MII IG PRO
2026.0.0-alpha - ci-build Unknown region code '276'

MII IG PRO, published by Medizininformatik-Initiative. This guide is not an authorized publication; it is the continuous build for version 2026.0.0-alpha 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

: PHQ-9 Transaction Bundle Example - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="mii-exa-pro-phq-9-bundle"/>
  <type value="transaction"/>
  <entry>
    <fullUrl
             value="http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-phq-9"/>
    <resource>
      <Questionnaire>
        <id value="mii-qst-pro-phq-9"/>
        <meta>
          <profile
                   value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"><a name="Questionnaire_mii-qst-pro-phq-9"> </a><p class="res-header-id"><b>Generated Narrative: Questionnaire mii-qst-pro-phq-9</b></p><a name="mii-qst-pro-phq-9"> </a><a name="hcmii-qst-pro-phq-9"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Language: en</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-mii-pr-pro-questionnaire.html">MII PR PRO Questionnaire</a></p></div><b>Structure</b><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the item can appear in the instance">Cardinality</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Other attributes of the item">Flags</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Additional information about the item">Description &amp; Constraints</a><span style="float: right"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_q_root.gif" alt="." style="background-color: white; background-color: inherit" title="QuestionnaireRoot" class="hierarchy"/> </td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Patient Health Questionnaire (PHQ-9)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-phq-9#2026.0.0-ballot</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.PHQ-9.Description" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-display.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="display" class="hierarchy"/> PHQ-9.Description</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Over the last two weeks, how often have you been bothered by any of the following problems?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display">display</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.phq-phq9-q01" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-choice.png" alt="." style="background-color: white; background-color: inherit" title="choice" class="hierarchy"/> phq-phq9-q01</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1. Little interest or pleasure in doing things</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.phq-phq9-q01">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.phq-phq9-q02" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-choice.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="choice" class="hierarchy"/> phq-phq9-q02</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">2. Feeling down, depressed, or hopeless</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.phq-phq9-q02">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.phq-phq9-q03" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-choice.png" alt="." style="background-color: white; background-color: inherit" title="choice" class="hierarchy"/> phq-phq9-q03</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">3. Trouble falling or staying asleep, or sleeping too much</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.phq-phq9-q03">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.phq-phq9-q04" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-choice.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="choice" class="hierarchy"/> phq-phq9-q04</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">4. Feeling tired or having little energy</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.phq-phq9-q04">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.phq-phq9-q05" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-choice.png" alt="." style="background-color: white; background-color: inherit" title="choice" class="hierarchy"/> phq-phq9-q05</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">5. Poor appetite or overeating</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.phq-phq9-q05">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.phq-phq9-q06" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-choice.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="choice" class="hierarchy"/> phq-phq9-q06</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">6. Feeling bad about yourself - or that you are a failure or have let yourself or your family down</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.phq-phq9-q06">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.phq-phq9-q07" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-choice.png" alt="." style="background-color: white; background-color: inherit" title="choice" class="hierarchy"/> phq-phq9-q07</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">7. Trouble concentrating on things, such as reading the newspaper or watching television</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.phq-phq9-q07">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.phq-phq9-q08" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-choice.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="choice" class="hierarchy"/> phq-phq9-q08</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">8. Moving or speaking so slowly that other people could have noticed? Or the opposite — being so fidgety or restless that you have been moving around a lot more than usual</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.phq-phq9-q08">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.phq-phq9-q09" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-choice.png" alt="." style="background-color: white; background-color: inherit" title="choice" class="hierarchy"/> phq-phq9-q09</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">9. Thoughts that you would be better off dead or of hurting yourself in some way</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.phq-phq9-q09">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.phq-phq9-score-total" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> phq-phq9-score-total</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Auswertung. PHQ-9 Total Score</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly" title="Is Read Only"><img src="icon-qi-readonly.png" alt="icon"/></a><img src="icon-qi-readonly.png" alt="icon"/></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.phq-phq9-q10" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-choice.png" alt="." style="background-color: white; background-color: inherit" title="choice" class="hierarchy"/> phq-phq9-q10</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">10. If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.phq-phq9-q10">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" id="item.phq-phq9-promis-tscore" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> phq-phq9-promis-tscore</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">T-Score. PROMIS Depression T-Score (derived from PHQ-9)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly" title="Is Read Only"><img src="icon-qi-readonly.png" alt="icon"/></a><img src="icon-qi-readonly.png" alt="icon"/></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr><td colspan="6" class="hierarchy"><br/><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name="opt-item.phq-phq9-q01"> </a><p><b>Answer options for phq-phq9-q01 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name="opt-item.phq-phq9-q02"> </a><p><b>Answer options for phq-phq9-q02 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name="opt-item.phq-phq9-q03"> </a><p><b>Answer options for phq-phq9-q03 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name="opt-item.phq-phq9-q04"> </a><p><b>Answer options for phq-phq9-q04 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name="opt-item.phq-phq9-q05"> </a><p><b>Answer options for phq-phq9-q05 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name="opt-item.phq-phq9-q06"> </a><p><b>Answer options for phq-phq9-q06 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name="opt-item.phq-phq9-q07"> </a><p><b>Answer options for phq-phq9-q07 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name="opt-item.phq-phq9-q08"> </a><p><b>Answer options for phq-phq9-q08 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name="opt-item.phq-phq9-q09"> </a><p><b>Answer options for phq-phq9-q09 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA6568-5 (&quot;Not at all&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6569-3 (&quot;Several days&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6570-1 (&quot;More than half the days&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6571-9 (&quot;Nearly every day&quot;)</li></ul><a name="opt-item.phq-phq9-q10"> </a><p><b>Answer options for phq-phq9-q10 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA6572-7 (&quot;Not difficult at all&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6573-5 (&quot;Somewhat difficult&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6575-0 (&quot;Very difficult&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6574-3 (&quot;Extremely difficult&quot;)</li></ul></div>
        </text>
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                   url="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-ex-pro-questionnaire-capabilities">
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            <valueBoolean value="true"/>
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          <extension url="collectable">
            <valueBoolean value="true"/>
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          <extension url="populatable">
            <valueBoolean value="true"/>
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          <extension url="extractable">
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        <extension url="http://hl7.org/fhir/StructureDefinition/variable">
          <valueExpression>
            <name value="rawScore"/>
            <language value="text/fhirpath"/>
            <expression
                        value="%resource.item.where(linkId.matches('^phq-phq9-q0[1-9]$')).answer.value.ordinal().sum()"/>
          </valueExpression>
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        <extension url="http://hl7.org/fhir/StructureDefinition/variable">
          <valueExpression>
            <name value="phq9Score"/>
            <language value="text/fhirpath"/>
            <expression
                        value="%resource.item.where(linkId.matches('^phq-phq9-q0[1-9]$')).answer.value.ordinal().sum()"/>
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        <url
             value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-phq-9"/>
        <version value="2026.0.0-ballot"/>
        <title value="MII QST PRO PHQ-9"/>
        <status value="active"/>
        <experimental value="true"/>
        <description value="Patient Health Questionnaire (PHQ-9)"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="44249-1"/>
          <display
                   value="PHQ-9 quick depression assessment panel [Reported.PHQ]"/>
        </code>
        <item>
          <linkId value="PHQ-9.Description"/>
          <text
                value="Over the last two weeks, how often have you been bothered by any of the following problems?">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
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              <extension url="content">
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                             value="Wie oft fühlten Sie sich im Verlauf der letzten 2 Wochen durch die folgenden Beschwerden beeinträchtigt?"/>
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            <valueExpression>
              <language value="text/fhirpath"/>
              <expression
                          value="iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q01').answer.value, {})"/>
            </valueExpression>
          </extension>
          <linkId value="phq-phq9-q01"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="44250-9"/>
          </code>
          <prefix value="1"/>
          <text value="Little interest or pleasure in doing things">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de"/>
              </extension>
              <extension url="content">
                <valueString
                             value="Wenig Interesse oder Freude an Ihren Tätigkeiten"/>
              </extension>
            </extension>
          </text>
          <type value="choice"/>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="0"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6568-5"/>
              <display value="Not at all">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Überhaupt nicht"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="1"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6569-3"/>
              <display value="Several days">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="An einzelnen Tagen"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="2"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6570-1"/>
              <display value="More than half the days">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="An mehr als der Hälfte der Tage"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="3"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6571-9"/>
              <display value="Nearly every day">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Beinahe jeden Tag"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
            <valueExpression>
              <language value="text/fhirpath"/>
              <expression
                          value="iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q02').answer.value, {})"/>
            </valueExpression>
          </extension>
          <linkId value="phq-phq9-q02"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="44255-8"/>
          </code>
          <prefix value="2"/>
          <text value="Feeling down, depressed, or hopeless">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de"/>
              </extension>
              <extension url="content">
                <valueString
                             value="Niedergeschlagenheit, Schwermut oder Hoffnungslosigkeit"/>
              </extension>
            </extension>
          </text>
          <type value="choice"/>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="0"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6568-5"/>
              <display value="Not at all">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Überhaupt nicht"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="1"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6569-3"/>
              <display value="Several days">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="An einzelnen Tagen"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="2"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6570-1"/>
              <display value="More than half the days">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="An mehr als der Hälfte der Tage"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="3"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6571-9"/>
              <display value="Nearly every day">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Beinahe jeden Tag"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
            <valueExpression>
              <language value="text/fhirpath"/>
              <expression
                          value="iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q03').answer.value, {})"/>
            </valueExpression>
          </extension>
          <linkId value="phq-phq9-q03"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="44259-0"/>
          </code>
          <prefix value="3"/>
          <text
                value="Trouble falling or staying asleep, or sleeping too much">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de"/>
              </extension>
              <extension url="content">
                <valueString
                             value="Schwierigkeiten ein- oder durchzuschlafen oder vermehrter Schlaf"/>
              </extension>
            </extension>
          </text>
          <type value="choice"/>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="0"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6568-5"/>
              <display value="Not at all">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Überhaupt nicht"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="1"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6569-3"/>
              <display value="Several days">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="An einzelnen Tagen"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="2"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6570-1"/>
              <display value="More than half the days">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="An mehr als der Hälfte der Tage"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="3"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6571-9"/>
              <display value="Nearly every day">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Beinahe jeden Tag"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
            <valueExpression>
              <language value="text/fhirpath"/>
              <expression
                          value="iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q04').answer.value, {})"/>
            </valueExpression>
          </extension>
          <linkId value="phq-phq9-q04"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="44254-1"/>
          </code>
          <prefix value="4"/>
          <text value="Feeling tired or having little energy">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de"/>
              </extension>
              <extension url="content">
                <valueString
                             value="Müdigkeit oder Gefühl, keine Energie zu haben"/>
              </extension>
            </extension>
          </text>
          <type value="choice"/>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="0"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6568-5"/>
              <display value="Not at all">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Überhaupt nicht"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="1"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6569-3"/>
              <display value="Several days">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="An einzelnen Tagen"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="2"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6570-1"/>
              <display value="More than half the days">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="An mehr als der Hälfte der Tage"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="3"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6571-9"/>
              <display value="Nearly every day">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Beinahe jeden Tag"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
            <valueExpression>
              <language value="text/fhirpath"/>
              <expression
                          value="iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q05').answer.value, {})"/>
            </valueExpression>
          </extension>
          <linkId value="phq-phq9-q05"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="44251-7"/>
          </code>
          <prefix value="5"/>
          <text value="Poor appetite or overeating">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de"/>
              </extension>
              <extension url="content">
                <valueString
                             value="Verminderter Appetit oder übermäßiges Bedürfnis zu essen"/>
              </extension>
            </extension>
          </text>
          <type value="choice"/>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="0"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6568-5"/>
              <display value="Not at all">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Überhaupt nicht"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="1"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6569-3"/>
              <display value="Several days">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="An einzelnen Tagen"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="2"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6570-1"/>
              <display value="More than half the days">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="An mehr als der Hälfte der Tage"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="3"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6571-9"/>
              <display value="Nearly every day">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Beinahe jeden Tag"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
            <valueExpression>
              <language value="text/fhirpath"/>
              <expression
                          value="iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q06').answer.value, {})"/>
            </valueExpression>
          </extension>
          <linkId value="phq-phq9-q06"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="44258-2"/>
          </code>
          <prefix value="6"/>
          <text
                value="Feeling bad about yourself - or that you are a failure or have let yourself or your family down">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de"/>
              </extension>
              <extension url="content">
                <valueString
                             value="Schlechte Meinung von sich selbst; Gefühl, ein Versager zu sein oder die Familie enttäuscht zu haben"/>
              </extension>
            </extension>
          </text>
          <type value="choice"/>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="0"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6568-5"/>
              <display value="Not at all">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Überhaupt nicht"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="1"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6569-3"/>
              <display value="Several days">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="An einzelnen Tagen"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="2"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6570-1"/>
              <display value="More than half the days">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="An mehr als der Hälfte der Tage"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="3"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6571-9"/>
              <display value="Nearly every day">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Beinahe jeden Tag"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
            <valueExpression>
              <language value="text/fhirpath"/>
              <expression
                          value="iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q07').answer.value, {})"/>
            </valueExpression>
          </extension>
          <linkId value="phq-phq9-q07"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="44252-5"/>
          </code>
          <prefix value="7"/>
          <text
                value="Trouble concentrating on things, such as reading the newspaper or watching television">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de"/>
              </extension>
              <extension url="content">
                <valueString
                             value="Schwierigkeiten, sich auf etwas zu konzentrieren, z.B. beim Zeitunglesen oder Fernsehen"/>
              </extension>
            </extension>
          </text>
          <type value="choice"/>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="0"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6568-5"/>
              <display value="Not at all">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Überhaupt nicht"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="1"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6569-3"/>
              <display value="Several days">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="An einzelnen Tagen"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="2"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6570-1"/>
              <display value="More than half the days">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="An mehr als der Hälfte der Tage"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="3"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6571-9"/>
              <display value="Nearly every day">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Beinahe jeden Tag"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
            <valueExpression>
              <language value="text/fhirpath"/>
              <expression
                          value="iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q08').answer.value, {})"/>
            </valueExpression>
          </extension>
          <linkId value="phq-phq9-q08"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="44253-3"/>
          </code>
          <prefix value="8"/>
          <text
                value="Moving or speaking so slowly that other people could have noticed? Or the opposite — being so fidgety or restless that you have been moving around a lot more than usual">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de"/>
              </extension>
              <extension url="content">
                <valueString
                             value="Waren Ihre Bewegungen oder Ihre Sprache so verlangsamt, dass es auch anderen auffallen würde? Oder waren Sie im Gegenteil 'zappelig' oder ruhelos und hatten dadurch einen stärkeren Bewegungsdrang als sonst?"/>
              </extension>
            </extension>
          </text>
          <type value="choice"/>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="0"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6568-5"/>
              <display value="Not at all">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Überhaupt nicht"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="1"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6569-3"/>
              <display value="Several days">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="An einzelnen Tagen"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="2"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6570-1"/>
              <display value="More than half the days">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="An mehr als der Hälfte der Tage"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="3"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6571-9"/>
              <display value="Nearly every day">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Beinahe jeden Tag"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
            <valueExpression>
              <language value="text/fhirpath"/>
              <expression
                          value="iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q09').answer.value, {})"/>
            </valueExpression>
          </extension>
          <linkId value="phq-phq9-q09"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="44260-8"/>
          </code>
          <prefix value="9"/>
          <text
                value="Thoughts that you would be better off dead or of hurting yourself in some way">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de"/>
              </extension>
              <extension url="content">
                <valueString
                             value="Gedanken, dass Sie lieber tot wären oder sich Leid zufügen möchten"/>
              </extension>
            </extension>
          </text>
          <type value="choice"/>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="0"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6568-5"/>
              <display value="Not at all">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Überhaupt nicht"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="1"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6569-3"/>
              <display value="Several days">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="An einzelnen Tagen"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="2"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6570-1"/>
              <display value="More than half the days">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="An mehr als der Hälfte der Tage"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
              <valueDecimal value="3"/>
            </extension>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6571-9"/>
              <display value="Nearly every day">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Beinahe jeden Tag"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
            <valueExpression>
              <name value="Scoreberechnung"/>
              <language value="text/fhirpath"/>
              <expression value="%phq9Score"/>
            </valueExpression>
          </extension>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
            <valueBoolean value="true"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
            <valueCoding>
              <system value="http://unitsofmeasure.org"/>
              <code value="{score}"/>
            </valueCoding>
          </extension>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observation-extract-category">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                <code value="survey"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <linkId value="phq-phq9-score-total"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="44261-6"/>
            <display
                     value="Patient Health Questionnaire 9 item (PHQ-9) total score [Reported]"/>
          </code>
          <prefix value="Auswertung"/>
          <text value="PHQ-9 Total Score">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de"/>
              </extension>
              <extension url="content">
                <valueString value="PHQ-9 Gesamtwert"/>
              </extension>
            </extension>
          </text>
          <type value="decimal"/>
          <readOnly value="true"/>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression">
            <valueExpression>
              <language value="text/fhirpath"/>
              <expression
                          value="iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q10').answer.value, {})"/>
            </valueExpression>
          </extension>
          <linkId value="phq-phq9-q10"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="69722-7"/>
          </code>
          <prefix value="10"/>
          <text
                value="If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de"/>
              </extension>
              <extension url="content">
                <valueString
                             value="Wenn eines oder mehrere dieser Probleme bei Ihnen vorliegen, geben Sie bitte an, wie sehr diese Probleme es Ihnen erschwert haben, Ihre Arbeit zu erledigen, Ihren Haushalt zu regeln oder mit anderen Menschen zurecht zu kommen"/>
              </extension>
            </extension>
          </text>
          <type value="choice"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6572-7"/>
              <display value="Not difficult at all">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Überhaupt nicht erschwert"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6573-5"/>
              <display value="Somewhat difficult">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Etwas erschwert"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6575-0"/>
              <display value="Very difficult">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Relativ stark erschwert"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6574-3"/>
              <display value="Extremely difficult">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Sehr stark erschwert"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
            <valueExpression>
              <name value="promis-tscore-mapping"/>
              <language value="text/fhirpath"/>
              <expression
                          value="iif(%phq9Score = 0, 37.4, iif(%phq9Score = 1, 42.7, iif(%phq9Score = 2, 45.9, iif(%phq9Score = 3, 48.3, iif(%phq9Score = 4, 50.5, iif(%phq9Score = 5, 52.5, iif(%phq9Score = 6, 54.2, iif(%phq9Score = 7, 55.8, iif(%phq9Score = 8, 57.2, iif(%phq9Score = 9, 58.6, iif(%phq9Score = 10, 59.9, iif(%phq9Score = 11, 61.1, iif(%phq9Score = 12, 62.3, iif(%phq9Score = 13, 63.5, iif(%phq9Score = 14, 64.7, iif(%phq9Score = 15, 65.8, iif(%phq9Score = 16, 66.9, iif(%phq9Score = 17, 68.0, iif(%phq9Score = 18, 69.2, iif(%phq9Score = 19, 70.3, iif(%phq9Score = 20, 71.5, iif(%phq9Score = 21, 72.7, iif(%phq9Score = 22, 74.0, iif(%phq9Score = 23, 75.3, iif(%phq9Score = 24, 76.7, iif(%phq9Score = 25, 78.3, iif(%phq9Score = 26, 80.0, iif(%phq9Score = 27, 82.3, 82.3))))))))))))))))))))))))))))"/>
            </valueExpression>
          </extension>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
            <valueBoolean value="true"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
            <valueCoding>
              <system value="http://unitsofmeasure.org"/>
              <code value="{score}"/>
            </valueCoding>
          </extension>
          <extension
                     url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observation-extract-category">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                <code value="survey"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <linkId value="phq-phq9-promis-tscore"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="77861-3"/>
            <display
                     value="PROMIS emotional distress - depression - version 1.0 Tscore"/>
          </code>
          <prefix value="T-Score"/>
          <text value="PROMIS Depression T-Score (derived from PHQ-9)">
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/translation">
              <extension url="lang">
                <valueCode value="de"/>
              </extension>
              <extension url="content">
                <valueString
                             value="PROMIS Depression T-Score (abgeleitet von PHQ-9)"/>
              </extension>
            </extension>
          </text>
          <type value="decimal"/>
          <readOnly value="true"/>
        </item>
      </Questionnaire>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Questionnaire/mii-qst-pro-phq-9"/>
    </request>
  </entry>
  <entry>
    <fullUrl
             value="http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/QuestionnaireResponse/mii-exa-pro-phq-9-response"/>
    <resource>
      <QuestionnaireResponse>
        <id value="mii-exa-pro-phq-9-response"/>
        <meta>
          <profile
                   value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response"/>
        </meta>
        <language value="de"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="de" lang="de"><a name="QuestionnaireResponse_mii-exa-pro-phq-9-response"> </a><p class="res-header-id"><b>Generated Narrative: QuestionnaireResponse mii-exa-pro-phq-9-response</b></p><a name="mii-exa-pro-phq-9-response"> </a><a name="hcmii-exa-pro-phq-9-response"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Language: de</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-mii-pr-pro-questionnaire-response.html">MII PR PRO QuestionnaireResponse</a></p></div><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the item can appear in the instance">Definition</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Answer</a><span style="float: right"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_q_root.gif" alt="." style="background-color: white; background-color: inherit" title="QuestionnaireResponseRoot" class="hierarchy"/> mii-exa-pro-phq-9-response</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire:<a href="Bundle-mii-exa-pro-phq-9-bundle.html">MII QST PRO PHQ-9</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> phq-phq9-q01</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="https://loinc.org/LA6571-9">LOINC: LA6571-9</a> (Nearly every day)</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> phq-phq9-q02</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="https://loinc.org/LA6571-9">LOINC: LA6571-9</a> (Nearly every day)</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> phq-phq9-q03</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="https://loinc.org/LA6571-9">LOINC: LA6571-9</a> (Nearly every day)</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> phq-phq9-q04</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="https://loinc.org/LA6571-9">LOINC: LA6571-9</a> (Nearly every day)</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> phq-phq9-q05</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="https://loinc.org/LA6571-9">LOINC: LA6571-9</a> (Nearly every day)</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> phq-phq9-q06</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="https://loinc.org/LA6571-9">LOINC: LA6571-9</a> (Nearly every day)</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> phq-phq9-q07</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="https://loinc.org/LA6571-9">LOINC: LA6571-9</a> (Nearly every day)</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> phq-phq9-q08</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="https://loinc.org/LA6571-9">LOINC: LA6571-9</a> (Nearly every day)</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> phq-phq9-q09</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="https://loinc.org/LA6571-9">LOINC: LA6571-9</a> (Nearly every day)</span></span></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="Item" class="hierarchy"/> phq-phq9-score-total</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">27</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Item" class="hierarchy"/> phq-phq9-q10</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span><span><a href="https://loinc.org/LA6574-3">LOINC: LA6574-3</a> (Extremely difficult)</span></span></td></tr>
<tr><td colspan="4" class="hierarchy"><br/><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
        </text>
        <questionnaire
                       value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-phq-9"/>
        <status value="completed"/>
        <subject>
          <reference value="Patient/example-patient"/>
        </subject>
        <authored value="2023-10-01T12:00:00Z"/>
        <item>
          <linkId value="phq-phq9-q01"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6571-9"/>
              <display value="Nearly every day">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Beinahe jeden Tag"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="phq-phq9-q02"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6571-9"/>
              <display value="Nearly every day">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Beinahe jeden Tag"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="phq-phq9-q03"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6571-9"/>
              <display value="Nearly every day">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Beinahe jeden Tag"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="phq-phq9-q04"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6571-9"/>
              <display value="Nearly every day">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Beinahe jeden Tag"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="phq-phq9-q05"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6571-9"/>
              <display value="Nearly every day">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Beinahe jeden Tag"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="phq-phq9-q06"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6571-9"/>
              <display value="Nearly every day">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Beinahe jeden Tag"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="phq-phq9-q07"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6571-9"/>
              <display value="Nearly every day">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Beinahe jeden Tag"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="phq-phq9-q08"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6571-9"/>
              <display value="Nearly every day">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Beinahe jeden Tag"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="phq-phq9-q09"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6571-9"/>
              <display value="Nearly every day">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Beinahe jeden Tag"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="phq-phq9-score-total"/>
          <answer>
            <valueDecimal value="27"/>
          </answer>
        </item>
        <item>
          <linkId value="phq-phq9-q10"/>
          <answer>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6574-3"/>
              <display value="Extremely difficult">
                <extension
                           url="http://hl7.org/fhir/StructureDefinition/translation">
                  <extension url="lang">
                    <valueCode value="de"/>
                  </extension>
                  <extension url="content">
                    <valueString value="Sehr stark erschwert"/>
                  </extension>
                </extension>
              </display>
            </valueCoding>
          </answer>
        </item>
      </QuestionnaireResponse>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="QuestionnaireResponse/mii-exa-pro-phq-9-response"/>
    </request>
  </entry>
  <entry>
    <fullUrl
             value="http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Observation/mii-exa-pro-phq-9-observation"/>
    <resource>
      <Observation>
        <id value="mii-exa-pro-phq-9-observation"/>
        <meta>
          <profile
                   value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_mii-exa-pro-phq-9-observation"> </a><p class="res-header-id"><b>Generated Narrative: Observation mii-exa-pro-phq-9-observation</b></p><a name="mii-exa-pro-phq-9-observation"> </a><a name="hcmii-exa-pro-phq-9-observation"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-mii-pr-pro-score-instance.html">MII PR PRO Score Instance</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 44261-6}">Patient Health Questionnaire 9 item (PHQ-9) total score [Reported]</span></p><p><b>subject</b>: <a href="https://simplifier.net/resolve?scope=de.medizininformatikinitiative.kerndatensatz.meta@2025.0.0&amp;canonical=http://fhir.org/packages/de.medizininformatikinitiative.kerndatensatz.meta/Patient/example">Patient/example</a></p><p><b>effective</b>: 2023-10-01 12:00:00+0000</p><p><b>value</b>: 27 {score}<span style="background: LightGoldenRodYellow"> (Details: UCUM  code{score} = '{score}')</span></p></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="44261-6"/>
            <display
                     value="Patient Health Questionnaire 9 item (PHQ-9) total score [Reported]"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/example"/>
        </subject>
        <effectiveDateTime value="2023-10-01T12:00:00Z"/>
        <valueQuantity>
          <value value="27"/>
          <unit value="{score}"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="{score}"/>
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Observation/mii-exa-pro-phq-9-observation"/>
    </request>
  </entry>
  <entry>
    <fullUrl
             value="http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Patient/example-patient"/>
    <resource>
      <Patient>
        <id value="example-patient"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_example-patient"> </a><p class="res-header-id"><b>Generated Narrative: Patient example-patient</b></p><a name="example-patient"> </a><a name="hcexample-patient"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Patient Example  andere, DoB Unknown</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td colspan="3">true</td></tr></table></div>
        </text>
        <active value="true"/>
        <name>
          <family value="Example"/>
          <given value="Patient"/>
        </name>
        <gender value="other"/>
      </Patient>
    </resource>
    <request>
      <method value="PUT"/>
      <url value="Patient/example-patient"/>
    </request>
  </entry>
</Bundle>