{
  "resourceType" : "Bundle",
  "id" : "mii-exa-pro-eortc-qlq-c30-bundle",
  "language" : "de",
  "type" : "transaction",
  "entry" : [{
    "fullUrl" : "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-eortc-qlq-c30",
    "resource" : {
      "resourceType" : "Questionnaire",
      "id" : "mii-qst-pro-eortc-qlq-c30",
      "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"
      },
      "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" : true
        },
        {
          "url" : "extractable",
          "valueBoolean" : true
        },
        {
          "url" : "domainAligned",
          "valueBoolean" : false
        }],
        "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-eortc-qlq-c30",
      "version" : "2027.0.0-ballot.1",
      "title" : "EORTC QLQ-C30 Quality of Life Questionnaire Version 3.0",
      "status" : "active",
      "experimental" : true,
      "publisher" : "Medizininformatik Initiative (MII)",
      "description" : "EORTC QLQ-C30 Version 3.0 Quality of Life Questionnaire - Complete implementation with all 30 items and 15 scale scores",
      "copyright" : "© Copyright 1995 EORTC Quality of Life Group. All rights reserved. Version 3.0",
      "code" : [{
        "system" : "http://snomed.info/sct",
        "code" : "273446001",
        "display" : "European Organisation for Research and Treatment of Cancer - Quality of Life questionnaire (assessment scale)"
      },
      {
        "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-questionnaire-catalogue",
        "code" : "eortc-qlq-c30",
        "display" : "EORTC QLQ-C30 Quality of Life Questionnaire"
      }],
      "item" : [{
        "linkId" : "QLQ-C30.Introduction",
        "text" : "We are interested in some things about you and your health. Please answer all of the questions yourself by circling the number that best applies to you. There are no 'right' or 'wrong' answers. The information that you provide will remain strictly confidential.",
        "type" : "display"
      },
      {
        "linkId" : "QLQ-C30.Section1",
        "text" : "During the past week:",
        "type" : "display"
      },
      {
        "linkId" : "qlq-c30-q01",
        "prefix" : "1",
        "text" : "Bereitet es Ihnen Schwierigkeiten, sich körperlich anzustrengen (z.B. eine schwere Einkaufstasche oder einen Koffer zu tragen)?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      {
        "linkId" : "qlq-c30-q02",
        "prefix" : "2",
        "text" : "Bereitet es Ihnen Schwierigkeiten, einen längeren Spaziergang zu machen?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      {
        "linkId" : "qlq-c30-q03",
        "prefix" : "3",
        "text" : "Bereitet es Ihnen Schwierigkeiten, eine kurze Strecke außer Haus zu gehen?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      {
        "linkId" : "qlq-c30-q04",
        "prefix" : "4",
        "text" : "Müssen Sie tagsüber im Bett liegen oder in einem Sessel sitzen?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      {
        "linkId" : "qlq-c30-q05",
        "prefix" : "5",
        "text" : "Brauchen Sie Hilfe beim Essen, Anziehen, Waschen oder Benutzen der Toilette?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      {
        "linkId" : "qlq-c30-q06",
        "prefix" : "6",
        "text" : "Waren Sie bei Ihrer Arbeit oder bei anderen tagtäglichen Beschäftigungen eingeschränkt?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      {
        "linkId" : "qlq-c30-q07",
        "prefix" : "7",
        "text" : "Waren Sie bei Ihren Hobbys oder anderen Freizeitbeschäftigungen eingeschränkt?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      {
        "linkId" : "qlq-c30-q08",
        "prefix" : "8",
        "text" : "Waren Sie kurzatmig?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      {
        "linkId" : "qlq-c30-q09",
        "prefix" : "9",
        "text" : "Hatten Sie Schmerzen?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      {
        "linkId" : "qlq-c30-q10",
        "prefix" : "10",
        "text" : "Mussten Sie sich ausruhen?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      {
        "linkId" : "qlq-c30-q11",
        "prefix" : "11",
        "text" : "Hatten Sie Schlafstörungen?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      {
        "linkId" : "qlq-c30-q12",
        "prefix" : "12",
        "text" : "Fühlten Sie sich schwach?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      {
        "linkId" : "qlq-c30-q13",
        "prefix" : "13",
        "text" : "Hatten Sie Appetitmangel?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      {
        "linkId" : "qlq-c30-q14",
        "prefix" : "14",
        "text" : "War Ihnen übel?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      {
        "linkId" : "qlq-c30-q15",
        "prefix" : "15",
        "text" : "Haben Sie erbrochen?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      {
        "linkId" : "qlq-c30-q16",
        "prefix" : "16",
        "text" : "Hatten Sie Verstopfung?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      {
        "linkId" : "qlq-c30-q17",
        "prefix" : "17",
        "text" : "Hatten Sie Durchfall?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      {
        "linkId" : "qlq-c30-q18",
        "prefix" : "18",
        "text" : "Waren Sie müde?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      {
        "linkId" : "qlq-c30-q19",
        "prefix" : "19",
        "text" : "Fühlten Sie sich durch Schmerzen in Ihrem alltäglichen Leben beeinträchtigt?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      {
        "linkId" : "qlq-c30-q20",
        "prefix" : "20",
        "text" : "Hatten Sie Schwierigkeiten, sich auf etwas zu konzentrieren, z.B. auf das Zeitunglesen oder das Fernsehen?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      {
        "linkId" : "qlq-c30-q21",
        "prefix" : "21",
        "text" : "Fühlten Sie sich angespannt?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      {
        "linkId" : "qlq-c30-q22",
        "prefix" : "22",
        "text" : "Haben Sie sich Sorgen gemacht?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      {
        "linkId" : "qlq-c30-q23",
        "prefix" : "23",
        "text" : "Waren Sie reizbar?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      {
        "linkId" : "qlq-c30-q24",
        "prefix" : "24",
        "text" : "Fühlten Sie sich niedergeschlagen?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      {
        "linkId" : "qlq-c30-q25",
        "prefix" : "25",
        "text" : "Hatten Sie Schwierigkeiten, sich an Dinge zu erinnern?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      {
        "linkId" : "qlq-c30-q26",
        "prefix" : "26",
        "text" : "Hat Ihr körperlicher Zustand oder Ihre medizinische Behandlung Ihr Familienleben beeinträchtigt?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      {
        "linkId" : "qlq-c30-q27",
        "prefix" : "27",
        "text" : "Hat Ihr körperlicher Zustand oder Ihre medizinische Behandlung Ihr Zusammensein oder Ihre gemeinsamen Unternehmungen mit anderen Menschen beeinträchtigt?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      {
        "linkId" : "qlq-c30-q28",
        "prefix" : "28",
        "text" : "Hat Ihr körperlicher Zustand oder Ihre medizinische Behandlung für Sie finanzielle Schwierigkeiten mit sich gebracht?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-4pt"
      },
      {
        "linkId" : "QLQ-C30.Section2",
        "text" : "For the following questions please circle the number between 1 and 7 that best applies to you",
        "type" : "display"
      },
      {
        "linkId" : "qlq-c30-q29",
        "prefix" : "29",
        "text" : "Wie würden Sie insgesamt Ihren Gesundheitszustand während der letzten Woche einschätzen?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-7pt"
      },
      {
        "linkId" : "qlq-c30-q30",
        "prefix" : "30",
        "text" : "Wie würden Sie insgesamt Ihre Lebensqualität während der letzten Woche einschätzen?",
        "type" : "choice",
        "answerValueSet" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ValueSet/mii-vs-pro-eortc-qlq-c30-scale-7pt"
      },
      {
        "linkId" : "QLQ-C30.Scores",
        "text" : "Berechnete Scores (Skala 0–100)",
        "type" : "group",
        "item" : [{
          "extension" : [{
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
            "valueExpression" : {
              "language" : "text/fhirpath",
              "expression" : "(1 - (((%resource.item.where(linkId.matches('^qlq-c30-q0[1-5]$')).answer.value.weight().sum()) / 5) - 1) / 3) * 100"
            }
          },
          {
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
            "valueBoolean" : true
          }],
          "linkId" : "score-pf",
          "text" : "Skalenwert Körperliche Funktion",
          "type" : "decimal",
          "readOnly" : true
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
            "valueExpression" : {
              "language" : "text/fhirpath",
              "expression" : "(1 - (((%resource.item.where(linkId='qlq-c30-q06' or linkId='qlq-c30-q07').answer.value.weight().sum()) / 2) - 1) / 3) * 100"
            }
          },
          {
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
            "valueBoolean" : true
          }],
          "linkId" : "score-rf",
          "text" : "Skalenwert Rollenfunktion",
          "type" : "decimal",
          "readOnly" : true
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
            "valueExpression" : {
              "language" : "text/fhirpath",
              "expression" : "(1 - (((%resource.item.where(linkId.matches('^qlq-c30-q2[1-4]$')).answer.value.weight().sum()) / 4) - 1) / 3) * 100"
            }
          },
          {
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
            "valueBoolean" : true
          }],
          "linkId" : "score-ef",
          "text" : "Skalenwert Emotionale Funktion",
          "type" : "decimal",
          "readOnly" : true
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
            "valueExpression" : {
              "language" : "text/fhirpath",
              "expression" : "(1 - (((%resource.item.where(linkId='qlq-c30-q20' or linkId='qlq-c30-q25').answer.value.weight().sum()) / 2) - 1) / 3) * 100"
            }
          },
          {
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
            "valueBoolean" : true
          }],
          "linkId" : "score-cf",
          "text" : "Skalenwert Kognitive Funktion",
          "type" : "decimal",
          "readOnly" : true
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
            "valueExpression" : {
              "language" : "text/fhirpath",
              "expression" : "(1 - (((%resource.item.where(linkId='qlq-c30-q26' or linkId='qlq-c30-q27').answer.value.weight().sum()) / 2) - 1) / 3) * 100"
            }
          },
          {
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
            "valueBoolean" : true
          }],
          "linkId" : "score-sf",
          "text" : "Skalenwert Soziale Funktion",
          "type" : "decimal",
          "readOnly" : true
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
            "valueExpression" : {
              "language" : "text/fhirpath",
              "expression" : "(((%resource.item.where(linkId='qlq-c30-q10' or linkId='qlq-c30-q12' or linkId='qlq-c30-q18').answer.value.weight().sum()) / 3) - 1) / 3) * 100"
            }
          },
          {
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
            "valueBoolean" : true
          }],
          "linkId" : "score-fa",
          "text" : "Skalenwert Fatigue",
          "type" : "decimal",
          "readOnly" : true
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
            "valueExpression" : {
              "language" : "text/fhirpath",
              "expression" : "(((%resource.item.where(linkId='qlq-c30-q14' or linkId='qlq-c30-q15').answer.value.weight().sum()) / 2) - 1) / 3) * 100"
            }
          },
          {
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
            "valueBoolean" : true
          }],
          "linkId" : "score-nv",
          "text" : "Skalenwert Übelkeit und Erbrechen",
          "type" : "decimal",
          "readOnly" : true
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
            "valueExpression" : {
              "language" : "text/fhirpath",
              "expression" : "(((%resource.item.where(linkId='qlq-c30-q09' or linkId='qlq-c30-q19').answer.value.weight().sum()) / 2) - 1) / 3) * 100"
            }
          },
          {
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
            "valueBoolean" : true
          }],
          "linkId" : "score-pa",
          "text" : "Skalenwert Schmerz",
          "type" : "decimal",
          "readOnly" : true
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
            "valueExpression" : {
              "language" : "text/fhirpath",
              "expression" : "((%resource.item.where(linkId='qlq-c30-q08').answer.value.weight() - 1) / 3) * 100"
            }
          },
          {
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
            "valueBoolean" : true
          }],
          "linkId" : "score-dy",
          "text" : "Skalenwert Atemnot",
          "type" : "decimal",
          "readOnly" : true
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
            "valueExpression" : {
              "language" : "text/fhirpath",
              "expression" : "((%resource.item.where(linkId='qlq-c30-q11').answer.value.weight() - 1) / 3) * 100"
            }
          },
          {
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
            "valueBoolean" : true
          }],
          "linkId" : "score-sl",
          "text" : "Skalenwert Schlaflosigkeit",
          "type" : "decimal",
          "readOnly" : true
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
            "valueExpression" : {
              "language" : "text/fhirpath",
              "expression" : "((%resource.item.where(linkId='qlq-c30-q13').answer.value.weight() - 1) / 3) * 100"
            }
          },
          {
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
            "valueBoolean" : true
          }],
          "linkId" : "score-ap",
          "text" : "Skalenwert Appetitverlust",
          "type" : "decimal",
          "readOnly" : true
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
            "valueExpression" : {
              "language" : "text/fhirpath",
              "expression" : "((%resource.item.where(linkId='qlq-c30-q16').answer.value.weight() - 1) / 3) * 100"
            }
          },
          {
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
            "valueBoolean" : true
          }],
          "linkId" : "score-co",
          "text" : "Skalenwert Verstopfung",
          "type" : "decimal",
          "readOnly" : true
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
            "valueExpression" : {
              "language" : "text/fhirpath",
              "expression" : "((%resource.item.where(linkId='qlq-c30-q17').answer.value.weight() - 1) / 3) * 100"
            }
          },
          {
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
            "valueBoolean" : true
          }],
          "linkId" : "score-di",
          "text" : "Skalenwert Durchfall",
          "type" : "decimal",
          "readOnly" : true
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
            "valueExpression" : {
              "language" : "text/fhirpath",
              "expression" : "((%resource.item.where(linkId='qlq-c30-q28').answer.value.weight() - 1) / 3) * 100"
            }
          },
          {
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
            "valueBoolean" : true
          }],
          "linkId" : "score-fi",
          "text" : "Skalenwert Finanzielle Schwierigkeiten",
          "type" : "decimal",
          "readOnly" : true
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
            "valueExpression" : {
              "language" : "text/fhirpath",
              "expression" : "(((%resource.item.where(linkId='qlq-c30-q29' or linkId='qlq-c30-q30').answer.value.weight().sum()) / 2) - 1) / 6) * 100"
            }
          },
          {
            "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
            "valueBoolean" : true
          }],
          "linkId" : "score-ql",
          "text" : "Skalenwert Globaler Gesundheitsstatus / Lebensqualität",
          "type" : "decimal",
          "readOnly" : true
        }]
      }]
    },
    "request" : {
      "method" : "PUT",
      "url" : "Questionnaire/mii-qst-pro-eortc-qlq-c30"
    }
  },
  {
    "fullUrl" : "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/QuestionnaireResponse/mii-exa-pro-eortc-qlq-c30-response",
    "resource" : {
      "resourceType" : "QuestionnaireResponse",
      "id" : "mii-exa-pro-eortc-qlq-c30-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-eortc-qlq-c30|2027.0.0-ballot.1",
      "status" : "completed",
      "subject" : {
        "reference" : "Patient/mii-exa-pro-patient"
      },
      "authored" : "2024-01-15T10:30:00Z",
      "item" : [{
        "linkId" : "qlq-c30-q01",
        "text" : "Bereitet es Ihnen Schwierigkeiten, sich körperlich anzustrengen (z.B. eine schwere Einkaufstasche oder einen Koffer zu tragen)?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "a-little",
            "display" : "Wenig"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q02",
        "text" : "Bereitet es Ihnen Schwierigkeiten, einen längeren Spaziergang zu machen?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "quite-a-bit",
            "display" : "Mäßig"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q03",
        "text" : "Bereitet es Ihnen Schwierigkeiten, eine kurze Strecke außer Haus zu gehen?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "a-little",
            "display" : "Wenig"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q04",
        "text" : "Müssen Sie tagsüber im Bett liegen oder in einem Sessel sitzen?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "not-at-all",
            "display" : "Überhaupt nicht"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q05",
        "text" : "Brauchen Sie Hilfe beim Essen, Anziehen, Waschen oder Benutzen der Toilette?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "not-at-all",
            "display" : "Überhaupt nicht"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q06",
        "text" : "Waren Sie bei Ihrer Arbeit oder bei anderen tagtäglichen Beschäftigungen eingeschränkt?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "a-little",
            "display" : "Wenig"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q07",
        "text" : "Waren Sie bei Ihren Hobbys oder anderen Freizeitbeschäftigungen eingeschränkt?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "a-little",
            "display" : "Wenig"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q08",
        "text" : "Waren Sie kurzatmig?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "not-at-all",
            "display" : "Überhaupt nicht"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q09",
        "text" : "Hatten Sie Schmerzen?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "a-little",
            "display" : "Wenig"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q10",
        "text" : "Mussten Sie sich ausruhen?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "quite-a-bit",
            "display" : "Mäßig"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q11",
        "text" : "Hatten Sie Schlafstörungen?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "a-little",
            "display" : "Wenig"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q12",
        "text" : "Fühlten Sie sich schwach?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "a-little",
            "display" : "Wenig"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q13",
        "text" : "Hatten Sie Appetitmangel?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "not-at-all",
            "display" : "Überhaupt nicht"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q14",
        "text" : "War Ihnen übel?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "not-at-all",
            "display" : "Überhaupt nicht"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q15",
        "text" : "Haben Sie erbrochen?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "not-at-all",
            "display" : "Überhaupt nicht"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q16",
        "text" : "Hatten Sie Verstopfung?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "not-at-all",
            "display" : "Überhaupt nicht"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q17",
        "text" : "Hatten Sie Durchfall?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "not-at-all",
            "display" : "Überhaupt nicht"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q18",
        "text" : "Waren Sie müde?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "a-little",
            "display" : "Wenig"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q19",
        "text" : "Fühlten Sie sich durch Schmerzen in Ihrem alltäglichen Leben beeinträchtigt?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "not-at-all",
            "display" : "Überhaupt nicht"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q20",
        "text" : "Hatten Sie Schwierigkeiten, sich auf etwas zu konzentrieren, z.B. auf das Zeitunglesen oder das Fernsehen?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "not-at-all",
            "display" : "Überhaupt nicht"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q21",
        "text" : "Fühlten Sie sich angespannt?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "a-little",
            "display" : "Wenig"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q22",
        "text" : "Haben Sie sich Sorgen gemacht?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "a-little",
            "display" : "Wenig"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q23",
        "text" : "Waren Sie reizbar?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "not-at-all",
            "display" : "Überhaupt nicht"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q24",
        "text" : "Fühlten Sie sich niedergeschlagen?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "not-at-all",
            "display" : "Überhaupt nicht"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q25",
        "text" : "Hatten Sie Schwierigkeiten, sich an Dinge zu erinnern?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "not-at-all",
            "display" : "Überhaupt nicht"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q26",
        "text" : "Hat Ihr körperlicher Zustand oder Ihre medizinische Behandlung Ihr Familienleben beeinträchtigt?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "not-at-all",
            "display" : "Überhaupt nicht"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q27",
        "text" : "Hat Ihr körperlicher Zustand oder Ihre medizinische Behandlung Ihr Zusammensein oder Ihre gemeinsamen Unternehmungen mit anderen Menschen beeinträchtigt?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "a-little",
            "display" : "Wenig"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q28",
        "text" : "Hat Ihr körperlicher Zustand oder Ihre medizinische Behandlung für Sie finanzielle Schwierigkeiten mit sich gebracht?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "not-at-all",
            "display" : "Überhaupt nicht"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q29",
        "text" : "Wie würden Sie insgesamt Ihren Gesundheitszustand während der letzten Woche einschätzen?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "5-very-good",
            "display" : "5 - Sehr gut"
          }
        }]
      },
      {
        "linkId" : "qlq-c30-q30",
        "text" : "Wie würden Sie insgesamt Ihre Lebensqualität während der letzten Woche einschätzen?",
        "answer" : [{
          "valueCoding" : {
            "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-eortc-qlq-c30",
            "code" : "5-very-good",
            "display" : "5 - Sehr gut"
          }
        }]
      }]
    },
    "request" : {
      "method" : "PUT",
      "url" : "QuestionnaireResponse/mii-exa-pro-eortc-qlq-c30-response"
    }
  },
  {
    "fullUrl" : "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Observation/mii-exa-pro-eortc-qlq-c30-observation-pf",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-pro-eortc-qlq-c30-observation-pf",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "generated"
      },
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "survey",
          "display" : "Survey"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "273446001",
          "display" : "European Organisation for Research and Treatment of Cancer - Quality of Life questionnaire (assessment scale)"
        },
        {
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-score-catalogue",
          "code" : "eortc-qlq-c30-pf",
          "display" : "EORTC QLQ-C30 Physical Functioning Score"
        }]
      },
      "subject" : {
        "reference" : "Patient/mii-exa-pro-patient"
      },
      "effectiveDateTime" : "2024-01-15T10:30:00Z",
      "valueQuantity" : {
        "value" : 73.33,
        "unit" : "{score}",
        "system" : "http://unitsofmeasure.org",
        "code" : "{score}"
      },
      "method" : {
        "text" : "EORTC QLQ-C30 Version 3.0 Scoring Manual"
      },
      "derivedFrom" : [{
        "reference" : "QuestionnaireResponse/mii-exa-pro-eortc-qlq-c30-response"
      }]
    },
    "request" : {
      "method" : "PUT",
      "url" : "Observation/mii-exa-pro-eortc-qlq-c30-observation-pf"
    }
  },
  {
    "fullUrl" : "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Observation/mii-exa-pro-eortc-qlq-c30-observation-rf",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-pro-eortc-qlq-c30-observation-rf",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "generated"
      },
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "survey",
          "display" : "Survey"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-score-catalogue",
          "code" : "eortc-qlq-c30-rf",
          "display" : "EORTC QLQ-C30 Role Functioning Score"
        }]
      },
      "subject" : {
        "reference" : "Patient/mii-exa-pro-patient"
      },
      "effectiveDateTime" : "2024-01-15T10:30:00Z",
      "valueQuantity" : {
        "value" : 83.33,
        "unit" : "{score}",
        "system" : "http://unitsofmeasure.org",
        "code" : "{score}"
      },
      "derivedFrom" : [{
        "reference" : "QuestionnaireResponse/mii-exa-pro-eortc-qlq-c30-response"
      }]
    },
    "request" : {
      "method" : "PUT",
      "url" : "Observation/mii-exa-pro-eortc-qlq-c30-observation-rf"
    }
  },
  {
    "fullUrl" : "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Observation/mii-exa-pro-eortc-qlq-c30-observation-ef",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-pro-eortc-qlq-c30-observation-ef",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance|2027.0.0-ballot.1"]
      },
      "language" : "de",
      "text" : {
        "status" : "generated"
      },
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "survey",
          "display" : "Survey"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-score-catalogue",
          "code" : "eortc-qlq-c30-ef",
          "display" : "EORTC QLQ-C30 Emotional Functioning Score"
        }]
      },
      "subject" : {
        "reference" : "Patient/mii-exa-pro-patient"
      },
      "effectiveDateTime" : "2024-01-15T10:30:00Z",
      "valueQuantity" : {
        "value" : 87.5,
        "unit" : "{score}",
        "system" : "http://unitsofmeasure.org",
        "code" : "{score}"
      },
      "derivedFrom" : [{
        "reference" : "QuestionnaireResponse/mii-exa-pro-eortc-qlq-c30-response"
      }]
    },
    "request" : {
      "method" : "PUT",
      "url" : "Observation/mii-exa-pro-eortc-qlq-c30-observation-ef"
    }
  },
  {
    "fullUrl" : "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Observation/mii-exa-pro-eortc-qlq-c30-observation-cf",
    "resource" : {
      "resourceType" : "Observation",
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