functioning Score"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-rf"/> </reference> <name value="EORTC QLQ-C30 Role Functioning Score Definition"/> <description value="ObservationDefinition for EORTC QLQ-C30 Role Functioning Score (RF) - Higher scores indicate better role functioning"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Observation"/> </extension> <reference> <reference value="Observation/mii-exa-pro-eortc-qlq-c30-observation-sf"/> </reference> <name value="EORTC QLQ-C30 Social Functioning Score"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-sf"/> </reference> <name value="EORTC QLQ-C30 Social Functioning Score Definition"/> <description value="ObservationDefinition for EORTC QLQ-C30 Social Functioning Score (SF) - Higher scores indicate better social functioning"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Bundle"/> </extension> <reference> <reference value="Bundle/mii-exa-pro-eortc-qlq-c30-bundle"/> </reference> <name value="EORTC QLQ-C30 Transaction Bundle Example"/> <description value="Complete transaction bundle containing EORTC QLQ-C30 questionnaire, response with all 30 items, and derived observations with all 15 scale scores"/> <exampleBoolean value="true"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="QuestionnaireResponse"/> </extension> <reference> <reference value="QuestionnaireResponse/mii-exa-pro-euroqol-eq5d5l-coded-response"/> </reference> <name value="EQ-5D-5L Answer-Coding Response Example"/> <description value="Example of an EQ-5D-5L questionnaire response using the answer-coding variant with MII CodeSystem"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="QuestionnaireResponse"/> </extension> <reference> <reference value="QuestionnaireResponse/mii-exa-pro-euroqol-eq5d5l-response"/> </reference> <name value="EQ-5D-5L Questionnaire Response Example"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="QuestionnaireResponse"/> </extension> <reference> <reference value="QuestionnaireResponse/mii-exa-pro-euronet-soma-response"/> </reference> <name value="EURONET-SOMA Questionnaire Response Example"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="QuestionnaireResponse"/> </extension> <reference> <reference value="QuestionnaireResponse/mii-exa-pro-gad-7-response"/> </reference> <name value="GAD-7 Questionnaire Response Example"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Observation"/> </extension> <reference> <reference value="Observation/mii-exa-pro-gad-7-score"/> </reference> <name value="GAD-7 Score Observation Example"/> <description value="GAD-7 Summenwert aus der Beispiel-QuestionnaireResponse: 7 von 21"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="QuestionnaireResponse"/> </extension> <reference> <reference value="QuestionnaireResponse/mii-exa-pro-isr-z-response"/> </reference> <name value="ISR-Z Questionnaire Response Example"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Observation"/> </extension> <reference> <reference value="Observation/mii-exa-pro-isr-z-score"/> </reference> <name value="ISR-Z Score Observation Example"/> <description value="ISR-Z Skalenwert (Mittelwert) aus der Beispiel-QuestionnaireResponse: 2.0 von 4"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ConceptMap"/> </extension> <reference> <reference value="ConceptMap/mii-cm-pro-gad-7-linkids"/> </reference> <name value="MII CM PRO GAD-7 Item-Nummerierung → PHQ-D-linkIds"/> <description value="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 value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ConceptMap"/> </extension> <reference> <reference value="ConceptMap/mii-cm-pro-phq-9-linkid-migration"/> </reference> <name value="MII CM PRO PHQ-9 linkId Migration (2026.4.x → 2026.5.0)"/> <description value="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 value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="CapabilityStatement"/> </extension> <reference> <reference value="CapabilityStatement/mii-cps-pro-capabilitystatement"/> </reference> <name value="MII CPS PRO CapabilityStatement"/> <description value="Das vorliegende CapabilityStatement beschreibt alle verpflichtenden Interaktionen die ein konformes System unterstützen muss, um das Modul PRO der Medizininformatik Initiative zu implementieren."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="CodeSystem"/> </extension> <reference> <reference value="CodeSystem/mii-cs-pro-eq-5d-value-set"/> </reference> <name value="MII CS EQ-5D Value Set"/> <description value="EuroQol EQ-5D Value Set"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="CodeSystem"/> </extension> <reference> <reference value="CodeSystem/mii-cs-pro-bdi-bdi2"/> </reference> <name value="MII CS PRO BDI-II"/> <description value="MII CS PRO BDI-II ValueSet for Beck Depression Inventory II (BDI-II) Questionnaire"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="CodeSystem"/> </extension> <reference> <reference value="CodeSystem/mii-cs-pro-dass-21"/> </reference> <name value="MII CS PRO DASS-21 Response Scale and Item Codes"/> <description value="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 value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="CodeSystem"/> </extension> <reference> <reference value="CodeSystem/mii-cs-pro-eortc-qlq-c30"/> </reference> <name value="MII CS PRO EORTC QLQ-C30 Response Scale"/> <description value="Response scale for EORTC QLQ-C30 questionnaire items with multilingual support"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="CodeSystem"/> </extension> <reference> <reference value="CodeSystem/mii-cs-pro-isr-z-answers"/> </reference> <name value="MII CS PRO ISR-Z Answers"/> <description value="MII-controlled Zustimmungsskala des ISR (0-4), deutsches Original. itemWeight-Property je Konzept ermöglicht SDC-Ordinalscoring via answerValueSet."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="CodeSystem"/> </extension> <reference> <reference value="CodeSystem/mii-cs-pro-loinc-supplement"/> </reference> <name value="MII CS PRO LOINC Supplement (validated answer wordings)"/> <description value="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 value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="CodeSystem"/> </extension> <reference> <reference value="CodeSystem/mii-cs-pro-midos2"/> </reference> <name value="MII CS PRO MIDOS2 Items and Response Scales"/> <description value="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 value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="CodeSystem"/> </extension> <reference> <reference value="CodeSystem/mii-cs-pro-phq-15-answers"/> </reference> <name value="MII CS PRO PHQ-15 Answers"/> <description value="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 value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="CodeSystem"/> </extension> <reference> <reference value="CodeSystem/mii-cs-pro-pro-ctcae"/> </reference> <name value="MII CS PRO PRO-CTCAE Item Library"/> <description value="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 value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="CodeSystem"/> </extension> <reference> <reference value="CodeSystem/mii-cs-pro-questionnaire-catalogue"/> </reference> <name value="MII CS PRO Questionnaire Catalogue"/> <description value="MII CS PRO Questionnaire Catalogue for PRO Questionnaires used in the MII PROMs Module"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="CodeSystem"/> </extension> <reference> <reference value="CodeSystem/mii-cs-pro-score-catalogue"/> </reference> <name value="MII CS PRO Score Catalogue"/> <description value="MII CS PRO Score Catalogue for PRO Scores used in the MII PROMs Module"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="CodeSystem"/> </extension> <reference> <reference value="CodeSystem/mii-cs-pro-ssd-12-answers"/> </reference> <name value="MII CS PRO SSD-12 Answers"/> <description value="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 value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="CodeSystem"/> </extension> <reference> <reference value="CodeSystem/mii-cs-pro-whodas-12"/> </reference> <name value="MII CS PRO WHODAS 2.0 12-Item Response Scale and Item Codes"/> <description value="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 value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:extension"/> </extension> <reference> <reference value="StructureDefinition/mii-ex-pro-score-score-health-correlation"/> </reference> <name value="MII Ex PRO Score Score Health Correlation"/> <description value="MII Ex PRO Score Score Health Correlation"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="QuestionnaireResponse"/> </extension> <reference> <reference value="QuestionnaireResponse/mii-exa-pro-bdi-bdi2"/> </reference> <name value="MII EXA PRO BDI-II"/> <description value="MII EXA PRO Beck Depression Inventory II (BDI-II) Questionnaire"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="QuestionnaireResponse"/> </extension> <reference> <reference value="QuestionnaireResponse/mii-exa-pro-dass-dass21-response-01"/> </reference> <name value="MII EXA PRO DASS-21 Response"/> <description value="Complete DASS-21 QuestionnaireResponse example with mixed severity: Depression severe (12), Anxiety mild (5), Stress moderate (11)"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="QuestionnaireResponse"/> </extension> <reference> <reference value="QuestionnaireResponse/mii-exa-pro-eortc-qlq-c30-response"/> </reference> <name value="MII EXA PRO EORTC QLQ-C30 Response"/> <description value="Complete EORTC QLQ-C30 QuestionnaireResponse example with all 30 items and calculated scores"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="QuestionnaireResponse"/> </extension> <reference> <reference value="QuestionnaireResponse/mii-exa-pro-midos2-response-01"/> </reference> <name value="MII EXA PRO MIDOS2 Response"/> <description value="MIDOS2 QuestionnaireResponse Beispiel — Palliativpatient mit moderater Symptomlast (Summe 19/33, Wohlbefinden eher schlecht)"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Patient"/> </extension> <reference> <reference value="Patient/mii-exa-pro-patient"/> </reference> <name value="MII EXA PRO Patient"/> <description value="Example patient for PRO demonstrations"/> <exampleBoolean value="true"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="QuestionnaireResponse"/> </extension> <reference> <reference value="QuestionnaireResponse/mii-exa-pro-pro-ctcae-onkologisches-basisscreening-response-01"/> </reference> <name value="MII EXA PRO PRO-CTCAE Onkologisches Basisscreening Response"/> <description value="PRO-CTCAE Onkologisches Basisscreening Beispiel — Onkologischer Patient unter Chemotherapie mit moderater Symptomlast"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Bundle"/> </extension> <reference> <reference value="Bundle/mii-exa-pro-promis-depression-sf4a-bundle"/> </reference> <name value="MII EXA PRO PROMIS Depression SF 4a Bundle"/> <description value="Example bundle containing PROMIS Depression SF 4a QuestionnaireResponse and derived observations"/> <exampleBoolean value="true"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Observation"/> </extension> <reference> <reference value="Observation/mii-exa-pro-promis-depression-sf4a-raw-score"/> </reference> <name value="MII EXA PRO PROMIS Depression SF 4a Raw Score"/> <description value="Example raw score observation for PROMIS Depression Short Form 4a"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-promis-depression-sf4a-raw-score"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="QuestionnaireResponse"/> </extension> <reference> <reference value="QuestionnaireResponse/mii-exa-pro-promis-depression-sf4a-response"/> </reference> <name value="MII EXA PRO PROMIS Depression SF 4a Response"/> <description value="Example QuestionnaireResponse for PROMIS Depression Short Form 4a"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Observation"/> </extension> <reference> <reference value="Observation/mii-exa-pro-promis-depression-sf4a-tscore"/> </reference> <name value="MII EXA PRO PROMIS Depression SF 4a T-Score"/> <description value="Example T-score observation for PROMIS Depression Short Form 4a"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-depression-t-score"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Bundle"/> </extension> <reference> <reference value="Bundle/mii-exa-pro-promis-29-bundle"/> </reference> <name value="MII EXA PRO PROMIS-29 Bundle with Extracted Observations"/> <description value="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 value="true"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="QuestionnaireResponse"/> </extension> <reference> <reference value="QuestionnaireResponse/mii-exa-pro-promis-29-response"/> </reference> <name value="MII EXA PRO PROMIS-29 Response"/> <description value="Example QuestionnaireResponse for PROMIS-29 Profile v2.1 (English variant)"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="QuestionnaireResponse"/> </extension> <reference> <reference value="QuestionnaireResponse/mii-exa-pro-promis-29-de-response"/> </reference> <name value="MII EXA PRO PROMIS-29 Response (German)"/> <description value="Example QuestionnaireResponse for PROMIS-29 Profile v2.1 (German variant) - demonstrates response compatibility between language variants"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="QuestionnaireResponse"/> </extension> <reference> <reference value="QuestionnaireResponse/mii-exa-pro-whodas12-response-01"/> </reference> <name value="MII EXA PRO WHODAS 2.0 12-Item Response"/> <description value="Complete WHODAS-12 QuestionnaireResponse example. All 12 items answered 'Moderate' (ordinal 2); simple sum = 24."/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:logical"/> </extension> <reference> <reference value="StructureDefinition/mii-lm-pro"/> </reference> <name value="MII Logical Model Modul PRO - Patient-Reported Outcomes und abgeleitete Metriken"/> <description value="Logisches Modell für die strukturierte Erfassung und Verarbeitung von Patient-Reported Outcomes (PROs) inklusive Fragebögen, Antworten, Scores und Domain-Mappings."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-depression-t-score"/> </reference> <name value="MII ObsDef PRO Depression Domain T-Score"/> <description value="ObservationDefinition for depression domain T-score across all depression questionnaires with European population reference ranges"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-promis-cognitive-function-sf4a-raw-score"/> </reference> <name value="MII ObsDef PRO PROMIS Cognitive Function SF 4a Raw Score"/> <description value="PROMIS Cognitive Function Short Form 4a Raw Score (4-20 range)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-promis-cognitive-function-sf4a-tscore"/> </reference> <name value="MII ObsDef PRO PROMIS Cognitive Function SF 4a T-Score"/> <description value="PROMIS Cognitive Function Short Form 4a T-Score"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-promis-29-anxiety-tscore"/> </reference> <name value="MII ObsDef PRO PROMIS-29 Anxiety T-Score"/> <description value="PROMIS Anxiety T-Score from PROMIS-29 Profile v2.1"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-promis-29-depression-tscore"/> </reference> <name value="MII ObsDef PRO PROMIS-29 Depression T-Score"/> <description value="PROMIS Depression T-Score from PROMIS-29 Profile v2.1"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-promis-29-fatigue-tscore"/> </reference> <name value="MII ObsDef PRO PROMIS-29 Fatigue T-Score"/> <description value="PROMIS Fatigue T-Score from PROMIS-29 Profile v2.1"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-promis-29-pain-intensity"/> </reference> <name value="MII ObsDef PRO PROMIS-29 Pain Intensity"/> <description value="PROMIS Pain Intensity single item from PROMIS-29 Profile v2.1"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-promis-29-pain-interference-tscore"/> </reference> <name value="MII ObsDef PRO PROMIS-29 Pain Interference T-Score"/> <description value="PROMIS Pain Interference T-Score from PROMIS-29 Profile v2.1"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-promis-29-physical-function-tscore"/> </reference> <name value="MII ObsDef PRO PROMIS-29 Physical Function T-Score"/> <description value="PROMIS Physical Function T-Score from PROMIS-29 Profile v2.1"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-promis-29-sleep-disturbance-tscore"/> </reference> <name value="MII ObsDef PRO PROMIS-29 Sleep Disturbance T-Score"/> <description value="PROMIS Sleep Disturbance T-Score from PROMIS-29 Profile v2.1"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-promis-29-social-function-tscore"/> </reference> <name value="MII ObsDef PRO PROMIS-29 Social Function T-Score"/> <description value="PROMIS Ability to Participate in Social Roles and Activities T-Score from PROMIS-29 Profile v2.1"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-score-bdi-ii"/> </reference> <name value="MII ObsDef PRO Score BDI-II"/> <description value="Beck Depression Inventory II (BDI-II) Total Score"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-score-eq5d5l-index"/> </reference> <name value="MII ObsDef PRO Score EQ-5D-5L Index"/> <description value="EuroQol 5 Dimensions 5 Levels (EQ-5D-5L) Index Score"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-score-eq5d5l-profile"/> </reference> <name value="MII ObsDef PRO Score EQ-5D-5L Profile"/> <description value="EuroQol 5 Dimensions 5 Levels (EQ-5D-5L) Profile"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-score-eq5d5l-vas"/> </reference> <name value="MII ObsDef PRO Score EQ-5D-5L VAS"/> <description value="EuroQol 5 Dimensions 5 Levels (EQ-5D-5L) Visual Analog Scale (VAS) Score"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-score-gad-7"/> </reference> <name value="MII ObsDef PRO Score GAD-7"/> <description value="GAD-7 Summenscore (0-21) — Screening auf generalisierte Angststörung"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-score-isr-z"/> </reference> <name value="MII ObsDef PRO Score ISR-Z"/> <description value="ISR-Z Skalenwert (Mittelwert, Bereich 0-4) — Subskala Zwang des ICD-10-Symptom-Rating"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-score-pc-ptsd"/> </reference> <name value="MII ObsDef PRO Score PC-PTSD"/> <description value="PC-PTSD total score (0-4) — screening for posttraumatic stress disorder"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-score-phq-15"/> </reference> <name value="MII ObsDef PRO Score PHQ-15"/> <description value="Patient Health Questionnaire-15 (PHQ-15) total somatic symptom severity score (0–30)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-score-phq-9"/> </reference> <name value="MII ObsDef PRO Score PHQ-9"/> <description value="Patient Health Questionnaire (PHQ-9)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-score-scoff"/> </reference> <name value="MII ObsDef PRO Score SCOFF"/> <description value="SCOFF total score (0-5) — screening for eating disorders"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-score-ssd-12"/> </reference> <name value="MII ObsDef PRO Score SSD-12"/> <description value="SSD-12 total score (0-48) — somatic symptom disorder B-criteria burden"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-score-wi-7"/> </reference> <name value="MII ObsDef PRO Score WI-7"/> <description value="WI-7 (Whiteley-7) total score (0-7) — screening for hypochondriasis and somatization"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/mii-pr-pro-depression-t-score"/> </reference> <name value="MII PR PRO Depression Domain T-Score"/> <description value="Generic profile for depression domain T-score observations (all depression questionnaires)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/mii-pr-pro-observation-bdi-ii"/> </reference> <name value="MII PR PRO Observation BDI-II"/> <description value="Profile for Beck Depression Inventory II (BDI-II) Total Score Observations"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/mii-pr-pro-observation-eq5d5l-index"/> </reference> <name value="MII PR PRO Observation EQ-5D-5L Index"/> <description value="Profile for EQ-5D-5L Index Score Observations with German value set reference ranges"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/mii-pr-pro-observation-eq5d5l-profile"/> </reference> <name value="MII PR PRO Observation EQ-5D-5L Profile"/> <description value="Profile for EQ-5D-5L Profile String Observations (e.g., '11111')"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/mii-pr-pro-observation-eq5d5l-vas"/> </reference> <name value="MII PR PRO Observation EQ-5D-5L VAS"/> <description value="Profile for EQ-5D-5L Visual Analogue Scale Score Observations"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/mii-pr-pro-observation-phq-15"/> </reference> <name value="MII PR PRO Observation PHQ-15"/> <description value="Profile for Patient Health Questionnaire-15 (PHQ-15) total somatic symptom severity score Observations (0-30; higher scores indicate greater somatic symptom burden)."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/mii-pr-pro-observation-phq-9"/> </reference> <name value="MII PR PRO Observation PHQ-9"/> <description value="Profile for Patient Health Questionnaire-9 (PHQ-9) total score Observations (0-27; higher scores indicate more severe depression)."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/mii-pr-pro-observation-whodas12"/> </reference> <name value="MII PR PRO Observation WHODAS 2.0 12-Item"/> <description value="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 value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/mii-pr-pro-promis-cognitive-function-sf4a-raw-score"/> </reference> <name value="MII PR PRO PROMIS Cognitive Function SF 4a Raw Score"/> <description value="Profile for PROMIS Cognitive Function Short Form 4a raw score observations (4-20 range)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/mii-pr-pro-promis-cognitive-function-sf4a-tscore"/> </reference> <name value="MII PR PRO PROMIS Cognitive Function SF 4a T-Score"/> <description value="Profile for PROMIS Cognitive Function Short Form 4a T-Score observations"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/mii-pr-pro-promis-depression-sf4a-raw-score"/> </reference> <name value="MII PR PRO PROMIS Depression SF 4a Raw Score"/> <description value="Profile for PROMIS Depression Short Form 4a raw score observations (4-20 range)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/mii-pr-pro-promis-29-anxiety-tscore"/> </reference> <name value="MII PR PRO PROMIS-29 Anxiety T-Score"/> <description value="Profile for PROMIS-29 Anxiety T-Score Observations"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/mii-pr-pro-promis-29-depression-tscore"/> </reference> <name value="MII PR PRO PROMIS-29 Depression T-Score"/> <description value="Profile for PROMIS-29 Depression T-Score Observations"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/mii-pr-pro-promis-29-fatigue-tscore"/> </reference> <name value="MII PR PRO PROMIS-29 Fatigue T-Score"/> <description value="Profile for PROMIS-29 Fatigue T-Score Observations"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/mii-pr-pro-promis-29-pain-intensity"/> </reference> <name value="MII PR PRO PROMIS-29 Pain Intensity"/> <description value="Profile for PROMIS-29 Pain Intensity single item Observations"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/mii-pr-pro-promis-29-pain-interference-tscore"/> </reference> <name value="MII PR PRO PROMIS-29 Pain Interference T-Score"/> <description value="Profile for PROMIS-29 Pain Interference T-Score Observations"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/mii-pr-pro-promis-29-physical-function-tscore"/> </reference> <name value="MII PR PRO PROMIS-29 Physical Function T-Score"/> <description value="Profile for PROMIS-29 Physical Function T-Score Observations"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/mii-pr-pro-promis-29-sleep-disturbance-tscore"/> </reference> <name value="MII PR PRO PROMIS-29 Sleep Disturbance T-Score"/> <description value="Profile for PROMIS-29 Sleep Disturbance T-Score Observations"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/mii-pr-pro-promis-29-social-function-tscore"/> </reference> <name value="MII PR PRO PROMIS-29 Social Function T-Score"/> <description value="Profile for PROMIS-29 Ability to Participate in Social Roles and Activities T-Score Observations"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/mii-pr-pro-questionnaire"/> </reference> <name value="MII PR PRO Questionnaire"/> <description value="MII PR PRO Questionnaire, based on the FHIR Structure Data Capture Specification"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:extension"/> </extension> <reference> <reference value="StructureDefinition/mii-ex-pro-questionnaire-capabilities"/> </reference> <name value="MII PR PRO Questionnaire Capabilities"/> <description value="MII PR PRO Questionnaire Capabilities, based on the FHIR Structure Data Capture Specification"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/mii-pr-pro-questionnaire-response"/> </reference> <name value="MII PR PRO QuestionnaireResponse"/> <description value="MII PR PRO QuestionnaireResponse, based on the FHIR Structure Data Capture Specification"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/mii-pr-pro-score-blueprint"/> </reference> <name value="MII PR PRO Score Blueprint / Template"/> <description value="MII PR PRO Questionnaire, based on the FHIR Structure Data Capture Specification"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="StructureDefinition:resource"/> </extension> <reference> <reference value="StructureDefinition/mii-pr-pro-score-instance"/> </reference> <name value="MII PR PRO Score Instance"/> <description value="MII PR PRO Score Instance"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-bdi-bdi2"/> </reference> <name value="MII QST PRO BDI-II"/> <description value="MII QST PRO Beck Depression Inventory II (BDI-II) Questionnaire"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-ces-d"/> </reference> <name value="MII QST PRO CES-D"/> <description value="Center for Epidemiologic Studies Depression Scale (CES-D) - Metadata-only reference implementation"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-dass-dass21"/> </reference> <name value="MII QST PRO DASS-21"/> <description value="Depression Anxiety Stress Scales - 21 Items (DASS-21)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-eortc-qlq-c30"/> </reference> <name value="MII QST PRO EORTC QLQ-C30"/> <description value="EORTC QLQ-C30 Version 3.0 Quality of Life Questionnaire - Complete implementation with all 30 items and 15 scale scores"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-epds"/> </reference> <name value="MII QST PRO EPDS"/> <description value="Edinburgh Postnatal Depression Scale (EPDS) - Metadata-only reference implementation"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-euroqol-eq5d5l-answer-coding"/> </reference> <name value="MII QST PRO EQ-5D-5L"/> <description value="MII QST PRO EuroQol Five Dimension Five Level (EQ-5D-5L) Questionnaire"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-euroqol-eq5d5l-minimal"/> </reference> <name value="MII QST PRO EQ-5D-5L"/> <description value="MII QST PRO EuroQol Five Dimension Five Level (EQ-5D-5L) Questionnaire"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-euroqol-eq5d5l-displayable"/> </reference> <name value="MII QST PRO EQ-5D-5L (Displayable)"/> <description value="MII QST PRO EuroQol Five Dimension Five Level (EQ-5D-5L) Questionnaire - Displayable version"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-euroqol-eq5d5l-collectable"/> </reference> <name value="MII QST PRO EQ-5D-5L Collectable"/> <description value="MII QST PRO EuroQol Five Dimension Five Level (EQ-5D-5L) Questionnaire - Collectable Version"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-euronet-soma"/> </reference> <name value="MII QST PRO EURONET-SOMA"/> <description value="EURONET-SOMA — two core outcome NRS items for somatic symptom intensity and interference (Rief et al. 2017) with German translation"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-gad-7"/> </reference> <name value="MII QST PRO GAD-7"/> <description value="Generalized Anxiety Disorder Scale-7 (GAD-7) — Screening auf generalisierte Angststoerung, mit deutscher Uebersetzung (PHQ-D)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-hads"/> </reference> <name value="MII QST PRO HADS"/> <description value="Hospital Anxiety and Depression Scale (HADS) - Metadata-only reference implementation"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-isr-z"/> </reference> <name value="MII QST PRO ISR-Z"/> <description value="ISR-Z — Subskala Zwang (3 Items) des ICD-10-Symptom-Rating (Tritt et al. 2008); Skalenwert als Mittelwert, nicht Summe"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-k6"/> </reference> <name value="MII QST PRO K6"/> <description value="Kessler Psychological Distress Scale (K6) - Metadata-only reference implementation"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-midos-midos2"/> </reference> <name value="MII QST PRO MIDOS2"/> <description value="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 value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-pc-ptsd"/> </reference> <name value="MII QST PRO PC-PTSD"/> <description value="PC-PTSD — Primary Care PTSD Screen, four-item screening questionnaire for posttraumatic stress disorder (Prins et al. 2003; German: Schäfer & Schulze 2010)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-phq-15"/> </reference> <name value="MII QST PRO PHQ-15"/> <description value="Patient Health Questionnaire-15 (PHQ-15) — somatic symptom severity (PHQ-D German validated)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-phq-9"/> </reference> <name value="MII QST PRO PHQ-9"/> <description value="Patient Health Questionnaire (PHQ-9)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-pro-ctcae-onkologisches-basisscreening"/> </reference> <name value="MII QST PRO PRO-CTCAE Onkologisches Basisscreening"/> <description value="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 value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-promis-cognitive-function-sf4a"/> </reference> <name value="MII QST PRO PROMIS Cognitive Function SF 4a"/> <description value="PROMIS Cognitive Function Short Form 4a - Assessment of cognitive abilities and concerns"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-promis-depression-sf4a"/> </reference> <name value="MII QST PRO PROMIS Depression SF 4a (Adults)"/> <description value="PROMIS Depression Short Form 4a - Adults - Item Bank v1.0"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-promis-16"/> </reference> <name value="MII QST PRO PROMIS-16 (Adults)"/> <description value="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 value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-promis-29"/> </reference> <name value="MII QST PRO PROMIS-29 (Adults)"/> <description value="PROMIS-29 Profile v2.1 - Comprehensive health-related quality of life assessment across 7 domains"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-promis-29-de"/> </reference> <name value="MII QST PRO PROMIS-29 (German)"/> <description value="PROMIS-29 Profile v2.1 - German language variant derived from English source"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-promis-29-minimal"/> </reference> <name value="MII QST PRO PROMIS-29 Minimal"/> <description value="PROMIS-29 Profile v2.1 - Minimal variant for data collection without calculated expressions"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-scoff"/> </reference> <name value="MII QST PRO SCOFF"/> <description value="SCOFF questionnaire — five-item screening tool for eating disorders (Morgan et al. 1999) with German translation"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-ssd-12"/> </reference> <name value="MII QST PRO SSD-12"/> <description value="SSD-12 — Somatic Symptom Disorder – B Criteria Scale (Toussaint et al. 2016/2017), 12-item German self-report scale"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-whodas-whodas12"/> </reference> <name value="MII QST PRO WHODAS 2.0 12-Item"/> <description value="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 value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-wi-7"/> </reference> <name value="MII QST PRO WI-7"/> <description value="WI-7 (Whiteley-7) questionnaire — seven-item screening scale for hypochondriasis and somatization (Fink et al. 1999) with German translation"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/mii-vs-pro-bdi-bdi2-short"/> </reference> <name value="MII VS PRO BDI-II"/> <description value="MII VS PRO BDI-II ValueSet for Beck Depression Inventory II (BDI-II) Questionnaire"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/mii-vs-pro-bdi-bdi2-long"/> </reference> <name value="MII VS PRO BDI-II"/> <description value="MII VS PRO BDI-II ValueSet for Beck Depression Inventory II (BDI-II) Questionnaire"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/mii-vs-pro-dass-21-answer-list"/> </reference> <name value="MII VS PRO DASS-21 Answer List"/> <description value="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 value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"/> </reference> <name value="MII VS PRO EORTC QLQ-C30 4-Point Scale"/> <description value="Standard 4-point response scale for EORTC QLQ-C30 items"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/mii-vs-pro-eortc-qlq-c30-scale-7pt"/> </reference> <name value="MII VS PRO EORTC QLQ-C30 7-Point Scale"/> <description value="7-point response scale for EORTC QLQ-C30 global health status and quality of life items"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/mii-vs-pro-eortc-qlq-c30-scale-role"/> </reference> <name value="MII VS PRO EORTC QLQ-C30 Role Functioning Scale"/> <description value="4-point response scale for EORTC QLQ-C30 role functioning items"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/mii-vs-pro-isr-z-answers"/> </reference> <name value="MII VS PRO ISR-Z Answers"/> <description value="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 value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/mii-vs-pro-midos2-severity"/> </reference> <name value="MII VS PRO MIDOS2 DGP-Severity-Skala"/> <description value="DGP-4-stufige Severity-Skala (keine, leichte, mittlere, starke) — wird für die 11 Symptom-Items des MIDOS2 verwendet."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/mii-vs-pro-midos2-wellbeing"/> </reference> <name value="MII VS PRO MIDOS2 Wohlbefinden-Skala"/> <description value="4-stufige Wohlbefinden-Skala (sehr gut, eher gut, eher schlecht, sehr schlecht) — wird für das Wohlbefinden-Item des MIDOS2 verwendet."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/mii-vs-pro-phq-15-answers"/> </reference> <name value="MII VS PRO PHQ-15 Answers"/> <description value="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 value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/mii-vs-pro-phq-9-answer-list-ll358-3"/> </reference> <name value="MII VS PRO PHQ-9 Answer List LL358-3"/> <description value="Patient Health Questionnaire (PHQ-9) Not at all/Several days/More than half the days/Nearly every day"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/mii-vs-pro-phq-9-answer-list-ll359-1"/> </reference> <name value="MII VS PRO PHQ-9 Answer List LL359-1"/> <description value="Not difficult at all/Somewhat difficult/Very difficult/Extremely difficult-Perceived difficulty (PHQ-9)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/mii-vs-pro-pro-ctcae-frequency"/> </reference> <name value="MII VS PRO PRO-CTCAE Frequency Scale"/> <description value="5-point frequency response scale for PRO-CTCAE items (0=Never, 4=Almost constantly)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/mii-vs-pro-pro-ctcae-frequency-sexual"/> </reference> <name value="MII VS PRO PRO-CTCAE Frequency Scale (Sexual Function)"/> <description value="7-point frequency scale for sexual function items: standard 5 options plus 'Not sexually active' and 'Prefer not to answer'"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/mii-vs-pro-pro-ctcae-interference"/> </reference> <name value="MII VS PRO PRO-CTCAE Interference Scale"/> <description value="5-point interference response scale for PRO-CTCAE items (0=Not at all, 4=Very much)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/mii-vs-pro-pro-ctcae-presence"/> </reference> <name value="MII VS PRO PRO-CTCAE Presence Scale"/> <description value="Binary presence/absence response scale for PRO-CTCAE items"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/mii-vs-pro-pro-ctcae-presence-sexual"/> </reference> <name value="MII VS PRO PRO-CTCAE Presence Scale (Sexual Function)"/> <description value="4-option presence scale for sexual function: Yes / No / Not sexually active / Prefer not to answer"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/mii-vs-pro-pro-ctcae-presence-na"/> </reference> <name value="MII VS PRO PRO-CTCAE Presence Scale (with Not Applicable)"/> <description value="3-option presence scale: Yes / No / Not applicable"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/mii-vs-pro-pro-ctcae-severity"/> </reference> <name value="MII VS PRO PRO-CTCAE Severity Scale"/> <description value="5-point severity response scale for PRO-CTCAE items (0=None, 4=Very severe)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/mii-vs-pro-pro-ctcae-severity-radiation"/> </reference> <name value="MII VS PRO PRO-CTCAE Severity Scale (Radiation)"/> <description value="6-point severity scale for radiation items: standard 5 options plus 'Not applicable'"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/mii-vs-pro-pro-ctcae-severity-sexual"/> </reference> <name value="MII VS PRO PRO-CTCAE Severity Scale (Sexual Function)"/> <description value="7-point severity scale for sexual function items: standard 5 options plus 'Not sexually active' and 'Prefer not to answer'"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/mii-vs-pro-promis-frequency-response-scale"/> </reference> <name value="MII VS PRO PROMIS Frequency Response Scale"/> <description value="PROMIS Frequency response scale based on LOINC LL1016-6"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/mii-vs-pro-promis-intensity-response-scale"/> </reference> <name value="MII VS PRO PROMIS Intensity Response Scale"/> <description value="PROMIS Intensity response scale (Not at all / A little bit / Somewhat / Quite a bit / Very much) based on LOINC LL1024-0"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/mii-vs-pro-promis-physical-function-response-scale"/> </reference> <name value="MII VS PRO PROMIS Physical Function Response Scale"/> <description value="PROMIS Physical Function response scale based on LOINC LL1022-4"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/mii-vs-pro-ssd-12-answers"/> </reference> <name value="MII VS PRO SSD-12 Answers"/> <description value="SSD-12 frequency answer options (0 = nie, 1 = selten, 2 = manchmal, 3 = oft, 4 = sehr oft). MII-controlled for reliable ordinal() score calculation."/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ValueSet"/> </extension> <reference> <reference value="ValueSet/mii-vs-pro-whodas-12-answer-list"/> </reference> <name value="MII VS PRO WHODAS 2.0 12-Item Answer List"/> <description value="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 value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Parameters"/> </extension> <reference> <reference value="Parameters/mii-param-pro-manifest"/> </reference> <name value="mii-param-pro-manifest"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="SearchParameter"/> </extension> <reference> <reference value="SearchParameter/mii-sp-pro-observationdefinition-code"/> </reference> <name value="mii-sp-pro-observationdefinition-code"/> <description value="SearchParameter for ObservationDefinition.code to find score definitions by code (LOINC, SNOMED, MII)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="SearchParameter"/> </extension> <reference> <reference value="SearchParameter/mii-sp-pro-observationdefinition-health-correlation"/> </reference> <name value="mii-sp-pro-observationdefinition-health-correlation"/> <description value="SearchParameter for ObservationDefinition.qualifiedInterval.range.extension[ScoreHealthCorrelation] to filter by health correlation direction (higher scores = better/worse health)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="SearchParameter"/> </extension> <reference> <reference value="SearchParameter/mii-sp-pro-observationdefinition-interval-category"/> </reference> <name value="mii-sp-pro-observationdefinition-interval-category"/> <description value="SearchParameter for ObservationDefinition.qualifiedInterval.category to filter by reference range category (reference, critical, absolute)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="SearchParameter"/> </extension> <reference> <reference value="SearchParameter/mii-sp-pro-observationdefinition-permitted-datatype"/> </reference> <name value="mii-sp-pro-observationdefinition-permitted-datatype"/> <description value="SearchParameter for ObservationDefinition.permittedDataType to filter score definitions by data type (Quantity, string, etc.)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="SearchParameter"/> </extension> <reference> <reference value="SearchParameter/mii-sp-pro-observationdefinition-preferred-report-name"/> </reference> <name value="mii-sp-pro-observationdefinition-preferred-report-name"/> <description value="SearchParameter for ObservationDefinition.preferredReportName to search score definitions by display name"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="SearchParameter"/> </extension> <reference> <reference value="SearchParameter/mii-sp-pro-observationdefinition-unit"/> </reference> <name value="mii-sp-pro-observationdefinition-unit"/> <description value="SearchParameter for ObservationDefinition.quantitativeDetails.unit to filter score definitions by measurement unit"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="SearchParameter"/> </extension> <reference> <reference value="SearchParameter/mii-sp-pro-questionnaire-capabilities"/> </reference> <name value="mii-sp-pro-questionnaire-capabilities"/> <description value="SearchParameter for Questionnaire.extension[capabilities] to filter questionnaires by capability flags (displayable, collectable, calculatable, extractable, populatable, domainAligned)"/> <exampleBoolean value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="QuestionnaireResponse"/> </extension> <reference> <reference value="QuestionnaireResponse/mii-exa-pro-pc-ptsd-response"/> </reference> <name value="PC-PTSD Questionnaire Response Example"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Observation"/> </extension> <reference> <reference value="Observation/mii-exa-pro-pc-ptsd-score"/> </reference> <name value="PC-PTSD Score Observation Example"/> <description value="PC-PTSD Total Score aus der Beispiel-QuestionnaireResponse (3 von 4)"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="QuestionnaireResponse"/> </extension> <reference> <reference value="QuestionnaireResponse/mii-exa-pro-phq-15-response"/> </reference> <name value="PHQ-15 Questionnaire Response Example"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Observation"/> </extension> <reference> <reference value="Observation/mii-exa-pro-phq-15-observation"/> </reference> <name value="PHQ-15 Score Observation Example"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-observation-phq-15"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Observation"/> </extension> <reference> <reference value="Observation/mii-exa-pro-phq-9-observation"/> </reference> <name value="PHQ-9 Observation Example"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-observation-phq-9"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="QuestionnaireResponse"/> </extension> <reference> <reference value="QuestionnaireResponse/mii-exa-pro-phq-9-response"/> </reference> <name value="PHQ-9 Questionnaire Response Example"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Bundle"/> </extension> <reference> <reference value="Bundle/mii-exa-pro-phq-9-bundle"/> </reference> <name value="PHQ-9 Transaction Bundle Example"/> <description value="Transaction bundle containing PHQ-9 questionnaire, response, and derived observation - flagship example"/> <exampleBoolean value="true"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-score-proctcae-acs"/> </reference> <name value="PRO-CTCAE Average Composite Score (ACS)"/> <description value="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 value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-score-proctcae-composite-grade"/> </reference> <name value="PRO-CTCAE Composite Grade"/> <description value="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 value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Questionnaire"/> </extension> <reference> <reference value="Questionnaire/mii-qst-pro-pro-ctcae-breast-de"/> </reference> <name value="PRO-CTCAE Deutsches Brustkrebszentrum-Subset (21 Symptome)"/> <description value="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 value="false"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Observation"/> </extension> <reference> <reference value="Observation/mii-exa-pro-promis-depression-tscore-from-bdi-ii-observation"/> </reference> <name value="PROMIS Depression T-Score, derived from BDI-II Observation Example"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="QuestionnaireResponse"/> </extension> <reference> <reference value="QuestionnaireResponse/mii-exa-pro-scoff-response"/> </reference> <name value="SCOFF Questionnaire Response Example"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Observation"/> </extension> <reference> <reference value="Observation/mii-exa-pro-scoff-score"/> </reference> <name value="SCOFF Score Observation Example"/> <description value="SCOFF Total Score aus der Beispiel-QuestionnaireResponse (3 von 5)"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="QuestionnaireResponse"/> </extension> <reference> <reference value="QuestionnaireResponse/mii-exa-pro-ssd-12-response"/> </reference> <name value="SSD-12 Questionnaire Response Example"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="Observation"/> </extension> <reference> <reference value="Observation/mii-exa-pro-ssd-12-score"/> </reference> <name value="SSD-12 Score Observation Example"/> <description value="SSD-12 Total Score aus der Beispiel-QuestionnaireResponse (24 von 48)"/> <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/> </resource> <resource> <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information"> <valueString value="ObservationDefinition"/> </extension> <reference> <reference value="ObservationDefinition/mii-obsdef-pro-score-whodas12-simple-sum"/> </reference> <name value="WHODAS 2.0 12-Item Simple Sum Score"/> <description value="Sum of the 12 WHODAS 2.0 item scores (each 0-4), range 0-48. Higher scores indicate greater disability. 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English

Generated Narrative: ImplementationGuide mii-ig-pro

Language: en

Profiles: CRMI Shareable ImplementationGuide, CRMI Publishable ImplementationGuide, CRMI ImplementationGuide

MII_IG_PRO

The official URL for this implementation guide is:

https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ImplementationGuide/mii-ig-pro

Medizininformatik Initiative - Modul PROs, PROMs und abgeleitete Metriken

German

Generated Narrative: ImplementationGuide mii-ig-pro

Language: en

Profiles: CRMI Shareable ImplementationGuide, CRMI Publishable ImplementationGuide, CRMI ImplementationGuide

MII_IG_PRO

The official URL for this implementation guide is:

https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ImplementationGuide/mii-ig-pro

Medizininformatik Initiative - Modul PROs, PROMs und abgeleitete Metriken


  
    
      
    
    
      
    
    
      
    
  
  
    
      
    
  
  
    
      
        
        
      
    
  
  
    
      
    
  
  
    
      
      
        
        
      
    
  
  
    
      
      
        
        
      
    
  
  
    
      
      
        
        
      
    
  
  
    
      
      
        
        
      
    
  
  
    
      
    
  
  
    
      
      
    
  
  
    
  
  
    
  
  
  
  
  
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        <valueString value="true"/>
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        <valueCode value="releaselabel"/>
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        <valueString value="ci-build"/>
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        <valueString value="Observation"/>
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        <reference value="Observation/mii-exa-pro-bdi-ii-observation"/>
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        <valueString value="Bundle"/>
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        <reference value="Bundle/mii-exa-pro-bdi-ii-bundle"/>
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        <reference value="Observation/mii-exa-pro-dass-dass21-score-anxiety-equiv"/>
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      <name value="DASS-21 Anxiety DASS-42 Equivalent Score Observation"/>
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      <name value="DASS-21 Anxiety Raw Score Observation"/>
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      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
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      <name value="DASS-21 Depression DASS-42 Equivalent Score Observation"/>
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    <resource>
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      </reference>
      <name value="DASS-21 Depression Raw Score"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-dass-dass21-score-depression-raw"/>
      </reference>
      <name value="DASS-21 Depression Raw Score Observation"/>
      <description value="DASS-21 Depression subscale raw score observation (severe: 12)"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-score-dass21-depression-equiv"/>
      </reference>
      <name value="DASS-21 Depression Score (DASS-42 Equivalent)"/>
      <description value="DASS-21 depression raw score multiplied by 2 for comparability with DASS-42 normative data and published severity cut-offs."/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-dass-dass21-score-stress-equiv"/>
      </reference>
      <name value="DASS-21 Stress DASS-42 Equivalent Score Observation"/>
      <description value="DASS-21 Stress subscale DASS-42 equivalent score observation (raw 11 * 2 = 22)"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-score-dass21-stress-raw"/>
      </reference>
      <name value="DASS-21 Stress Raw Score"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-dass-dass21-score-stress-raw"/>
      </reference>
      <name value="DASS-21 Stress Raw Score Observation"/>
      <description value="DASS-21 Stress subscale raw score observation (moderate: 11)"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-score-dass21-stress-equiv"/>
      </reference>
      <name value="DASS-21 Stress Score (DASS-42 Equivalent)"/>
      <description value="DASS-21 stress raw score multiplied by 2 for comparability with DASS-42 normative data and published severity cut-offs."/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-eortc-qlq-c30-observation-ap"/>
      </reference>
      <name value="EORTC QLQ-C30 Appetite Loss Score"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-ap"/>
      </reference>
      <name value="EORTC QLQ-C30 Appetite Loss Score Definition"/>
      <description value="ObservationDefinition for EORTC QLQ-C30 Appetite Loss Score (AP) - Higher scores indicate more appetite loss"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-eortc-qlq-c30-observation-cf"/>
      </reference>
      <name value="EORTC QLQ-C30 Cognitive Functioning Score"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-cf"/>
      </reference>
      <name value="EORTC QLQ-C30 Cognitive Functioning Score Definition"/>
      <description value="ObservationDefinition for EORTC QLQ-C30 Cognitive Functioning Score (CF) - Higher scores indicate better cognitive functioning"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-eortc-qlq-c30-observation-co"/>
      </reference>
      <name value="EORTC QLQ-C30 Constipation Score"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-co"/>
      </reference>
      <name value="EORTC QLQ-C30 Constipation Score Definition"/>
      <description value="ObservationDefinition for EORTC QLQ-C30 Constipation Score (CO) - Higher scores indicate more constipation"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-eortc-qlq-c30-observation-di"/>
      </reference>
      <name value="EORTC QLQ-C30 Diarrhoea Score"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-di"/>
      </reference>
      <name value="EORTC QLQ-C30 Diarrhoea Score Definition"/>
      <description value="ObservationDefinition for EORTC QLQ-C30 Diarrhoea Score (DI) - Higher scores indicate more diarrhoea"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-eortc-qlq-c30-observation-dy"/>
      </reference>
      <name value="EORTC QLQ-C30 Dyspnoea Score"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-dy"/>
      </reference>
      <name value="EORTC QLQ-C30 Dyspnoea Score Definition"/>
      <description value="ObservationDefinition for EORTC QLQ-C30 Dyspnoea Score (DY) - Higher scores indicate more dyspnoea"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-eortc-qlq-c30-observation-ef"/>
      </reference>
      <name value="EORTC QLQ-C30 Emotional Functioning Score"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-ef"/>
      </reference>
      <name value="EORTC QLQ-C30 Emotional Functioning Score Definition"/>
      <description value="ObservationDefinition for EORTC QLQ-C30 Emotional Functioning Score (EF) - Higher scores indicate better emotional functioning"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-eortc-qlq-c30-observation-fa"/>
      </reference>
      <name value="EORTC QLQ-C30 Fatigue Score"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-fa"/>
      </reference>
      <name value="EORTC QLQ-C30 Fatigue Score Definition"/>
      <description value="ObservationDefinition for EORTC QLQ-C30 Fatigue Score (FA) - Higher scores indicate more fatigue"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-eortc-qlq-c30-observation-fi"/>
      </reference>
      <name value="EORTC QLQ-C30 Financial Difficulties Score"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-fi"/>
      </reference>
      <name value="EORTC QLQ-C30 Financial Difficulties Score Definition"/>
      <description value="ObservationDefinition for EORTC QLQ-C30 Financial Difficulties Score (FI) - Higher scores indicate more financial difficulties"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-eortc-qlq-c30-observation-ql"/>
      </reference>
      <name value="EORTC QLQ-C30 Global Health Status / Quality of Life Score"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-ql"/>
      </reference>
      <name value="EORTC QLQ-C30 Global Health Status / Quality of Life Score Definition"/>
      <description value="ObservationDefinition for EORTC QLQ-C30 Global Health Status / Quality of Life Score (QL) - Higher scores indicate better quality of life"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-eortc-qlq-c30-observation-sl"/>
      </reference>
      <name value="EORTC QLQ-C30 Insomnia Score"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-sl"/>
      </reference>
      <name value="EORTC QLQ-C30 Insomnia Score Definition"/>
      <description value="ObservationDefinition for EORTC QLQ-C30 Insomnia Score (SL) - Higher scores indicate more sleep disturbance"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-eortc-qlq-c30-observation-nv"/>
      </reference>
      <name value="EORTC QLQ-C30 Nausea and Vomiting Score"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-nv"/>
      </reference>
      <name value="EORTC QLQ-C30 Nausea and Vomiting Score Definition"/>
      <description value="ObservationDefinition for EORTC QLQ-C30 Nausea and Vomiting Score (NV) - Higher scores indicate more nausea/vomiting"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-eortc-qlq-c30-observation-pa"/>
      </reference>
      <name value="EORTC QLQ-C30 Pain Score"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-pa"/>
      </reference>
      <name value="EORTC QLQ-C30 Pain Score Definition"/>
      <description value="ObservationDefinition for EORTC QLQ-C30 Pain Score (PA) - Higher scores indicate more pain"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-eortc-qlq-c30-observation-pf"/>
      </reference>
      <name value="EORTC QLQ-C30 Physical Functioning Score"/>
      <description value="Physical Functioning Score from EORTC QLQ-C30"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-pf"/>
      </reference>
      <name value="EORTC QLQ-C30 Physical Functioning Score Definition"/>
      <description value="ObservationDefinition for EORTC QLQ-C30 Physical Functioning Score (PF) - Higher scores indicate better physical functioning"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-eortc-qlq-c30-observation-rf"/>
      </reference>
      <name value="EORTC QLQ-C30 Role Functioning Score"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-rf"/>
      </reference>
      <name value="EORTC QLQ-C30 Role Functioning Score Definition"/>
      <description value="ObservationDefinition for EORTC QLQ-C30 Role Functioning Score (RF) - Higher scores indicate better role functioning"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-eortc-qlq-c30-observation-sf"/>
      </reference>
      <name value="EORTC QLQ-C30 Social Functioning Score"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-eortc-qlq-c30-sf"/>
      </reference>
      <name value="EORTC QLQ-C30 Social Functioning Score Definition"/>
      <description value="ObservationDefinition for EORTC QLQ-C30 Social Functioning Score (SF) - Higher scores indicate better social functioning"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Bundle"/>
      </extension>
      <reference>
        <reference value="Bundle/mii-exa-pro-eortc-qlq-c30-bundle"/>
      </reference>
      <name value="EORTC QLQ-C30 Transaction Bundle Example"/>
      <description value="Complete transaction bundle containing EORTC QLQ-C30 questionnaire, response with all 30 items, and derived observations with all 15 scale scores"/>
      <exampleBoolean value="true"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="QuestionnaireResponse"/>
      </extension>
      <reference>
        <reference value="QuestionnaireResponse/mii-exa-pro-euroqol-eq5d5l-coded-response"/>
      </reference>
      <name value="EQ-5D-5L Answer-Coding Response Example"/>
      <description value="Example of an EQ-5D-5L questionnaire response using the answer-coding variant with MII CodeSystem"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="QuestionnaireResponse"/>
      </extension>
      <reference>
        <reference value="QuestionnaireResponse/mii-exa-pro-euroqol-eq5d5l-response"/>
      </reference>
      <name value="EQ-5D-5L Questionnaire Response Example"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="QuestionnaireResponse"/>
      </extension>
      <reference>
        <reference value="QuestionnaireResponse/mii-exa-pro-euronet-soma-response"/>
      </reference>
      <name value="EURONET-SOMA Questionnaire Response Example"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="QuestionnaireResponse"/>
      </extension>
      <reference>
        <reference value="QuestionnaireResponse/mii-exa-pro-gad-7-response"/>
      </reference>
      <name value="GAD-7 Questionnaire Response Example"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-gad-7-score"/>
      </reference>
      <name value="GAD-7 Score Observation Example"/>
      <description value="GAD-7 Summenwert aus der Beispiel-QuestionnaireResponse: 7 von 21"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="QuestionnaireResponse"/>
      </extension>
      <reference>
        <reference value="QuestionnaireResponse/mii-exa-pro-isr-z-response"/>
      </reference>
      <name value="ISR-Z Questionnaire Response Example"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-isr-z-score"/>
      </reference>
      <name value="ISR-Z Score Observation Example"/>
      <description value="ISR-Z Skalenwert (Mittelwert) aus der Beispiel-QuestionnaireResponse: 2.0 von 4"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ConceptMap"/>
      </extension>
      <reference>
        <reference value="ConceptMap/mii-cm-pro-gad-7-linkids"/>
      </reference>
      <name value="MII CM PRO GAD-7 Item-Nummerierung → PHQ-D-linkIds"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ConceptMap"/>
      </extension>
      <reference>
        <reference value="ConceptMap/mii-cm-pro-phq-9-linkid-migration"/>
      </reference>
      <name value="MII CM PRO PHQ-9 linkId Migration (2026.4.x → 2026.5.0)"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="CapabilityStatement"/>
      </extension>
      <reference>
        <reference value="CapabilityStatement/mii-cps-pro-capabilitystatement"/>
      </reference>
      <name value="MII CPS PRO CapabilityStatement"/>
      <description value="Das vorliegende CapabilityStatement beschreibt alle verpflichtenden Interaktionen die ein konformes System unterstützen muss, um das Modul PRO der Medizininformatik Initiative zu implementieren."/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="CodeSystem"/>
      </extension>
      <reference>
        <reference value="CodeSystem/mii-cs-pro-eq-5d-value-set"/>
      </reference>
      <name value="MII CS EQ-5D Value Set"/>
      <description value="EuroQol EQ-5D Value Set"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="CodeSystem"/>
      </extension>
      <reference>
        <reference value="CodeSystem/mii-cs-pro-bdi-bdi2"/>
      </reference>
      <name value="MII CS PRO BDI-II"/>
      <description value="MII CS PRO BDI-II ValueSet for Beck Depression Inventory II (BDI-II) Questionnaire"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="CodeSystem"/>
      </extension>
      <reference>
        <reference value="CodeSystem/mii-cs-pro-dass-21"/>
      </reference>
      <name value="MII CS PRO DASS-21 Response Scale and Item Codes"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="CodeSystem"/>
      </extension>
      <reference>
        <reference value="CodeSystem/mii-cs-pro-eortc-qlq-c30"/>
      </reference>
      <name value="MII CS PRO EORTC QLQ-C30 Response Scale"/>
      <description value="Response scale for EORTC QLQ-C30 questionnaire items with multilingual support"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="CodeSystem"/>
      </extension>
      <reference>
        <reference value="CodeSystem/mii-cs-pro-isr-z-answers"/>
      </reference>
      <name value="MII CS PRO ISR-Z Answers"/>
      <description value="MII-controlled Zustimmungsskala des ISR (0-4), deutsches Original. itemWeight-Property je Konzept ermöglicht SDC-Ordinalscoring via answerValueSet."/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="CodeSystem"/>
      </extension>
      <reference>
        <reference value="CodeSystem/mii-cs-pro-loinc-supplement"/>
      </reference>
      <name value="MII CS PRO LOINC Supplement (validated answer wordings)"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="CodeSystem"/>
      </extension>
      <reference>
        <reference value="CodeSystem/mii-cs-pro-midos2"/>
      </reference>
      <name value="MII CS PRO MIDOS2 Items and Response Scales"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="CodeSystem"/>
      </extension>
      <reference>
        <reference value="CodeSystem/mii-cs-pro-phq-15-answers"/>
      </reference>
      <name value="MII CS PRO PHQ-15 Answers"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="CodeSystem"/>
      </extension>
      <reference>
        <reference value="CodeSystem/mii-cs-pro-pro-ctcae"/>
      </reference>
      <name value="MII CS PRO PRO-CTCAE Item Library"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="CodeSystem"/>
      </extension>
      <reference>
        <reference value="CodeSystem/mii-cs-pro-questionnaire-catalogue"/>
      </reference>
      <name value="MII CS PRO Questionnaire Catalogue"/>
      <description value="MII CS PRO Questionnaire Catalogue for PRO Questionnaires used in the MII PROMs Module"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="CodeSystem"/>
      </extension>
      <reference>
        <reference value="CodeSystem/mii-cs-pro-score-catalogue"/>
      </reference>
      <name value="MII CS PRO Score Catalogue"/>
      <description value="MII CS PRO Score Catalogue for PRO Scores used in the MII PROMs Module"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="CodeSystem"/>
      </extension>
      <reference>
        <reference value="CodeSystem/mii-cs-pro-ssd-12-answers"/>
      </reference>
      <name value="MII CS PRO SSD-12 Answers"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="CodeSystem"/>
      </extension>
      <reference>
        <reference value="CodeSystem/mii-cs-pro-whodas-12"/>
      </reference>
      <name value="MII CS PRO WHODAS 2.0 12-Item Response Scale and Item Codes"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:extension"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/mii-ex-pro-score-score-health-correlation"/>
      </reference>
      <name value="MII Ex PRO Score Score Health Correlation"/>
      <description value="MII Ex PRO Score Score Health Correlation"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="QuestionnaireResponse"/>
      </extension>
      <reference>
        <reference value="QuestionnaireResponse/mii-exa-pro-bdi-bdi2"/>
      </reference>
      <name value="MII EXA PRO BDI-II"/>
      <description value="MII EXA PRO Beck Depression Inventory II (BDI-II) Questionnaire"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="QuestionnaireResponse"/>
      </extension>
      <reference>
        <reference value="QuestionnaireResponse/mii-exa-pro-dass-dass21-response-01"/>
      </reference>
      <name value="MII EXA PRO DASS-21 Response"/>
      <description value="Complete DASS-21 QuestionnaireResponse example with mixed severity: Depression severe (12), Anxiety mild (5), Stress moderate (11)"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="QuestionnaireResponse"/>
      </extension>
      <reference>
        <reference value="QuestionnaireResponse/mii-exa-pro-eortc-qlq-c30-response"/>
      </reference>
      <name value="MII EXA PRO EORTC QLQ-C30 Response"/>
      <description value="Complete EORTC QLQ-C30 QuestionnaireResponse example with all 30 items and calculated scores"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="QuestionnaireResponse"/>
      </extension>
      <reference>
        <reference value="QuestionnaireResponse/mii-exa-pro-midos2-response-01"/>
      </reference>
      <name value="MII EXA PRO MIDOS2 Response"/>
      <description value="MIDOS2 QuestionnaireResponse Beispiel — Palliativpatient mit moderater Symptomlast (Summe 19/33, Wohlbefinden eher schlecht)"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Patient"/>
      </extension>
      <reference>
        <reference value="Patient/mii-exa-pro-patient"/>
      </reference>
      <name value="MII EXA PRO Patient"/>
      <description value="Example patient for PRO demonstrations"/>
      <exampleBoolean value="true"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="QuestionnaireResponse"/>
      </extension>
      <reference>
        <reference value="QuestionnaireResponse/mii-exa-pro-pro-ctcae-onkologisches-basisscreening-response-01"/>
      </reference>
      <name value="MII EXA PRO PRO-CTCAE Onkologisches Basisscreening Response"/>
      <description value="PRO-CTCAE Onkologisches Basisscreening Beispiel — Onkologischer Patient unter Chemotherapie mit moderater Symptomlast"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Bundle"/>
      </extension>
      <reference>
        <reference value="Bundle/mii-exa-pro-promis-depression-sf4a-bundle"/>
      </reference>
      <name value="MII EXA PRO PROMIS Depression SF 4a Bundle"/>
      <description value="Example bundle containing PROMIS Depression SF 4a QuestionnaireResponse and derived observations"/>
      <exampleBoolean value="true"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-promis-depression-sf4a-raw-score"/>
      </reference>
      <name value="MII EXA PRO PROMIS Depression SF 4a Raw Score"/>
      <description value="Example raw score observation for PROMIS Depression Short Form 4a"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-promis-depression-sf4a-raw-score"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="QuestionnaireResponse"/>
      </extension>
      <reference>
        <reference value="QuestionnaireResponse/mii-exa-pro-promis-depression-sf4a-response"/>
      </reference>
      <name value="MII EXA PRO PROMIS Depression SF 4a Response"/>
      <description value="Example QuestionnaireResponse for PROMIS Depression Short Form 4a"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-promis-depression-sf4a-tscore"/>
      </reference>
      <name value="MII EXA PRO PROMIS Depression SF 4a T-Score"/>
      <description value="Example T-score observation for PROMIS Depression Short Form 4a"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-depression-t-score"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Bundle"/>
      </extension>
      <reference>
        <reference value="Bundle/mii-exa-pro-promis-29-bundle"/>
      </reference>
      <name value="MII EXA PRO PROMIS-29 Bundle with Extracted Observations"/>
      <description value="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 value="true"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="QuestionnaireResponse"/>
      </extension>
      <reference>
        <reference value="QuestionnaireResponse/mii-exa-pro-promis-29-response"/>
      </reference>
      <name value="MII EXA PRO PROMIS-29 Response"/>
      <description value="Example QuestionnaireResponse for PROMIS-29 Profile v2.1 (English variant)"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="QuestionnaireResponse"/>
      </extension>
      <reference>
        <reference value="QuestionnaireResponse/mii-exa-pro-promis-29-de-response"/>
      </reference>
      <name value="MII EXA PRO PROMIS-29 Response (German)"/>
      <description value="Example QuestionnaireResponse for PROMIS-29 Profile v2.1 (German variant) - demonstrates response compatibility between language variants"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="QuestionnaireResponse"/>
      </extension>
      <reference>
        <reference value="QuestionnaireResponse/mii-exa-pro-whodas12-response-01"/>
      </reference>
      <name value="MII EXA PRO WHODAS 2.0 12-Item Response"/>
      <description value="Complete WHODAS-12 QuestionnaireResponse example. All 12 items answered 'Moderate' (ordinal 2); simple sum = 24."/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:logical"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/mii-lm-pro"/>
      </reference>
      <name value="MII Logical Model Modul PRO - Patient-Reported Outcomes und abgeleitete Metriken"/>
      <description value="Logisches Modell für die strukturierte Erfassung und Verarbeitung von Patient-Reported Outcomes (PROs) inklusive Fragebögen, Antworten, Scores und Domain-Mappings."/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-depression-t-score"/>
      </reference>
      <name value="MII ObsDef PRO Depression Domain T-Score"/>
      <description value="ObservationDefinition for depression domain T-score across all depression questionnaires with European population reference ranges"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-promis-cognitive-function-sf4a-raw-score"/>
      </reference>
      <name value="MII ObsDef PRO PROMIS Cognitive Function SF 4a Raw Score"/>
      <description value="PROMIS Cognitive Function Short Form 4a Raw Score (4-20 range)"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-promis-cognitive-function-sf4a-tscore"/>
      </reference>
      <name value="MII ObsDef PRO PROMIS Cognitive Function SF 4a T-Score"/>
      <description value="PROMIS Cognitive Function Short Form 4a T-Score"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-promis-29-anxiety-tscore"/>
      </reference>
      <name value="MII ObsDef PRO PROMIS-29 Anxiety T-Score"/>
      <description value="PROMIS Anxiety T-Score from PROMIS-29 Profile v2.1"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-promis-29-depression-tscore"/>
      </reference>
      <name value="MII ObsDef PRO PROMIS-29 Depression T-Score"/>
      <description value="PROMIS Depression T-Score from PROMIS-29 Profile v2.1"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-promis-29-fatigue-tscore"/>
      </reference>
      <name value="MII ObsDef PRO PROMIS-29 Fatigue T-Score"/>
      <description value="PROMIS Fatigue T-Score from PROMIS-29 Profile v2.1"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-promis-29-pain-intensity"/>
      </reference>
      <name value="MII ObsDef PRO PROMIS-29 Pain Intensity"/>
      <description value="PROMIS Pain Intensity single item from PROMIS-29 Profile v2.1"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-promis-29-pain-interference-tscore"/>
      </reference>
      <name value="MII ObsDef PRO PROMIS-29 Pain Interference T-Score"/>
      <description value="PROMIS Pain Interference T-Score from PROMIS-29 Profile v2.1"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-promis-29-physical-function-tscore"/>
      </reference>
      <name value="MII ObsDef PRO PROMIS-29 Physical Function T-Score"/>
      <description value="PROMIS Physical Function T-Score from PROMIS-29 Profile v2.1"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-promis-29-sleep-disturbance-tscore"/>
      </reference>
      <name value="MII ObsDef PRO PROMIS-29 Sleep Disturbance T-Score"/>
      <description value="PROMIS Sleep Disturbance T-Score from PROMIS-29 Profile v2.1"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-promis-29-social-function-tscore"/>
      </reference>
      <name value="MII ObsDef PRO PROMIS-29 Social Function T-Score"/>
      <description value="PROMIS Ability to Participate in Social Roles and Activities T-Score from PROMIS-29 Profile v2.1"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-score-bdi-ii"/>
      </reference>
      <name value="MII ObsDef PRO Score BDI-II"/>
      <description value="Beck Depression Inventory II (BDI-II) Total Score"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-score-eq5d5l-index"/>
      </reference>
      <name value="MII ObsDef PRO Score EQ-5D-5L Index"/>
      <description value="EuroQol 5 Dimensions 5 Levels (EQ-5D-5L) Index Score"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-score-eq5d5l-profile"/>
      </reference>
      <name value="MII ObsDef PRO Score EQ-5D-5L Profile"/>
      <description value="EuroQol 5 Dimensions 5 Levels (EQ-5D-5L) Profile"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-score-eq5d5l-vas"/>
      </reference>
      <name value="MII ObsDef PRO Score EQ-5D-5L VAS"/>
      <description value="EuroQol 5 Dimensions 5 Levels (EQ-5D-5L) Visual Analog Scale (VAS) Score"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-score-gad-7"/>
      </reference>
      <name value="MII ObsDef PRO Score GAD-7"/>
      <description value="GAD-7 Summenscore (0-21) — Screening auf generalisierte Angststörung"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-score-isr-z"/>
      </reference>
      <name value="MII ObsDef PRO Score ISR-Z"/>
      <description value="ISR-Z Skalenwert (Mittelwert, Bereich 0-4) — Subskala Zwang des ICD-10-Symptom-Rating"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-score-pc-ptsd"/>
      </reference>
      <name value="MII ObsDef PRO Score PC-PTSD"/>
      <description value="PC-PTSD total score (0-4) — screening for posttraumatic stress disorder"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-score-phq-15"/>
      </reference>
      <name value="MII ObsDef PRO Score PHQ-15"/>
      <description value="Patient Health Questionnaire-15 (PHQ-15) total somatic symptom severity score (0–30)"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-score-phq-9"/>
      </reference>
      <name value="MII ObsDef PRO Score PHQ-9"/>
      <description value="Patient Health Questionnaire (PHQ-9)"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-score-scoff"/>
      </reference>
      <name value="MII ObsDef PRO Score SCOFF"/>
      <description value="SCOFF total score (0-5) — screening for eating disorders"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-score-ssd-12"/>
      </reference>
      <name value="MII ObsDef PRO Score SSD-12"/>
      <description value="SSD-12 total score (0-48) — somatic symptom disorder B-criteria burden"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-score-wi-7"/>
      </reference>
      <name value="MII ObsDef PRO Score WI-7"/>
      <description value="WI-7 (Whiteley-7) total score (0-7) — screening for hypochondriasis and somatization"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/mii-pr-pro-depression-t-score"/>
      </reference>
      <name value="MII PR PRO Depression Domain T-Score"/>
      <description value="Generic profile for depression domain T-score observations (all depression questionnaires)"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/mii-pr-pro-observation-bdi-ii"/>
      </reference>
      <name value="MII PR PRO Observation BDI-II"/>
      <description value="Profile for Beck Depression Inventory II (BDI-II) Total Score Observations"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/mii-pr-pro-observation-eq5d5l-index"/>
      </reference>
      <name value="MII PR PRO Observation EQ-5D-5L Index"/>
      <description value="Profile for EQ-5D-5L Index Score Observations with German value set reference ranges"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/mii-pr-pro-observation-eq5d5l-profile"/>
      </reference>
      <name value="MII PR PRO Observation EQ-5D-5L Profile"/>
      <description value="Profile for EQ-5D-5L Profile String Observations (e.g., '11111')"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/mii-pr-pro-observation-eq5d5l-vas"/>
      </reference>
      <name value="MII PR PRO Observation EQ-5D-5L VAS"/>
      <description value="Profile for EQ-5D-5L Visual Analogue Scale Score Observations"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/mii-pr-pro-observation-phq-15"/>
      </reference>
      <name value="MII PR PRO Observation PHQ-15"/>
      <description value="Profile for Patient Health Questionnaire-15 (PHQ-15) total somatic symptom severity score Observations (0-30; higher scores indicate greater somatic symptom burden)."/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/mii-pr-pro-observation-phq-9"/>
      </reference>
      <name value="MII PR PRO Observation PHQ-9"/>
      <description value="Profile for Patient Health Questionnaire-9 (PHQ-9) total score Observations (0-27; higher scores indicate more severe depression)."/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/mii-pr-pro-observation-whodas12"/>
      </reference>
      <name value="MII PR PRO Observation WHODAS 2.0 12-Item"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/mii-pr-pro-promis-cognitive-function-sf4a-raw-score"/>
      </reference>
      <name value="MII PR PRO PROMIS Cognitive Function SF 4a Raw Score"/>
      <description value="Profile for PROMIS Cognitive Function Short Form 4a raw score observations (4-20 range)"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/mii-pr-pro-promis-cognitive-function-sf4a-tscore"/>
      </reference>
      <name value="MII PR PRO PROMIS Cognitive Function SF 4a T-Score"/>
      <description value="Profile for PROMIS Cognitive Function Short Form 4a T-Score observations"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/mii-pr-pro-promis-depression-sf4a-raw-score"/>
      </reference>
      <name value="MII PR PRO PROMIS Depression SF 4a Raw Score"/>
      <description value="Profile for PROMIS Depression Short Form 4a raw score observations (4-20 range)"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/mii-pr-pro-promis-29-anxiety-tscore"/>
      </reference>
      <name value="MII PR PRO PROMIS-29 Anxiety T-Score"/>
      <description value="Profile for PROMIS-29 Anxiety T-Score Observations"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/mii-pr-pro-promis-29-depression-tscore"/>
      </reference>
      <name value="MII PR PRO PROMIS-29 Depression T-Score"/>
      <description value="Profile for PROMIS-29 Depression T-Score Observations"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/mii-pr-pro-promis-29-fatigue-tscore"/>
      </reference>
      <name value="MII PR PRO PROMIS-29 Fatigue T-Score"/>
      <description value="Profile for PROMIS-29 Fatigue T-Score Observations"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/mii-pr-pro-promis-29-pain-intensity"/>
      </reference>
      <name value="MII PR PRO PROMIS-29 Pain Intensity"/>
      <description value="Profile for PROMIS-29 Pain Intensity single item Observations"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/mii-pr-pro-promis-29-pain-interference-tscore"/>
      </reference>
      <name value="MII PR PRO PROMIS-29 Pain Interference T-Score"/>
      <description value="Profile for PROMIS-29 Pain Interference T-Score Observations"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/mii-pr-pro-promis-29-physical-function-tscore"/>
      </reference>
      <name value="MII PR PRO PROMIS-29 Physical Function T-Score"/>
      <description value="Profile for PROMIS-29 Physical Function T-Score Observations"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/mii-pr-pro-promis-29-sleep-disturbance-tscore"/>
      </reference>
      <name value="MII PR PRO PROMIS-29 Sleep Disturbance T-Score"/>
      <description value="Profile for PROMIS-29 Sleep Disturbance T-Score Observations"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/mii-pr-pro-promis-29-social-function-tscore"/>
      </reference>
      <name value="MII PR PRO PROMIS-29 Social Function T-Score"/>
      <description value="Profile for PROMIS-29 Ability to Participate in Social Roles and Activities T-Score Observations"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/mii-pr-pro-questionnaire"/>
      </reference>
      <name value="MII PR PRO Questionnaire"/>
      <description value="MII PR PRO Questionnaire, based on the FHIR Structure Data Capture Specification"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:extension"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/mii-ex-pro-questionnaire-capabilities"/>
      </reference>
      <name value="MII PR PRO Questionnaire Capabilities"/>
      <description value="MII PR PRO Questionnaire Capabilities, based on the FHIR Structure Data Capture Specification"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/mii-pr-pro-questionnaire-response"/>
      </reference>
      <name value="MII PR PRO QuestionnaireResponse"/>
      <description value="MII PR PRO QuestionnaireResponse, based on the FHIR Structure Data Capture Specification"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/mii-pr-pro-score-blueprint"/>
      </reference>
      <name value="MII PR PRO Score Blueprint / Template"/>
      <description value="MII PR PRO Questionnaire, based on the FHIR Structure Data Capture Specification"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="StructureDefinition:resource"/>
      </extension>
      <reference>
        <reference value="StructureDefinition/mii-pr-pro-score-instance"/>
      </reference>
      <name value="MII PR PRO Score Instance"/>
      <description value="MII PR PRO Score Instance"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-bdi-bdi2"/>
      </reference>
      <name value="MII QST PRO BDI-II"/>
      <description value="MII QST PRO Beck Depression Inventory II (BDI-II) Questionnaire"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-ces-d"/>
      </reference>
      <name value="MII QST PRO CES-D"/>
      <description value="Center for Epidemiologic Studies Depression Scale (CES-D) - Metadata-only reference implementation"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-dass-dass21"/>
      </reference>
      <name value="MII QST PRO DASS-21"/>
      <description value="Depression Anxiety Stress Scales - 21 Items (DASS-21)"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-eortc-qlq-c30"/>
      </reference>
      <name value="MII QST PRO EORTC QLQ-C30"/>
      <description value="EORTC QLQ-C30 Version 3.0 Quality of Life Questionnaire - Complete implementation with all 30 items and 15 scale scores"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-epds"/>
      </reference>
      <name value="MII QST PRO EPDS"/>
      <description value="Edinburgh Postnatal Depression Scale (EPDS) - Metadata-only reference implementation"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-euroqol-eq5d5l-answer-coding"/>
      </reference>
      <name value="MII QST PRO EQ-5D-5L"/>
      <description value="MII QST PRO EuroQol Five Dimension Five Level (EQ-5D-5L) Questionnaire"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-euroqol-eq5d5l-minimal"/>
      </reference>
      <name value="MII QST PRO EQ-5D-5L"/>
      <description value="MII QST PRO EuroQol Five Dimension Five Level (EQ-5D-5L) Questionnaire"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-euroqol-eq5d5l-displayable"/>
      </reference>
      <name value="MII QST PRO EQ-5D-5L (Displayable)"/>
      <description value="MII QST PRO EuroQol Five Dimension Five Level (EQ-5D-5L) Questionnaire - Displayable version"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-euroqol-eq5d5l-collectable"/>
      </reference>
      <name value="MII QST PRO EQ-5D-5L Collectable"/>
      <description value="MII QST PRO EuroQol Five Dimension Five Level (EQ-5D-5L) Questionnaire - Collectable Version"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-euronet-soma"/>
      </reference>
      <name value="MII QST PRO EURONET-SOMA"/>
      <description value="EURONET-SOMA — two core outcome NRS items for somatic symptom intensity and interference (Rief et al. 2017) with German translation"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-gad-7"/>
      </reference>
      <name value="MII QST PRO GAD-7"/>
      <description value="Generalized Anxiety Disorder Scale-7 (GAD-7) — Screening auf generalisierte Angststoerung, mit deutscher Uebersetzung (PHQ-D)"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-hads"/>
      </reference>
      <name value="MII QST PRO HADS"/>
      <description value="Hospital Anxiety and Depression Scale (HADS) - Metadata-only reference implementation"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-isr-z"/>
      </reference>
      <name value="MII QST PRO ISR-Z"/>
      <description value="ISR-Z — Subskala Zwang (3 Items) des ICD-10-Symptom-Rating (Tritt et al. 2008); Skalenwert als Mittelwert, nicht Summe"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-k6"/>
      </reference>
      <name value="MII QST PRO K6"/>
      <description value="Kessler Psychological Distress Scale (K6) - Metadata-only reference implementation"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-midos-midos2"/>
      </reference>
      <name value="MII QST PRO MIDOS2"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-pc-ptsd"/>
      </reference>
      <name value="MII QST PRO PC-PTSD"/>
      <description value="PC-PTSD — Primary Care PTSD Screen, four-item screening questionnaire for posttraumatic stress disorder (Prins et al. 2003; German: Schäfer & Schulze 2010)"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-phq-15"/>
      </reference>
      <name value="MII QST PRO PHQ-15"/>
      <description value="Patient Health Questionnaire-15 (PHQ-15) — somatic symptom severity (PHQ-D German validated)"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-phq-9"/>
      </reference>
      <name value="MII QST PRO PHQ-9"/>
      <description value="Patient Health Questionnaire (PHQ-9)"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-pro-ctcae-onkologisches-basisscreening"/>
      </reference>
      <name value="MII QST PRO PRO-CTCAE Onkologisches Basisscreening"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-promis-cognitive-function-sf4a"/>
      </reference>
      <name value="MII QST PRO PROMIS Cognitive Function SF 4a"/>
      <description value="PROMIS Cognitive Function Short Form 4a - Assessment of cognitive abilities and concerns"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-promis-depression-sf4a"/>
      </reference>
      <name value="MII QST PRO PROMIS Depression SF 4a (Adults)"/>
      <description value="PROMIS Depression Short Form 4a - Adults - Item Bank v1.0"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-promis-16"/>
      </reference>
      <name value="MII QST PRO PROMIS-16 (Adults)"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-promis-29"/>
      </reference>
      <name value="MII QST PRO PROMIS-29 (Adults)"/>
      <description value="PROMIS-29 Profile v2.1 - Comprehensive health-related quality of life assessment across 7 domains"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-promis-29-de"/>
      </reference>
      <name value="MII QST PRO PROMIS-29 (German)"/>
      <description value="PROMIS-29 Profile v2.1 - German language variant derived from English source"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-promis-29-minimal"/>
      </reference>
      <name value="MII QST PRO PROMIS-29 Minimal"/>
      <description value="PROMIS-29 Profile v2.1 - Minimal variant for data collection without calculated expressions"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-scoff"/>
      </reference>
      <name value="MII QST PRO SCOFF"/>
      <description value="SCOFF questionnaire — five-item screening tool for eating disorders (Morgan et al. 1999) with German translation"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-ssd-12"/>
      </reference>
      <name value="MII QST PRO SSD-12"/>
      <description value="SSD-12 — Somatic Symptom Disorder – B Criteria Scale (Toussaint et al. 2016/2017), 12-item German self-report scale"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-whodas-whodas12"/>
      </reference>
      <name value="MII QST PRO WHODAS 2.0 12-Item"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-wi-7"/>
      </reference>
      <name value="MII QST PRO WI-7"/>
      <description value="WI-7 (Whiteley-7) questionnaire — seven-item screening scale for hypochondriasis and somatization (Fink et al. 1999) with German translation"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/mii-vs-pro-bdi-bdi2-short"/>
      </reference>
      <name value="MII VS PRO BDI-II"/>
      <description value="MII VS PRO BDI-II ValueSet for Beck Depression Inventory II (BDI-II) Questionnaire"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/mii-vs-pro-bdi-bdi2-long"/>
      </reference>
      <name value="MII VS PRO BDI-II"/>
      <description value="MII VS PRO BDI-II ValueSet for Beck Depression Inventory II (BDI-II) Questionnaire"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/mii-vs-pro-dass-21-answer-list"/>
      </reference>
      <name value="MII VS PRO DASS-21 Answer List"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"/>
      </reference>
      <name value="MII VS PRO EORTC QLQ-C30 4-Point Scale"/>
      <description value="Standard 4-point response scale for EORTC QLQ-C30 items"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/mii-vs-pro-eortc-qlq-c30-scale-7pt"/>
      </reference>
      <name value="MII VS PRO EORTC QLQ-C30 7-Point Scale"/>
      <description value="7-point response scale for EORTC QLQ-C30 global health status and quality of life items"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/mii-vs-pro-eortc-qlq-c30-scale-role"/>
      </reference>
      <name value="MII VS PRO EORTC QLQ-C30 Role Functioning Scale"/>
      <description value="4-point response scale for EORTC QLQ-C30 role functioning items"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/mii-vs-pro-isr-z-answers"/>
      </reference>
      <name value="MII VS PRO ISR-Z Answers"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/mii-vs-pro-midos2-severity"/>
      </reference>
      <name value="MII VS PRO MIDOS2 DGP-Severity-Skala"/>
      <description value="DGP-4-stufige Severity-Skala (keine, leichte, mittlere, starke) — wird für die 11 Symptom-Items des MIDOS2 verwendet."/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/mii-vs-pro-midos2-wellbeing"/>
      </reference>
      <name value="MII VS PRO MIDOS2 Wohlbefinden-Skala"/>
      <description value="4-stufige Wohlbefinden-Skala (sehr gut, eher gut, eher schlecht, sehr schlecht) — wird für das Wohlbefinden-Item des MIDOS2 verwendet."/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/mii-vs-pro-phq-15-answers"/>
      </reference>
      <name value="MII VS PRO PHQ-15 Answers"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/mii-vs-pro-phq-9-answer-list-ll358-3"/>
      </reference>
      <name value="MII VS PRO PHQ-9 Answer List LL358-3"/>
      <description value="Patient Health Questionnaire (PHQ-9) Not at all/Several days/More than half the days/Nearly every day"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/mii-vs-pro-phq-9-answer-list-ll359-1"/>
      </reference>
      <name value="MII VS PRO PHQ-9 Answer List LL359-1"/>
      <description value="Not difficult at all/Somewhat difficult/Very difficult/Extremely difficult-Perceived difficulty (PHQ-9)"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/mii-vs-pro-pro-ctcae-frequency"/>
      </reference>
      <name value="MII VS PRO PRO-CTCAE Frequency Scale"/>
      <description value="5-point frequency response scale for PRO-CTCAE items (0=Never, 4=Almost constantly)"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/mii-vs-pro-pro-ctcae-frequency-sexual"/>
      </reference>
      <name value="MII VS PRO PRO-CTCAE Frequency Scale (Sexual Function)"/>
      <description value="7-point frequency scale for sexual function items: standard 5 options plus 'Not sexually active' and 'Prefer not to answer'"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/mii-vs-pro-pro-ctcae-interference"/>
      </reference>
      <name value="MII VS PRO PRO-CTCAE Interference Scale"/>
      <description value="5-point interference response scale for PRO-CTCAE items (0=Not at all, 4=Very much)"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/mii-vs-pro-pro-ctcae-presence"/>
      </reference>
      <name value="MII VS PRO PRO-CTCAE Presence Scale"/>
      <description value="Binary presence/absence response scale for PRO-CTCAE items"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/mii-vs-pro-pro-ctcae-presence-sexual"/>
      </reference>
      <name value="MII VS PRO PRO-CTCAE Presence Scale (Sexual Function)"/>
      <description value="4-option presence scale for sexual function: Yes / No / Not sexually active / Prefer not to answer"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/mii-vs-pro-pro-ctcae-presence-na"/>
      </reference>
      <name value="MII VS PRO PRO-CTCAE Presence Scale (with Not Applicable)"/>
      <description value="3-option presence scale: Yes / No / Not applicable"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/mii-vs-pro-pro-ctcae-severity"/>
      </reference>
      <name value="MII VS PRO PRO-CTCAE Severity Scale"/>
      <description value="5-point severity response scale for PRO-CTCAE items (0=None, 4=Very severe)"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/mii-vs-pro-pro-ctcae-severity-radiation"/>
      </reference>
      <name value="MII VS PRO PRO-CTCAE Severity Scale (Radiation)"/>
      <description value="6-point severity scale for radiation items: standard 5 options plus 'Not applicable'"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/mii-vs-pro-pro-ctcae-severity-sexual"/>
      </reference>
      <name value="MII VS PRO PRO-CTCAE Severity Scale (Sexual Function)"/>
      <description value="7-point severity scale for sexual function items: standard 5 options plus 'Not sexually active' and 'Prefer not to answer'"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/mii-vs-pro-promis-frequency-response-scale"/>
      </reference>
      <name value="MII VS PRO PROMIS Frequency Response Scale"/>
      <description value="PROMIS Frequency response scale based on LOINC LL1016-6"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/mii-vs-pro-promis-intensity-response-scale"/>
      </reference>
      <name value="MII VS PRO PROMIS Intensity Response Scale"/>
      <description value="PROMIS Intensity response scale (Not at all / A little bit / Somewhat / Quite a bit / Very much) based on LOINC LL1024-0"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/mii-vs-pro-promis-physical-function-response-scale"/>
      </reference>
      <name value="MII VS PRO PROMIS Physical Function Response Scale"/>
      <description value="PROMIS Physical Function response scale based on LOINC LL1022-4"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/mii-vs-pro-ssd-12-answers"/>
      </reference>
      <name value="MII VS PRO SSD-12 Answers"/>
      <description value="SSD-12 frequency answer options (0 = nie, 1 = selten, 2 = manchmal, 3 = oft, 4 = sehr oft). MII-controlled for reliable ordinal() score calculation."/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ValueSet"/>
      </extension>
      <reference>
        <reference value="ValueSet/mii-vs-pro-whodas-12-answer-list"/>
      </reference>
      <name value="MII VS PRO WHODAS 2.0 12-Item Answer List"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Parameters"/>
      </extension>
      <reference>
        <reference value="Parameters/mii-param-pro-manifest"/>
      </reference>
      <name value="mii-param-pro-manifest"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="SearchParameter"/>
      </extension>
      <reference>
        <reference value="SearchParameter/mii-sp-pro-observationdefinition-code"/>
      </reference>
      <name value="mii-sp-pro-observationdefinition-code"/>
      <description value="SearchParameter for ObservationDefinition.code to find score definitions by code (LOINC, SNOMED, MII)"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="SearchParameter"/>
      </extension>
      <reference>
        <reference value="SearchParameter/mii-sp-pro-observationdefinition-health-correlation"/>
      </reference>
      <name value="mii-sp-pro-observationdefinition-health-correlation"/>
      <description value="SearchParameter for ObservationDefinition.qualifiedInterval.range.extension[ScoreHealthCorrelation] to filter by health correlation direction (higher scores = better/worse health)"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="SearchParameter"/>
      </extension>
      <reference>
        <reference value="SearchParameter/mii-sp-pro-observationdefinition-interval-category"/>
      </reference>
      <name value="mii-sp-pro-observationdefinition-interval-category"/>
      <description value="SearchParameter for ObservationDefinition.qualifiedInterval.category to filter by reference range category (reference, critical, absolute)"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="SearchParameter"/>
      </extension>
      <reference>
        <reference value="SearchParameter/mii-sp-pro-observationdefinition-permitted-datatype"/>
      </reference>
      <name value="mii-sp-pro-observationdefinition-permitted-datatype"/>
      <description value="SearchParameter for ObservationDefinition.permittedDataType to filter score definitions by data type (Quantity, string, etc.)"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="SearchParameter"/>
      </extension>
      <reference>
        <reference value="SearchParameter/mii-sp-pro-observationdefinition-preferred-report-name"/>
      </reference>
      <name value="mii-sp-pro-observationdefinition-preferred-report-name"/>
      <description value="SearchParameter for ObservationDefinition.preferredReportName to search score definitions by display name"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="SearchParameter"/>
      </extension>
      <reference>
        <reference value="SearchParameter/mii-sp-pro-observationdefinition-unit"/>
      </reference>
      <name value="mii-sp-pro-observationdefinition-unit"/>
      <description value="SearchParameter for ObservationDefinition.quantitativeDetails.unit to filter score definitions by measurement unit"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="SearchParameter"/>
      </extension>
      <reference>
        <reference value="SearchParameter/mii-sp-pro-questionnaire-capabilities"/>
      </reference>
      <name value="mii-sp-pro-questionnaire-capabilities"/>
      <description value="SearchParameter for Questionnaire.extension[capabilities] to filter questionnaires by capability flags (displayable, collectable, calculatable, extractable, populatable, domainAligned)"/>
      <exampleBoolean value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="QuestionnaireResponse"/>
      </extension>
      <reference>
        <reference value="QuestionnaireResponse/mii-exa-pro-pc-ptsd-response"/>
      </reference>
      <name value="PC-PTSD Questionnaire Response Example"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-pc-ptsd-score"/>
      </reference>
      <name value="PC-PTSD Score Observation Example"/>
      <description value="PC-PTSD Total Score aus der Beispiel-QuestionnaireResponse (3 von 4)"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="QuestionnaireResponse"/>
      </extension>
      <reference>
        <reference value="QuestionnaireResponse/mii-exa-pro-phq-15-response"/>
      </reference>
      <name value="PHQ-15 Questionnaire Response Example"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-phq-15-observation"/>
      </reference>
      <name value="PHQ-15 Score Observation Example"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-observation-phq-15"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-phq-9-observation"/>
      </reference>
      <name value="PHQ-9 Observation Example"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-observation-phq-9"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="QuestionnaireResponse"/>
      </extension>
      <reference>
        <reference value="QuestionnaireResponse/mii-exa-pro-phq-9-response"/>
      </reference>
      <name value="PHQ-9 Questionnaire Response Example"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Bundle"/>
      </extension>
      <reference>
        <reference value="Bundle/mii-exa-pro-phq-9-bundle"/>
      </reference>
      <name value="PHQ-9 Transaction Bundle Example"/>
      <description value="Transaction bundle containing PHQ-9 questionnaire, response, and derived observation - flagship example"/>
      <exampleBoolean value="true"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-score-proctcae-acs"/>
      </reference>
      <name value="PRO-CTCAE Average Composite Score (ACS)"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-score-proctcae-composite-grade"/>
      </reference>
      <name value="PRO-CTCAE Composite Grade"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Questionnaire"/>
      </extension>
      <reference>
        <reference value="Questionnaire/mii-qst-pro-pro-ctcae-breast-de"/>
      </reference>
      <name value="PRO-CTCAE Deutsches Brustkrebszentrum-Subset (21 Symptome)"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-promis-depression-tscore-from-bdi-ii-observation"/>
      </reference>
      <name value="PROMIS Depression T-Score, derived from BDI-II Observation Example"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="QuestionnaireResponse"/>
      </extension>
      <reference>
        <reference value="QuestionnaireResponse/mii-exa-pro-scoff-response"/>
      </reference>
      <name value="SCOFF Questionnaire Response Example"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-scoff-score"/>
      </reference>
      <name value="SCOFF Score Observation Example"/>
      <description value="SCOFF Total Score aus der Beispiel-QuestionnaireResponse (3 von 5)"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="QuestionnaireResponse"/>
      </extension>
      <reference>
        <reference value="QuestionnaireResponse/mii-exa-pro-ssd-12-response"/>
      </reference>
      <name value="SSD-12 Questionnaire Response Example"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-ssd-12-score"/>
      </reference>
      <name value="SSD-12 Score Observation Example"/>
      <description value="SSD-12 Total Score aus der Beispiel-QuestionnaireResponse (24 von 48)"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="ObservationDefinition"/>
      </extension>
      <reference>
        <reference value="ObservationDefinition/mii-obsdef-pro-score-whodas12-simple-sum"/>
      </reference>
      <name value="WHODAS 2.0 12-Item Simple Sum Score"/>
      <description value="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 value="false"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-whodas12-score-simple-sum"/>
      </reference>
      <name value="WHODAS 2.0 12-Item Simple Sum Score Observation"/>
      <description value="WHODAS-12 simple sum score observation (all items 'Moderate': 12 × 2 = 24)."/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-observation-whodas12"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="QuestionnaireResponse"/>
      </extension>
      <reference>
        <reference value="QuestionnaireResponse/mii-exa-pro-wi-7-response"/>
      </reference>
      <name value="WI-7 Questionnaire Response Example"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Observation"/>
      </extension>
      <reference>
        <reference value="Observation/mii-exa-pro-wi-7-score"/>
      </reference>
      <name value="WI-7 Score Observation Example"/>
      <description value="Whiteley-7 Total Score aus der Beispiel-QuestionnaireResponse (3 von 7)"/>
      <exampleCanonical value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/>
    </resource>
    <page>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
        <valueUrl value="toc.html"/>
      </extension>
      <nameUrl value="toc.html"/>
      <title value="Table of Contents"/>
      <generation value="html"/>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="index.html"/>
        </extension>
        <nameUrl value="index.html"/>
        <title value="Home"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="guidance.html"/>
        </extension>
        <nameUrl value="guidance.html"/>
        <title value="Guidance"/>
        <generation value="markdown"/>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="researcher-guidance.html"/>
          </extension>
          <nameUrl value="researcher-guidance.html"/>
          <title value="Guidance for Researchers"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="implementer-guidance.html"/>
          </extension>
          <nameUrl value="implementer-guidance.html"/>
          <title value="Guidance for Implementers"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="uml-diagrams.html"/>
          </extension>
          <nameUrl value="uml-diagrams.html"/>
          <title value="UML Diagrams"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="use-cases.html"/>
          </extension>
          <nameUrl value="use-cases.html"/>
          <title value="Use Cases"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="module-description.html"/>
          </extension>
          <nameUrl value="module-description.html"/>
          <title value="Module Description"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="project-context.html"/>
          </extension>
          <nameUrl value="project-context.html"/>
          <title value="Context within the MII"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="datasets-and-descriptions.html"/>
          </extension>
          <nameUrl value="datasets-and-descriptions.html"/>
          <title value="Datasets and Descriptions"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="technical-implementation.html"/>
          </extension>
          <nameUrl value="technical-implementation.html"/>
          <title value="Technical Implementation"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="workflows.html"/>
          </extension>
          <nameUrl value="workflows.html"/>
          <title value="Workflows"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="id-systematics.html"/>
          </extension>
          <nameUrl value="id-systematics.html"/>
          <title value="ID Systematics"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="terminology-strategies.html"/>
          </extension>
          <nameUrl value="terminology-strategies.html"/>
          <title value="Terminology Strategies"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="questionnaire-capabilities.html"/>
          </extension>
          <nameUrl value="questionnaire-capabilities.html"/>
          <title value="Questionnaire Capabilities"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="domains.html"/>
          </extension>
          <nameUrl value="domains.html"/>
          <title value="Domains"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="cat.html"/>
          </extension>
          <nameUrl value="cat.html"/>
          <title value="Computer-Adaptive Testing (CAT)"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="national-questionnaire-server.html"/>
          </extension>
          <nameUrl value="national-questionnaire-server.html"/>
          <title value="National Questionnaire Server (Concept 2027)"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="validation.html"/>
          </extension>
          <nameUrl value="validation.html"/>
          <title value="Validation"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="references.html"/>
          </extension>
          <nameUrl value="references.html"/>
          <title value="References"/>
          <generation value="markdown"/>
        </page>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="security-and-privacy.html"/>
        </extension>
        <nameUrl value="security-and-privacy.html"/>
        <title value="Security and Privacy"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="pro-library.html"/>
        </extension>
        <nameUrl value="pro-library.html"/>
        <title value="PRO Library"/>
        <generation value="markdown"/>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="phq-9.html"/>
          </extension>
          <nameUrl value="phq-9.html"/>
          <title value="PHQ-9"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="phq-15.html"/>
          </extension>
          <nameUrl value="phq-15.html"/>
          <title value="PHQ-15"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="gad-7.html"/>
          </extension>
          <nameUrl value="gad-7.html"/>
          <title value="GAD-7"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="bdi-ii.html"/>
          </extension>
          <nameUrl value="bdi-ii.html"/>
          <title value="BDI-II"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="dass-21.html"/>
          </extension>
          <nameUrl value="dass-21.html"/>
          <title value="DASS-21"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="eq-5d-5l.html"/>
          </extension>
          <nameUrl value="eq-5d-5l.html"/>
          <title value="EQ-5D-5L"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="eq-5d-5l-scores.html"/>
          </extension>
          <nameUrl value="eq-5d-5l-scores.html"/>
          <title value="EQ-5D-5L Scores"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="promis.html"/>
          </extension>
          <nameUrl value="promis.html"/>
          <title value="PROMIS"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="promis-29.html"/>
          </extension>
          <nameUrl value="promis-29.html"/>
          <title value="PROMIS-29"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="promis-16.html"/>
          </extension>
          <nameUrl value="promis-16.html"/>
          <title value="PROMIS-16"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="promis-depression.html"/>
          </extension>
          <nameUrl value="promis-depression.html"/>
          <title value="PROMIS Depression SF 4a"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="promis-cognitive-function.html"/>
          </extension>
          <nameUrl value="promis-cognitive-function.html"/>
          <title value="PROMIS Cognitive Function SF 4a"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="eortc-qlq-c30.html"/>
          </extension>
          <nameUrl value="eortc-qlq-c30.html"/>
          <title value="EORTC QLQ-C30"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="eortc-qlq-c30-scoring.html"/>
          </extension>
          <nameUrl value="eortc-qlq-c30-scoring.html"/>
          <title value="EORTC QLQ-C30 Scoring"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="pro-ctcae.html"/>
          </extension>
          <nameUrl value="pro-ctcae.html"/>
          <title value="PRO-CTCAE"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="proms-onkologisches-basisscreening.html"/>
          </extension>
          <nameUrl value="proms-onkologisches-basisscreening.html"/>
          <title value="Oncology Base Screening"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="midos2.html"/>
          </extension>
          <nameUrl value="midos2.html"/>
          <title value="MIDOS2"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="whodas.html"/>
          </extension>
          <nameUrl value="whodas.html"/>
          <title value="WHODAS 2.0"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="scoff.html"/>
          </extension>
          <nameUrl value="scoff.html"/>
          <title value="SCOFF"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="wi-7.html"/>
          </extension>
          <nameUrl value="wi-7.html"/>
          <title value="Whiteley-7"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="pc-ptsd.html"/>
          </extension>
          <nameUrl value="pc-ptsd.html"/>
          <title value="PC-PTSD"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="ssd-12.html"/>
          </extension>
          <nameUrl value="ssd-12.html"/>
          <title value="SSD-12"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="isr-z.html"/>
          </extension>
          <nameUrl value="isr-z.html"/>
          <title value="ISR-Z"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="euronet-soma.html"/>
          </extension>
          <nameUrl value="euronet-soma.html"/>
          <title value="EURONET-SOMA"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="minimal-reference-questionnaires.html"/>
          </extension>
          <nameUrl value="minimal-reference-questionnaires.html"/>
          <title value="Minimal Reference Questionnaires"/>
          <generation value="markdown"/>
        </page>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="scoring.html"/>
        </extension>
        <nameUrl value="scoring.html"/>
        <title value="Scoring"/>
        <generation value="markdown"/>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="domain-based-scoring.html"/>
          </extension>
          <nameUrl value="domain-based-scoring.html"/>
          <title value="Domain-based Scoring"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="cross-instrument-mappings.html"/>
          </extension>
          <nameUrl value="cross-instrument-mappings.html"/>
          <title value="Cross-Instrument Mappings"/>
          <generation value="markdown"/>
        </page>
        <page>
          <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
            <valueUrl value="derived-metrics.html"/>
          </extension>
          <nameUrl value="derived-metrics.html"/>
          <title value="Derived Metrics"/>
          <generation value="markdown"/>
        </page>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="profiles.html"/>
        </extension>
        <nameUrl value="profiles.html"/>
        <title value="Profiles"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="extensions.html"/>
        </extension>
        <nameUrl value="extensions.html"/>
        <title value="Extensions"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="capability-statements.html"/>
        </extension>
        <nameUrl value="capability-statements.html"/>
        <title value="Capability Statements"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="search-parameters.html"/>
        </extension>
        <nameUrl value="search-parameters.html"/>
        <title value="Search Parameters"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="logical-models.html"/>
        </extension>
        <nameUrl value="logical-models.html"/>
        <title value="Logical Models"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="value-sets.html"/>
        </extension>
        <nameUrl value="value-sets.html"/>
        <title value="Value Sets"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="code-systems.html"/>
        </extension>
        <nameUrl value="code-systems.html"/>
        <title value="Code Systems"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="examples.html"/>
        </extension>
        <nameUrl value="examples.html"/>
        <title value="Examples"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="downloads.html"/>
        </extension>
        <nameUrl value="downloads.html"/>
        <title value="Downloads"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="changes.html"/>
        </extension>
        <nameUrl value="changes.html"/>
        <title value="Changelog"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="metadata.html"/>
        </extension>
        <nameUrl value="metadata.html"/>
        <title value="Metadata Overview"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="version-history.html"/>
        </extension>
        <nameUrl value="version-history.html"/>
        <title value="Versioning"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="ImplementationGuide-mii-ig-pro.html"/>
        </extension>
        <nameUrl value="ImplementationGuide-mii-ig-pro.html"/>
        <title value="MII ImplementationGuide Resource"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="translationinfo.html"/>
        </extension>
        <nameUrl value="translationinfo.html"/>
        <title value="Translation Information"/>
        <generation value="markdown"/>
      </page>
    </page>
    <parameter>
      <code value="path-resource"/>
      <value value="input/predefined-resources"/>
    </parameter>
    <parameter>
      <code value="path-pages"/>
      <value value="input/intro-notes"/>
    </parameter>
    <parameter>
      <code value="path-resource"/>
      <value value="input/capabilities"/>
    </parameter>
    <parameter>
      <code value="path-resource"/>
      <value value="input/examples"/>
    </parameter>
    <parameter>
      <code value="path-resource"/>
      <value value="input/extensions"/>
    </parameter>
    <parameter>
      <code value="path-resource"/>
      <value value="input/models"/>
    </parameter>
    <parameter>
      <code value="path-resource"/>
      <value value="input/operations"/>
    </parameter>
    <parameter>
      <code value="path-resource"/>
      <value value="input/profiles"/>
    </parameter>
    <parameter>
      <code value="path-resource"/>
      <value value="input/resources"/>
    </parameter>
    <parameter>
      <code value="path-resource"/>
      <value value="input/vocabulary"/>
    </parameter>
    <parameter>
      <code value="path-resource"/>
      <value value="input/testing"/>
    </parameter>
    <parameter>
      <code value="path-resource"/>
      <value value="input/history"/>
    </parameter>
    <parameter>
      <code value="path-resource"/>
      <value value="fsh-generated/resources"/>
    </parameter>
    <parameter>
      <code value="path-pages"/>
      <value value="template/config"/>
    </parameter>
    <parameter>
      <code value="path-pages"/>
      <value value="input/images"/>
    </parameter>
    <parameter>
      <code value="path-tx-cache"/>
      <value value="input-cache/txcache"/>
    </parameter>
  </definition>
</ImplementationGuide>