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Source1

{
  "resourceType": "CodeSystem",
  "id": "mii-cs-pro-dass-21",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-dass-21",
  "version": "2026.3.0",
  "name": "MII_CS_PRO_DASS_21",
  "title": "MII CS PRO DASS-21 Response Scale and Item Codes",
  "status": "active",
  "experimental": true,
  "description": "CodeSystem for the Depression Anxiety Stress Scales - Short Form (DASS-21) with answer codes, item codes, and multilingual support (English primary, German translations from Nilges & Essau 2015)",
  "caseSensitive": true,
  "content": "complete",
  "count": 25,
  "concept": [
    {
      "code": "dass-dass21-answer-0",
      "display": "Did not apply to me at all",
      "designation": [
        {
          "language": "de",
          "value": "Traf gar nicht auf mich zu"
        }
      ]
    },
    {
      "code": "dass-dass21-answer-1",
      "display": "Applied to me to some degree",
      "designation": [
        {
          "language": "de",
          "value": "Traf bis zu einem gewissen Grad auf mich zu"
        }
      ]
    },
    {
      "code": "dass-dass21-answer-2",
      "display": "Applied to me to a considerable degree",
      "designation": [
        {
          "language": "de",
          "value": "Traf in beträchtlichem Maße auf mich zu"
        }
      ]
    },
    {
      "code": "dass-dass21-answer-3",
      "display": "Applied to me very much",
      "designation": [
        {
          "language": "de",
          "value": "Traf sehr stark auf mich zu"
        }
      ]
    },
    {
      "code": "dass-dass21-q01",
      "display": "I found it hard to wind down",
      "designation": [
        {
          "language": "de",
          "value": "Ich fand es schwer abzuschalten"
        }
      ]
    },
    {
      "code": "dass-dass21-q02",
      "display": "I was aware of dryness of my mouth",
      "designation": [
        {
          "language": "de",
          "value": "Ich bemerkte Mundtrockenheit"
        }
      ]
    },
    {
      "code": "dass-dass21-q03",
      "display": "I couldn't seem to experience any positive feeling at all",
      "designation": [
        {
          "language": "de",
          "value": "Ich konnte überhaupt keine positiven Gefühle mehr erleben"
        }
      ]
    },
    {
      "code": "dass-dass21-q04",
      "display": "I experienced breathing difficulty",
      "designation": [
        {
          "language": "de",
          "value": "Ich hatte Atemschwierigkeiten"
        }
      ]
    },
    {
      "code": "dass-dass21-q05",
      "display": "I found it difficult to work up the initiative to do things",
      "designation": [
        {
          "language": "de",
          "value": "Ich fand es schwierig, die Initiative zum Tun aufzubringen"
        }
      ]
    },
    {
      "code": "dass-dass21-q06",
      "display": "I tended to over-react to situations",
      "designation": [
        {
          "language": "de",
          "value": "Ich neigte dazu, auf Situationen überzureagieren"
        }
      ]
    },
    {
      "code": "dass-dass21-q07",
      "display": "I experienced trembling (e.g., in the hands)",
      "designation": [
        {
          "language": "de",
          "value": "Ich zitterte (z.B. an den Händen)"
        }
      ]
    },
    {
      "code": "dass-dass21-q08",
      "display": "I felt that I was using a lot of nervous energy",
      "designation": [
        {
          "language": "de",
          "value": "Ich merkte, dass ich viel nervöse Energie verbrauchte"
        }
      ]
    },
    {
      "code": "dass-dass21-q09",
      "display": "I was worried about situations in which I might panic and make a fool of myself",
      "designation": [
        {
          "language": "de",
          "value": "Ich machte mir Sorgen über Situationen, in denen ich in Panik geraten könnte"
        }
      ]
    },
    {
      "code": "dass-dass21-q10",
      "display": "I felt that I had nothing to look forward to",
      "designation": [
        {
          "language": "de",
          "value": "Ich hatte das Gefühl, dass ich nichts erwarten konnte"
        }
      ]
    },
    {
      "code": "dass-dass21-q11",
      "display": "I found myself getting agitated",
      "designation": [
        {
          "language": "de",
          "value": "Ich merkte, dass ich unruhig wurde"
        }
      ]
    },
    {
      "code": "dass-dass21-q12",
      "display": "I found it difficult to relax",
      "designation": [
        {
          "language": "de",
          "value": "Ich fand es schwierig, mich zu entspannen"
        }
      ]
    },
    {
      "code": "dass-dass21-q13",
      "display": "I felt down-hearted and blue",
      "designation": [
        {
          "language": "de",
          "value": "Ich fühlte mich niedergeschlagen und traurig"
        }
      ]
    },
    {
      "code": "dass-dass21-q14",
      "display": "I was intolerant of anything that kept me from getting on with what I was doing",
      "designation": [
        {
          "language": "de",
          "value": "Ich war ungeduldig, wenn ich aufgehalten wurde"
        }
      ]
    },
    {
      "code": "dass-dass21-q15",
      "display": "I felt I was close to panic",
      "designation": [
        {
          "language": "de",
          "value": "Ich fühlte mich einer Panik nahe"
        }
      ]
    },
    {
      "code": "dass-dass21-q16",
      "display": "I was unable to become enthusiastic about anything",
      "designation": [
        {
          "language": "de",
          "value": "Ich konnte mich für nichts begeistern"
        }
      ]
    },
    {
      "code": "dass-dass21-q17",
      "display": "I felt I wasn't worth much as a person",
      "designation": [
        {
          "language": "de",
          "value": "Ich hatte das Gefühl, nicht viel wert zu sein"
        }
      ]
    },
    {
      "code": "dass-dass21-q18",
      "display": "I felt that I was rather touchy",
      "designation": [
        {
          "language": "de",
          "value": "Ich merkte, dass ich ziemlich empfindlich war"
        }
      ]
    },
    {
      "code": "dass-dass21-q19",
      "display": "I was aware of the action of my heart in the absence of physical exertion",
      "designation": [
        {
          "language": "de",
          "value": "Ich nahm meinen Herzschlag wahr, ohne körperlich aktiv zu sein"
        }
      ]
    },
    {
      "code": "dass-dass21-q20",
      "display": "I felt scared without any good reason",
      "designation": [
        {
          "language": "de",
          "value": "Ich fürchtete mich ohne ersichtlichen Grund"
        }
      ]
    },
    {
      "code": "dass-dass21-q21",
      "display": "I felt that life was meaningless",
      "designation": [
        {
          "language": "de",
          "value": "Ich fand das Leben sinnlos"
        }
      ]
    }
  ]
}