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

PROMIS

The Patient-Reported Outcomes Measurement Information System (PROMIS) is an IRT-based measurement system developed by the US National Institutes of Health (NIH) for the standardized assessment of patient-reported outcomes. PROMIS instruments are internationally validated and yield T-Scores (Mean=50, SD=10 of the US general population) that are comparable across instruments and populations.

PROMIS instruments exist in various configurations:

Type Description Example
Multi-Domain Instrument Captures multiple health domains in a single questionnaire PROMIS-29
Single-Domain Short Form Focuses on a single domain with a small number of items PROMIS Physical Function SF 4a, PROMIS Depression SF 4a
Item Bank Complete item pool for a domain, for CAT or custom assembly PROMIS Depression Item Bank (future)

Implemented Instruments

PROMIS-29 Profile v2.1

Multi-domain instrument for assessing health-related quality of life across 7 domains (Physical Function, Anxiety, Depression, Fatigue, Sleep Disturbance, Social Function, Pain Interference) plus pain intensity.

–> Detailed documentation and preview

PROMIS Depression Short Form 4a

Single-domain short form for assessing depression symptoms with 4 items from the PROMIS Depression Item Bank. Serves as an exemplary implementation of single-domain PROMIS instruments.

–> Detailed documentation and preview

PROMIS Physical Function (Planned)

Exemplary single-domain instrument for the physical function domain. Planned as a reference implementation for single-domain PROMIS instruments with full score calculation and Observation extraction.

Licensing & Copyright

PROMIS instruments are free to use, but their use requires a usage agreement with the rights holders. Distribution is organised regionally: for projects in the DACH region, the CPCOR (Charité) — the PROMIS National Center Germany — distributes the validated German instruments; multinational projects obtain instruments through HealthMeasures. The attribution in this module is layered accordingly: the MII owns the FHIR structures, the PROMIS Health Organization owns the item wordings, the German translations come from the PCOR-MII master files, and the LOINC codes follow LOINC's terms of use. The module ships the items with this layered attribution; adopters running PROMIS instruments productively conclude the usage agreement themselves.