XIG: Questionnaire/Questionnaire-NIH-Stroke-Scale

FHIR IG Statistics: Questionnaire/Questionnaire-NIH-Stroke-Scale

Package	fhir.paciosampledata
Resource Type	Questionnaire
Id	Questionnaire-NIH-Stroke-Scale
FHIR Version	R4
Source	http://mitre.org/paciowg/https://build.fhir.org/ig/paciowg/sample-data-fsh/Questionnaire-Questionnaire-NIH-Stroke-Scale.html
URL	http://mitre.org/paciowg/Questionnaire/Questionnaire-NIH-Stroke-Scale
Version	0.1.0
Status	draft
Date	2025-07-15T20:44:39+00:00
Title	NIH Stroke Scale
Realm	us
Authority	hl7
Copyright	Copyright © 2006-2016 National Institutes of Health and Northwestern University. Used with permission.

Resources that use this resource

No resources found

Resources that this resource uses

No resources found

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Questionnaire Questionnaire-NIH-Stroke-Scale

Structure

LinkID	Text	Cardinality	Type	Description & Constraints
			Questionnaire	http://mitre.org/paciowg/Questionnaire/Questionnaire-NIH-Stroke-Scale#0.1.0
/46496-6	Patient Identification	0..1	string
/46496-6-help	Agency-specific patient identifier. This is the identification code the agency assigns to the patient and uses for record keeping purposes for this episode of care.	0..1	display
/21112-8	Birth date	0..1	decimal
/58237-9	Hospital	0..1	string
/65844-3	Date of exam	0..1	string
/70183-9	Interval	0..1	choice	Options: 6 options
/70184-7	Level of consciousness	0..1	choice	Options: 4 options
/70184-7-help	Tests stimulation and is graded from 0-3	0..1	display
/70185-4	LOC questions	0..1	choice	Options: 3 options
/70185-4-help	Tests patient's ability to answer questions correctly and is graded from 0-2	0..1	display
/70186-2	LOC commands	0..1	choice	Options: 3 options
/70186-2-help	Tests patient's ability to perform tasks correctly and is graded from 0-2	0..1	display
/70187-0	Best gaze	0..1	choice	Options: 3 options
/70187-0-help	Tests horizontal eye movement and is graded from 0-2	0..1	display
/70188-8	Visual	0..1	choice	Options: 4 options
/70188-8-help	Tests visual fields and is graded from 0-3	0..1	display
/70189-6	Facial palsy	0..1	choice	Options: 4 options
/70189-6-help	Tests the patient's ability to move facial muscles and is graded from 0-3	0..1	display
/70190-4	Motor arm	0..1	choice	Options: 6 options
/70190-4-help	Tests motor abilities of the arms and is graded from 0-4	0..1	display
/70967-5	Motor arm	0..1	choice	Options: 6 options
/70191-2	Motor leg	0..1	choice	Options: 6 options
/70191-2-help	Tests motor abilites of the legs and is graded from 0-4	0..1	display
/70968-3	Motor leg	0..1	choice	Options: 6 options
/70192-0	Limb ataxia	0..1	choice	Options: 4 options
/70192-0-help	Tests coordination of muscle movements and is graded from 0-2	0..1	display
/70193-8	Sensory	0..1	choice	Options: 3 options
/70193-8-help	Tests sensation of the face, arms. And legs and is graded from 0-2	0..1	display
/70194-6	Best language	0..1	choice	Options: 4 options
/70194-6-help	Tests the patient's comprehension and communication and is graded from 0-3	0..1	display
/70195-3	Dysarthria	0..1	choice	Options: 4 options
/70195-3-help	Tests patient's speech and is graded from 0-2	0..1	display
/70196-1	Extinction and inattention	0..1	choice	Options: 3 options
/70196-1-help	Tests patient's recognition of self and is graded from 0-2	0..1	display
/72089-6	Total score	0..1	decimal
/72089-6-help	Used to gauge the severity of a stroke. Patients are given more points for greater deficiencies. A score of 0 indicates that the test is normal.	0..1	display
Documentation for this format

Options Sets

Answer options for /70183-9

http://loinc.org#LA16758-7 ("Baseline")
http://loinc.org#LA18432-7 ("2 hours post treatment")
http://loinc.org#LA18433-5 ("24 hrs post onset of symptoms, plus or minus 20 minutes")
http://loinc.org#LA18434-3 ("7-10 days")
http://loinc.org#LA18435-0 ("3 months")
http://loinc.org#LA46-8 ("Other")

Answer options for /70184-7

http://loinc.org#LA18436-8 ("Alert, keenly responsive")
http://loinc.org#LA18437-6 ("Not alert; but arousable by minor stimulation to obey, answer, or respond")
http://loinc.org#LA18438-4 ("Not alert; requires repeated stimulation to attend, or is obtunded and requires strong or painful stimulation to make movements (not stereotyped).")
http://loinc.org#LA18439-2 ("Responds only with reflex motor or autonomic effects or totally unresponsive, flaccid, and areflexic.")

Answer options for /70185-4

http://loinc.org#LA18440-0 ("Answers both questions correctly")
http://loinc.org#LA18441-8 ("Answers one question correctly")
http://loinc.org#LA18442-6 ("Answers neither question correctly")

Answer options for /70186-2

http://loinc.org#LA18443-4 ("Performs both tasks correctly")
http://loinc.org#LA18444-2 ("Performs one task correctly")
http://loinc.org#LA18445-9 ("Performs neither task correctly")

Answer options for /70187-0

http://loinc.org#LA6626-1 ("Normal")
http://loinc.org#LA18446-7 ("Partial gaze palsy; gaze is abnormal in one or both eyes, but forced deviation or total gaze paresis is not present")
http://loinc.org#LA18447-5 ("Forced deviation, or total gaze paresis not overcome by the oculocephalic maneuver")

Answer options for /70188-8

http://loinc.org#LA18448-3 ("No visual loss")
http://loinc.org#LA18449-1 ("Partial hemianopia")
http://loinc.org#LA18450-9 ("Complete hemianopia")
http://loinc.org#LA18451-7 ("Bilateral hemianopia (blind including cortical blindness)")

Answer options for /70189-6

http://loinc.org#LA18452-5 ("Normal symmetrical movements")
http://loinc.org#LA18453-3 ("Minor paralysis (flattened nasolabial fold, asymmetry on smiling)")
http://loinc.org#LA18454-1 ("Partial paralysis (total or near-total paralysis of lower face)")
http://loinc.org#LA18455-8 ("Complete paralysis of one or both sides (absence of facial movement in the upper and lower face)")

Answer options for /70190-4

http://loinc.org#LA18456-6 ("No drift; limb holds 90 (or 45) degrees for full 10 seconds")
http://loinc.org#LA18457-4 ("Drift; limb holds 90 (or 45) degrees, but drifts down before full 10 seconds; does not hit bed or other support")
http://loinc.org#LA18458-2 ("Some effort against gravity; limb cannot get to or maintain (if cued) 90 (or 45) degrees, drifts down to bed, but has some effort against gravity")
http://loinc.org#LA18459-0 ("No effort against gravity; limb falls")
http://loinc.org#LA18460-8 ("No movement")
http://loinc.org#LA18461-6 ("Amputation or joint fusion, explain:")

Answer options for /70967-5

http://loinc.org#LA18456-6 ("No drift; limb holds 90 (or 45) degrees for full 10 seconds")
http://loinc.org#LA18457-4 ("Drift; limb holds 90 (or 45) degrees, but drifts down before full 10 seconds; does not hit bed or other support")
http://loinc.org#LA18458-2 ("Some effort against gravity; limb cannot get to or maintain (if cued) 90 (or 45) degrees, drifts down to bed, but has some effort against gravity")
http://loinc.org#LA18459-0 ("No effort against gravity; limb falls")
http://loinc.org#LA18460-8 ("No movement")
http://loinc.org#LA18461-6 ("Amputation or joint fusion, explain:")

Answer options for /70191-2

http://loinc.org#LA18462-4 ("No drift; leg holds 30-degree position for full 5 seconds")
http://loinc.org#LA18463-2 ("Drift; leg falls by the end of the 5-second period but does not hit bed")
http://loinc.org#LA18464-0 ("Some effort against gravity; leg falls to bed by 5 seconds, but has some effort against gravity")
http://loinc.org#LA18465-7 ("No effort against gravity; leg falls to bed immediately")
http://loinc.org#LA18460-8 ("No movement")
http://loinc.org#LA18461-6 ("Amputation or joint fusion, explain:")

Answer options for /70968-3

http://loinc.org#LA18462-4 ("No drift; leg holds 30-degree position for full 5 seconds")
http://loinc.org#LA18463-2 ("Drift; leg falls by the end of the 5-second period but does not hit bed")
http://loinc.org#LA18464-0 ("Some effort against gravity; leg falls to bed by 5 seconds, but has some effort against gravity")
http://loinc.org#LA18465-7 ("No effort against gravity; leg falls to bed immediately")
http://loinc.org#LA18460-8 ("No movement")
http://loinc.org#LA18461-6 ("Amputation or joint fusion, explain:")

Answer options for /70192-0

http://loinc.org#LA9634-2 ("Absent")
http://loinc.org#LA18466-5 ("Present in one limb")
http://loinc.org#LA18467-3 ("Present in two limbs")
http://loinc.org#LA18461-6 ("Amputation or joint fusion, explain:")

Answer options for /70193-8

http://loinc.org#LA18468-1 ("Normal; no sensory loss")
http://loinc.org#LA18469-9 ("Mild-to-moderate sensory loss; patient feels pinprick is less sharp or is dull on the affected side; or there is a loss of superficial pain with pinprick, but patient is aware of being touched")
http://loinc.org#LA18470-7 ("Severe to total sensory loss; patient is not aware of being touched in the face, arm, and leg")

Answer options for /70194-6

http://loinc.org#LA18471-5 ("No aphasia; normal")
http://loinc.org#LA18472-3 ("Mild-to-moderate aphasia; some obvious loss of fluency or facility of comprehension, without significant limitation on ideas expressed or form of expression")
http://loinc.org#LA18473-1 ("Severe aphasia; all communication is through fragmentary expression; great need for inference, questioning, and guessing by the listener")
http://loinc.org#LA18474-9 ("Mute, global aphasia; no usable speech or auditory comprehension")

Answer options for /70195-3

http://loinc.org#LA6626-1 ("Normal")
http://loinc.org#LA18475-6 ("Mild-to-moderate dysarthria; patient slurs at least some words and, at worst, can be understood with some difficulty")
http://loinc.org#LA18476-4 ("Severe dysarthria; patient's speech is so slurred as to be unintelligible in the absence of or out of proportion to any dysphasia, or is mute/anarthric")
http://loinc.org#LA18477-2 ("Intubated or other physical barrier, explain:")

Answer options for /70196-1

http://loinc.org#LA18478-0 ("No abnormality")
http://loinc.org#LA18479-8 ("Visual, tactile, auditory, spatial, or personal inattention or extinction to bilateral simultaneous stimulation in one of the sensory modalities")
http://loinc.org#LA18480-6 ("Profound hemi-inattention or extinction to more than one modality; does not recognize own hand or orients to only one side of space")

Source

{
  "resourceType": "Questionnaire",
  "id": "Questionnaire-NIH-Stroke-Scale",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://mitre.org/paciowg/Questionnaire/Questionnaire-NIH-Stroke-Scale",
  "version": "0.1.0",
  "title": "NIH Stroke Scale",
  "status": "draft",
  "date": "2025-07-15T20:44:39+00:00",
  "publisher": "MITRE",
  "contact": [
    {
      "name": "MITRE",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.mitre.org"
        }
      ]
    },
    {
      "name": "May Terry",
      "telecom": [
        {
          "system": "email",
          "value": "mayT@mitre.org",
          "use": "work"
        }
      ]
    }
  ],
  "copyright": "Copyright © 2006-2016 National Institutes of Health and Northwestern University. Used with permission.",
  "code": [
    {
      "system": "http://loinc.org",
      "code": "70182-1",
      "display": "NIH Stroke Scale"
    }
  ],
  "item": [
    {
      "linkId": "/46496-6",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "46496-6",
          "display": "Agency patient number during assessment period [CMS Assessment]"
        }
      ],
      "text": "Patient Identification",
      "type": "string",
      "item": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "help",
                    "display": "Help-Button"
                  }
                ],
                "text": "Help-Button"
              }
            }
          ],
          "linkId": "/46496-6-help",
          "text": "Agency-specific patient identifier. This is the identification code the agency assigns to the patient and uses for record keeping purposes for this episode of care.",
          "type": "display"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
          "valueCoding": {
            "system": "http://unitsofmeasure.org",
            "code": "{mm/dd/yyyy}",
            "display": "{mm/dd/yyyy}"
          }
        }
      ],
      "linkId": "/21112-8",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "21112-8",
          "display": "Birth date"
        }
      ],
      "text": "Birth date",
      "type": "decimal"
    },
    {
      "linkId": "/58237-9",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "58237-9",
          "display": "Hospital Name"
        }
      ],
      "text": "Hospital",
      "type": "string"
    },
    {
      "linkId": "/65844-3",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "65844-3",
          "display": "Date of observation (non-patient)"
        }
      ],
      "text": "Date of exam",
      "type": "string"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "drop-down",
                "display": "Drop down"
              }
            ],
            "text": "Drop down"
          }
        }
      ],
      "linkId": "/70183-9",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "70183-9",
          "display": "NIH stroke scale interval [NIH Stroke Scale]"
        }
      ],
      "text": "Interval",
      "type": "choice",
      "answerOption": [
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA16758-7",
            "display": "Baseline"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18432-7",
            "display": "2 hours post treatment"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18433-5",
            "display": "24 hrs post onset of symptoms, plus or minus 20 minutes"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18434-3",
            "display": "7-10 days"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18435-0",
            "display": "3 months"
          }
        },
        {
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA46-8",
            "display": "Other"
          }
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "drop-down",
                "display": "Drop down"
              }
            ],
            "text": "Drop down"
          }
        }
      ],
      "linkId": "/70184-7",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "70184-7",
          "display": "Level of consciousness [NIH Stroke Scale]"
        }
      ],
      "text": "Level of consciousness",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "0"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18436-8",
            "display": "Alert, keenly responsive"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "1"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18437-6",
            "display": "Not alert; but arousable by minor stimulation to obey, answer, or respond"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "2"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18438-4",
            "display": "Not alert; requires repeated stimulation to attend, or is obtunded and requires strong or painful stimulation to make movements (not stereotyped)."
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "3"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18439-2",
            "display": "Responds only with reflex motor or autonomic effects or totally unresponsive, flaccid, and areflexic."
          }
        }
      ],
      "item": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "help",
                    "display": "Help-Button"
                  }
                ],
                "text": "Help-Button"
              }
            }
          ],
          "linkId": "/70184-7-help",
          "text": "Tests stimulation and is graded from 0-3",
          "type": "display"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "drop-down",
                "display": "Drop down"
              }
            ],
            "text": "Drop down"
          }
        }
      ],
      "linkId": "/70185-4",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "70185-4",
          "display": "LOC questions [NIH Stroke Scale]"
        }
      ],
      "text": "LOC questions",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "0"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18440-0",
            "display": "Answers both questions correctly"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "1"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18441-8",
            "display": "Answers one question correctly"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "2"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18442-6",
            "display": "Answers neither question correctly"
          }
        }
      ],
      "item": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "help",
                    "display": "Help-Button"
                  }
                ],
                "text": "Help-Button"
              }
            }
          ],
          "linkId": "/70185-4-help",
          "text": "Tests patient's ability to answer questions correctly and is graded from 0-2",
          "type": "display"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "drop-down",
                "display": "Drop down"
              }
            ],
            "text": "Drop down"
          }
        }
      ],
      "linkId": "/70186-2",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "70186-2",
          "display": "LOC commands [NIH Stroke Scale]"
        }
      ],
      "text": "LOC commands",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "0"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18443-4",
            "display": "Performs both tasks correctly"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "1"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18444-2",
            "display": "Performs one task correctly"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "2"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18445-9",
            "display": "Performs neither task correctly"
          }
        }
      ],
      "item": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "help",
                    "display": "Help-Button"
                  }
                ],
                "text": "Help-Button"
              }
            }
          ],
          "linkId": "/70186-2-help",
          "text": "Tests patient's ability to perform tasks correctly and is graded from 0-2",
          "type": "display"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "drop-down",
                "display": "Drop down"
              }
            ],
            "text": "Drop down"
          }
        }
      ],
      "linkId": "/70187-0",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "70187-0",
          "display": "Best gaze [NIH Stroke Scale]"
        }
      ],
      "text": "Best gaze",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "0"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6626-1",
            "display": "Normal"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "1"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18446-7",
            "display": "Partial gaze palsy; gaze is abnormal in one or both eyes, but forced deviation or total gaze paresis is not present"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "2"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18447-5",
            "display": "Forced deviation, or total gaze paresis not overcome by the oculocephalic maneuver"
          }
        }
      ],
      "item": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "help",
                    "display": "Help-Button"
                  }
                ],
                "text": "Help-Button"
              }
            }
          ],
          "linkId": "/70187-0-help",
          "text": "Tests horizontal eye movement and is graded from 0-2",
          "type": "display"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "drop-down",
                "display": "Drop down"
              }
            ],
            "text": "Drop down"
          }
        }
      ],
      "linkId": "/70188-8",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "70188-8",
          "display": "Visual [NIH Stroke Scale]"
        }
      ],
      "text": "Visual",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "0"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18448-3",
            "display": "No visual loss"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "1"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18449-1",
            "display": "Partial hemianopia"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "2"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18450-9",
            "display": "Complete hemianopia"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "3"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18451-7",
            "display": "Bilateral hemianopia (blind including cortical blindness)"
          }
        }
      ],
      "item": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "help",
                    "display": "Help-Button"
                  }
                ],
                "text": "Help-Button"
              }
            }
          ],
          "linkId": "/70188-8-help",
          "text": "Tests visual fields and is graded from 0-3",
          "type": "display"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "drop-down",
                "display": "Drop down"
              }
            ],
            "text": "Drop down"
          }
        }
      ],
      "linkId": "/70189-6",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "70189-6",
          "display": "Facial palsy [NIH Stroke Scale]"
        }
      ],
      "text": "Facial palsy",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "0"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18452-5",
            "display": "Normal symmetrical movements"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "1"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18453-3",
            "display": "Minor paralysis (flattened nasolabial fold, asymmetry on smiling)"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "2"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18454-1",
            "display": "Partial paralysis (total or near-total paralysis of lower face)"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "3"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18455-8",
            "display": "Complete paralysis of one or both sides (absence of facial movement in the upper and lower face)"
          }
        }
      ],
      "item": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "help",
                    "display": "Help-Button"
                  }
                ],
                "text": "Help-Button"
              }
            }
          ],
          "linkId": "/70189-6-help",
          "text": "Tests the patient's ability to move facial muscles and is graded from 0-3",
          "type": "display"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "drop-down",
                "display": "Drop down"
              }
            ],
            "text": "Drop down"
          }
        }
      ],
      "linkId": "/70190-4",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "70190-4",
          "display": "Motor arm Left arm [NIH Stroke Scale]"
        }
      ],
      "text": "Motor arm",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "0"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18456-6",
            "display": "No drift; limb holds 90 (or 45) degrees for full 10 seconds"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "1"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18457-4",
            "display": "Drift; limb holds 90 (or 45) degrees, but drifts down before full 10 seconds; does not hit bed or other support"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "2"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18458-2",
            "display": "Some effort against gravity; limb cannot get to or maintain (if cued) 90 (or 45) degrees, drifts down to bed, but has some effort against gravity"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "3"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18459-0",
            "display": "No effort against gravity; limb falls"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "4"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 4
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18460-8",
            "display": "No movement"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "UN"
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18461-6",
            "display": "Amputation or joint fusion, explain:"
          }
        }
      ],
      "item": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "help",
                    "display": "Help-Button"
                  }
                ],
                "text": "Help-Button"
              }
            }
          ],
          "linkId": "/70190-4-help",
          "text": "Tests motor abilities of the arms and is graded from 0-4",
          "type": "display"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "drop-down",
                "display": "Drop down"
              }
            ],
            "text": "Drop down"
          }
        }
      ],
      "linkId": "/70967-5",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "70967-5",
          "display": "Motor arm Right arm [NIH Stroke Scale]"
        }
      ],
      "text": "Motor arm",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "0"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18456-6",
            "display": "No drift; limb holds 90 (or 45) degrees for full 10 seconds"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "1"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18457-4",
            "display": "Drift; limb holds 90 (or 45) degrees, but drifts down before full 10 seconds; does not hit bed or other support"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "2"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18458-2",
            "display": "Some effort against gravity; limb cannot get to or maintain (if cued) 90 (or 45) degrees, drifts down to bed, but has some effort against gravity"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "3"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18459-0",
            "display": "No effort against gravity; limb falls"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "4"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 4
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18460-8",
            "display": "No movement"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "UN"
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18461-6",
            "display": "Amputation or joint fusion, explain:"
          }
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "drop-down",
                "display": "Drop down"
              }
            ],
            "text": "Drop down"
          }
        }
      ],
      "linkId": "/70191-2",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "70191-2",
          "display": "Motor leg Leg - left [NIH Stroke Scale]"
        }
      ],
      "text": "Motor leg",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "0"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18462-4",
            "display": "No drift; leg holds 30-degree position for full 5 seconds"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "1"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18463-2",
            "display": "Drift; leg falls by the end of the 5-second period but does not hit bed"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "2"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18464-0",
            "display": "Some effort against gravity; leg falls to bed by 5 seconds, but has some effort against gravity"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "3"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18465-7",
            "display": "No effort against gravity; leg falls to bed immediately"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "4"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 4
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18460-8",
            "display": "No movement"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "UN"
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18461-6",
            "display": "Amputation or joint fusion, explain:"
          }
        }
      ],
      "item": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "help",
                    "display": "Help-Button"
                  }
                ],
                "text": "Help-Button"
              }
            }
          ],
          "linkId": "/70191-2-help",
          "text": "Tests motor abilites of the legs and is graded from 0-4",
          "type": "display"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "drop-down",
                "display": "Drop down"
              }
            ],
            "text": "Drop down"
          }
        }
      ],
      "linkId": "/70968-3",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "70968-3",
          "display": "Motor leg Leg - right [NIH Stroke Scale]"
        }
      ],
      "text": "Motor leg",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "0"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18462-4",
            "display": "No drift; leg holds 30-degree position for full 5 seconds"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "1"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18463-2",
            "display": "Drift; leg falls by the end of the 5-second period but does not hit bed"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "2"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18464-0",
            "display": "Some effort against gravity; leg falls to bed by 5 seconds, but has some effort against gravity"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "3"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18465-7",
            "display": "No effort against gravity; leg falls to bed immediately"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "4"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 4
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18460-8",
            "display": "No movement"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "UN"
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18461-6",
            "display": "Amputation or joint fusion, explain:"
          }
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "drop-down",
                "display": "Drop down"
              }
            ],
            "text": "Drop down"
          }
        }
      ],
      "linkId": "/70192-0",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "70192-0",
          "display": "Limb ataxia [NIH Stroke Scale]"
        }
      ],
      "text": "Limb ataxia",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "0"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA9634-2",
            "display": "Absent"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "1"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18466-5",
            "display": "Present in one limb"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "2"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18467-3",
            "display": "Present in two limbs"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "UN"
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18461-6",
            "display": "Amputation or joint fusion, explain:"
          }
        }
      ],
      "item": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "help",
                    "display": "Help-Button"
                  }
                ],
                "text": "Help-Button"
              }
            }
          ],
          "linkId": "/70192-0-help",
          "text": "Tests coordination of muscle movements and is graded from 0-2",
          "type": "display"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "drop-down",
                "display": "Drop down"
              }
            ],
            "text": "Drop down"
          }
        }
      ],
      "linkId": "/70193-8",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "70193-8",
          "display": "Sensory [NIH Stroke Scale]"
        }
      ],
      "text": "Sensory",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "0"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18468-1",
            "display": "Normal; no sensory loss"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "1"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18469-9",
            "display": "Mild-to-moderate sensory loss; patient feels pinprick is less sharp or is dull on the affected side; or there is a loss of superficial pain with pinprick, but patient is aware of being touched"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "2"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18470-7",
            "display": "Severe to total sensory loss; patient is not aware of being touched in the face, arm, and leg"
          }
        }
      ],
      "item": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "help",
                    "display": "Help-Button"
                  }
                ],
                "text": "Help-Button"
              }
            }
          ],
          "linkId": "/70193-8-help",
          "text": "Tests sensation of the face, arms. And legs and is graded from 0-2",
          "type": "display"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "drop-down",
                "display": "Drop down"
              }
            ],
            "text": "Drop down"
          }
        }
      ],
      "linkId": "/70194-6",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "70194-6",
          "display": "Best language [NIH Stroke Scale]"
        }
      ],
      "text": "Best language",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "0"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18471-5",
            "display": "No aphasia; normal"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "1"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18472-3",
            "display": "Mild-to-moderate aphasia; some obvious loss of fluency or facility of comprehension, without significant limitation on ideas expressed or form of expression"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "2"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18473-1",
            "display": "Severe aphasia; all communication is through fragmentary expression; great need for inference, questioning, and guessing by the listener"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "3"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18474-9",
            "display": "Mute, global aphasia; no usable speech or auditory comprehension"
          }
        }
      ],
      "item": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "help",
                    "display": "Help-Button"
                  }
                ],
                "text": "Help-Button"
              }
            }
          ],
          "linkId": "/70194-6-help",
          "text": "Tests the patient's comprehension and communication and is graded from 0-3",
          "type": "display"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "drop-down",
                "display": "Drop down"
              }
            ],
            "text": "Drop down"
          }
        }
      ],
      "linkId": "/70195-3",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "70195-3",
          "display": "Dysarthria [NIH Stroke Scale]"
        }
      ],
      "text": "Dysarthria",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "0"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6626-1",
            "display": "Normal"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "1"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18475-6",
            "display": "Mild-to-moderate dysarthria; patient slurs at least some words and, at worst, can be understood with some difficulty"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "2"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18476-4",
            "display": "Severe dysarthria; patient's speech is so slurred as to be unintelligible in the absence of or out of proportion to any dysphasia, or is mute/anarthric"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "UN"
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18477-2",
            "display": "Intubated or other physical barrier, explain:"
          }
        }
      ],
      "item": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "help",
                    "display": "Help-Button"
                  }
                ],
                "text": "Help-Button"
              }
            }
          ],
          "linkId": "/70195-3-help",
          "text": "Tests patient's speech and is graded from 0-2",
          "type": "display"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/questionnaire-item-control",
                "code": "drop-down",
                "display": "Drop down"
              }
            ],
            "text": "Drop down"
          }
        }
      ],
      "linkId": "/70196-1",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "70196-1",
          "display": "Extinction and inattention [NIH Stroke Scale]"
        }
      ],
      "text": "Extinction and inattention",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "0"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18478-0",
            "display": "No abnormality"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "1"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18479-8",
            "display": "Visual, tactile, auditory, spatial, or personal inattention or extinction to bilateral simultaneous stimulation in one of the sensory modalities"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
              "valueString": "2"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18480-6",
            "display": "Profound hemi-inattention or extinction to more than one modality; does not recognize own hand or orients to only one side of space"
          }
        }
      ],
      "item": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "help",
                    "display": "Help-Button"
                  }
                ],
                "text": "Help-Button"
              }
            }
          ],
          "linkId": "/70196-1-help",
          "text": "Tests patient's recognition of self and is graded from 0-2",
          "type": "display"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
          "valueCoding": {
            "system": "http://unitsofmeasure.org",
            "code": "{score}",
            "display": "{score}"
          }
        }
      ],
      "linkId": "/72089-6",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "72089-6",
          "display": "Total score [NIH Stroke Scale]"
        }
      ],
      "text": "Total score",
      "type": "decimal",
      "item": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "help",
                    "display": "Help-Button"
                  }
                ],
                "text": "Help-Button"
              }
            }
          ],
          "linkId": "/72089-6-help",
          "text": "Used to gauge the severity of a stroke. Patients are given more points for greater deficiencies. A score of 0 indicates that the test is normal.",
          "type": "display"
        }
      ]
    }
  ]
}