{
  "resourceType" : "CodeSystem",
  "id" : "mii-cs-pro-dass-21",
  "language" : "de",
  "text" : {
    "status" : "generated",
    "div" : "<div xml:lang=\"de\" lang=\"de\"><hr/><p><b>German</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem mii-cs-pro-dass-21</b></p><a name=\"mii-cs-pro-dass-21\"> </a><a name=\"hcmii-cs-pro-dass-21\"> </a><p>This case-sensitive code system <code>https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Deutsch (German, de)</b></td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-answer-0<a name=\"mii-cs-pro-dass-21-dass-dass21-answer-0\"> </a></td><td>Did not apply to me at all</td><td>Traf gar nicht auf mich zu</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-answer-1<a name=\"mii-cs-pro-dass-21-dass-dass21-answer-1\"> </a></td><td>Applied to me to some degree</td><td>Traf bis zu einem gewissen Grad auf mich zu</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-answer-2<a name=\"mii-cs-pro-dass-21-dass-dass21-answer-2\"> </a></td><td>Applied to me to a considerable degree</td><td>Traf in beträchtlichem Maße auf mich zu</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-answer-3<a name=\"mii-cs-pro-dass-21-dass-dass21-answer-3\"> </a></td><td>Applied to me very much</td><td>Traf sehr stark auf mich zu</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q01<a name=\"mii-cs-pro-dass-21-dass-dass21-q01\"> </a></td><td>I found it hard to wind down</td><td>Ich fand es schwer abzuschalten</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q02<a name=\"mii-cs-pro-dass-21-dass-dass21-q02\"> </a></td><td>I was aware of dryness of my mouth</td><td>Ich bemerkte Mundtrockenheit</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q03<a name=\"mii-cs-pro-dass-21-dass-dass21-q03\"> </a></td><td>I couldn't seem to experience any positive feeling at all</td><td>Ich konnte überhaupt keine positiven Gefühle mehr erleben</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q04<a name=\"mii-cs-pro-dass-21-dass-dass21-q04\"> </a></td><td>I experienced breathing difficulty</td><td>Ich hatte Atemschwierigkeiten</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q05<a name=\"mii-cs-pro-dass-21-dass-dass21-q05\"> </a></td><td>I found it difficult to work up the initiative to do things</td><td>Ich fand es schwierig, die Initiative zum Tun aufzubringen</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q06<a name=\"mii-cs-pro-dass-21-dass-dass21-q06\"> </a></td><td>I tended to over-react to situations</td><td>Ich neigte dazu, auf Situationen überzureagieren</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q07<a name=\"mii-cs-pro-dass-21-dass-dass21-q07\"> </a></td><td>I experienced trembling (e.g., in the hands)</td><td>Ich zitterte (z.B. an den Händen)</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q08<a name=\"mii-cs-pro-dass-21-dass-dass21-q08\"> </a></td><td>I felt that I was using a lot of nervous energy</td><td>Ich merkte, dass ich viel nervöse Energie verbrauchte</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q09<a name=\"mii-cs-pro-dass-21-dass-dass21-q09\"> </a></td><td>I was worried about situations in which I might panic and make a fool of myself</td><td>Ich machte mir Sorgen über Situationen, in denen ich in Panik geraten könnte</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q10<a name=\"mii-cs-pro-dass-21-dass-dass21-q10\"> </a></td><td>I felt that I had nothing to look forward to</td><td>Ich hatte das Gefühl, dass ich nichts erwarten konnte</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q11<a name=\"mii-cs-pro-dass-21-dass-dass21-q11\"> </a></td><td>I found myself getting agitated</td><td>Ich merkte, dass ich unruhig wurde</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q12<a name=\"mii-cs-pro-dass-21-dass-dass21-q12\"> </a></td><td>I found it difficult to relax</td><td>Ich fand es schwierig, mich zu entspannen</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q13<a name=\"mii-cs-pro-dass-21-dass-dass21-q13\"> </a></td><td>I felt down-hearted and blue</td><td>Ich fühlte mich niedergeschlagen und traurig</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q14<a name=\"mii-cs-pro-dass-21-dass-dass21-q14\"> </a></td><td>I was intolerant of anything that kept me from getting on with what I was doing</td><td>Ich war ungeduldig, wenn ich aufgehalten wurde</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q15<a name=\"mii-cs-pro-dass-21-dass-dass21-q15\"> </a></td><td>I felt I was close to panic</td><td>Ich fühlte mich einer Panik nahe</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q16<a name=\"mii-cs-pro-dass-21-dass-dass21-q16\"> </a></td><td>I was unable to become enthusiastic about anything</td><td>Ich konnte mich für nichts begeistern</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q17<a name=\"mii-cs-pro-dass-21-dass-dass21-q17\"> </a></td><td>I felt I wasn't worth much as a person</td><td>Ich hatte das Gefühl, nicht viel wert zu sein</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q18<a name=\"mii-cs-pro-dass-21-dass-dass21-q18\"> </a></td><td>I felt that I was rather touchy</td><td>Ich merkte, dass ich ziemlich empfindlich war</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q19<a name=\"mii-cs-pro-dass-21-dass-dass21-q19\"> </a></td><td>I was aware of the action of my heart in the absence of physical exertion</td><td>Ich nahm meinen Herzschlag wahr, ohne körperlich aktiv zu sein</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q20<a name=\"mii-cs-pro-dass-21-dass-dass21-q20\"> </a></td><td>I felt scared without any good reason</td><td>Ich fürchtete mich ohne ersichtlichen Grund</td></tr><tr><td style=\"white-space:nowrap\">dass-dass21-q21<a name=\"mii-cs-pro-dass-21-dass-dass21-q21\"> </a></td><td>I felt that life was meaningless</td><td>Ich fand das Leben sinnlos</td></tr></table></div>"
  },
  "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
  "version" : "2026.2.0",
  "name" : "MII_CS_PRO_DASS_21",
  "title" : "MII CS PRO DASS-21 Response Scale and Item Codes",
  "status" : "active",
  "experimental" : true,
  "date" : "2026-04-29T08:51:52+00:00",
  "publisher" : "Medizininformatik-Initiative",
  "contact" : [{
    "name" : "Medizininformatik-Initiative",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.medizininformatik-initiative.de"
    },
    {
      "system" : "email",
      "value" : "office@medizininformatik-initiative.de"
    }]
  }],
  "description" : "CodeSystem for the Depression Anxiety Stress Scales - Short Form (DASS-21) with answer codes, item codes, and multilingual support (English primary, German translations from Nilges & Essau 2015)",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "276"
    }]
  }],
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 25,
  "concept" : [{
    "code" : "dass-dass21-answer-0",
    "display" : "Did not apply to me at all",
    "designation" : [{
      "language" : "de",
      "value" : "Traf gar nicht auf mich zu"
    }]
  },
  {
    "code" : "dass-dass21-answer-1",
    "display" : "Applied to me to some degree",
    "designation" : [{
      "language" : "de",
      "value" : "Traf bis zu einem gewissen Grad auf mich zu"
    }]
  },
  {
    "code" : "dass-dass21-answer-2",
    "display" : "Applied to me to a considerable degree",
    "designation" : [{
      "language" : "de",
      "value" : "Traf in beträchtlichem Maße auf mich zu"
    }]
  },
  {
    "code" : "dass-dass21-answer-3",
    "display" : "Applied to me very much",
    "designation" : [{
      "language" : "de",
      "value" : "Traf sehr stark auf mich zu"
    }]
  },
  {
    "code" : "dass-dass21-q01",
    "display" : "I found it hard to wind down",
    "designation" : [{
      "language" : "de",
      "value" : "Ich fand es schwer abzuschalten"
    }]
  },
  {
    "code" : "dass-dass21-q02",
    "display" : "I was aware of dryness of my mouth",
    "designation" : [{
      "language" : "de",
      "value" : "Ich bemerkte Mundtrockenheit"
    }]
  },
  {
    "code" : "dass-dass21-q03",
    "display" : "I couldn't seem to experience any positive feeling at all",
    "designation" : [{
      "language" : "de",
      "value" : "Ich konnte überhaupt keine positiven Gefühle mehr erleben"
    }]
  },
  {
    "code" : "dass-dass21-q04",
    "display" : "I experienced breathing difficulty",
    "designation" : [{
      "language" : "de",
      "value" : "Ich hatte Atemschwierigkeiten"
    }]
  },
  {
    "code" : "dass-dass21-q05",
    "display" : "I found it difficult to work up the initiative to do things",
    "designation" : [{
      "language" : "de",
      "value" : "Ich fand es schwierig, die Initiative zum Tun aufzubringen"
    }]
  },
  {
    "code" : "dass-dass21-q06",
    "display" : "I tended to over-react to situations",
    "designation" : [{
      "language" : "de",
      "value" : "Ich neigte dazu, auf Situationen überzureagieren"
    }]
  },
  {
    "code" : "dass-dass21-q07",
    "display" : "I experienced trembling (e.g., in the hands)",
    "designation" : [{
      "language" : "de",
      "value" : "Ich zitterte (z.B. an den Händen)"
    }]
  },
  {
    "code" : "dass-dass21-q08",
    "display" : "I felt that I was using a lot of nervous energy",
    "designation" : [{
      "language" : "de",
      "value" : "Ich merkte, dass ich viel nervöse Energie verbrauchte"
    }]
  },
  {
    "code" : "dass-dass21-q09",
    "display" : "I was worried about situations in which I might panic and make a fool of myself",
    "designation" : [{
      "language" : "de",
      "value" : "Ich machte mir Sorgen über Situationen, in denen ich in Panik geraten könnte"
    }]
  },
  {
    "code" : "dass-dass21-q10",
    "display" : "I felt that I had nothing to look forward to",
    "designation" : [{
      "language" : "de",
      "value" : "Ich hatte das Gefühl, dass ich nichts erwarten konnte"
    }]
  },
  {
    "code" : "dass-dass21-q11",
    "display" : "I found myself getting agitated",
    "designation" : [{
      "language" : "de",
      "value" : "Ich merkte, dass ich unruhig wurde"
    }]
  },
  {
    "code" : "dass-dass21-q12",
    "display" : "I found it difficult to relax",
    "designation" : [{
      "language" : "de",
      "value" : "Ich fand es schwierig, mich zu entspannen"
    }]
  },
  {
    "code" : "dass-dass21-q13",
    "display" : "I felt down-hearted and blue",
    "designation" : [{
      "language" : "de",
      "value" : "Ich fühlte mich niedergeschlagen und traurig"
    }]
  },
  {
    "code" : "dass-dass21-q14",
    "display" : "I was intolerant of anything that kept me from getting on with what I was doing",
    "designation" : [{
      "language" : "de",
      "value" : "Ich war ungeduldig, wenn ich aufgehalten wurde"
    }]
  },
  {
    "code" : "dass-dass21-q15",
    "display" : "I felt I was close to panic",
    "designation" : [{
      "language" : "de",
      "value" : "Ich fühlte mich einer Panik nahe"
    }]
  },
  {
    "code" : "dass-dass21-q16",
    "display" : "I was unable to become enthusiastic about anything",
    "designation" : [{
      "language" : "de",
      "value" : "Ich konnte mich für nichts begeistern"
    }]
  },
  {
    "code" : "dass-dass21-q17",
    "display" : "I felt I wasn't worth much as a person",
    "designation" : [{
      "language" : "de",
      "value" : "Ich hatte das Gefühl, nicht viel wert zu sein"
    }]
  },
  {
    "code" : "dass-dass21-q18",
    "display" : "I felt that I was rather touchy",
    "designation" : [{
      "language" : "de",
      "value" : "Ich merkte, dass ich ziemlich empfindlich war"
    }]
  },
  {
    "code" : "dass-dass21-q19",
    "display" : "I was aware of the action of my heart in the absence of physical exertion",
    "designation" : [{
      "language" : "de",
      "value" : "Ich nahm meinen Herzschlag wahr, ohne körperlich aktiv zu sein"
    }]
  },
  {
    "code" : "dass-dass21-q20",
    "display" : "I felt scared without any good reason",
    "designation" : [{
      "language" : "de",
      "value" : "Ich fürchtete mich ohne ersichtlichen Grund"
    }]
  },
  {
    "code" : "dass-dass21-q21",
    "display" : "I felt that life was meaningless",
    "designation" : [{
      "language" : "de",
      "value" : "Ich fand das Leben sinnlos"
    }]
  }]
}