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

Minimal Reference Questionnaires

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Overview

This section contains minimal reference implementations of PRO instruments that cannot be fully implemented due to licensing restrictions.

Implemented Questionnaires

HADS (Hospital Anxiety and Depression Scale)

• SNOMED CT: 273524006 |Hospital anxiety and depression scale (assessment scale)|
• Status: Metadata-only, not displayable
• Canonical URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-hads

EPDS (Edinburgh Postnatal Depression Scale)

• SNOMED CT: 273441006 |Edinburgh postnatal depression scale (assessment scale)|
• Status: Metadata-only, not displayable
• Canonical URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-epds

CES-D (Center for Epidemiological Studies Depression Scale)

• Status: Metadata-only, not displayable
• Canonical URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-ces-d

K6 (Kessler Psychological Distress Scale)

• Status: Metadata-only, not displayable
• Canonical URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-k6

Capabilities

The minimal reference questionnaires have the following capability settings:

Default Settings (EPDS, CES-D, K6):

• displayable = false
• collectable = false
• calculatable = false
• extractable = false
• domainAligned = true

Special Case HADS:

• displayable = false
• collectable = false
• calculatable = false
• extractable = true (framework supports extraction for external scoring systems)
• domainAligned = true

Usage Notes

Licensing: These implementations contain only metadata and are not suitable for production use. For full implementations, appropriate licenses must be obtained from the respective rights holders.

Framework Classification: For HADS, EPDS, CES-D, and K6, it remains to be clarified whether these are standalone instruments or part of larger PRO frameworks.

Architectural Considerations

These minimal implementations serve as:

• Placeholders for future full implementations
• Catalog entries for systematic PRO overviews
• References for interoperability and mapping purposes