PreNUDGE FHIR® IG for Data Provider / Data from Apps (R4)
0.1.0 - ci-build

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) - XML Representation

Active as of 2026-06-29

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<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="Pss4Questionnaire"/>
  <meta>
    <profile
             value="https://fhir.hl7.at/prenudge/appdata/r4/StructureDefinition/at-prenudge-questionnaire"/>
  </meta>
  <language value="de"/>
  <text>
    <status value="extensions"/>
    <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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
  </text>
  <url
       value="https://fhir.hl7.at/prenudge/appdata/r4/Questionnaire/Pss4Questionnaire"/>
  <version value="0.1.0"/>
  <name value="Pss4Questionnaire"/>
  <title value="Perceived Stress Scale (PSS-4)"/>
  <status value="active"/>
  <experimental value="false"/>
  <subjectType value="Patient"/>
  <date value="2026-06-29T17:35:07+00:00"/>
  <publisher value="The PreNUDGE Consortium"/>
  <contact>
    <name value="The PreNUDGE Consortium"/>
    <telecom>
      <system value="url"/>
      <value value="https://prenudge.at"/>
    </telecom>
  </contact>
  <contact>
    <name value="The PreNUDGE Consortium"/>
    <telecom>
      <system value="url"/>
      <value value="https://prenudge.at"/>
      <use value="work"/>
    </telecom>
  </contact>
  <description
               value="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
             value="PSS items reproduced from Cohen, S., Kamarck, T., &amp; 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
            value="https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-codes-codesystem"/>
    <code value="pss4"/>
    <display value="PSS-4 Perceived Stress Scale (4-item)"/>
  </code>
  <item>
    <linkId value="pss4-intro"/>
    <text
          value="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 value="display"/>
  </item>
  <item>
    <linkId value="pss4"/>
    <type value="group"/>
    <item>
      <linkId value="pss4-q1"/>
      <text
            value="Wie oft hatten Sie sich im letzten Monat das Gefühl, wichtige Dinge in Ihrem Leben nicht beeinflussen zu können?"/>
      <type value="choice"/>
      <required value="true"/>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem"/>
          <code value="never"/>
          <display value="Nie"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem"/>
          <code value="rarely"/>
          <display value="Selten"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem"/>
          <code value="sometimes"/>
          <display value="Manchmal"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem"/>
          <code value="often"/>
          <display value="Häufig"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem"/>
          <code value="very-often"/>
          <display value="Sehr oft"/>
        </valueCoding>
      </answerOption>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
        <valueBoolean value="true"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
        <valueExpression>
          <language value="text/fhirpath"/>
          <expression
                      value="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))))"/>
        </valueExpression>
      </extension>
      <linkId value="pss4-q1-ordinal"/>
      <text value="PSS-4 Item 1 Ordinalwert"/>
      <type value="integer"/>
      <readOnly value="true"/>
    </item>
    <item>
      <linkId value="pss4-q2"/>
      <text
            value="Wie oft hatten Sie sich im letzten Monat sicher im Umgang mit persönlichen Aufgaben und Problemen gefühlt?"/>
      <type value="choice"/>
      <required value="true"/>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem"/>
          <code value="never"/>
          <display value="Nie"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem"/>
          <code value="rarely"/>
          <display value="Selten"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem"/>
          <code value="sometimes"/>
          <display value="Manchmal"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem"/>
          <code value="often"/>
          <display value="Häufig"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem"/>
          <code value="very-often"/>
          <display value="Sehr oft"/>
        </valueCoding>
      </answerOption>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
        <valueBoolean value="true"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
        <valueExpression>
          <language value="text/fhirpath"/>
          <expression
                      value="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))))"/>
        </valueExpression>
      </extension>
      <linkId value="pss4-q2-ordinal"/>
      <text value="PSS-4 Item 2 Ordinalwert"/>
      <type value="integer"/>
      <readOnly value="true"/>
    </item>
    <item>
      <linkId value="pss4-q3"/>
      <text
            value="Wie oft hatten Sie im letzten Monat das Gefühl, dass sich die Dinge nach Ihren Vorstellungen entwickeln?"/>
      <type value="choice"/>
      <required value="true"/>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem"/>
          <code value="never"/>
          <display value="Nie"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem"/>
          <code value="rarely"/>
          <display value="Selten"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem"/>
          <code value="sometimes"/>
          <display value="Manchmal"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem"/>
          <code value="often"/>
          <display value="Häufig"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem"/>
          <code value="very-often"/>
          <display value="Sehr oft"/>
        </valueCoding>
      </answerOption>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
        <valueBoolean value="true"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
        <valueExpression>
          <language value="text/fhirpath"/>
          <expression
                      value="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))))"/>
        </valueExpression>
      </extension>
      <linkId value="pss4-q3-ordinal"/>
      <text value="PSS-4 Item 3 Ordinalwert"/>
      <type value="integer"/>
      <readOnly value="true"/>
    </item>
    <item>
      <linkId value="pss4-q4"/>
      <text
            value="Wie oft hatten Sie im letzten Monat das Gefühl, dass sich die Probleme so aufgestaut haben, dass Sie diese nicht mehr bewältigen können?"/>
      <type value="choice"/>
      <required value="true"/>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem"/>
          <code value="never"/>
          <display value="Nie"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem"/>
          <code value="rarely"/>
          <display value="Selten"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem"/>
          <code value="sometimes"/>
          <display value="Manchmal"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem"/>
          <code value="often"/>
          <display value="Häufig"/>
        </valueCoding>
      </answerOption>
      <answerOption>
        <valueCoding>
          <system
                  value="https://fhir.hl7.at/prenudge/appdata/r4/CodeSystem/at-prenudge-pss-frequency-codesystem"/>
          <code value="very-often"/>
          <display value="Sehr oft"/>
        </valueCoding>
      </answerOption>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-hidden">
        <valueBoolean value="true"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
        <valueExpression>
          <language value="text/fhirpath"/>
          <expression
                      value="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))))"/>
        </valueExpression>
      </extension>
      <linkId value="pss4-q4-ordinal"/>
      <text value="PSS-4 Item 4 Ordinalwert"/>
      <type value="integer"/>
      <readOnly value="true"/>
    </item>
    <item>
      <extension
                 url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression">
        <valueExpression>
          <description value="PSS-4 Gesamtscore: q1 + (4-q2) + (4-q3) + q4"/>
          <language value="text/fhirpath"/>
          <expression
                      value="%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()"/>
        </valueExpression>
      </extension>
      <linkId value="pss4-total-score"/>
      <text value="PSS-4 Gesamtscore (0–16)"/>
      <type value="integer"/>
      <readOnly value="true"/>
    </item>
    <item>
      <linkId value="pss4-comment"/>
      <text
            value="Haben Sie zu Ihren Antworten noch einen Kommentar oder etwas hinzuzufügen?"/>
      <type value="string"/>
    </item>
  </item>
</Questionnaire>