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Packagede.medizininformatikinitiative.kerndatensatz.pros
Resource TypeBundle
IdBundle-mii-exa-pro-gad-7-bundle.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "mii-exa-pro-gad-7-bundle",
  "type": "transaction",
  "entry": [
    {
      "fullUrl": "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-gad-7",
      "resource": {
        "resourceType": "Questionnaire",
        "id": "mii-qst-pro-gad-7",
        "meta": {
          "profile": [
            "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire|2026.3.0"
          ]
        },
        "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-gad7-q0[1-7][%content%]#39;)).answer.value.ordinal().sum()"
            }
          }
        ],
        "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-gad-7",
        "version": "2026.3.0",
        "title": "MII QST PRO GAD-7",
        "status": "active",
        "experimental": true,
        "description": "Generalized Anxiety Disorder Scale-7 (GAD-7)",
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          {
            "system": "http://loinc.org",
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            "display": "Generalized anxiety disorder 7 item (GAD-7)"
          },
          {
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            "code": "phq-gad7",
            "display": "GAD-7 Questionnaire"
          }
        ],
        "item": [
          {
            "linkId": "GAD-7.Description",
            "text": "Over the last two weeks, how often have you been bothered by 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-gad7-q01",
            "code": [
              {
                "system": "http://loinc.org",
                "code": "69725-0"
              }
            ],
            "prefix": "1",
            "text": "Feeling nervous, anxious, or on edge",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Nervosität, Ängstlichkeit oder Anspannung"
                    }
                  ],
                  "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"
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                        ],
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                    ]
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              },
              {
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                    "valueDecimal": 1
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                ],
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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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                      }
                    ]
                  }
                }
              },
              {
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                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 2
                  }
                ],
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6570-1",
                  "display": "More than half the days",
                  "_display": {
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                      {
                        "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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                      }
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                  }
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            ]
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            "code": [
              {
                "system": "http://loinc.org",
                "code": "68509-9"
              }
            ],
            "prefix": "2",
            "text": "Not being able to stop or control worrying",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Nicht in der Lage sein, Sorgen zu stoppen oder zu kontrollieren"
                    }
                  ],
                  "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",
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                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6568-5",
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                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
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                          {
                            "url": "content",
                            "valueString": "Überhaupt nicht"
                          }
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                      }
                    ]
                  }
                }
              },
              {
                "extension": [
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                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 1
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                ],
                "valueCoding": {
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                            "url": "lang",
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                            "url": "content",
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                  }
                }
              },
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                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 2
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                ],
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                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
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                            "url": "content",
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                        "url": "http://hl7.org/fhir/StructureDefinition/translation"
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                    ]
                  }
                }
              },
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                "extension": [
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                    "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-gad7-q03').answer.value, {})"
                }
              }
            ],
            "linkId": "phq-gad7-q03",
            "code": [
              {
                "system": "http://loinc.org",
                "code": "69733-4"
              }
            ],
            "prefix": "3",
            "text": "Worrying too much about different things",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Übermäßige Sorgen bezüglich verschiedener Angelegenheiten"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
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                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6568-5",
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                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "Überhaupt nicht"
                          }
                        ],
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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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                        "extension": [
                          {
                            "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",
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                        "extension": [
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                            "url": "lang",
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                            "url": "content",
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              },
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                "extension": [
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                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 3
                  }
                ],
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                  "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"
                      }
                    ]
                  }
                }
              }
            ]
          },
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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-gad7-q04').answer.value, {})"
                }
              }
            ],
            "linkId": "phq-gad7-q04",
            "code": [
              {
                "system": "http://loinc.org",
                "code": "69734-2"
              }
            ],
            "prefix": "4",
            "text": "Trouble relaxing",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Schwierigkeiten, sich zu entspannen"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "type": "choice",
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                  "system": "http://loinc.org",
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                    "extension": [
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                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
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                          {
                            "url": "content",
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                            "url": "lang",
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                            "url": "content",
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                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
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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",
                    "valueDecimal": 3
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                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
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                            "url": "content",
                            "valueString": "Beinahe jeden Tag"
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            ],
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            "code": [
              {
                "system": "http://loinc.org",
                "code": "69735-9"
              }
            ],
            "prefix": "5",
            "text": "Being so restless that it is hard to sit still",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Rastlosigkeit, so dass Stillsitzen schwer fällt"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "type": "choice",
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                "extension": [
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                    "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"
                          }
                        ],
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                      }
                    ]
                  }
                }
              },
              {
                "extension": [
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                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 1
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                ],
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6569-3",
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                  "_display": {
                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
                          {
                            "url": "content",
                            "valueString": "An einzelnen Tagen"
                          }
                        ],
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                      }
                    ]
                  }
                }
              },
              {
                "extension": [
                  {
                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 2
                  }
                ],
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                  "system": "http://loinc.org",
                  "code": "LA6570-1",
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                    "extension": [
                      {
                        "extension": [
                          {
                            "url": "lang",
                            "valueCode": "de"
                          },
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                            "url": "content",
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                }
              },
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                "extension": [
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                    "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                    "valueDecimal": 3
                  }
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                "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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            "extension": [
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                "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-initialExpression",
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              }
            ],
            "linkId": "phq-gad7-q06",
            "code": [
              {
                "system": "http://loinc.org",
                "code": "69689-8"
              }
            ],
            "prefix": "6",
            "text": "Becoming easily annoyed or irritable",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Schnelle Verärgerung oder Gereiztheit"
                    }
                  ],
                  "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-gad7-q07').answer.value, {})"
                }
              }
            ],
            "linkId": "phq-gad7-q07",
            "code": [
              {
                "system": "http://loinc.org",
                "code": "69736-7"
              }
            ],
            "prefix": "7",
            "text": "Feeling afraid, as if something awful might happen",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "Gefühl der Angst, so als würde etwas Schlimmes passieren"
                    }
                  ],
                  "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": "%rawScore"
                }
              },
              {
                "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-gad7-score-total",
            "code": [
              {
                "system": "http://loinc.org",
                "code": "70274-6",
                "display": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]"
              }
            ],
            "prefix": "Auswertung",
            "text": "GAD-7 Total Score",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "GAD-7 Gesamtwert"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "type": "decimal",
            "readOnly": true
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
                "valueExpression": {
                  "name": "promis-anxiety-tscore-mapping",
                  "language": "text/fhirpath",
                  "expression": "iif(%rawScore = 0, 33.8, iif(%rawScore = 1, 40.3, iif(%rawScore = 2, 44.0, iif(%rawScore = 3, 46.8, iif(%rawScore = 4, 49.2, iif(%rawScore = 5, 51.3, iif(%rawScore = 6, 53.2, iif(%rawScore = 7, 54.9, iif(%rawScore = 8, 56.6, iif(%rawScore = 9, 58.1, iif(%rawScore = 10, 59.6, iif(%rawScore = 11, 61.0, iif(%rawScore = 12, 62.3, iif(%rawScore = 13, 63.5, iif(%rawScore = 14, 64.8, iif(%rawScore = 15, 66.0, iif(%rawScore = 16, 67.2, iif(%rawScore = 17, 68.5, iif(%rawScore = 18, 69.8, iif(%rawScore = 19, 71.2, iif(%rawScore = 20, 72.8, 75.7)))))))))))))))))))))"
                }
              },
              {
                "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-gad7-promis-tscore",
            "code": [
              {
                "system": "http://loinc.org",
                "code": "77862-1",
                "display": "PROMIS emotional distress - anxiety - version 1.0 Tscore"
              }
            ],
            "prefix": "T-Score",
            "text": "PROMIS Anxiety T-Score (derived from GAD-7)",
            "_text": {
              "extension": [
                {
                  "extension": [
                    {
                      "url": "lang",
                      "valueCode": "de"
                    },
                    {
                      "url": "content",
                      "valueString": "PROMIS Angst T-Score (abgeleitet von GAD-7)"
                    }
                  ],
                  "url": "http://hl7.org/fhir/StructureDefinition/translation"
                }
              ]
            },
            "type": "decimal",
            "readOnly": true
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "Questionnaire/mii-qst-pro-gad-7"
      }
    },
    {
      "fullUrl": "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/QuestionnaireResponse/mii-exa-pro-gad-7-response",
      "resource": {
        "resourceType": "QuestionnaireResponse",
        "id": "mii-exa-pro-gad-7-response",
        "meta": {
          "profile": [
            "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-questionnaire-response|2026.3.0"
          ]
        },
        "language": "de",
        "questionnaire": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Questionnaire/mii-qst-pro-gad-7",
        "status": "completed",
        "subject": {
          "reference": "Patient/mii-exa-pro-patient"
        },
        "authored": "2024-03-15T10:30:00Z",
        "item": [
          {
            "linkId": "phq-gad7-q01",
            "answer": [
              {
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6570-1",
                  "display": "More than half the days"
                }
              }
            ]
          },
          {
            "linkId": "phq-gad7-q02",
            "answer": [
              {
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6571-9",
                  "display": "Nearly every day"
                }
              }
            ]
          },
          {
            "linkId": "phq-gad7-q03",
            "answer": [
              {
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6570-1",
                  "display": "More than half the days"
                }
              }
            ]
          },
          {
            "linkId": "phq-gad7-q04",
            "answer": [
              {
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6569-3",
                  "display": "Several days"
                }
              }
            ]
          },
          {
            "linkId": "phq-gad7-q05",
            "answer": [
              {
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6570-1",
                  "display": "More than half the days"
                }
              }
            ]
          },
          {
            "linkId": "phq-gad7-q06",
            "answer": [
              {
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6569-3",
                  "display": "Several days"
                }
              }
            ]
          },
          {
            "linkId": "phq-gad7-q07",
            "answer": [
              {
                "valueCoding": {
                  "system": "http://loinc.org",
                  "code": "LA6570-1",
                  "display": "More than half the days"
                }
              }
            ]
          },
          {
            "linkId": "phq-gad7-score-total",
            "answer": [
              {
                "valueDecimal": 13
              }
            ]
          },
          {
            "linkId": "phq-gad7-promis-tscore",
            "answer": [
              {
                "valueDecimal": 63.5
              }
            ]
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "QuestionnaireResponse/mii-exa-pro-gad-7-response"
      }
    },
    {
      "fullUrl": "http://www.medizininformatik-initiative.de/fhir/ext/modul-pro/Observation/mii-exa-pro-gad-7-observation",
      "resource": {
        "resourceType": "Observation",
        "id": "mii-exa-pro-gad-7-observation",
        "meta": {
          "profile": [
            "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-instance|2026.3.0"
          ]
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "70274-6",
              "display": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]"
            }
          ]
        },
        "subject": {
          "reference": "Patient/mii-exa-pro-patient"
        },
        "effectiveDateTime": "2024-03-15T10:30:00Z",
        "valueQuantity": {
          "value": 13,
          "unit": "{score}",
          "system": "http://unitsofmeasure.org",
          "code": "{score}"
        }
      },
      "request": {
        "method": "PUT",
        "url": "Observation/mii-exa-pro-gad-7-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"
      }
    }
  ]
}