MII IG PRO
2027.0.0-ballot.1 -
Germany
MII IG PRO
2027.0.0-ballot.1 -
Germany
This page is part of the MII Implementation Guide PRO (v2027.0.0-ballot.1: 2027 Ballot 5) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "mii-exa-pro-phq-9-bundle",
"language" : "de",
"type" : "transaction",
"entry" : [
{
"fullUrl" : "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-phq-9",
"resource" : {
"resourceType" : "Questionnaire",
"id" : "mii-qst-pro-phq-9",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire|2027.0.0-ballot.1"
]
},
"language" : "de",
"text" : {
"status" : "generated"
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{
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"valueBoolean" : true
},
{
"url" : "extractable",
"valueBoolean" : true
},
{
"url" : "domainAligned",
"valueBoolean" : true
}
],
"url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-ex-pro-questionnaire-capabilities"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "rawScore",
"language" : "text/fhirpath",
"expression" : "%resource.item.where(linkId.matches('^phq-phq2[a-i]$')).answer.value.weight().sum()"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression" : {
"name" : "phq9Score",
"language" : "text/fhirpath",
"expression" : "%resource.item.where(linkId.matches('^phq-phq2[a-i]$')).answer.value.weight().sum()"
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],
"url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-phq-9",
"version" : "2027.0.0-ballot.1",
"title" : "MII QST PRO PHQ-9",
"status" : "active",
"experimental" : true,
"description" : "Patient Health Questionnaire (PHQ-9)",
"copyright" : "Patient Health Questionnaire (PHQ/PHQ-9) © Pfizer Inc. Freely available — no permission required for reproduction, translation, display, or use (public domain). German version: PHQ-D (Löwe, Spitzer, Zipfel & Herzog 2002). Lizenz-Status: frei verfügbar.",
"code" : [
{
"system" : "http://loinc.org",
"code" : "44249-1",
"display" : "PHQ-9 quick depression assessment panel [Reported.PHQ]"
},
{
"system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-questionnaire-catalogue",
"code" : "phq-phq9",
"display" : "PHQ-9 Questionnaire"
}
],
"item" : [
{
"linkId" : "PHQ-9.Description",
"text" : "Wie oft fühlten Sie sich im Verlauf der letzten 2 Wochen durch die folgenden Beschwerden beeinträchtigt?",
"type" : "display"
},
{
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"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
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],
"linkId" : "phq-phq2a",
"code" : [
{
"system" : "http://loinc.org",
"code" : "44250-9"
}
],
"prefix" : "1",
"text" : "Wenig Interesse oder Freude an Ihren Tätigkeiten",
"type" : "choice",
"answerOption" : [
{
"extension" : [
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"url" : "http://hl7.org/fhir/StructureDefinition/itemWeight",
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"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6568-5",
"display" : "Überhaupt nicht"
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},
{
"extension" : [
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"valueDecimal" : 1
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],
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6569-3",
"display" : "An einzelnen Tagen"
}
},
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"extension" : [
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"url" : "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal" : 2
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],
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6570-1",
"display" : "An mehr als der Hälfte der Tage"
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},
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"valueCoding" : {
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"code" : "LA6571-9",
"display" : "Beinahe jeden Tag"
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"linkId" : "phq-phq2b",
"code" : [
{
"system" : "http://loinc.org",
"code" : "44255-8"
}
],
"prefix" : "2",
"text" : "Niedergeschlagenheit, Schwermut oder Hoffnungslosigkeit",
"type" : "choice",
"answerOption" : [
{
"extension" : [
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"url" : "http://hl7.org/fhir/StructureDefinition/itemWeight",
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"code" : "LA6568-5",
"display" : "Überhaupt nicht"
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{
"extension" : [
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"valueCoding" : {
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"extension" : [
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"url" : "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal" : 2
}
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"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6570-1",
"display" : "An mehr als der Hälfte der Tage"
}
},
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"extension" : [
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"url" : "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal" : 3
}
],
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6571-9",
"display" : "Beinahe jeden Tag"
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"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
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"linkId" : "phq-phq2c",
"code" : [
{
"system" : "http://loinc.org",
"code" : "44259-0"
}
],
"prefix" : "3",
"text" : "Schwierigkeiten ein- oder durchzuschlafen oder vermehrter Schlaf",
"type" : "choice",
"answerOption" : [
{
"extension" : [
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"url" : "http://hl7.org/fhir/StructureDefinition/itemWeight",
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"valueDecimal" : 2
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"valueCoding" : {
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"code" : "LA6570-1",
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"valueDecimal" : 3
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"code" : [
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"system" : "http://loinc.org",
"code" : "44254-1"
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],
"prefix" : "4",
"text" : "Müdigkeit oder Gefühl, keine Energie zu haben",
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"extension" : [
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"url" : "http://hl7.org/fhir/StructureDefinition/itemWeight",
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"code" : "LA6568-5",
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"code" : "LA6570-1",
"display" : "An mehr als der Hälfte der Tage"
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"extension" : [
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"valueDecimal" : 3
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"code" : "LA6571-9",
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],
"linkId" : "phq-phq2e",
"code" : [
{
"system" : "http://loinc.org",
"code" : "44251-7"
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"prefix" : "5",
"text" : "Verminderter Appetit oder übermäßiges Bedürfnis zu essen",
"type" : "choice",
"answerOption" : [
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"extension" : [
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"url" : "http://hl7.org/fhir/StructureDefinition/itemWeight",
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"code" : "LA6568-5",
"display" : "Überhaupt nicht"
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"valueDecimal" : 1
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"extension" : [
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"url" : "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal" : 2
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"valueCoding" : {
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"code" : "LA6570-1",
"display" : "An mehr als der Hälfte der Tage"
}
},
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"extension" : [
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"url" : "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal" : 3
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],
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6571-9",
"display" : "Beinahe jeden Tag"
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"language" : "text/fhirpath",
"expression" : "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq2f').answer.value, {})"
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}
],
"linkId" : "phq-phq2f",
"code" : [
{
"system" : "http://loinc.org",
"code" : "44258-2"
}
],
"prefix" : "6",
"text" : "Schlechte Meinung von sich selbst; Gefühl, ein Versager zu sein oder die Familie enttäuscht zu haben",
"type" : "choice",
"answerOption" : [
{
"extension" : [
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"url" : "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal" : 0
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"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6568-5",
"display" : "Überhaupt nicht"
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},
{
"extension" : [
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"url" : "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal" : 1
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],
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6569-3",
"display" : "An einzelnen Tagen"
}
},
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"extension" : [
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"url" : "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal" : 2
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],
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6570-1",
"display" : "An mehr als der Hälfte der Tage"
}
},
{
"extension" : [
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"url" : "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal" : 3
}
],
"valueCoding" : {
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"code" : "LA6571-9",
"display" : "Beinahe jeden Tag"
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"expression" : "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq2g').answer.value, {})"
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}
],
"linkId" : "phq-phq2g",
"code" : [
{
"system" : "http://loinc.org",
"code" : "44252-5"
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],
"prefix" : "7",
"text" : "Schwierigkeiten, sich auf etwas zu konzentrieren, z.B. beim Zeitunglesen oder Fernsehen",
"type" : "choice",
"answerOption" : [
{
"extension" : [
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"url" : "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal" : 0
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"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6568-5",
"display" : "Überhaupt nicht"
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"extension" : [
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"valueDecimal" : 1
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"valueCoding" : {
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"code" : "LA6569-3",
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"valueDecimal" : 2
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],
"valueCoding" : {
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"code" : "LA6570-1",
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"extension" : [
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"url" : "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal" : 3
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"valueCoding" : {
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"code" : "LA6571-9",
"display" : "Beinahe jeden Tag"
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"linkId" : "phq-phq2h",
"code" : [
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"code" : "44253-3"
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],
"prefix" : "8",
"text" : "Waren Ihre Bewegungen oder Ihre Sprache so verlangsamt, dass es auch anderen auffallen würde? Oder waren Sie im Gegenteil 'zappelig' oder ruhelos und hatten dadurch einen stärkeren Bewegungsdrang als sonst?",
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"valueCoding" : {
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"code" : "LA6568-5",
"display" : "Überhaupt nicht"
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"valueCoding" : {
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"code" : "LA6570-1",
"display" : "An mehr als der Hälfte der Tage"
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},
{
"extension" : [
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"url" : "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal" : 3
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],
"valueCoding" : {
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"code" : "LA6571-9",
"display" : "Beinahe jeden Tag"
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}
]
},
{
"extension" : [
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"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
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"expression" : "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq2i').answer.value, {})"
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}
],
"linkId" : "phq-phq2i",
"code" : [
{
"system" : "http://loinc.org",
"code" : "44260-8"
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],
"prefix" : "9",
"text" : "Gedanken, dass Sie lieber tot wären oder sich Leid zufügen möchten",
"type" : "choice",
"answerOption" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/itemWeight",
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"valueCoding" : {
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"code" : "LA6568-5",
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},
{
"extension" : [
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"url" : "http://hl7.org/fhir/StructureDefinition/itemWeight",
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],
"valueCoding" : {
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"code" : "LA6569-3",
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"extension" : [
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"valueDecimal" : 2
}
],
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6570-1",
"display" : "An mehr als der Hälfte der Tage"
}
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/itemWeight",
"valueDecimal" : 3
}
],
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6571-9",
"display" : "Beinahe jeden Tag"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression" : {
"name" : "Scoreberechnung",
"language" : "text/fhirpath",
"expression" : "%phq9Score"
}
},
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
"valueBoolean" : true
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding" : {
"system" : "http://unitsofmeasure.org",
"code" : "{score}"
}
},
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observation-extract-category",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "survey"
}
]
}
}
],
"linkId" : "phq-phq9-score-total",
"code" : [
{
"system" : "http://loinc.org",
"code" : "44261-6",
"display" : "Patient Health Questionnaire 9 item (PHQ-9) total score [Reported]"
}
],
"prefix" : "Auswertung",
"text" : "PHQ-9 Gesamtwert",
"type" : "decimal",
"readOnly" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
"valueExpression" : {
"language" : "text/fhirpath",
"expression" : "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-difficulty').answer.value, {})"
}
}
],
"linkId" : "phq-phq9-difficulty",
"code" : [
{
"system" : "http://loinc.org",
"code" : "69722-7"
}
],
"prefix" : "10",
"text" : "Wenn eines oder mehrere dieser Probleme bei Ihnen vorliegen, geben Sie bitte an, wie sehr diese Probleme es Ihnen erschwert haben, Ihre Arbeit zu erledigen, Ihren Haushalt zu regeln oder mit anderen Menschen zurecht zu kommen",
"type" : "choice",
"answerOption" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6572-7",
"display" : "Überhaupt nicht erschwert"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6573-5",
"display" : "Etwas erschwert"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6575-0",
"display" : "Relativ stark erschwert"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6574-3",
"display" : "Sehr stark erschwert"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression" : {
"name" : "promis-tscore-mapping",
"language" : "text/fhirpath",
"expression" : "iif(%phq9Score = 0, 37.4, iif(%phq9Score = 1, 42.7, iif(%phq9Score = 2, 45.9, iif(%phq9Score = 3, 48.3, iif(%phq9Score = 4, 50.5, iif(%phq9Score = 5, 52.5, iif(%phq9Score = 6, 54.2, iif(%phq9Score = 7, 55.8, iif(%phq9Score = 8, 57.2, iif(%phq9Score = 9, 58.6, iif(%phq9Score = 10, 59.9, iif(%phq9Score = 11, 61.1, iif(%phq9Score = 12, 62.3, iif(%phq9Score = 13, 63.5, iif(%phq9Score = 14, 64.7, iif(%phq9Score = 15, 65.8, iif(%phq9Score = 16, 66.9, iif(%phq9Score = 17, 68.0, iif(%phq9Score = 18, 69.2, iif(%phq9Score = 19, 70.3, iif(%phq9Score = 20, 71.5, iif(%phq9Score = 21, 72.7, iif(%phq9Score = 22, 74.0, iif(%phq9Score = 23, 75.3, iif(%phq9Score = 24, 76.7, iif(%phq9Score = 25, 78.3, iif(%phq9Score = 26, 80.0, iif(%phq9Score = 27, 82.3, 82.3))))))))))))))))))))))))))))"
}
},
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
"valueBoolean" : true
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding" : {
"system" : "http://unitsofmeasure.org",
"code" : "{score}"
}
},
{
"url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observation-extract-category",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "survey"
}
]
}
}
],
"linkId" : "phq-phq9-promis-tscore",
"code" : [
{
"system" : "http://loinc.org",
"code" : "77861-3",
"display" : "PROMIS emotional distress - depression - version 1.0 Tscore"
}
],
"prefix" : "T-Score",
"text" : "PROMIS Depression T-Score (abgeleitet von PHQ-9)",
"type" : "decimal",
"readOnly" : true
}
]
},
"request" : {
"method" : "PUT",
"url" : "Questionnaire/mii-qst-pro-phq-9"
}
},
{
"fullUrl" : "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/QuestionnaireResponse/mii-exa-pro-phq-9-response",
"resource" : {
"resourceType" : "QuestionnaireResponse",
"id" : "mii-exa-pro-phq-9-response",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response|2027.0.0-ballot.1"
]
},
"language" : "de",
"text" : {
"status" : "generated"
},
"questionnaire" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-phq-9|2027.0.0-ballot.1",
"status" : "completed",
"subject" : {
🔗 "reference" : "Patient/mii-exa-pro-patient"
},
"authored" : "2023-10-01T12:00:00Z",
"item" : [
{
"linkId" : "phq-phq2a",
"text" : "Wenig Interesse oder Freude an Ihren Tätigkeiten",
"answer" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6571-9",
"display" : "Beinahe jeden Tag"
}
}
]
},
{
"linkId" : "phq-phq2b",
"text" : "Niedergeschlagenheit, Schwermut oder Hoffnungslosigkeit",
"answer" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6571-9",
"display" : "Beinahe jeden Tag"
}
}
]
},
{
"linkId" : "phq-phq2c",
"text" : "Schwierigkeiten ein- oder durchzuschlafen oder vermehrter Schlaf",
"answer" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6571-9",
"display" : "Beinahe jeden Tag"
}
}
]
},
{
"linkId" : "phq-phq2d",
"text" : "Müdigkeit oder Gefühl, keine Energie zu haben",
"answer" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6571-9",
"display" : "Beinahe jeden Tag"
}
}
]
},
{
"linkId" : "phq-phq2e",
"text" : "Verminderter Appetit oder übermäßiges Bedürfnis zu essen",
"answer" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6571-9",
"display" : "Beinahe jeden Tag"
}
}
]
},
{
"linkId" : "phq-phq2f",
"text" : "Schlechte Meinung von sich selbst; Gefühl, ein Versager zu sein oder die Familie enttäuscht zu haben",
"answer" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6571-9",
"display" : "Beinahe jeden Tag"
}
}
]
},
{
"linkId" : "phq-phq2g",
"text" : "Schwierigkeiten, sich auf etwas zu konzentrieren, z.B. beim Zeitunglesen oder Fernsehen",
"answer" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6571-9",
"display" : "Beinahe jeden Tag"
}
}
]
},
{
"linkId" : "phq-phq2h",
"text" : "Waren Ihre Bewegungen oder Ihre Sprache so verlangsamt, dass es auch anderen auffallen würde? Oder waren Sie im Gegenteil 'zappelig' oder ruhelos und hatten dadurch einen stärkeren Bewegungsdrang als sonst?",
"answer" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6571-9",
"display" : "Beinahe jeden Tag"
}
}
]
},
{
"linkId" : "phq-phq2i",
"text" : "Gedanken, dass Sie lieber tot wären oder sich Leid zufügen möchten",
"answer" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6571-9",
"display" : "Beinahe jeden Tag"
}
}
]
},
{
"linkId" : "phq-phq9-score-total",
"text" : "PHQ-9 Gesamtwert",
"answer" : [
{
"valueDecimal" : 27
}
]
},
{
"linkId" : "phq-phq9-difficulty",
"text" : "Wenn eines oder mehrere dieser Probleme bei Ihnen vorliegen, geben Sie bitte an, wie sehr diese Probleme es Ihnen erschwert haben, Ihre Arbeit zu erledigen, Ihren Haushalt zu regeln oder mit anderen Menschen zurecht zu kommen",
"answer" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6574-3",
"display" : "Sehr stark erschwert"
}
}
]
}
]
},
"request" : {
"method" : "PUT",
"url" : "QuestionnaireResponse/mii-exa-pro-phq-9-response"
}
},
{
"fullUrl" : "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Observation/mii-exa-pro-phq-9-observation",
"resource" : {
"resourceType" : "Observation",
"id" : "mii-exa-pro-phq-9-observation",
"meta" : {
"profile" : [
🔗 "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-observation-phq-9|2027.0.0-ballot.1"
]
},
"language" : "de",
"text" : {
"status" : "generated"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "44261-6",
"display" : "Patient Health Questionnaire 9 item (PHQ-9) total score [Reported]"
}
]
},
"subject" : {
🔗 "reference" : "Patient/mii-exa-pro-patient"
},
"effectiveDateTime" : "2023-10-01T12:00:00Z",
"valueQuantity" : {
"value" : 27,
"unit" : "{score}",
"system" : "http://unitsofmeasure.org",
"code" : "{score}"
}
},
"request" : {
"method" : "PUT",
"url" : "Observation/mii-exa-pro-phq-9-observation"
}
},
{
"fullUrl" : "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Patient/mii-exa-pro-patient",
"resource" : {
"resourceType" : "Patient",
"id" : "mii-exa-pro-patient",
"language" : "de",
"text" : {
"status" : "generated"
},
"active" : true,
"name" : [
{
"family" : "Example",
"given" : [
"Patient"
]
}
],
"gender" : "other"
},
"request" : {
"method" : "PUT",
"url" : "Patient/mii-exa-pro-patient"
}
}
]
}