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

: MII QST PRO PHQ-9 - XML Representation

Active as of 2025-08-30

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<Questionnaire xmlns="http://hl7.org/fhir">
  <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="de"/>
  <text>
    <status value="extensions"/>
    <div xml:lang="de" xmlns="http://www.w3.org/1999/xhtml" lang="de"><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: de</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,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" 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 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 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-alpha</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">Wie oft fühlten Sie sich im Verlauf der letzten 2 Wochen durch die folgenden Beschwerden beeinträchtigt?</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-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" 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. Wenig Interesse oder Freude an Ihren Tätigkeiten</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-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" 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. Niedergeschlagenheit, Schwermut oder Hoffnungslosigkeit</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-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" 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. Schwierigkeiten ein- oder durchzuschlafen oder vermehrter Schlaf</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-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" 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. Müdigkeit oder Gefühl, keine Energie zu haben</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-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" 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. Verminderter Appetit oder übermäßiges Bedürfnis zu essen</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-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" 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. Schlechte Meinung von sich selbst; Gefühl, ein Versager zu sein oder die Familie enttäuscht zu haben</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-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" 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. Schwierigkeiten, sich auf etwas zu konzentrieren, z.B. beim Zeitunglesen oder Fernsehen</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-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" 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. 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?</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-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" 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. Gedanken, dass Sie lieber tot wären oder sich Leid zufügen möchten</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 Gesamtwert</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-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" 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. 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</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 (abgeleitet von 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;Überhaupt nicht&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6569-3 (&quot;An einzelnen Tagen&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6570-1 (&quot;An mehr als der Hälfte der Tage&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6571-9 (&quot;Beinahe jeden Tag&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;Überhaupt nicht&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6569-3 (&quot;An einzelnen Tagen&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6570-1 (&quot;An mehr als der Hälfte der Tage&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6571-9 (&quot;Beinahe jeden Tag&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;Überhaupt nicht&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6569-3 (&quot;An einzelnen Tagen&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6570-1 (&quot;An mehr als der Hälfte der Tage&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6571-9 (&quot;Beinahe jeden Tag&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;Überhaupt nicht&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6569-3 (&quot;An einzelnen Tagen&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6570-1 (&quot;An mehr als der Hälfte der Tage&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6571-9 (&quot;Beinahe jeden Tag&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;Überhaupt nicht&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6569-3 (&quot;An einzelnen Tagen&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6570-1 (&quot;An mehr als der Hälfte der Tage&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6571-9 (&quot;Beinahe jeden Tag&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;Überhaupt nicht&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6569-3 (&quot;An einzelnen Tagen&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6570-1 (&quot;An mehr als der Hälfte der Tage&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6571-9 (&quot;Beinahe jeden Tag&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;Überhaupt nicht&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6569-3 (&quot;An einzelnen Tagen&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6570-1 (&quot;An mehr als der Hälfte der Tage&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6571-9 (&quot;Beinahe jeden Tag&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;Überhaupt nicht&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6569-3 (&quot;An einzelnen Tagen&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6570-1 (&quot;An mehr als der Hälfte der Tage&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6571-9 (&quot;Beinahe jeden Tag&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;Überhaupt nicht&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6569-3 (&quot;An einzelnen Tagen&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6570-1 (&quot;An mehr als der Hälfte der Tage&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6571-9 (&quot;Beinahe jeden Tag&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;Überhaupt nicht erschwert&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6573-5 (&quot;Etwas erschwert&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6575-0 (&quot;Relativ stark erschwert&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6574-3 (&quot;Sehr stark erschwert&quot;)</li></ul></div>
  </text>
  <extension
             url="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-ex-pro-questionnaire-capabilities">
    <extension url="displayable">
      <valueBoolean value="true"/>
    </extension>
    <extension url="collectable">
      <valueBoolean value="true"/>
    </extension>
    <extension url="populatable">
      <valueBoolean value="true"/>
    </extension>
    <extension url="calculatable">
      <valueBoolean value="true"/>
    </extension>
    <extension url="extractable">
      <valueBoolean value="true"/>
    </extension>
    <extension url="domainAligned">
      <valueBoolean value="true"/>
    </extension>
  </extension>
  <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]$')).answer.value.ordinal().sum()"/>
    </valueExpression>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/variable">
    <valueExpression>
      <name value="phq9Score"/>
      <language value="text/fhirpath"/>
      <expression
                  value="%resource.item.where(linkId.matches('^phq-phq9-q0[1-9]$')).answer.value.ordinal().sum()"/>
    </valueExpression>
  </extension>
  <url
       value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-phq-9"/>
  <version value="2026.0.0-alpha"/>
  <title value="MII QST PRO PHQ-9"/>
  <status value="active"/>
  <experimental value="true"/>
  <date value="2025-08-30T07:44:46+00:00"/>
  <publisher value="Medizininformatik-Initiative"/>
  <contact>
    <name value="Medizininformatik-Initiative"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.medizininformatik-initiative.de"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="office@medizininformatik-initiative.de"/>
    </telecom>
  </contact>
  <description value="Patient Health Questionnaire (PHQ-9)"/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="276"/>
    </coding>
  </jurisdiction>
  <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="Wie oft fühlten Sie sich im Verlauf der letzten 2 Wochen durch die folgenden Beschwerden beeinträchtigt?">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en"/>
        </extension>
        <extension url="content">
          <valueString
                       value="Over the last two weeks, how often have you been bothered by any of the following problems?"/>
        </extension>
      </extension>
    </text>
    <type value="display"/>
  </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-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="Wenig Interesse oder Freude an Ihren Tätigkeiten">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en"/>
        </extension>
        <extension url="content">
          <valueString value="Little interest or pleasure in doing things"/>
        </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="Überhaupt nicht">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Not at all"/>
            </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="An einzelnen Tagen">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Serveral days"/>
            </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="An mehr als der Hälfte der Tage">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="More than half the days"/>
            </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="Beinahe jeden Tag">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Nearly every day"/>
            </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="Niedergeschlagenheit, Schwermut oder Hoffnungslosigkeit">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en"/>
        </extension>
        <extension url="content">
          <valueString value="Feeling down, depressed, or hopeless"/>
        </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="Überhaupt nicht">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Not at all"/>
            </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="An einzelnen Tagen">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Serveral days"/>
            </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="An mehr als der Hälfte der Tage">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="More than half the days"/>
            </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="Beinahe jeden Tag">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Nearly every day"/>
            </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="Schwierigkeiten ein- oder durchzuschlafen oder vermehrter Schlaf">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en"/>
        </extension>
        <extension url="content">
          <valueString
                       value="Trouble falling or staying asleep, or sleeping too much"/>
        </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="Überhaupt nicht">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Not at all"/>
            </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="An einzelnen Tagen">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Serveral days"/>
            </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="An mehr als der Hälfte der Tage">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="More than half the days"/>
            </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="Beinahe jeden Tag">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Nearly every day"/>
            </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="Müdigkeit oder Gefühl, keine Energie zu haben">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en"/>
        </extension>
        <extension url="content">
          <valueString value="Feeling tired or having little energy"/>
        </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="Überhaupt nicht">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Not at all"/>
            </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="An einzelnen Tagen">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Serveral days"/>
            </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="An mehr als der Hälfte der Tage">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="More than half the days"/>
            </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="Beinahe jeden Tag">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Nearly every day"/>
            </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="Verminderter Appetit oder übermäßiges Bedürfnis zu essen">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en"/>
        </extension>
        <extension url="content">
          <valueString value="Poor appetite or overeating"/>
        </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="Überhaupt nicht">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Not at all"/>
            </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="An einzelnen Tagen">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Serveral days"/>
            </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="An mehr als der Hälfte der Tage">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="More than half the days"/>
            </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="Beinahe jeden Tag">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Nearly every day"/>
            </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="Schlechte Meinung von sich selbst; Gefühl, ein Versager zu sein oder die Familie enttäuscht zu haben">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en"/>
        </extension>
        <extension url="content">
          <valueString
                       value="Feeling bad about yourself - or that you are a failure or have let yourself or your family down"/>
        </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="Überhaupt nicht">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Not at all"/>
            </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="An einzelnen Tagen">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Serveral days"/>
            </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="An mehr als der Hälfte der Tage">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="More than half the days"/>
            </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="Beinahe jeden Tag">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Nearly every day"/>
            </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="Schwierigkeiten, sich auf etwas zu konzentrieren, z.B. beim Zeitunglesen oder Fernsehen">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en"/>
        </extension>
        <extension url="content">
          <valueString
                       value="Trouble concentrating on things, such as reading the newspaper or watching television"/>
        </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="Überhaupt nicht">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Not at all"/>
            </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="An einzelnen Tagen">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Serveral days"/>
            </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="An mehr als der Hälfte der Tage">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="More than half the days"/>
            </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="Beinahe jeden Tag">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Nearly every day"/>
            </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
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      </valueExpression>
    </extension>
    <linkId value="phq-phq9-q08"/>
    <code>
      <system value="http://loinc.org"/>
      <code value="44253-3"/>
    </code>
    <prefix value="8"/>
    <text
          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 url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en"/>
        </extension>
        <extension url="content">
          <valueString
                       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>
      </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="Überhaupt nicht">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Not at all"/>
            </extension>
          </extension>
        </display>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="1"/>
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      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6569-3"/>
        <display value="An einzelnen Tagen">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Serveral days"/>
            </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="An mehr als der Hälfte der Tage">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="More than half the days"/>
            </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="Beinahe jeden Tag">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Nearly every day"/>
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          </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, {})"/>
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    </extension>
    <linkId value="phq-phq9-q09"/>
    <code>
      <system value="http://loinc.org"/>
      <code value="44260-8"/>
    </code>
    <prefix value="9"/>
    <text
          value="Gedanken, dass Sie lieber tot wären oder sich Leid zufügen möchten">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en"/>
        </extension>
        <extension url="content">
          <valueString
                       value="Thoughts that you would be better off dead or of hurting yourself in some way"/>
        </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="Überhaupt nicht">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Not at all"/>
            </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="An einzelnen Tagen">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Serveral days"/>
            </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="An mehr als der Hälfte der Tage">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="More than half the days"/>
            </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="Beinahe jeden Tag">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Nearly every day"/>
            </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 Gesamtwert">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en"/>
        </extension>
        <extension url="content">
          <valueString value="PHQ-9 Total Score"/>
        </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, {})"/>
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    </extension>
    <linkId value="phq-phq9-q10"/>
    <code>
      <system value="http://loinc.org"/>
      <code value="69722-7"/>
    </code>
    <prefix value="10"/>
    <text
          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 url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en"/>
        </extension>
        <extension url="content">
          <valueString
                       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>
      </extension>
    </text>
    <type value="choice"/>
    <answerOption>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6572-7"/>
        <display value="Überhaupt nicht erschwert">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Not difficult at all"/>
            </extension>
          </extension>
        </display>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6573-5"/>
        <display value="Etwas erschwert">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Somewhat difficult"/>
            </extension>
          </extension>
        </display>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6575-0"/>
        <display value="Relativ stark erschwert">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Very difficult"/>
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          </extension>
        </display>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6574-3"/>
        <display value="Sehr stark erschwert">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
              <valueCode value="en"/>
            </extension>
            <extension url="content">
              <valueString value="Extremely difficult"/>
            </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
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      </valueExpression>
    </extension>
    <extension
               url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract">
      <valueBoolean value="true"/>
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    <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>
    <extension url="http://hl7.org/fhir/StructureDefinition/cqf-citation">
      <valueString
                   value="PROsetta Stone® PHQ-9 to PROMIS Depression Crosswalk Table. Available at: https://www.prosettastone.org"/>
    </extension>
    <linkId value="phq-phq9-promis-tscore"/>
    <code>
      <system value="http://loinc.org"/>
      <code value="77861-3"/>
      <display value="PROMIS depression T-score"/>
    </code>
    <prefix value="T-Score"/>
    <text value="PROMIS Depression T-Score (abgeleitet von PHQ-9)">
      <extension url="http://hl7.org/fhir/StructureDefinition/translation">
        <extension url="lang">
          <valueCode value="en"/>
        </extension>
        <extension url="content">
          <valueString
                       value="PROMIS Depression T-Score (derived from PHQ-9)"/>
        </extension>
      </extension>
    </text>
    <type value="decimal"/>
    <readOnly value="true"/>
  </item>
</Questionnaire>