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

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Structures: Logical Models

These define data models that represent the domain covered by this implementation guide in more business-friendly terms than the underlying FHIR resources.

MII Logical Model Modul PRO - Patient-Reported Outcomes und abgeleitete Metriken

Logisches Modell für die strukturierte Erfassung und Verarbeitung von Patient-Reported Outcomes (PROs) inklusive Fragebögen, Antworten, Scores und Domain-Mappings.

Structures: Questionnaires

These define forms used by systems conforming to this implementation guide to capture or expose data to end users.

MII QST PRO BDI-II

MII QST PRO Beck Depression Inventory II (BDI-II) Questionnaire

MII QST PRO CES-D

Center for Epidemiologic Studies Depression Scale (CES-D) - Metadata-only reference implementation

MII QST PRO EORTC QLQ-C30

EORTC QLQ-C30 Version 3.0 Quality of Life Questionnaire - Complete implementation with all 30 items and 15 scale scores

MII QST PRO EPDS

Edinburgh Postnatal Depression Scale (EPDS) - Metadata-only reference implementation

MII QST PRO EQ-5D-5L

MII QST PRO EuroQol Five Dimension Five Level (EQ-5D-5L) Questionnaire

MII QST PRO EQ-5D-5L

MII QST PRO EuroQol Five Dimension Five Level (EQ-5D-5L) Questionnaire

MII QST PRO EQ-5D-5L (Displayable)

MII QST PRO EuroQol Five Dimension Five Level (EQ-5D-5L) Questionnaire - Displayable version

MII QST PRO EQ-5D-5L Collectable

MII QST PRO EuroQol Five Dimension Five Level (EQ-5D-5L) Questionnaire - Collectable Version

MII QST PRO HADS

Hospital Anxiety and Depression Scale (HADS) - Metadata-only reference implementation

MII QST PRO K6

Kessler Psychological Distress Scale (K6) - Metadata-only reference implementation

MII QST PRO PHQ-9

Patient Health Questionnaire (PHQ-9)

MII QST PRO PROMIS Cognitive Function SF 4a

PROMIS Cognitive Function Short Form 4a - Assessment of cognitive abilities and concerns

MII QST PRO PROMIS Depression SF 4a (Adults)

PROMIS Depression Short Form 4a - Adults - Item Bank v1.0

MII QST PRO PROMIS-29 (Adults)

PROMIS-29 Profile v2.1 - Comprehensive health-related quality of life assessment across 7 domains

MII QST PRO PROMIS-29 Minimal

PROMIS-29 Profile v2.1 - Minimal variant for data collection without calculated expressions

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

MII PR PRO Depression Domain T-Score

Generic profile for depression domain T-score observations (all depression questionnaires)

MII PR PRO Observation BDI-II

Profile for Beck Depression Inventory II (BDI-II) Total Score Observations

MII PR PRO Observation EQ-5D-5L Index

Profile for EQ-5D-5L Index Score Observations with German value set reference ranges

MII PR PRO Observation EQ-5D-5L Profile

Profile for EQ-5D-5L Profile String Observations (e.g., '11111')

MII PR PRO Observation EQ-5D-5L VAS

Profile for EQ-5D-5L Visual Analogue Scale Score Observations

MII PR PRO PROMIS Cognitive Function SF 4a Raw Score

Profile for PROMIS Cognitive Function Short Form 4a raw score observations (4-20 range)

MII PR PRO PROMIS Cognitive Function SF 4a T-Score

Profile for PROMIS Cognitive Function Short Form 4a T-Score observations

MII PR PRO PROMIS Depression SF 4a Raw Score

Profile for PROMIS Depression Short Form 4a raw score observations (4-20 range)

MII PR PRO PROMIS-29 Anxiety T-Score

Profile for PROMIS-29 Anxiety T-Score Observations

MII PR PRO PROMIS-29 Depression T-Score

Profile for PROMIS-29 Depression T-Score Observations

MII PR PRO PROMIS-29 Fatigue T-Score

Profile for PROMIS-29 Fatigue T-Score Observations

MII PR PRO PROMIS-29 Pain Intensity

Profile for PROMIS-29 Pain Intensity single item Observations

MII PR PRO PROMIS-29 Pain Interference T-Score

Profile for PROMIS-29 Pain Interference T-Score Observations

MII PR PRO PROMIS-29 Physical Function T-Score

Profile for PROMIS-29 Physical Function T-Score Observations

MII PR PRO PROMIS-29 Sleep Disturbance T-Score

Profile for PROMIS-29 Sleep Disturbance T-Score Observations

MII PR PRO PROMIS-29 Social Function T-Score

Profile for PROMIS-29 Ability to Participate in Social Roles and Activities T-Score Observations

MII PR PRO Questionnaire

MII PR PRO Questionnaire, based on the FHIR Structure Data Capture Specification

MII PR PRO QuestionnaireResponse

MII PR PRO QuestionnaireResponse, based on the FHIR Structure Data Capture Specification

MII PR PRO Score Blueprint / Template

MII PR PRO Questionnaire, based on the FHIR Structure Data Capture Specification

MII PR PRO Score Instance

MII PR PRO Score Instance

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

MII Ex PRO Score Score Health Correlation

MII Ex PRO Score Score Health Correlation

MII PR PRO Questionnaire Capabilities

MII PR PRO Questionnaire Capabilities, based on the FHIR Structure Data Capture Specification

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

MII VS PRO BDI-II

MII VS PRO BDI-II ValueSet for Beck Depression Inventory II (BDI-II) Questionnaire

MII VS PRO BDI-II

MII VS PRO BDI-II ValueSet for Beck Depression Inventory II (BDI-II) Questionnaire

MII VS PRO EORTC QLQ-C30 4-Point Scale

Standard 4-point response scale for EORTC QLQ-C30 items

MII VS PRO EORTC QLQ-C30 7-Point Scale

7-point response scale for EORTC QLQ-C30 global health status and quality of life items

MII VS PRO EORTC QLQ-C30 Role Functioning Scale

4-point response scale for EORTC QLQ-C30 role functioning items

MII VS PRO PHQ-9 Answer List LL358-3

Patient Health Questionnaire (PHQ-9) Not at all/Several days/More than half the days/Nearly every day

MII VS PRO PHQ-9 Answer List LL359-1

Not difficult at all/Somewhat difficult/Very difficult/Extremely difficult-Perceived difficulty (PHQ-9)

MII VS PRO PROMIS Frequency Response Scale

PROMIS Frequency response scale: Nie - Immer

MII VS PRO PROMIS Intensity Response Scale

PROMIS Intensity response scale: Überhaupt nicht - Sehr

MII VS PRO PROMIS Pain Intensity Numeric Scale

PROMIS Pain Intensity numeric scale: 0 (Keine Schmerzen) - 10 (Schlimmste vorstellbare Schmerzen)

MII VS PRO PROMIS Physical Function Response Scale

PROMIS Physical Function response scale: Kann ich gar nicht - Ohne jede Schwierigkeiten

MII VS PRO PROMIS Quality Response Scale

PROMIS Quality response scale: Schlecht - Ausgezeichnet

MII VS PRO PROMIS Sleep Quality Response Scale

PROMIS Sleep Quality response scale: Sehr schlecht - Sehr gut

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

MII CS EQ-5D Value Set

EuroQol EQ-5D Value Set

MII CS PRO BDI-II

MII CS PRO BDI-II ValueSet for Beck Depression Inventory II (BDI-II) Questionnaire

MII CS PRO EORTC QLQ-C30 Response Scale

Response scale for EORTC QLQ-C30 questionnaire items with multilingual support

MII CS PRO Questionnaire Catalogue

MII CS PRO Questionnaire Catalogue for PRO Questionnaires used in the MII PROMs Module

MII CS PRO Score Catalogue

MII CS PRO Score Catalogue for PRO Scores used in the MII PROMs Module

Terminology: Concept Maps

These define transformations to convert between codes by systems conforming with this implementation guide.

ConceptMap to derive PROMIS Depression T-Score from BDI-II Observation

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

BDI-II Observation
BDI-II Transaction Bundle Example

Transaction bundle containing BDI-II CodeSystem, ValueSets, questionnaire, response, and derived observation

EORTC QLQ-C30 Appetite Loss Score
EORTC QLQ-C30 Cognitive Functioning Score
EORTC QLQ-C30 Constipation Score
EORTC QLQ-C30 Diarrhoea Score
EORTC QLQ-C30 Dyspnoea Score
EORTC QLQ-C30 Emotional Functioning Score
EORTC QLQ-C30 Fatigue Score
EORTC QLQ-C30 Financial Difficulties Score
EORTC QLQ-C30 Global Health Status / Quality of Life Score
EORTC QLQ-C30 Insomnia Score
EORTC QLQ-C30 Nausea and Vomiting Score
EORTC QLQ-C30 Pain Score
EORTC QLQ-C30 Physical Functioning Score

Physical Functioning Score from EORTC QLQ-C30

EORTC QLQ-C30 Role Functioning Score
EORTC QLQ-C30 Social Functioning Score
EORTC QLQ-C30 Transaction Bundle Example

Complete transaction bundle containing EORTC QLQ-C30 questionnaire, response with all 30 items, and derived observations with all 15 scale scores

EQ-5D-5L Answer-Coding Response Example

Example of an EQ-5D-5L questionnaire response using the answer-coding variant with MII CodeSystem

EQ-5D-5L Questionnaire Response Example
MII EXA PRO EORTC QLQ-C30 Response

Complete EORTC QLQ-C30 QuestionnaireResponse example with all 30 items and calculated scores

MII EXA PRO PROMIS Depression SF 4a Bundle

Example bundle containing PROMIS Depression SF 4a QuestionnaireResponse and derived observations

MII EXA PRO PROMIS Depression SF 4a Raw Score

Example raw score observation for PROMIS Depression Short Form 4a

MII EXA PRO PROMIS Depression SF 4a Response

Example QuestionnaireResponse for PROMIS Depression Short Form 4a

MII EXA PRO PROMIS Depression SF 4a T-Score

Example T-score observation for PROMIS Depression Short Form 4a

MII EXA PRO Patient

Example patient for PRO demonstrations

MII ObsDef PRO Score EQ-5D-5L Index

EuroQol 5 Dimensions 5 Levels (EQ-5D-5L) Index Score

MII ObsDef PRO Score EQ-5D-5L Profile

EuroQol 5 Dimensions 5 Levels (EQ-5D-5L) Profile

MII ObsDef PRO Score EQ-5D-5L VAS

EuroQol 5 Dimensions 5 Levels (EQ-5D-5L) Visual Analog Scale (VAS) Score

PHQ-9 Observation Example
PHQ-9 Questionnaire Response Example
PHQ-9 Transaction Bundle Example

Transaction bundle containing PHQ-9 questionnaire, response, and derived observation - flagship example

PROMIS Depression T-Score, derived from BDI-II Observation

Other

These are resources that are used within this implementation guide that do not fit into one of the other categories.

EORTC QLQ-C30 Appetite Loss Score Definition

ObservationDefinition for EORTC QLQ-C30 Appetite Loss Score (AP) - Higher scores indicate more appetite loss

EORTC QLQ-C30 Cognitive Functioning Score Definition

ObservationDefinition for EORTC QLQ-C30 Cognitive Functioning Score (CF) - Higher scores indicate better cognitive functioning

EORTC QLQ-C30 Constipation Score Definition

ObservationDefinition for EORTC QLQ-C30 Constipation Score (CO) - Higher scores indicate more constipation

EORTC QLQ-C30 Diarrhoea Score Definition

ObservationDefinition for EORTC QLQ-C30 Diarrhoea Score (DI) - Higher scores indicate more diarrhoea

EORTC QLQ-C30 Dyspnoea Score Definition

ObservationDefinition for EORTC QLQ-C30 Dyspnoea Score (DY) - Higher scores indicate more dyspnoea

EORTC QLQ-C30 Emotional Functioning Score Definition

ObservationDefinition for EORTC QLQ-C30 Emotional Functioning Score (EF) - Higher scores indicate better emotional functioning

EORTC QLQ-C30 Fatigue Score Definition

ObservationDefinition for EORTC QLQ-C30 Fatigue Score (FA) - Higher scores indicate more fatigue

EORTC QLQ-C30 Financial Difficulties Score Definition

ObservationDefinition for EORTC QLQ-C30 Financial Difficulties Score (FI) - Higher scores indicate more financial difficulties

EORTC QLQ-C30 Global Health Status / Quality of Life Score Definition

ObservationDefinition for EORTC QLQ-C30 Global Health Status / Quality of Life Score (QL) - Higher scores indicate better quality of life

EORTC QLQ-C30 Insomnia Score Definition

ObservationDefinition for EORTC QLQ-C30 Insomnia Score (SL) - Higher scores indicate more sleep disturbance

EORTC QLQ-C30 Nausea and Vomiting Score Definition

ObservationDefinition for EORTC QLQ-C30 Nausea and Vomiting Score (NV) - Higher scores indicate more nausea/vomiting

EORTC QLQ-C30 Pain Score Definition

ObservationDefinition for EORTC QLQ-C30 Pain Score (PA) - Higher scores indicate more pain

EORTC QLQ-C30 Physical Functioning Score Definition

ObservationDefinition for EORTC QLQ-C30 Physical Functioning Score (PF) - Higher scores indicate better physical functioning

EORTC QLQ-C30 Role Functioning Score Definition

ObservationDefinition for EORTC QLQ-C30 Role Functioning Score (RF) - Higher scores indicate better role functioning

EORTC QLQ-C30 Social Functioning Score Definition

ObservationDefinition for EORTC QLQ-C30 Social Functioning Score (SF) - Higher scores indicate better social functioning

MII EXA PRO BDI-II

MII EXA PRO Beck Depression Inventory II (BDI-II) Questionnaire

MII ObsDef PRO Depression Domain T-Score

ObservationDefinition for depression domain T-score across all depression questionnaires with European population reference ranges

MII ObsDef PRO PROMIS Cognitive Function SF 4a Raw Score

PROMIS Cognitive Function Short Form 4a Raw Score (4-20 range)

MII ObsDef PRO PROMIS Cognitive Function SF 4a T-Score

PROMIS Cognitive Function Short Form 4a T-Score

MII ObsDef PRO PROMIS-29 Anxiety T-Score

PROMIS Anxiety T-Score from PROMIS-29 Profile v2.1

MII ObsDef PRO PROMIS-29 Depression T-Score

PROMIS Depression T-Score from PROMIS-29 Profile v2.1

MII ObsDef PRO PROMIS-29 Fatigue T-Score

PROMIS Fatigue T-Score from PROMIS-29 Profile v2.1

MII ObsDef PRO PROMIS-29 Pain Intensity

PROMIS Pain Intensity single item from PROMIS-29 Profile v2.1

MII ObsDef PRO PROMIS-29 Pain Interference T-Score

PROMIS Pain Interference T-Score from PROMIS-29 Profile v2.1

MII ObsDef PRO PROMIS-29 Physical Function T-Score

PROMIS Physical Function T-Score from PROMIS-29 Profile v2.1

MII ObsDef PRO PROMIS-29 Sleep Disturbance T-Score

PROMIS Sleep Disturbance T-Score from PROMIS-29 Profile v2.1

MII ObsDef PRO PROMIS-29 Social Function T-Score

PROMIS Ability to Participate in Social Roles and Activities T-Score from PROMIS-29 Profile v2.1

MII ObsDef PRO Score BDI-II

Beck Depression Inventory II (BDI-II) Total Score

MII ObsDef PRO Score PHQ-9

Patient Health Questionnaire (PHQ-9)