{ "resourceType" : "Questionnaire", "id" : "mii-qst-pro-promis-16", "meta" : { "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire|2027.0.0-ballot.1"] }, "language" : "en", "text" : { "status" : "extensions", "div" : "

English

Generated Narrative: Questionnaire mii-qst-pro-promis-16

Language: en

Profile: MII PR PRO Questionnaire version: 2027.0.0-ballot.1

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LinkIDTextCardinalityTypeDescription & Constraints\"doco\"
\".\"\".\" 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).Questionnairehttps://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-promis-16#2027.0.0-ballot.1
\".\"\".\"\".\" PROMIS-16.PhysicalFunctionPhysical Function0..1group
\".\"\".\"\".\"\".\" promis-pfa21Are you able to go up and down stairs at a normal pace?1..1choiceValue Set: MII VS PRO PROMIS Physical Function Response Scale
\".\"\".\"\".\"\".\" promis-pfa23Are you able to go for a walk of at least 15 minutes?1..1choiceValue Set: MII VS PRO PROMIS Physical Function Response Scale
\".\"\".\"\".\" PROMIS-16.AnxietyEmotional Distress — Anxiety0..1group
\".\"\".\"\".\"\".\" promis-edanx40I found it hard to focus on anything other than my anxiety.1..1choiceValue Set: MII VS PRO PROMIS Frequency Response Scale
\".\"\".\"\".\"\".\" promis-edanx41My worries overwhelmed me.1..1choiceValue Set: MII VS PRO PROMIS Frequency Response Scale
\".\"\".\"\".\" PROMIS-16.DepressionEmotional Distress — Depression0..1group
\".\"\".\"\".\"\".\" promis-eddep29I felt depressed.1..1choiceValue Set: MII VS PRO PROMIS Frequency Response Scale
\".\"\".\"\".\"\".\" promis-eddep41I felt hopeless.1..1choiceValue Set: MII VS PRO PROMIS Frequency Response Scale
\".\"\".\"\".\" PROMIS-16.FatigueFatigue0..1group
\".\"\".\"\".\"\".\" promis-hi7I feel fatigued.1..1choiceValue Set: MII VS PRO PROMIS Intensity Response Scale
\".\"\".\"\".\"\".\" promis-an3I had trouble starting things because I was tired.1..1choiceValue Set: MII VS PRO PROMIS Intensity Response Scale
\".\"\".\"\".\" PROMIS-16.SleepSleep-related Impairment / Sleep Disturbance0..1group
\".\"\".\"\".\"\".\" promis-sleep25I had problems during the day because of poor sleep.1..1choiceValue Set: MII VS PRO PROMIS Intensity Response Scale
\".\"\".\"\".\"\".\" promis-sleep90I had trouble sleeping.1..1choiceValue Set: MII VS PRO PROMIS Frequency Response Scale
\".\"\".\"\".\" PROMIS-16.SocialRolesAbility to Participate in Social Roles and Activities0..1group
\".\"\".\"\".\"\".\" promis-srpper31-capsI have trouble taking care of my regular personal responsibilities.1..1choiceValue Set: MII VS PRO PROMIS Frequency Response Scale
\".\"\".\"\".\"\".\" promis-srpper46-capsI have trouble doing all of the activities with friends that I want to do.1..1choiceValue Set: MII VS PRO PROMIS Frequency Response Scale
\".\"\".\"\".\" PROMIS-16.PainInterferencePain Interference0..1group
\".\"\".\"\".\"\".\" promis-painin9How much did pain interfere with your day-to-day activities?1..1choiceValue Set: MII VS PRO PROMIS Intensity Response Scale
\".\"\".\"\".\"\".\" promis-painin31How much did pain interfere with your ability to participate in social activities?1..1choiceValue Set: MII VS PRO PROMIS Intensity Response Scale
\".\"\".\"\".\" PROMIS-16.CognitionCognitive Function — Abilities0..1group
\".\"\".\"\".\"\".\" promis-pc27rI have been able to remember to do things, like take medicine or buy something I needed.1..1choiceValue Set: MII VS PRO PROMIS Intensity Response Scale
\".\"\".\"\".\"\".\" promis-pc-caps3rI have been able to think clearly without extra effort.1..1choiceValue Set: MII VS PRO PROMIS Intensity Response Scale

\"doco\" Documentation for this format
" }, "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm", "valueCoding" : { "system" : "http://hl7.org/fhir/version-algorithm", "code" : "natural", "display" : "Natural" } }, { "extension" : [{ "url" : "displayable", "valueBoolean" : true }, { "url" : "collectable", "valueBoolean" : true }, { "url" : "calculatable", "valueBoolean" : false }, { "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" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-promis-16", "version" : "2027.0.0-ballot.1", "title" : "MII QST PRO PROMIS-16 (Adults)", "status" : "draft", "experimental" : true, "date" : "2026-09-11T15:59:56+00:00", "publisher" : "Medizininformatik-Initiative", "contact" : [{ "name" : "Medizininformatik-Initiative", "telecom" : [{ "system" : "url", "value" : "https://www.medizininformatik-initiative.de" }, { "system" : "email", "value" : "office@medizininformatik-initiative.de" }] }], "description" : "PROMIS-16 Profile v1.0 - Ultra-short 16-item HRQoL Profile across 8 domains (Edelen et al. 2024, doi:10.1007/s11136-023-03597-6). T-score calculation per Supplement S4 is delegated to a CQL Library (see roadmap 2027).", "useContext" : [{ "code" : { "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type", "code" : "focus" }, "valueReference" : { "display" : "PROMIS (Patient-Reported Outcomes Measurement Information System) (https://www.healthmeasures.net/explore-measurement-systems/promis)" } }, { "code" : { "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type", "code" : "focus" }, "valueReference" : { "display" : "PROMIS National Center Deutschland (CPCOR Charité) — Curator of the official German translations provided by PCOR-MII (https://cpcor.charite.de/promis_national_center_deutschland)" } }, { "code" : { "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type", "code" : "focus" }, "valueReference" : { "display" : "PROMIS-16 Profile (Edelen et al. 2024, Qual Life Res) (https://doi.org/10.1007/s11136-023-03597-6)" } }], "jurisdiction" : [{ "coding" : [{ "system" : "urn:iso:std:iso:3166", "code" : "DE", "display" : "Germany" }] }], "copyright" : "The FHIR Questionnaire resource (linkIds, extensions, score calculation logic, observation extraction definitions) is part of the MII PRO Module and is licensed under CC-BY 4.0.\n\nThe PROMIS items contained herein (item text, response options, scoring algorithms, IRT parameters) are © 2008–2024 PROMIS Health Organization and PROMIS Cooperative Group. PROMIS® is a registered trademark. See https://www.healthmeasures.net for the upstream license.\n\nThe official German translations are provided by PCOR-MII (Patient-Centered Outcomes Research within the Medizininformatik-Initiative) and curated by the PROMIS National Center Germany (CPCOR, Charité – Universitätsmedizin Berlin; head: Felix Fischer).\n\nInstitutional use outside the PCOR-MII / MII context requires a usage request to CPCOR: https://cpcor.charite.de/promis_national_center_deutschland/nutzungsanfragen\n\nLOINC® codes are © Regenstrief Institute, Inc. and used under the LOINC license: https://loinc.org/license/", "code" : [{ "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-questionnaire-catalogue", "code" : "promis-promis16", "display" : "PROMIS-16 Profile Questionnaire (ultra-short 8-domain profile)" }], "item" : [{ "linkId" : "PROMIS-16.PhysicalFunction", "text" : "Physical Function", "type" : "group", "item" : [{ "linkId" : "promis-pfa21", "code" : [{ "system" : "http://loinc.org", "code" : "62826-3", "display" : "Are you able to go up and down stairs at a normal pace [PROMIS]" }], "text" : "Are you able to go up and down stairs at a normal pace?", "type" : "choice", "required" : true, "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-physical-function-response-scale" }, { "linkId" : "promis-pfa23", "code" : [{ "system" : "http://loinc.org", "code" : "62827-1", "display" : "Are you able to go for a walk of at least 15 minutes [PROMIS]" }], "text" : "Are you able to go for a walk of at least 15 minutes?", "type" : "choice", "required" : true, "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-physical-function-response-scale" }] }, { "linkId" : "PROMIS-16.Anxiety", "text" : "Emotional Distress — Anxiety", "type" : "group", "item" : [{ "linkId" : "promis-edanx40", "code" : [{ "system" : "http://loinc.org", "code" : "61941-1", "display" : "I found it hard to focus on anything other than my anxiety in past 7 days" }], "text" : "I found it hard to focus on anything other than my anxiety.", "type" : "choice", "required" : true, "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-frequency-response-scale" }, { "linkId" : "promis-edanx41", "code" : [{ "system" : "http://loinc.org", "code" : "61942-9", "display" : "My worries overwhelmed me in past 7 days" }], "text" : "My worries overwhelmed me.", "type" : "choice", "required" : true, "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-frequency-response-scale" }] }, { "linkId" : "PROMIS-16.Depression", "text" : "Emotional Distress — Depression", "type" : "group", "item" : [{ "linkId" : "promis-eddep29", "code" : [{ "system" : "http://loinc.org", "code" : "61967-6", "display" : "I felt depressed in past 7 days [PROMIS]" }], "text" : "I felt depressed.", "type" : "choice", "required" : true, "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-frequency-response-scale" }, { "linkId" : "promis-eddep41", "code" : [{ "system" : "http://loinc.org", "code" : "61973-4", "display" : "I felt hopeless in past 7 days [PROMIS]" }], "text" : "I felt hopeless.", "type" : "choice", "required" : true, "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-frequency-response-scale" }] }, { "linkId" : "PROMIS-16.Fatigue", "text" : "Fatigue", "type" : "group", "item" : [{ "linkId" : "promis-hi7", "code" : [{ "system" : "http://loinc.org", "code" : "61878-5", "display" : "I feel fatigued during the past 7 days [PROMIS]" }], "text" : "I feel fatigued.", "type" : "choice", "required" : true, "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-intensity-response-scale" }, { "linkId" : "promis-an3", "code" : [{ "system" : "http://loinc.org", "code" : "61882-7", "display" : "I had trouble starting things because I was tired in past 7 days [PROMIS]" }], "text" : "I had trouble starting things because I was tired.", "type" : "choice", "required" : true, "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-intensity-response-scale" }] }, { "linkId" : "PROMIS-16.Sleep", "text" : "Sleep-related Impairment / Sleep Disturbance", "type" : "group", "item" : [{ "linkId" : "promis-sleep25", "text" : "I had problems during the day because of poor sleep.", "type" : "choice", "required" : true, "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-intensity-response-scale" }, { "linkId" : "promis-sleep90", "text" : "I had trouble sleeping.", "type" : "choice", "required" : true, "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-frequency-response-scale" }] }, { "linkId" : "PROMIS-16.SocialRoles", "text" : "Ability to Participate in Social Roles and Activities", "type" : "group", "item" : [{ "linkId" : "promis-srpper31-caps", "text" : "I have trouble taking care of my regular personal responsibilities.", "type" : "choice", "required" : true, "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-frequency-response-scale" }, { "linkId" : "promis-srpper46-caps", "code" : [{ "system" : "http://loinc.org", "code" : "76712-9", "display" : "I have trouble doing all of the activities with friends that I want to do [PROMIS]" }], "text" : "I have trouble doing all of the activities with friends that I want to do.", "type" : "choice", "required" : true, "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-frequency-response-scale" }] }, { "linkId" : "PROMIS-16.PainInterference", "text" : "Pain Interference", "type" : "group", "item" : [{ "linkId" : "promis-painin9", "code" : [{ "system" : "http://loinc.org", "code" : "61758-9", "display" : "How much did pain interfere with your day to day activities in past 7 days [PROMIS]" }], "text" : "How much did pain interfere with your day-to-day activities?", "type" : "choice", "required" : true, "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-intensity-response-scale" }, { "linkId" : "promis-painin31", "code" : [{ "system" : "http://loinc.org", "code" : "61773-8", "display" : "How much did pain interfere with your ability to participate in social activities in past 7 days [PROMIS]" }], "text" : "How much did pain interfere with your ability to participate in social activities?", "type" : "choice", "required" : true, "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-intensity-response-scale" }] }, { "linkId" : "PROMIS-16.Cognition", "text" : "Cognitive Function — Abilities", "type" : "group", "item" : [{ "linkId" : "promis-pc27r", "text" : "I have been able to remember to do things, like take medicine or buy something I needed.", "type" : "choice", "required" : true, "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-intensity-response-scale" }, { "linkId" : "promis-pc-caps3r", "text" : "I have been able to think clearly without extra effort.", "type" : "choice", "required" : true, "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-promis-intensity-response-scale" }] }] }