PACIO Sample Data Depot
0.1.0 - draft

PACIO Sample Data Depot, published by MITRE. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/paciowg/sample-data-fsh/ and changes regularly. See the Directory of published versions

## Questionnaire: NIH Stroke Scale

Official URL: http://mitre.org/paciowg/Questionnaire/Questionnaire-NIH-Stroke-Scale | Version: 0.1.0
Draft as of 2026-03-26 | Computable Name:
Copyright/Legal: Copyright © 2006-2016 National Institutes of Health and Northwestern University. Used with permission.

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 | Value Set:
/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 | Value Set:
/21112-8 | Birth date | 0..1 | decimal | Value Set:
/58237-9 | Hospital | 0..1 | string | Value Set:
/65844-3 | Date of exam | 0..1 | string | Value Set:
/70183-9 | Interval | 0..1 | choice | Value Set: Options: 6 options
/70184-7 | Level of consciousness | 0..1 | choice | Value Set: Options: 4 options
/70184-7-help | Tests stimulation and is graded from 0-3 | 0..1 | display | Value Set:
/70185-4 | LOC questions | 0..1 | choice | Value Set: Options: 3 options
/70185-4-help | Tests patient's ability to answer questions correctly and is graded from 0-2 | 0..1 | display | Value Set:
/70186-2 | LOC commands | 0..1 | choice | Value Set: Options: 3 options
/70186-2-help | Tests patient's ability to perform tasks correctly and is graded from 0-2 | 0..1 | display | Value Set:
/70187-0 | Best gaze | 0..1 | choice | Value Set: Options: 3 options
/70187-0-help | Tests horizontal eye movement and is graded from 0-2 | 0..1 | display | Value Set:
/70188-8 | Visual | 0..1 | choice | Value Set: Options: 4 options
/70188-8-help | Tests visual fields and is graded from 0-3 | 0..1 | display | Value Set:
/70189-6 | Facial palsy | 0..1 | choice | Value Set: Options: 4 options
/70189-6-help | Tests the patient's ability to move facial muscles and is graded from 0-3 | 0..1 | display | Value Set:
/70190-4 | Motor arm | 0..1 | choice | Value Set: Options: 6 options
/70190-4-help | Tests motor abilities of the arms and is graded from 0-4 | 0..1 | display | Value Set:
/70967-5 | Motor arm | 0..1 | choice | Value Set: Options: 6 options
/70191-2 | Motor leg | 0..1 | choice | Value Set: Options: 6 options
/70191-2-help | Tests motor abilites of the legs and is graded from 0-4 | 0..1 | display | Value Set:
/70968-3 | Motor leg | 0..1 | choice | Value Set: Options: 6 options
/70192-0 | Limb ataxia | 0..1 | choice | Value Set: Options: 4 options
/70192-0-help | Tests coordination of muscle movements and is graded from 0-2 | 0..1 | display | Value Set:
/70193-8 | Sensory | 0..1 | choice | Value Set: Options: 3 options
/70193-8-help | Tests sensation of the face, arms. And legs and is graded from 0-2 | 0..1 | display | Value Set:
/70194-6 | Best language | 0..1 | choice | Value Set: Options: 4 options
/70194-6-help | Tests the patient's comprehension and communication and is graded from 0-3 | 0..1 | display | Value Set:
/70195-3 | Dysarthria | 0..1 | choice | Value Set: Options: 4 options
/70195-3-help | Tests patient's speech and is graded from 0-2 | 0..1 | display | Value Set:
/70196-1 | Extinction and inattention | 0..1 | choice | Value Set: Options: 3 options
/70196-1-help | Tests patient's recognition of self and is graded from 0-2 | 0..1 | display | Value Set:
/72089-6 | Total score | 0..1 | decimal | Value Set:
/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 | Value Set:
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")