# NIH Stroke Scale - PACIO Sample Data Depot v0.1.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **NIH Stroke Scale**

## Questionnaire: NIH Stroke Scale 

| | |
| :--- | :--- |
| *Official URL*:http://mitre.org/paciowg/Questionnaire/Questionnaire-NIH-Stroke-Scale | *Version*:0.1.0 |
| Draft as of 2025-12-02 | *Computable Name*: |
| **Copyright/Legal**: Copyright © 2006-2016 National Institutes of Health and Northwestern University. Used with permission. | |

**Structure**

* [LinkID](https://hl7.org/fhir/R4/formats.html#table): 
  * [Text](https://hl7.org/fhir/R4/formats.html#table): 
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 
  * [Type](https://hl7.org/fhir/R4/formats.html#table): Questionnaire
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): http://mitre.org/paciowg/Questionnaire/Questionnaire-NIH-Stroke-Scale#0.1.0
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-string.png)/46496-6
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Patient Identification
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [string](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-display.png)/46496-6-help
  * [Text](https://hl7.org/fhir/R4/formats.html#table): 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.
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [display](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-decimal.png)/21112-8
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Birth date
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [decimal](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-string.png)/58237-9
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Hospital
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [string](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-string.png)/65844-3
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Date of exam
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [string](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-coding.png)/70183-9
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Interval
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [choice](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Options:[6 options](#opt-item./70183-9)
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-coding.png)/70184-7
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Level of consciousness
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [choice](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Options:[4 options](#opt-item./70184-7)
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-display.png)/70184-7-help
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Tests stimulation and is graded from 0-3
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [display](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-coding.png)/70185-4
  * [Text](https://hl7.org/fhir/R4/formats.html#table): LOC questions
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [choice](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Options:[3 options](#opt-item./70185-4)
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-display.png)/70185-4-help
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Tests patient's ability to answer questions correctly and is graded from 0-2
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [display](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-coding.png)/70186-2
  * [Text](https://hl7.org/fhir/R4/formats.html#table): LOC commands
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [choice](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Options:[3 options](#opt-item./70186-2)
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-display.png)/70186-2-help
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Tests patient's ability to perform tasks correctly and is graded from 0-2
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [display](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-coding.png)/70187-0
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Best gaze
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [choice](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Options:[3 options](#opt-item./70187-0)
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-display.png)/70187-0-help
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Tests horizontal eye movement and is graded from 0-2
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [display](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-coding.png)/70188-8
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Visual
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [choice](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Options:[4 options](#opt-item./70188-8)
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-display.png)/70188-8-help
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Tests visual fields and is graded from 0-3
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [display](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-coding.png)/70189-6
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Facial palsy
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [choice](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Options:[4 options](#opt-item./70189-6)
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-display.png)/70189-6-help
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Tests the patient's ability to move facial muscles and is graded from 0-3
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [display](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-coding.png)/70190-4
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Motor arm
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [choice](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Options:[6 options](#opt-item./70190-4)
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-display.png)/70190-4-help
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Tests motor abilities of the arms and is graded from 0-4
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [display](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-coding.png)/70967-5
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Motor arm
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [choice](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Options:[6 options](#opt-item./70967-5)
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-coding.png)/70191-2
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Motor leg
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [choice](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Options:[6 options](#opt-item./70191-2)
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-display.png)/70191-2-help
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Tests motor abilites of the legs and is graded from 0-4
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [display](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-coding.png)/70968-3
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Motor leg
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [choice](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Options:[6 options](#opt-item./70968-3)
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-coding.png)/70192-0
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Limb ataxia
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [choice](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Options:[4 options](#opt-item./70192-0)
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-display.png)/70192-0-help
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Tests coordination of muscle movements and is graded from 0-2
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [display](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-coding.png)/70193-8
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Sensory
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [choice](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Options:[3 options](#opt-item./70193-8)
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-display.png)/70193-8-help
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Tests sensation of the face, arms. And legs and is graded from 0-2
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [display](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-coding.png)/70194-6
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Best language
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [choice](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Options:[4 options](#opt-item./70194-6)
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-display.png)/70194-6-help
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Tests the patient's comprehension and communication and is graded from 0-3
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [display](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-coding.png)/70195-3
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Dysarthria
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [choice](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Options:[4 options](#opt-item./70195-3)
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-display.png)/70195-3-help
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Tests patient's speech and is graded from 0-2
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [display](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-coding.png)/70196-1
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Extinction and inattention
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [choice](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Options:[3 options](#opt-item./70196-1)
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-display.png)/70196-1-help
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Tests patient's recognition of self and is graded from 0-2
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [display](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-decimal.png)/72089-6
  * [Text](https://hl7.org/fhir/R4/formats.html#table): Total score
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [decimal](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-display.png)/72089-6-help
  * [Text](https://hl7.org/fhir/R4/formats.html#table): 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.
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [display](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](data:image/png;base64, )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")



## Resource Content

```json
{
  "resourceType" : "Questionnaire",
  "id" : "Questionnaire-NIH-Stroke-Scale",
  "url" : "http://mitre.org/paciowg/Questionnaire/Questionnaire-NIH-Stroke-Scale",
  "version" : "0.1.0",
  "title" : "NIH Stroke Scale",
  "status" : "draft",
  "date" : "2025-12-02T05:34:32+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" : [
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                "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" : [
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                    "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" : [
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                "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" : [
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                    "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",
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            "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"
        }
      ]
    }
  ]
}

```
