MII IG PRO
2026.2.0 - 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 2026.2.0 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 EXA PRO PROMIS-29 Bundle with Extracted Observations

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="mii-exa-pro-promis-29-bundle"/>
  <language value="en"/>
  <type value="collection"/>
  <timestamp value="2025-01-30T14:35:00Z"/>
  <entry>
    <fullUrl value="urn:uuid:a1b2c3d4-e5f6-7890-abcd-ef1234567890"/>
    <resource>
      <Patient>
        <id value="patient-example-1"/>
        <meta>
          <profile
                   value="https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Patient|2026.2.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <identifier>
          <system value="http://example.org/fhir/sid/patients"/>
          <value value="12345"/>
        </identifier>
        <name>
          <family value="Mustermann"/>
          <given value="Erika"/>
        </name>
        <gender value="female"/>
        <birthDate value="1985-03-15"/>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:b2c3d4e5-f6a7-8901-bcde-f12345678901"/>
    <resource>
      <QuestionnaireResponse>
        <id value="promis-29-response-1"/>
        <meta>
          <profile
                   value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response|2026.2.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
        </text>
        <questionnaire
                       value="http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-promis-29"/>
        <status value="completed"/>
        <subject>
          <reference value="Patient/patient-example-1"/>
        </subject>
        <authored value="2025-01-30T14:30:00Z"/>
        <item>
          <linkId value="PROMIS-29.PhysicalFunction"/>
          <item>
            <linkId value="PROMIS-29.PhysicalFunction.Description"/>
          </item>
          <item>
            <linkId value="promis-pfa11"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA13920-6"/>
                <display value="With some difficulty"/>
              </valueCoding>
            </answer>
          </item>
          <item>
            <linkId value="promis-pfa21"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA13920-6"/>
                <display value="With some difficulty"/>
              </valueCoding>
            </answer>
          </item>
          <item>
            <linkId value="promis-pfa23"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA13918-0"/>
                <display value="With a little difficulty"/>
              </valueCoding>
            </answer>
          </item>
          <item>
            <linkId value="promis-pfa53"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA13920-6"/>
                <display value="With some difficulty"/>
              </valueCoding>
            </answer>
          </item>
        </item>
        <item>
          <linkId value="PROMIS-29.Anxiety"/>
          <item>
            <linkId value="PROMIS-29.Anxiety.Description"/>
          </item>
          <item>
            <linkId value="promis-edanx01"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10066-1"/>
                <display value="Rarely"/>
              </valueCoding>
            </answer>
          </item>
          <item>
            <linkId value="promis-edanx40"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10082-8"/>
                <display value="Sometimes"/>
              </valueCoding>
            </answer>
          </item>
          <item>
            <linkId value="promis-edanx41"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10066-1"/>
                <display value="Rarely"/>
              </valueCoding>
            </answer>
          </item>
          <item>
            <linkId value="promis-edanx53"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10066-1"/>
                <display value="Rarely"/>
              </valueCoding>
            </answer>
          </item>
        </item>
        <item>
          <linkId value="PROMIS-29.Depression"/>
          <item>
            <linkId value="PROMIS-29.Depression.Description"/>
          </item>
          <item>
            <linkId value="promis-eddep04"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10082-8"/>
                <display value="Sometimes"/>
              </valueCoding>
            </answer>
          </item>
          <item>
            <linkId value="promis-eddep06"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10082-8"/>
                <display value="Sometimes"/>
              </valueCoding>
            </answer>
          </item>
          <item>
            <linkId value="promis-eddep29"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10044-8"/>
                <display value="Often"/>
              </valueCoding>
            </answer>
          </item>
          <item>
            <linkId value="promis-eddep41"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10082-8"/>
                <display value="Sometimes"/>
              </valueCoding>
            </answer>
          </item>
        </item>
        <item>
          <linkId value="PROMIS-29.Fatigue"/>
          <item>
            <linkId value="PROMIS-29.Fatigue.Description"/>
          </item>
          <item>
            <linkId value="promis-hi7"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10044-8"/>
                <display value="Often"/>
              </valueCoding>
            </answer>
          </item>
          <item>
            <linkId value="promis-an3"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10044-8"/>
                <display value="Often"/>
              </valueCoding>
            </answer>
          </item>
          <item>
            <linkId value="promis-fatexp41"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA13909-9"/>
                <display value="Somewhat"/>
              </valueCoding>
            </answer>
          </item>
          <item>
            <linkId value="promis-fatexp40"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA13902-4"/>
                <display value="Quite a bit"/>
              </valueCoding>
            </answer>
          </item>
        </item>
        <item>
          <linkId value="PROMIS-29.Sleep"/>
          <item>
            <linkId value="PROMIS-29.Sleep.Description"/>
          </item>
          <item>
            <linkId value="promis-sleep109"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA8968-5"/>
                <display value="Fair"/>
              </valueCoding>
            </answer>
          </item>
          <item>
            <linkId value="promis-sleep116"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10082-8"/>
                <display value="Sometimes"/>
              </valueCoding>
            </answer>
          </item>
          <item>
            <linkId value="promis-sleep20"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10082-8"/>
                <display value="Sometimes"/>
              </valueCoding>
            </answer>
          </item>
          <item>
            <linkId value="promis-sleep44"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10066-1"/>
                <display value="Rarely"/>
              </valueCoding>
            </answer>
          </item>
        </item>
        <item>
          <linkId value="PROMIS-29.Social"/>
          <item>
            <linkId value="PROMIS-29.Social.Description"/>
          </item>
          <item>
            <linkId value="promis-srpper11-caps"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10082-8"/>
                <display value="Sometimes"/>
              </valueCoding>
            </answer>
          </item>
          <item>
            <linkId value="promis-srpper18-caps"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10066-1"/>
                <display value="Rarely"/>
              </valueCoding>
            </answer>
          </item>
          <item>
            <linkId value="promis-srpper23-caps"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10082-8"/>
                <display value="Sometimes"/>
              </valueCoding>
            </answer>
          </item>
          <item>
            <linkId value="promis-srpper46-caps"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10082-8"/>
                <display value="Sometimes"/>
              </valueCoding>
            </answer>
          </item>
        </item>
        <item>
          <linkId value="PROMIS-29.PainInterference"/>
          <item>
            <linkId value="PROMIS-29.PainInterference.Description"/>
          </item>
          <item>
            <linkId value="promis-painin9"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA13909-9"/>
                <display value="Somewhat"/>
              </valueCoding>
            </answer>
          </item>
          <item>
            <linkId value="promis-painin22"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA13909-9"/>
                <display value="Somewhat"/>
              </valueCoding>
            </answer>
          </item>
          <item>
            <linkId value="promis-painin31"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA13863-8"/>
                <display value="A little bit"/>
              </valueCoding>
            </answer>
          </item>
          <item>
            <linkId value="promis-painin34"/>
            <answer>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA13909-9"/>
                <display value="Somewhat"/>
              </valueCoding>
            </answer>
          </item>
        </item>
        <item>
          <linkId value="PROMIS-29.PainIntensity"/>
          <item>
            <linkId value="promis-global07"/>
            <answer>
              <valueInteger value="5"/>
            </answer>
          </item>
        </item>
        <item>
          <linkId value="PROMIS-29.Scores"/>
          <item>
            <linkId value="promis-29-physical-function-raw"/>
            <answer>
              <valueDecimal value="13"/>
            </answer>
          </item>
          <item>
            <linkId value="promis-29-physical-function-tscore"/>
            <answer>
              <valueDecimal value="42.6"/>
            </answer>
          </item>
          <item>
            <linkId value="promis-29-anxiety-raw"/>
            <answer>
              <valueDecimal value="9"/>
            </answer>
          </item>
          <item>
            <linkId value="promis-29-anxiety-tscore"/>
            <answer>
              <valueDecimal value="56.8"/>
            </answer>
          </item>
          <item>
            <linkId value="promis-29-depression-raw"/>
            <answer>
              <valueDecimal value="13"/>
            </answer>
          </item>
          <item>
            <linkId value="promis-29-depression-tscore"/>
            <answer>
              <valueDecimal value="63.9"/>
            </answer>
          </item>
          <item>
            <linkId value="promis-29-fatigue-raw"/>
            <answer>
              <valueDecimal value="15"/>
            </answer>
          </item>
          <item>
            <linkId value="promis-29-fatigue-tscore"/>
            <answer>
              <valueDecimal value="64.9"/>
            </answer>
          </item>
          <item>
            <linkId value="promis-29-sleep-raw"/>
            <answer>
              <valueDecimal value="11"/>
            </answer>
          </item>
          <item>
            <linkId value="promis-29-sleep-tscore"/>
            <answer>
              <valueDecimal value="53.6"/>
            </answer>
          </item>
          <item>
            <linkId value="promis-29-social-raw"/>
            <answer>
              <valueDecimal value="11"/>
            </answer>
          </item>
          <item>
            <linkId value="promis-29-social-tscore"/>
            <answer>
              <valueDecimal value="39.7"/>
            </answer>
          </item>
          <item>
            <linkId value="promis-29-pain-interference-raw"/>
            <answer>
              <valueDecimal value="11"/>
            </answer>
          </item>
          <item>
            <linkId value="promis-29-pain-interference-tscore"/>
            <answer>
              <valueDecimal value="60.9"/>
            </answer>
          </item>
        </item>
      </QuestionnaireResponse>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:c3d4e5f6-a7b8-9012-cdef-123456789012"/>
    <resource>
      <Observation>
        <id value="obs-promis-29-physical-function-tscore"/>
        <meta>
          <profile
                   value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-promis-29-physical-function-tscore|2026.2.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="extensions"/>
        </text>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/workflow-instantiatesCanonical">
          <valueCanonical
                          value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ObservationDefinition/mii-obsdef-pro-promis-29-physical-function-tscore"/>
        </extension>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="91721-1"/>
            <display value="PROMIS physical function - version 2.0 T-score"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/patient-example-1"/>
        </subject>
        <effectiveDateTime value="2025-01-30T14:30:00Z"/>
        <valueQuantity>
          <value value="42.6"/>
          <unit value="{score}"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="{score}"/>
        </valueQuantity>
        <method>
          <text value="PROMIS-29 Profile v2.1"/>
        </method>
        <derivedFrom>
          <reference value="QuestionnaireResponse/promis-29-response-1"/>
        </derivedFrom>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:d4e5f6a7-b8c9-0123-defa-234567890123"/>
    <resource>
      <Observation>
        <id value="obs-promis-29-anxiety-tscore"/>
        <meta>
          <profile
                   value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-promis-29-anxiety-tscore|2026.2.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="extensions"/>
        </text>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/workflow-instantiatesCanonical">
          <valueCanonical
                          value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ObservationDefinition/mii-obsdef-pro-promis-29-anxiety-tscore"/>
        </extension>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="71967-4"/>
            <display value="PROMIS-29 Anxiety score T-score"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/patient-example-1"/>
        </subject>
        <effectiveDateTime value="2025-01-30T14:30:00Z"/>
        <valueQuantity>
          <value value="56.8"/>
          <unit value="{score}"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="{score}"/>
        </valueQuantity>
        <method>
          <text value="PROMIS-29 Profile v2.1"/>
        </method>
        <derivedFrom>
          <reference value="QuestionnaireResponse/promis-29-response-1"/>
        </derivedFrom>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:e5f6a7b8-c9d0-1234-efab-345678901234"/>
    <resource>
      <Observation>
        <id value="obs-promis-29-depression-tscore"/>
        <meta>
          <profile
                   value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-promis-29-depression-tscore|2026.2.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="extensions"/>
        </text>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/workflow-instantiatesCanonical">
          <valueCanonical
                          value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ObservationDefinition/mii-obsdef-pro-promis-29-depression-tscore"/>
        </extension>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="77861-3"/>
            <display
                     value="PROMIS emotional distress - depression - version 1.0 Tscore"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/patient-example-1"/>
        </subject>
        <effectiveDateTime value="2025-01-30T14:30:00Z"/>
        <valueQuantity>
          <value value="63.9"/>
          <unit value="{score}"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="{score}"/>
        </valueQuantity>
        <method>
          <text value="PROMIS-29 Profile v2.1"/>
        </method>
        <derivedFrom>
          <reference value="QuestionnaireResponse/promis-29-response-1"/>
        </derivedFrom>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:f6a7b8c9-d0e1-2345-fabc-456789012345"/>
    <resource>
      <Observation>
        <id value="obs-promis-29-fatigue-tscore"/>
        <meta>
          <profile
                   value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-promis-29-fatigue-tscore|2026.2.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="extensions"/>
        </text>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/workflow-instantiatesCanonical">
          <valueCanonical
                          value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ObservationDefinition/mii-obsdef-pro-promis-29-fatigue-tscore"/>
        </extension>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="77864-7"/>
            <display value="PROMIS fatigue - version 1.0 Tscore"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/patient-example-1"/>
        </subject>
        <effectiveDateTime value="2025-01-30T14:30:00Z"/>
        <valueQuantity>
          <value value="64.9"/>
          <unit value="{score}"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="{score}"/>
        </valueQuantity>
        <method>
          <text value="PROMIS-29 Profile v2.1"/>
        </method>
        <derivedFrom>
          <reference value="QuestionnaireResponse/promis-29-response-1"/>
        </derivedFrom>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:a7b8c9d0-e1f2-3456-abcd-567890123456"/>
    <resource>
      <Observation>
        <id value="obs-promis-29-sleep-tscore"/>
        <meta>
          <profile
                   value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-promis-29-sleep-disturbance-tscore|2026.2.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="extensions"/>
        </text>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/workflow-instantiatesCanonical">
          <valueCanonical
                          value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ObservationDefinition/mii-obsdef-pro-promis-29-sleep-disturbance-tscore"/>
        </extension>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="77860-5"/>
            <display value="PROMIS sleep disturbance - version 1.0 Tscore"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/patient-example-1"/>
        </subject>
        <effectiveDateTime value="2025-01-30T14:30:00Z"/>
        <valueQuantity>
          <value value="53.6"/>
          <unit value="{score}"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="{score}"/>
        </valueQuantity>
        <method>
          <text value="PROMIS-29 Profile v2.1"/>
        </method>
        <derivedFrom>
          <reference value="QuestionnaireResponse/promis-29-response-1"/>
        </derivedFrom>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:b8c9d0e1-f2a3-4567-bcde-678901234567"/>
    <resource>
      <Observation>
        <id value="obs-promis-29-social-tscore"/>
        <meta>
          <profile
                   value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-promis-29-social-function-tscore|2026.2.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="extensions"/>
        </text>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/workflow-instantiatesCanonical">
          <valueCanonical
                          value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ObservationDefinition/mii-obsdef-pro-promis-29-social-function-tscore"/>
        </extension>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="77854-8"/>
            <display
                     value="PROMIS ability to participate in social roles and activities - version 2.0 Tscore"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/patient-example-1"/>
        </subject>
        <effectiveDateTime value="2025-01-30T14:30:00Z"/>
        <valueQuantity>
          <value value="39.7"/>
          <unit value="{score}"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="{score}"/>
        </valueQuantity>
        <method>
          <text value="PROMIS-29 Profile v2.1"/>
        </method>
        <derivedFrom>
          <reference value="QuestionnaireResponse/promis-29-response-1"/>
        </derivedFrom>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:c9d0e1f2-a3b4-5678-cdef-789012345678"/>
    <resource>
      <Observation>
        <id value="obs-promis-29-pain-interference-tscore"/>
        <meta>
          <profile
                   value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-promis-29-pain-interference-tscore|2026.2.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="extensions"/>
        </text>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/workflow-instantiatesCanonical">
          <valueCanonical
                          value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ObservationDefinition/mii-obsdef-pro-promis-29-pain-interference-tscore"/>
        </extension>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="77865-4"/>
            <display value="PROMIS pain interference - version 1.0 Tscore"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/patient-example-1"/>
        </subject>
        <effectiveDateTime value="2025-01-30T14:30:00Z"/>
        <valueQuantity>
          <value value="60.9"/>
          <unit value="{score}"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="{score}"/>
        </valueQuantity>
        <method>
          <text value="PROMIS-29 Profile v2.1"/>
        </method>
        <derivedFrom>
          <reference value="QuestionnaireResponse/promis-29-response-1"/>
        </derivedFrom>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:d0e1f2a3-b4c5-6789-defa-890123456789"/>
    <resource>
      <Observation>
        <id value="obs-promis-29-pain-intensity"/>
        <meta>
          <profile
                   value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-promis-29-pain-intensity|2026.2.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="extensions"/>
        </text>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/workflow-instantiatesCanonical">
          <valueCanonical
                          value="https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ObservationDefinition/mii-obsdef-pro-promis-29-pain-intensity"/>
        </extension>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="75261-8"/>
            <display
                     value="How intense was your average pain in the past 7 days [PROMIS]"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/patient-example-1"/>
        </subject>
        <effectiveDateTime value="2025-01-30T14:30:00Z"/>
        <valueQuantity>
          <value value="5"/>
          <unit value="1"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="1"/>
        </valueQuantity>
        <method>
          <text value="PROMIS-29 Profile v2.1 - Pain Intensity single item"/>
        </method>
        <derivedFrom>
          <reference value="QuestionnaireResponse/promis-29-response-1"/>
        </derivedFrom>
      </Observation>
    </resource>
  </entry>
</Bundle>