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Packagede.medizininformatikinitiative.kerndatensatz.pros
Resource TypeBundle
IdBundle-mii-exa-pro-phq-9-bundle.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "mii-exa-pro-phq-9-bundle",
  "type": "transaction",
  "entry": [
    {
      "fullUrl": "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-phq-9",
      "resource": {
        "resourceType": "Questionnaire",
        "id": "mii-qst-pro-phq-9",
        "meta": {
          "profile": [
            "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire|2026.0.1"
          ]
        },
        "language": "en",
        "extension": [
          {
            "extension": [
              {
                "url": "displayable",
                "valueBoolean": true
              },
              {
                "url": "collectable",
                "valueBoolean": true
              },
              {
                "url": "populatable",
                "valueBoolean": true
              },
              {
                "url": "calculatable",
                "valueBoolean": true
              },
              {
                "url": "extractable",
                "valueBoolean": true
              },
              {
                "url": "domainAligned",
                "valueBoolean": true
              }
            ],
            "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-ex-pro-questionnaire-capabilities"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/variable",
            "valueExpression": {
              "name": "rawScore",
              "language": "text/fhirpath",
              "expression": "%resource.item.where(linkId.matches('^phq-phq9-q0[1-9][%content%]#39;)).answer.value.ordinal().sum()"
            }
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/variable",
            "valueExpression": {
              "name": "phq9Score",
              "language": "text/fhirpath",
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            }
          }
        ],
        "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-phq-9",
        "version": "2026.0.1",
        "title": "MII QST PRO PHQ-9",
        "status": "active",
        "experimental": true,
        "description": "Patient Health Questionnaire (PHQ-9)",
        "code": [
          {
            "system": "http://loinc.org",
            "code": "44249-1",
            "display": "PHQ-9 quick depression assessment panel [Reported.PHQ]"
          },
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            "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-questionnaire-catalogue",
            "code": "phq-phq9",
            "display": "PHQ-9 Questionnaire"
          }
        ],
        "item": [
          {
            "linkId": "PHQ-9.Description",
            "text": "Over the last two weeks, how often have you been bothered by any of the following problems?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Wie oft fühlten Sie sich im Verlauf der letzten 2 Wochen durch die folgenden Beschwerden beeinträchtigt?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "type": "display"
          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
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            ],
            "linkId": "phq-phq9-q01",
            "code": [
              {
                "system": "http://loinc.org",
                "code": "44250-9"
              }
            ],
            "prefix": "1",
            "text": "Little interest or pleasure in doing things",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Wenig Interesse oder Freude an Ihren Tätigkeiten"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "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": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Überhaupt nicht"
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                    ]
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                }
              },
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                "extension": [
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                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 1
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                            "url": "lang",
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                            "url": "content",
                            "valueString": "An einzelnen Tagen"
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                    ]
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                }
              },
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                "extension": [
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                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 2
                  }
                ],
                "valueCoding": {
                  "system": "http://loinc.org",
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                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
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                          {
                            "url": "content",
                            "valueString": "An mehr als der Hälfte der Tage"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              },
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 3
                  }
                ],
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6571-9",
                  "display": "Nearly every day",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Beinahe jeden Tag"
                          }
                        ],
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            "code": [
              {
                "system": "http://loinc.org",
                "code": "44255-8"
              }
            ],
            "prefix": "2",
            "text": "Feeling down, depressed, or hopeless",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Niedergeschlagenheit, Schwermut oder Hoffnungslosigkeit"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "type": "choice",
            "answerOption": [
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                "extension": [
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                    "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",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Überhaupt nicht"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              },
              {
                "extension": [
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                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 1
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                ],
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                  "system": "http://loinc.org",
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                            "url": "lang",
                            "valueCode": "de"
                          },
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                            "url": "content",
                            "valueString": "An einzelnen Tagen"
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                        ],
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                      }
                    ]
                  }
                }
              },
              {
                "extension": [
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                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 2
                  }
                ],
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                  "system": "http://loinc.org",
                  "code": "LA6570-1",
                  "display": "More than half the days",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "An mehr als der Hälfte der Tage"
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                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              },
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 3
                  }
                ],
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6571-9",
                  "display": "Nearly every day",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Beinahe jeden Tag"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ]
          },
          {
            "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-q03').answer.value, {})"
                }
              }
            ],
            "linkId": "phq-phq9-q03",
            "code": [
              {
                "system": "http://loinc.org",
                "code": "44259-0"
              }
            ],
            "prefix": "3",
            "text": "Trouble falling or staying asleep, or sleeping too much",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Schwierigkeiten ein- oder durchzuschlafen oder vermehrter Schlaf"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "type": "choice",
            "answerOption": [
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                "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": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Überhaupt nicht"
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                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              },
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 1
                  }
                ],
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6569-3",
                  "display": "Several days",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "An einzelnen Tagen"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              },
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 2
                  }
                ],
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6570-1",
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                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
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                          {
                            "url": "content",
                            "valueString": "An mehr als der Hälfte der Tage"
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                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
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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": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Beinahe jeden Tag"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ]
          },
          {
            "extension": [
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                "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",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Müdigkeit oder Gefühl, keine Energie zu haben"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
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              ]
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            "type": "choice",
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                "extension": [
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                    "valueDecimal": 0
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                "valueCoding": {
                  "system": "http://loinc.org",
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                        "extension": [
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                            "url": "lang",
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                            "url": "content",
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                "extension": [
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                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
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                            "url": "lang",
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                            "url": "content",
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                "extension": [
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                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 2
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                  "system": "http://loinc.org",
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                        "extension": [
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                            "url": "lang",
                            "valueCode": "de"
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                            "url": "content",
                            "valueString": "An mehr als der Hälfte der Tage"
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                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 3
                  }
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                  "system": "http://loinc.org",
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                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
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                            "url": "content",
                            "valueString": "Beinahe jeden Tag"
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            "linkId": "phq-phq9-q05",
            "code": [
              {
                "system": "http://loinc.org",
                "code": "44251-7"
              }
            ],
            "prefix": "5",
            "text": "Poor appetite or overeating",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Verminderter Appetit oder übermäßiges Bedürfnis zu essen"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "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",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Überhaupt nicht"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              },
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 1
                  }
                ],
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6569-3",
                  "display": "Several days",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "An einzelnen Tagen"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              },
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 2
                  }
                ],
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6570-1",
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                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "An mehr als der Hälfte der Tage"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              },
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 3
                  }
                ],
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6571-9",
                  "display": "Nearly every day",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Beinahe jeden Tag"
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                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
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            ]
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                "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-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",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Schlechte Meinung von sich selbst; Gefühl, ein Versager zu sein oder die Familie enttäuscht zu haben"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "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",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Überhaupt nicht"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              },
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 1
                  }
                ],
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6569-3",
                  "display": "Several days",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "An einzelnen Tagen"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              },
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 2
                  }
                ],
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6570-1",
                  "display": "More than half the days",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "An mehr als der Hälfte der Tage"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              },
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 3
                  }
                ],
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6571-9",
                  "display": "Nearly every day",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Beinahe jeden Tag"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ]
          },
          {
            "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",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Schwierigkeiten, sich auf etwas zu konzentrieren, z.B. beim Zeitunglesen oder Fernsehen"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "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",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Überhaupt nicht"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              },
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 1
                  }
                ],
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6569-3",
                  "display": "Several days",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "An einzelnen Tagen"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              },
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 2
                  }
                ],
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6570-1",
                  "display": "More than half the days",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "An mehr als der Hälfte der Tage"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              },
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 3
                  }
                ],
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6571-9",
                  "display": "Nearly every day",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Beinahe jeden Tag"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ]
          },
          {
            "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-q08').answer.value, {})"
                }
              }
            ],
            "linkId": "phq-phq9-q08",
            "code": [
              {
                "system": "http://loinc.org",
                "code": "44253-3"
              }
            ],
            "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",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Waren Ihre Bewegungen oder Ihre Sprache so verlangsamt, dass es auch anderen auffallen würde? Oder waren Sie im Gegenteil 'zappelig' oder ruhelos und hatten dadurch einen stärkeren Bewegungsdrang als sonst?"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "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",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Überhaupt nicht"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              },
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 1
                  }
                ],
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6569-3",
                  "display": "Several days",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "An einzelnen Tagen"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              },
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 2
                  }
                ],
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6570-1",
                  "display": "More than half the days",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "An mehr als der Hälfte der Tage"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              },
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 3
                  }
                ],
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6571-9",
                  "display": "Nearly every day",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Beinahe jeden Tag"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ]
          },
          {
            "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",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Gedanken, dass Sie lieber tot wären oder sich Leid zufügen möchten"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "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",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Überhaupt nicht"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              },
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 1
                  }
                ],
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6569-3",
                  "display": "Several days",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "An einzelnen Tagen"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              },
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 2
                  }
                ],
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6570-1",
                  "display": "More than half the days",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "An mehr als der Hälfte der Tage"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              },
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 3
                  }
                ],
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6571-9",
                  "display": "Nearly every day",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Beinahe jeden Tag"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ]
          },
          {
            "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",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "PHQ-9 Gesamtwert"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "type": "decimal",
            "readOnly": true
          },
          {
            "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-q10').answer.value, {})"
                }
              }
            ],
            "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?",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Wenn eines oder mehrere dieser Probleme bei Ihnen vorliegen, geben Sie bitte an, wie sehr diese Probleme es Ihnen erschwert haben, Ihre Arbeit zu erledigen, Ihren Haushalt zu regeln oder mit anderen Menschen zurecht zu kommen"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "type": "choice",
            "answerOption": [
              {
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6572-7",
                  "display": "Not difficult at all",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Überhaupt nicht erschwert"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              },
              {
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6573-5",
                  "display": "Somewhat difficult",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Etwas erschwert"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              },
              {
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6575-0",
                  "display": "Very difficult",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Relativ stark erschwert"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              },
              {
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6574-3",
                  "display": "Extremely difficult",
                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Sehr stark erschwert"
                          }
                        ],
                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
                      }
                    ]
                  }
                }
              }
            ]
          },
          {
            "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)",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "PROMIS Depression T-Score (abgeleitet von PHQ-9)"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "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|2026.0.1"
          ]
        },
        "language": "de",
        "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|2026.0.1"
          ]
        },
        "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",
        "active": true,
        "name": [
          {
            "family": "Example",
            "given": [
              "Patient"
            ]
          }
        ],
        "gender": "other"
      },
      "request": {
        "method": "PUT",
        "url": "Patient/mii-exa-pro-patient"
      }
    }
  ]
}