MII IG PRO
2026.0.0-rc.1 - 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-rc.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/medizininformatik-initiative/kerndatensatzmodul-proms/ and changes regularly. See the Directory of published versions

: MII QST PRO PHQ-9 - XML Representation

Active as of 2025-11-25

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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="en"/>
  <text>
    <status value="extensions"/>
    <div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en"><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,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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-rc.1</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-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. 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-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. 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-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. 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-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. 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-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. 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-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. 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-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. 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-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. 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-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. 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-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. 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>
  <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>
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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]$')).answer.value.ordinal().sum()"/>
    </valueExpression>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/variable">
    <valueExpression>
      <name value="phq9Score"/>
      <language value="text/fhirpath"/>
      <expression
                  value="%resource.item.where(linkId.matches('^phq-phq9-q0[1-9]$')).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-rc.1"/>
  <title value="MII QST PRO PHQ-9"/>
  <status value="active"/>
  <experimental value="true"/>
  <date value="2025-11-25T08:06:49+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>
  <code>
    <system
            value="http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-questionnaire-catalogue"/>
    <code value="phq-phq9"/>
    <display value="PHQ-9 Questionnaire"/>
  </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">
        <extension url="lang">
          <valueCode value="de"/>
        </extension>
        <extension url="content">
          <valueString
                       value="Wie oft fühlten Sie sich im Verlauf der letzten 2 Wochen durch die folgenden Beschwerden beeinträchtigt?"/>
        </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="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>