{
  "resourceType" : "Bundle",
  "id" : "mii-exa-pro-phq-9-bundle",
  "language" : "en",
  "type" : "transaction",
  "entry" : [{
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      },
      "language" : "en",
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        "status" : "generated"
      },
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        },
        {
          "url" : "collectable",
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        },
        {
          "url" : "populatable",
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        },
        {
          "url" : "calculatable",
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        },
        {
          "url" : "extractable",
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        },
        {
          "url" : "domainAligned",
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        "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-ex-pro-questionnaire-capabilities"
      },
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        "valueExpression" : {
          "name" : "rawScore",
          "language" : "text/fhirpath",
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      },
      {
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      "status" : "active",
      "experimental" : true,
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        "code" : "44249-1",
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      },
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        "extension" : [{
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        "code" : [{
          "system" : "http://loinc.org",
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        "prefix" : "1",
        "text" : "Little interest or pleasure in doing things",
        "type" : "choice",
        "answerOption" : [{
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 0
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          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6568-5",
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        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
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          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
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        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
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          "valueCoding" : {
            "system" : "http://loinc.org",
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        },
        {
          "extension" : [{
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          "valueCoding" : {
            "system" : "http://loinc.org",
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        }]
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      {
        "extension" : [{
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            "language" : "text/fhirpath",
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        }],
        "linkId" : "phq-phq9-q02",
        "code" : [{
          "system" : "http://loinc.org",
          "code" : "44255-8"
        }],
        "prefix" : "2",
        "text" : "Feeling down, depressed, or hopeless",
        "type" : "choice",
        "answerOption" : [{
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 0
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          "valueCoding" : {
            "system" : "http://loinc.org",
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        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 1
          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6569-3",
            "display" : "Several days"
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        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 2
          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6570-1",
            "display" : "More than half the days"
          }
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 3
          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
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        }]
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
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            "language" : "text/fhirpath",
            "expression" : "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q03').answer.value, {})"
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        "linkId" : "phq-phq9-q03",
        "code" : [{
          "system" : "http://loinc.org",
          "code" : "44259-0"
        }],
        "prefix" : "3",
        "text" : "Trouble falling or staying asleep, or sleeping too much",
        "type" : "choice",
        "answerOption" : [{
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 0
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          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6568-5",
            "display" : "Not at all"
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        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 1
          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6569-3",
            "display" : "Several days"
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        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 2
          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6570-1",
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        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 3
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          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
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      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
          "valueExpression" : {
            "language" : "text/fhirpath",
            "expression" : "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q04').answer.value, {})"
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        }],
        "linkId" : "phq-phq9-q04",
        "code" : [{
          "system" : "http://loinc.org",
          "code" : "44254-1"
        }],
        "prefix" : "4",
        "text" : "Feeling tired or having little energy",
        "type" : "choice",
        "answerOption" : [{
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 0
          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6568-5",
            "display" : "Not at all"
          }
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 1
          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6569-3",
            "display" : "Several days"
          }
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 2
          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6570-1",
            "display" : "More than half the days"
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        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 3
          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
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        }]
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
          "valueExpression" : {
            "language" : "text/fhirpath",
            "expression" : "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q05').answer.value, {})"
          }
        }],
        "linkId" : "phq-phq9-q05",
        "code" : [{
          "system" : "http://loinc.org",
          "code" : "44251-7"
        }],
        "prefix" : "5",
        "text" : "Poor appetite or overeating",
        "type" : "choice",
        "answerOption" : [{
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 0
          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6568-5",
            "display" : "Not at all"
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        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 1
          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6569-3",
            "display" : "Several days"
          }
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 2
          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6570-1",
            "display" : "More than half the days"
          }
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 3
          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
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        }]
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
          "valueExpression" : {
            "language" : "text/fhirpath",
            "expression" : "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q06').answer.value, {})"
          }
        }],
        "linkId" : "phq-phq9-q06",
        "code" : [{
          "system" : "http://loinc.org",
          "code" : "44258-2"
        }],
        "prefix" : "6",
        "text" : "Feeling bad about yourself - or that you are a failure or have let yourself or your family down",
        "type" : "choice",
        "answerOption" : [{
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 0
          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6568-5",
            "display" : "Not at all"
          }
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 1
          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6569-3",
            "display" : "Several days"
          }
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 2
          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6570-1",
            "display" : "More than half the days"
          }
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 3
          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }]
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
          "valueExpression" : {
            "language" : "text/fhirpath",
            "expression" : "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q07').answer.value, {})"
          }
        }],
        "linkId" : "phq-phq9-q07",
        "code" : [{
          "system" : "http://loinc.org",
          "code" : "44252-5"
        }],
        "prefix" : "7",
        "text" : "Trouble concentrating on things, such as reading the newspaper or watching television",
        "type" : "choice",
        "answerOption" : [{
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 0
          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6568-5",
            "display" : "Not at all"
          }
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 1
          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6569-3",
            "display" : "Several days"
          }
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 2
          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6570-1",
            "display" : "More than half the days"
          }
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 3
          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
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        }]
      },
      {
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          "valueExpression" : {
            "language" : "text/fhirpath",
            "expression" : "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q08').answer.value, {})"
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        }],
        "linkId" : "phq-phq9-q08",
        "code" : [{
          "system" : "http://loinc.org",
          "code" : "44253-3"
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        "prefix" : "8",
        "text" : "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",
        "type" : "choice",
        "answerOption" : [{
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 0
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          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6568-5",
            "display" : "Not at all"
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        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 1
          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6569-3",
            "display" : "Several days"
          }
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 2
          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6570-1",
            "display" : "More than half the days"
          }
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 3
          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }]
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
          "valueExpression" : {
            "language" : "text/fhirpath",
            "expression" : "iif(%sourceResponse.exists(), %sourceResponse.item.where(linkId='phq-phq9-q09').answer.value, {})"
          }
        }],
        "linkId" : "phq-phq9-q09",
        "code" : [{
          "system" : "http://loinc.org",
          "code" : "44260-8"
        }],
        "prefix" : "9",
        "text" : "Thoughts that you would be better off dead or of hurting yourself in some way",
        "type" : "choice",
        "answerOption" : [{
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 0
          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6568-5",
            "display" : "Not at all"
          }
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 1
          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6569-3",
            "display" : "Several days"
          }
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 2
          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6570-1",
            "display" : "More than half the days"
          }
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
            "valueDecimal" : 3
          }],
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }]
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
          "valueExpression" : {
            "name" : "Scoreberechnung",
            "language" : "text/fhirpath",
            "expression" : "%phq9Score"
          }
        },
        {
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
          "valueBoolean" : true
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
          "valueCoding" : {
            "system" : "http://unitsofmeasure.org",
            "code" : "{score}"
          }
        },
        {
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observation-extract-category",
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
              "code" : "survey"
            }]
          }
        }],
        "linkId" : "phq-phq9-score-total",
        "code" : [{
          "system" : "http://loinc.org",
          "code" : "44261-6",
          "display" : "Patient Health Questionnaire 9 item (PHQ-9) total score [Reported]"
        }],
        "prefix" : "Auswertung",
        "text" : "PHQ-9 Total Score",
        "type" : "decimal",
        "readOnly" : true
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
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            "language" : "text/fhirpath",
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          }
        }],
        "linkId" : "phq-phq9-q10",
        "code" : [{
          "system" : "http://loinc.org",
          "code" : "69722-7"
        }],
        "prefix" : "10",
        "text" : "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?",
        "type" : "choice",
        "answerOption" : [{
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6572-7",
            "display" : "Not difficult at all"
          }
        },
        {
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6573-5",
            "display" : "Somewhat difficult"
          }
        },
        {
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6575-0",
            "display" : "Very difficult"
          }
        },
        {
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6574-3",
            "display" : "Extremely difficult"
          }
        }]
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
          "valueExpression" : {
            "name" : "promis-tscore-mapping",
            "language" : "text/fhirpath",
            "expression" : "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))))))))))))))))))))))))))))"
          }
        },
        {
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
          "valueBoolean" : true
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
          "valueCoding" : {
            "system" : "http://unitsofmeasure.org",
            "code" : "{score}"
          }
        },
        {
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observation-extract-category",
          "valueCodeableConcept" : {
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
              "code" : "survey"
            }]
          }
        }],
        "linkId" : "phq-phq9-promis-tscore",
        "code" : [{
          "system" : "http://loinc.org",
          "code" : "77861-3",
          "display" : "PROMIS emotional distress - depression - version 1.0 Tscore"
        }],
        "prefix" : "T-Score",
        "text" : "PROMIS Depression T-Score (derived from PHQ-9)",
        "type" : "decimal",
        "readOnly" : true
      }]
    },
    "request" : {
      "method" : "PUT",
      "url" : "Questionnaire/mii-qst-pro-phq-9"
    }
  },
  {
    "fullUrl" : "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/QuestionnaireResponse/mii-exa-pro-phq-9-response",
    "resource" : {
      "resourceType" : "QuestionnaireResponse",
      "id" : "mii-exa-pro-phq-9-response",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response|2026.2.0"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated"
      },
      "questionnaire" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-phq-9",
      "status" : "completed",
      "subject" : {
        "reference" : "Patient/mii-exa-pro-patient"
      },
      "authored" : "2023-10-01T12:00:00Z",
      "item" : [{
        "linkId" : "phq-phq9-q01",
        "answer" : [{
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }]
      },
      {
        "linkId" : "phq-phq9-q02",
        "answer" : [{
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }]
      },
      {
        "linkId" : "phq-phq9-q03",
        "answer" : [{
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }]
      },
      {
        "linkId" : "phq-phq9-q04",
        "answer" : [{
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }]
      },
      {
        "linkId" : "phq-phq9-q05",
        "answer" : [{
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }]
      },
      {
        "linkId" : "phq-phq9-q06",
        "answer" : [{
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }]
      },
      {
        "linkId" : "phq-phq9-q07",
        "answer" : [{
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }]
      },
      {
        "linkId" : "phq-phq9-q08",
        "answer" : [{
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }]
      },
      {
        "linkId" : "phq-phq9-q09",
        "answer" : [{
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6571-9",
            "display" : "Nearly every day"
          }
        }]
      },
      {
        "linkId" : "phq-phq9-score-total",
        "answer" : [{
          "valueDecimal" : 27
        }]
      },
      {
        "linkId" : "phq-phq9-q10",
        "answer" : [{
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6574-3",
            "display" : "Extremely difficult"
          }
        }]
      }]
    },
    "request" : {
      "method" : "PUT",
      "url" : "QuestionnaireResponse/mii-exa-pro-phq-9-response"
    }
  },
  {
    "fullUrl" : "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Observation/mii-exa-pro-phq-9-observation",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "mii-exa-pro-phq-9-observation",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance|2026.2.0"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "44261-6",
          "display" : "Patient Health Questionnaire 9 item (PHQ-9) total score [Reported]"
        }]
      },
      "subject" : {
        "reference" : "Patient/mii-exa-pro-patient"
      },
      "effectiveDateTime" : "2023-10-01T12:00:00Z",
      "valueQuantity" : {
        "value" : 27,
        "unit" : "{score}",
        "system" : "http://unitsofmeasure.org",
        "code" : "{score}"
      }
    },
    "request" : {
      "method" : "PUT",
      "url" : "Observation/mii-exa-pro-phq-9-observation"
    }
  },
  {
    "fullUrl" : "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Patient/mii-exa-pro-patient",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "mii-exa-pro-patient",
      "language" : "en",
      "text" : {
        "status" : "generated"
      },
      "active" : true,
      "name" : [{
        "family" : "Example",
        "given" : ["Patient"]
      }],
      "gender" : "other"
    },
    "request" : {
      "method" : "PUT",
      "url" : "Patient/mii-exa-pro-patient"
    }
  }]
}