MII CS PRO DASS-21 Response Scale and Item Codes - TTL Representation

MII IG PRO, published by Medizininformatik-Initiative. This guide is not an authorized publication; it is the continuous build for version 2026.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/medizininformatik-initiative/kerndatensatzmodul-proms/ and changes regularly. See the Directory of published versions
: MII CS PRO DASS-21 Response Scale and Item Codes - TTL Representation

Active as of 2026-02-13
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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "mii-cs-pro-dass-21"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem mii-cs-pro-dass-21</b></p><a name=\"mii-cs-pro-dass-21\"> </a><a name=\"hcmii-cs-pro-dass-21\"> </a><p>This case-sensitive code system <code>https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Deutsch (German, de)</b></td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-answer-0<a name=\"mii-cs-pro-dass-21-dass-dass21-answer-0\"> </a></td><td>Did not apply to me at all</td><td>Traf gar nicht auf mich zu</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-answer-1<a name=\"mii-cs-pro-dass-21-dass-dass21-answer-1\"> </a></td><td>Applied to me to some degree</td><td>Traf bis zu einem gewissen Grad auf mich zu</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-answer-2<a name=\"mii-cs-pro-dass-21-dass-dass21-answer-2\"> </a></td><td>Applied to me to a considerable degree</td><td>Traf in beträchtlichem Maße auf mich zu</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-answer-3<a name=\"mii-cs-pro-dass-21-dass-dass21-answer-3\"> </a></td><td>Applied to me very much</td><td>Traf sehr stark auf mich zu</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q01<a name=\"mii-cs-pro-dass-21-dass-dass21-q01\"> </a></td><td>I found it hard to wind down</td><td>Ich fand es schwer abzuschalten</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q02<a name=\"mii-cs-pro-dass-21-dass-dass21-q02\"> </a></td><td>I was aware of dryness of my mouth</td><td>Ich bemerkte Mundtrockenheit</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q03<a name=\"mii-cs-pro-dass-21-dass-dass21-q03\"> </a></td><td>I couldn't seem to experience any positive feeling at all</td><td>Ich konnte überhaupt keine positiven Gefühle mehr erleben</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q04<a name=\"mii-cs-pro-dass-21-dass-dass21-q04\"> </a></td><td>I experienced breathing difficulty</td><td>Ich hatte Atemschwierigkeiten</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q05<a name=\"mii-cs-pro-dass-21-dass-dass21-q05\"> </a></td><td>I found it difficult to work up the initiative to do things</td><td>Ich fand es schwierig, die Initiative zum Tun aufzubringen</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q06<a name=\"mii-cs-pro-dass-21-dass-dass21-q06\"> </a></td><td>I tended to over-react to situations</td><td>Ich neigte dazu, auf Situationen überzureagieren</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q07<a name=\"mii-cs-pro-dass-21-dass-dass21-q07\"> </a></td><td>I experienced trembling (e.g., in the hands)</td><td>Ich zitterte (z.B. an den Händen)</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q08<a name=\"mii-cs-pro-dass-21-dass-dass21-q08\"> </a></td><td>I felt that I was using a lot of nervous energy</td><td>Ich merkte, dass ich viel nervöse Energie verbrauchte</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q09<a name=\"mii-cs-pro-dass-21-dass-dass21-q09\"> </a></td><td>I was worried about situations in which I might panic and make a fool of myself</td><td>Ich machte mir Sorgen über Situationen, in denen ich in Panik geraten könnte</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q10<a name=\"mii-cs-pro-dass-21-dass-dass21-q10\"> </a></td><td>I felt that I had nothing to look forward to</td><td>Ich hatte das Gefühl, dass ich nichts erwarten konnte</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q11<a name=\"mii-cs-pro-dass-21-dass-dass21-q11\"> </a></td><td>I found myself getting agitated</td><td>Ich merkte, dass ich unruhig wurde</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q12<a name=\"mii-cs-pro-dass-21-dass-dass21-q12\"> </a></td><td>I found it difficult to relax</td><td>Ich fand es schwierig, mich zu entspannen</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q13<a name=\"mii-cs-pro-dass-21-dass-dass21-q13\"> </a></td><td>I felt down-hearted and blue</td><td>Ich fühlte mich niedergeschlagen und traurig</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q14<a name=\"mii-cs-pro-dass-21-dass-dass21-q14\"> </a></td><td>I was intolerant of anything that kept me from getting on with what I was doing</td><td>Ich war ungeduldig, wenn ich aufgehalten wurde</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q15<a name=\"mii-cs-pro-dass-21-dass-dass21-q15\"> </a></td><td>I felt I was close to panic</td><td>Ich fühlte mich einer Panik nahe</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q16<a name=\"mii-cs-pro-dass-21-dass-dass21-q16\"> </a></td><td>I was unable to become enthusiastic about anything</td><td>Ich konnte mich für nichts begeistern</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q17<a name=\"mii-cs-pro-dass-21-dass-dass21-q17\"> </a></td><td>I felt I wasn't worth much as a person</td><td>Ich hatte das Gefühl, nicht viel wert zu sein</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q18<a name=\"mii-cs-pro-dass-21-dass-dass21-q18\"> </a></td><td>I felt that I was rather touchy</td><td>Ich merkte, dass ich ziemlich empfindlich war</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q19<a name=\"mii-cs-pro-dass-21-dass-dass21-q19\"> </a></td><td>I was aware of the action of my heart in the absence of physical exertion</td><td>Ich nahm meinen Herzschlag wahr, ohne körperlich aktiv zu sein</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q20<a name=\"mii-cs-pro-dass-21-dass-dass21-q20\"> </a></td><td>I felt scared without any good reason</td><td>Ich fürchtete mich ohne ersichtlichen Grund</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q21<a name=\"mii-cs-pro-dass-21-dass-dass21-q21\"> </a></td><td>I felt that life was meaningless</td><td>Ich fand das Leben sinnlos</td></tr></table></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:url [
fhir:v "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21"^^xsd:anyURI ;
fhir:l <https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21>
  ] ; # 
  fhir:version [ fhir:v "2026.0.1"] ; # 
  fhir:name [ fhir:v "MII_CS_PRO_DASS_21"] ; # 
  fhir:title [ fhir:v "MII CS PRO DASS-21 Response Scale and Item Codes"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v true] ; # 
  fhir:date [ fhir:v "2026-02-13T10:08:03+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "Medizininformatik-Initiative"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "Medizininformatik-Initiative" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://www.medizininformatik-initiative.de" ]     ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "office@medizininformatik-initiative.de" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "CodeSystem for the Depression Anxiety Stress Scales - Short Form (DASS-21) with answer codes, item codes, and multilingual support (English primary, German translations from Nilges & Essau 2015)"] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [
fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ;
fhir:l <http://unstats.un.org/unsd/methods/m49/m49.htm>       ] ;
fhir:code [ fhir:v "276" ]     ] )
  ] ) ; # 
  fhir:caseSensitive [ fhir:v true] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:count [ fhir:v "25"^^xsd:nonNegativeInteger] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "dass-dass21-answer-0" ] ;
fhir:display [ fhir:v "Did not apply to me at all" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "de" ] ;
fhir:value [ fhir:v "Traf gar nicht auf mich zu" ]     ] )
  ] [
fhir:code [ fhir:v "dass-dass21-answer-1" ] ;
fhir:display [ fhir:v "Applied to me to some degree" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "de" ] ;
fhir:value [ fhir:v "Traf bis zu einem gewissen Grad auf mich zu" ]     ] )
  ] [
fhir:code [ fhir:v "dass-dass21-answer-2" ] ;
fhir:display [ fhir:v "Applied to me to a considerable degree" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "de" ] ;
fhir:value [ fhir:v "Traf in beträchtlichem Maße auf mich zu" ]     ] )
  ] [
fhir:code [ fhir:v "dass-dass21-answer-3" ] ;
fhir:display [ fhir:v "Applied to me very much" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "de" ] ;
fhir:value [ fhir:v "Traf sehr stark auf mich zu" ]     ] )
  ] [
fhir:code [ fhir:v "dass-dass21-q01" ] ;
fhir:display [ fhir:v "I found it hard to wind down" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "de" ] ;
fhir:value [ fhir:v "Ich fand es schwer abzuschalten" ]     ] )
  ] [
fhir:code [ fhir:v "dass-dass21-q02" ] ;
fhir:display [ fhir:v "I was aware of dryness of my mouth" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "de" ] ;
fhir:value [ fhir:v "Ich bemerkte Mundtrockenheit" ]     ] )
  ] [
fhir:code [ fhir:v "dass-dass21-q03" ] ;
fhir:display [ fhir:v "I couldn't seem to experience any positive feeling at all" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "de" ] ;
fhir:value [ fhir:v "Ich konnte überhaupt keine positiven Gefühle mehr erleben" ]     ] )
  ] [
fhir:code [ fhir:v "dass-dass21-q04" ] ;
fhir:display [ fhir:v "I experienced breathing difficulty" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "de" ] ;
fhir:value [ fhir:v "Ich hatte Atemschwierigkeiten" ]     ] )
  ] [
fhir:code [ fhir:v "dass-dass21-q05" ] ;
fhir:display [ fhir:v "I found it difficult to work up the initiative to do things" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "de" ] ;
fhir:value [ fhir:v "Ich fand es schwierig, die Initiative zum Tun aufzubringen" ]     ] )
  ] [
fhir:code [ fhir:v "dass-dass21-q06" ] ;
fhir:display [ fhir:v "I tended to over-react to situations" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "de" ] ;
fhir:value [ fhir:v "Ich neigte dazu, auf Situationen überzureagieren" ]     ] )
  ] [
fhir:code [ fhir:v "dass-dass21-q07" ] ;
fhir:display [ fhir:v "I experienced trembling (e.g., in the hands)" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "de" ] ;
fhir:value [ fhir:v "Ich zitterte (z.B. an den Händen)" ]     ] )
  ] [
fhir:code [ fhir:v "dass-dass21-q08" ] ;
fhir:display [ fhir:v "I felt that I was using a lot of nervous energy" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "de" ] ;
fhir:value [ fhir:v "Ich merkte, dass ich viel nervöse Energie verbrauchte" ]     ] )
  ] [
fhir:code [ fhir:v "dass-dass21-q09" ] ;
fhir:display [ fhir:v "I was worried about situations in which I might panic and make a fool of myself" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "de" ] ;
fhir:value [ fhir:v "Ich machte mir Sorgen über Situationen, in denen ich in Panik geraten könnte" ]     ] )
  ] [
fhir:code [ fhir:v "dass-dass21-q10" ] ;
fhir:display [ fhir:v "I felt that I had nothing to look forward to" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "de" ] ;
fhir:value [ fhir:v "Ich hatte das Gefühl, dass ich nichts erwarten konnte" ]     ] )
  ] [
fhir:code [ fhir:v "dass-dass21-q11" ] ;
fhir:display [ fhir:v "I found myself getting agitated" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "de" ] ;
fhir:value [ fhir:v "Ich merkte, dass ich unruhig wurde" ]     ] )
  ] [
fhir:code [ fhir:v "dass-dass21-q12" ] ;
fhir:display [ fhir:v "I found it difficult to relax" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "de" ] ;
fhir:value [ fhir:v "Ich fand es schwierig, mich zu entspannen" ]     ] )
  ] [
fhir:code [ fhir:v "dass-dass21-q13" ] ;
fhir:display [ fhir:v "I felt down-hearted and blue" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "de" ] ;
fhir:value [ fhir:v "Ich fühlte mich niedergeschlagen und traurig" ]     ] )
  ] [
fhir:code [ fhir:v "dass-dass21-q14" ] ;
fhir:display [ fhir:v "I was intolerant of anything that kept me from getting on with what I was doing" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "de" ] ;
fhir:value [ fhir:v "Ich war ungeduldig, wenn ich aufgehalten wurde" ]     ] )
  ] [
fhir:code [ fhir:v "dass-dass21-q15" ] ;
fhir:display [ fhir:v "I felt I was close to panic" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "de" ] ;
fhir:value [ fhir:v "Ich fühlte mich einer Panik nahe" ]     ] )
  ] [
fhir:code [ fhir:v "dass-dass21-q16" ] ;
fhir:display [ fhir:v "I was unable to become enthusiastic about anything" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "de" ] ;
fhir:value [ fhir:v "Ich konnte mich für nichts begeistern" ]     ] )
  ] [
fhir:code [ fhir:v "dass-dass21-q17" ] ;
fhir:display [ fhir:v "I felt I wasn't worth much as a person" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "de" ] ;
fhir:value [ fhir:v "Ich hatte das Gefühl, nicht viel wert zu sein" ]     ] )
  ] [
fhir:code [ fhir:v "dass-dass21-q18" ] ;
fhir:display [ fhir:v "I felt that I was rather touchy" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "de" ] ;
fhir:value [ fhir:v "Ich merkte, dass ich ziemlich empfindlich war" ]     ] )
  ] [
fhir:code [ fhir:v "dass-dass21-q19" ] ;
fhir:display [ fhir:v "I was aware of the action of my heart in the absence of physical exertion" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "de" ] ;
fhir:value [ fhir:v "Ich nahm meinen Herzschlag wahr, ohne körperlich aktiv zu sein" ]     ] )
  ] [
fhir:code [ fhir:v "dass-dass21-q20" ] ;
fhir:display [ fhir:v "I felt scared without any good reason" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "de" ] ;
fhir:value [ fhir:v "Ich fürchtete mich ohne ersichtlichen Grund" ]     ] )
  ] [
fhir:code [ fhir:v "dass-dass21-q21" ] ;
fhir:display [ fhir:v "I felt that life was meaningless" ] ;
    ( fhir:designation [
fhir:language [ fhir:v "de" ] ;
fhir:value [ fhir:v "Ich fand das Leben sinnlos" ]     ] )
  ] ) . #