PreNUDGE FHIR® IG for Data Provider / Data from Apps (R4)
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PreNUDGE FHIR® IG for Data Provider / Data from Apps (R4) - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Perceived Stress Scale (PSS-4) - JSON Representation

Active as of 2026-06-29

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{
  "resourceType" : "Questionnaire",
  "id" : "Pss4Questionnaire",
  "meta" : {
    "profile" : [
      🔗 "https://fhir.hl7.at/prenudge/appdata/r4/StructureDefinition/at-prenudge-questionnaire"
    ]
  },
  "language" : "de",
  "text" : {
    "status" : "extensions",
    "div" : "<div xml:lang=\"de\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"de\"><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire Pss4Questionnaire</b></p><a name=\"Pss4Questionnaire\"> </a><a name=\"hcPss4Questionnaire\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: de</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-at-prenudge-questionnaire.html\">AT PreNUDGE Questionnaire</a></p></div><b>Structure</b><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Cardinality</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Other attributes of the item\">Flags</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireRoot\" class=\"hierarchy\"/> Pss4Questionnaire</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">4-item short version of the Perceived Stress Scale (PSS-4) measuring subjective experience of stress over the past month. Scoring: items pss4-q2 and pss4-q3 are positive items reversed (4 – ordinal); items pss4-q1 and pss4-q4 are used as-is. Total score range 0–16; higher scores indicate greater perceived stress.</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">https://fhir.hl7.at/prenudge/appdata/r4/Questionnaire/Pss4Questionnaire#0.1.0</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.pss4-intro\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"display\" class=\"hierarchy\"/> pss4-intro</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Diese Fragen beziehen sich auf Ihre Gefühle und Gedanken während des letzten Monats. Wählen Sie aus, WIE HÄUFIG Sie eine bestimmte Art von Gefühlen oder Gedanken hatten.</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" id=\"item.pss4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> pss4</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">null</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.pss4-q1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> pss4-q1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Wie oft hatten Sie sich im letzten Monat das Gefühl, wichtige Dinge in Ihrem Leben nicht beeinflussen zu können?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.pss4-q1\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.pss4-q1-ordinal\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> pss4-q1-ordinal</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">PSS-4 Item 1 Ordinalwert</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly\" title=\"Is Read Only\"><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></a><img src=\"icon-qi-readonly.png\" alt=\"icon\"/><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-hidden.html\" title=\"Is a hidden item\"><img src=\"icon-qi-hidden.png\" alt=\"icon\"/></a><img src=\"icon-qi-hidden.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.pss4-q2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> pss4-q2</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Wie oft hatten Sie sich im letzten Monat sicher im Umgang mit persönlichen Aufgaben und Problemen gefühlt?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.pss4-q2\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.pss4-q2-ordinal\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> pss4-q2-ordinal</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">PSS-4 Item 2 Ordinalwert</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly\" title=\"Is Read Only\"><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></a><img src=\"icon-qi-readonly.png\" alt=\"icon\"/><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-hidden.html\" title=\"Is a hidden item\"><img src=\"icon-qi-hidden.png\" alt=\"icon\"/></a><img src=\"icon-qi-hidden.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.pss4-q3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> pss4-q3</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Wie oft hatten Sie im letzten Monat das Gefühl, dass sich die Dinge nach Ihren Vorstellungen entwickeln?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.pss4-q3\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.pss4-q3-ordinal\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> pss4-q3-ordinal</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">PSS-4 Item 3 Ordinalwert</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly\" title=\"Is Read Only\"><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></a><img src=\"icon-qi-readonly.png\" alt=\"icon\"/><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-hidden.html\" title=\"Is a hidden item\"><img src=\"icon-qi-hidden.png\" alt=\"icon\"/></a><img src=\"icon-qi-hidden.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.pss4-q4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> pss4-q4</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Wie oft hatten Sie im letzten Monat das Gefühl, dass sich die Probleme so aufgestaut haben, dass Sie diese nicht mehr bewältigen können?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.pss4-q4\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.pss4-q4-ordinal\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> pss4-q4-ordinal</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">PSS-4 Item 4 Ordinalwert</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly\" title=\"Is Read Only\"><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></a><img src=\"icon-qi-readonly.png\" alt=\"icon\"/><a href=\"https://hl7.org/fhir/R4/extension-questionnaire-hidden.html\" title=\"Is a hidden item\"><img src=\"icon-qi-hidden.png\" alt=\"icon\"/></a><img src=\"icon-qi-hidden.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" id=\"item.pss4-total-score\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> pss4-total-score</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">PSS-4 Gesamtscore (0–16)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly\" title=\"Is Read Only\"><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></a><img src=\"icon-qi-readonly.png\" alt=\"icon\"/></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" id=\"item.pss4-comment\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> pss4-comment</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Haben Sie zu Ihren Antworten noch einen Kommentar oder etwas hinzuzufügen?</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"6\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name=\"opt-item.pss4-q1\"> </a><p><b>Answer options for pss4-q1 </b></p><ul><li style=\"font-size: 11px\">https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem#never (&quot;Nie&quot;)</li><li style=\"font-size: 11px\">https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem#rarely (&quot;Selten&quot;)</li><li style=\"font-size: 11px\">https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem#sometimes (&quot;Manchmal&quot;)</li><li style=\"font-size: 11px\">https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem#often (&quot;Häufig&quot;)</li><li style=\"font-size: 11px\">https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem#very-often (&quot;Sehr oft&quot;)</li></ul><a name=\"opt-item.pss4-q2\"> </a><p><b>Answer options for pss4-q2 </b></p><ul><li style=\"font-size: 11px\">https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem#never (&quot;Nie&quot;)</li><li style=\"font-size: 11px\">https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem#rarely (&quot;Selten&quot;)</li><li style=\"font-size: 11px\">https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem#sometimes (&quot;Manchmal&quot;)</li><li style=\"font-size: 11px\">https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem#often (&quot;Häufig&quot;)</li><li style=\"font-size: 11px\">https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem#very-often (&quot;Sehr oft&quot;)</li></ul><a name=\"opt-item.pss4-q3\"> </a><p><b>Answer options for pss4-q3 </b></p><ul><li style=\"font-size: 11px\">https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem#never (&quot;Nie&quot;)</li><li style=\"font-size: 11px\">https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem#rarely (&quot;Selten&quot;)</li><li style=\"font-size: 11px\">https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem#sometimes (&quot;Manchmal&quot;)</li><li style=\"font-size: 11px\">https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem#often (&quot;Häufig&quot;)</li><li style=\"font-size: 11px\">https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem#very-often (&quot;Sehr oft&quot;)</li></ul><a name=\"opt-item.pss4-q4\"> </a><p><b>Answer options for pss4-q4 </b></p><ul><li style=\"font-size: 11px\">https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem#never (&quot;Nie&quot;)</li><li style=\"font-size: 11px\">https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem#rarely (&quot;Selten&quot;)</li><li style=\"font-size: 11px\">https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem#sometimes (&quot;Manchmal&quot;)</li><li style=\"font-size: 11px\">https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem#often (&quot;Häufig&quot;)</li><li style=\"font-size: 11px\">https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem#very-often (&quot;Sehr oft&quot;)</li></ul></div>"
  },
  "url" : "https://fhir.hl7.at/prenudge/appdata/r4/Questionnaire/Pss4Questionnaire",
  "version" : "0.1.0",
  "name" : "Pss4Questionnaire",
  "title" : "Perceived Stress Scale (PSS-4)",
  "status" : "active",
  "experimental" : false,
  "subjectType" : [
    "Patient"
  ],
  "date" : "2026-06-29T17:35:07+00:00",
  "publisher" : "The PreNUDGE Consortium",
  "contact" : [
    {
      "name" : "The PreNUDGE Consortium",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://prenudge.at"
        }
      ]
    },
    {
      "name" : "The PreNUDGE Consortium",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://prenudge.at",
          "use" : "work"
        }
      ]
    }
  ],
  "description" : "4-item short version of the Perceived Stress Scale (PSS-4) measuring subjective experience of stress over the past month. Scoring: items pss4-q2 and pss4-q3 are positive items reversed (4 – ordinal); items pss4-q1 and pss4-q4 are used as-is. Total score range 0–16; higher scores indicate greater perceived stress.",
  "copyright" : "PSS items reproduced from Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396. The PSS-4 is in the public domain.",
  "code" : [
    {
      "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-codes-codesystem",
      "code" : "pss4",
      "display" : "PSS-4 Perceived Stress Scale (4-item)"
    }
  ],
  "item" : [
    {
      "linkId" : "pss4-intro",
      "text" : "Diese Fragen beziehen sich auf Ihre Gefühle und Gedanken während des letzten Monats. Wählen Sie aus, WIE HÄUFIG Sie eine bestimmte Art von Gefühlen oder Gedanken hatten.",
      "type" : "display"
    },
    {
      "linkId" : "pss4",
      "type" : "group",
      "item" : [
        {
          "linkId" : "pss4-q1",
          "text" : "Wie oft hatten Sie sich im letzten Monat das Gefühl, wichtige Dinge in Ihrem Leben nicht beeinflussen zu können?",
          "type" : "choice",
          "required" : true,
          "answerOption" : [
            {
              "valueCoding" : {
                "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem",
                "code" : "never",
                "display" : "Nie"
              }
            },
            {
              "valueCoding" : {
                "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem",
                "code" : "rarely",
                "display" : "Selten"
              }
            },
            {
              "valueCoding" : {
                "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem",
                "code" : "sometimes",
                "display" : "Manchmal"
              }
            },
            {
              "valueCoding" : {
                "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem",
                "code" : "often",
                "display" : "Häufig"
              }
            },
            {
              "valueCoding" : {
                "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem",
                "code" : "very-often",
                "display" : "Sehr oft"
              }
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
              "valueExpression" : {
                "language" : "text/fhirpath",
                "expression" : "iif(%resource.repeat(item).where(linkId='pss4-q1').answer.valueCoding.code='never',0,iif(%resource.repeat(item).where(linkId='pss4-q1').answer.valueCoding.code='rarely',1,iif(%resource.repeat(item).where(linkId='pss4-q1').answer.valueCoding.code='sometimes',2,iif(%resource.repeat(item).where(linkId='pss4-q1').answer.valueCoding.code='often',3,4))))"
              }
            }
          ],
          "linkId" : "pss4-q1-ordinal",
          "text" : "PSS-4 Item 1 Ordinalwert",
          "type" : "integer",
          "readOnly" : true
        },
        {
          "linkId" : "pss4-q2",
          "text" : "Wie oft hatten Sie sich im letzten Monat sicher im Umgang mit persönlichen Aufgaben und Problemen gefühlt?",
          "type" : "choice",
          "required" : true,
          "answerOption" : [
            {
              "valueCoding" : {
                "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem",
                "code" : "never",
                "display" : "Nie"
              }
            },
            {
              "valueCoding" : {
                "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem",
                "code" : "rarely",
                "display" : "Selten"
              }
            },
            {
              "valueCoding" : {
                "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem",
                "code" : "sometimes",
                "display" : "Manchmal"
              }
            },
            {
              "valueCoding" : {
                "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem",
                "code" : "often",
                "display" : "Häufig"
              }
            },
            {
              "valueCoding" : {
                "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem",
                "code" : "very-often",
                "display" : "Sehr oft"
              }
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
              "valueExpression" : {
                "language" : "text/fhirpath",
                "expression" : "iif(%resource.repeat(item).where(linkId='pss4-q2').answer.valueCoding.code='never',0,iif(%resource.repeat(item).where(linkId='pss4-q2').answer.valueCoding.code='rarely',1,iif(%resource.repeat(item).where(linkId='pss4-q2').answer.valueCoding.code='sometimes',2,iif(%resource.repeat(item).where(linkId='pss4-q2').answer.valueCoding.code='often',3,4))))"
              }
            }
          ],
          "linkId" : "pss4-q2-ordinal",
          "text" : "PSS-4 Item 2 Ordinalwert",
          "type" : "integer",
          "readOnly" : true
        },
        {
          "linkId" : "pss4-q3",
          "text" : "Wie oft hatten Sie im letzten Monat das Gefühl, dass sich die Dinge nach Ihren Vorstellungen entwickeln?",
          "type" : "choice",
          "required" : true,
          "answerOption" : [
            {
              "valueCoding" : {
                "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem",
                "code" : "never",
                "display" : "Nie"
              }
            },
            {
              "valueCoding" : {
                "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem",
                "code" : "rarely",
                "display" : "Selten"
              }
            },
            {
              "valueCoding" : {
                "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem",
                "code" : "sometimes",
                "display" : "Manchmal"
              }
            },
            {
              "valueCoding" : {
                "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem",
                "code" : "often",
                "display" : "Häufig"
              }
            },
            {
              "valueCoding" : {
                "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem",
                "code" : "very-often",
                "display" : "Sehr oft"
              }
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
              "valueExpression" : {
                "language" : "text/fhirpath",
                "expression" : "iif(%resource.repeat(item).where(linkId='pss4-q3').answer.valueCoding.code='never',0,iif(%resource.repeat(item).where(linkId='pss4-q3').answer.valueCoding.code='rarely',1,iif(%resource.repeat(item).where(linkId='pss4-q3').answer.valueCoding.code='sometimes',2,iif(%resource.repeat(item).where(linkId='pss4-q3').answer.valueCoding.code='often',3,4))))"
              }
            }
          ],
          "linkId" : "pss4-q3-ordinal",
          "text" : "PSS-4 Item 3 Ordinalwert",
          "type" : "integer",
          "readOnly" : true
        },
        {
          "linkId" : "pss4-q4",
          "text" : "Wie oft hatten Sie im letzten Monat das Gefühl, dass sich die Probleme so aufgestaut haben, dass Sie diese nicht mehr bewältigen können?",
          "type" : "choice",
          "required" : true,
          "answerOption" : [
            {
              "valueCoding" : {
                "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem",
                "code" : "never",
                "display" : "Nie"
              }
            },
            {
              "valueCoding" : {
                "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem",
                "code" : "rarely",
                "display" : "Selten"
              }
            },
            {
              "valueCoding" : {
                "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem",
                "code" : "sometimes",
                "display" : "Manchmal"
              }
            },
            {
              "valueCoding" : {
                "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem",
                "code" : "often",
                "display" : "Häufig"
              }
            },
            {
              "valueCoding" : {
                "system" : "https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem",
                "code" : "very-often",
                "display" : "Sehr oft"
              }
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
              "valueExpression" : {
                "language" : "text/fhirpath",
                "expression" : "iif(%resource.repeat(item).where(linkId='pss4-q4').answer.valueCoding.code='never',0,iif(%resource.repeat(item).where(linkId='pss4-q4').answer.valueCoding.code='rarely',1,iif(%resource.repeat(item).where(linkId='pss4-q4').answer.valueCoding.code='sometimes',2,iif(%resource.repeat(item).where(linkId='pss4-q4').answer.valueCoding.code='often',3,4))))"
              }
            }
          ],
          "linkId" : "pss4-q4-ordinal",
          "text" : "PSS-4 Item 4 Ordinalwert",
          "type" : "integer",
          "readOnly" : true
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
              "valueExpression" : {
                "description" : "PSS-4 Gesamtscore: q1 + (4-q2) + (4-q3) + q4",
                "language" : "text/fhirpath",
                "expression" : "%resource.repeat(item).where(linkId='pss4-q1-ordinal').answer.valueInteger.first()+(4-%resource.repeat(item).where(linkId='pss4-q2-ordinal').answer.valueInteger.first())+(4-%resource.repeat(item).where(linkId='pss4-q3-ordinal').answer.valueInteger.first())+%resource.repeat(item).where(linkId='pss4-q4-ordinal').answer.valueInteger.first()"
              }
            }
          ],
          "linkId" : "pss4-total-score",
          "text" : "PSS-4 Gesamtscore (0–16)",
          "type" : "integer",
          "readOnly" : true
        },
        {
          "linkId" : "pss4-comment",
          "text" : "Haben Sie zu Ihren Antworten noch einen Kommentar oder etwas hinzuzufügen?",
          "type" : "string"
        }
      ]
    }
  ]
}