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

Minimal Reference Questionnaires

Overview

This section contains minimal reference implementations of PRO instruments that cannot be fully implemented due to licensing restrictions.

Implemented Questionnaires

HADS (Hospital Anxiety and Depression Scale)

• SNOMED CT: 273524006 |Hospital anxiety and depression scale (assessment scale)|
• Status: Metadata-only, not displayable
• Canonical URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-hads

EPDS (Edinburgh Postnatal Depression Scale)

• SNOMED CT: 273441006 |Edinburgh postnatal depression scale (assessment scale)|
• Status: Metadata-only, not displayable
• Canonical URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-epds

CES-D (Center for Epidemiological Studies Depression Scale)

• Status: Metadata-only, not displayable
• Canonical URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-ces-d

K6 (Kessler Psychological Distress Scale)

• Status: Metadata-only, not displayable
• Canonical URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-k6

Capabilities

The minimal reference questionnaires have the following capability settings:

Default Settings (EPDS, CES-D, K6):

• displayable = false
• collectable = false
• calculatable = false
• extractable = false
• domainAligned = true

Special Case HADS:

• displayable = false
• collectable = false
• calculatable = false
• extractable = true (framework supports extraction for external scoring systems)
• domainAligned = true

Usage Notes

Licensing: These implementations contain only metadata and are not suitable for production use. For full implementations, appropriate licenses must be obtained from the respective rights holders.

Framework Classification: For HADS, EPDS, CES-D, and K6, it remains to be clarified whether these are standalone instruments or part of larger PRO frameworks.

Architectural Considerations

These minimal implementations serve as:

• Placeholders for future full implementations
• Catalog entries for systematic PRO overviews
• References for interoperability and mapping purposes