# 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 2026-03-26 | *Computable Name*: |
| **Copyright/Legal**: Copyright © 2006-2016 National Institutes of Health and Northwestern University. Used with permission. | |



## 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" : "2026-03-26T20:08:48+00:00",
  "publisher" : "MITRE",
  "contact" : [{
    "name" : "MITRE",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.mitre.org"
    }]
  },
  {
    "name" : "May Terry",
    "telecom" : [{
      "system" : "email",
      "value" : "mayT@mitre.org",
      "use" : "work"
    }]
  }],
  "copyright" : "Copyright © 2006-2016 National Institutes of Health and Northwestern University. Used with permission.",
  "code" : [{
    "system" : "http://loinc.org",
    "code" : "70182-1",
    "display" : "NIH Stroke Scale"
  }],
  "item" : [{
    "linkId" : "/46496-6",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "46496-6",
      "display" : "Agency patient number during assessment period [CMS Assessment]"
    }],
    "text" : "Patient Identification",
    "type" : "string",
    "item" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/questionnaire-item-control",
            "code" : "help",
            "display" : "Help-Button"
          }],
          "text" : "Help-Button"
        }
      }],
      "linkId" : "/46496-6-help",
      "text" : "Agency-specific patient identifier. This is the identification code the agency assigns to the patient and uses for record keeping purposes for this episode of care.",
      "type" : "display"
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
      "valueCoding" : {
        "system" : "http://unitsofmeasure.org",
        "code" : "{mm/dd/yyyy}",
        "display" : "{mm/dd/yyyy}"
      }
    }],
    "linkId" : "/21112-8",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "21112-8",
      "display" : "Birth date"
    }],
    "text" : "Birth date",
    "type" : "decimal"
  },
  {
    "linkId" : "/58237-9",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "58237-9",
      "display" : "Hospital Name"
    }],
    "text" : "Hospital",
    "type" : "string"
  },
  {
    "linkId" : "/65844-3",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "65844-3",
      "display" : "Date of observation (non-patient)"
    }],
    "text" : "Date of exam",
    "type" : "string"
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "drop-down",
          "display" : "Drop down"
        }],
        "text" : "Drop down"
      }
    }],
    "linkId" : "/70183-9",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "70183-9",
      "display" : "NIH stroke scale interval [NIH Stroke Scale]"
    }],
    "text" : "Interval",
    "type" : "choice",
    "answerOption" : [{
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA16758-7",
        "display" : "Baseline"
      }
    },
    {
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18432-7",
        "display" : "2 hours post treatment"
      }
    },
    {
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18433-5",
        "display" : "24 hrs post onset of symptoms, plus or minus 20 minutes"
      }
    },
    {
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18434-3",
        "display" : "7-10 days"
      }
    },
    {
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18435-0",
        "display" : "3 months"
      }
    },
    {
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA46-8",
        "display" : "Other"
      }
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "drop-down",
          "display" : "Drop down"
        }],
        "text" : "Drop down"
      }
    }],
    "linkId" : "/70184-7",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "70184-7",
      "display" : "Level of consciousness [NIH Stroke Scale]"
    }],
    "text" : "Level of consciousness",
    "type" : "choice",
    "answerOption" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "0"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 0
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18436-8",
        "display" : "Alert, keenly responsive"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "1"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 1
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18437-6",
        "display" : "Not alert; but arousable by minor stimulation to obey, answer, or respond"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "2"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 2
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18438-4",
        "display" : "Not alert; requires repeated stimulation to attend, or is obtunded and requires strong or painful stimulation to make movements (not stereotyped)."
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "3"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 3
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18439-2",
        "display" : "Responds only with reflex motor or autonomic effects or totally unresponsive, flaccid, and areflexic."
      }
    }],
    "item" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/questionnaire-item-control",
            "code" : "help",
            "display" : "Help-Button"
          }],
          "text" : "Help-Button"
        }
      }],
      "linkId" : "/70184-7-help",
      "text" : "Tests stimulation and is graded from 0-3",
      "type" : "display"
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "drop-down",
          "display" : "Drop down"
        }],
        "text" : "Drop down"
      }
    }],
    "linkId" : "/70185-4",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "70185-4",
      "display" : "LOC questions [NIH Stroke Scale]"
    }],
    "text" : "LOC questions",
    "type" : "choice",
    "answerOption" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "0"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 0
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18440-0",
        "display" : "Answers both questions correctly"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "1"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 1
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18441-8",
        "display" : "Answers one question correctly"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "2"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 2
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18442-6",
        "display" : "Answers neither question correctly"
      }
    }],
    "item" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/questionnaire-item-control",
            "code" : "help",
            "display" : "Help-Button"
          }],
          "text" : "Help-Button"
        }
      }],
      "linkId" : "/70185-4-help",
      "text" : "Tests patient's ability to answer questions correctly and is graded from 0-2",
      "type" : "display"
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "drop-down",
          "display" : "Drop down"
        }],
        "text" : "Drop down"
      }
    }],
    "linkId" : "/70186-2",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "70186-2",
      "display" : "LOC commands [NIH Stroke Scale]"
    }],
    "text" : "LOC commands",
    "type" : "choice",
    "answerOption" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "0"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 0
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18443-4",
        "display" : "Performs both tasks correctly"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "1"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 1
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18444-2",
        "display" : "Performs one task correctly"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "2"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 2
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18445-9",
        "display" : "Performs neither task correctly"
      }
    }],
    "item" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/questionnaire-item-control",
            "code" : "help",
            "display" : "Help-Button"
          }],
          "text" : "Help-Button"
        }
      }],
      "linkId" : "/70186-2-help",
      "text" : "Tests patient's ability to perform tasks correctly and is graded from 0-2",
      "type" : "display"
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "drop-down",
          "display" : "Drop down"
        }],
        "text" : "Drop down"
      }
    }],
    "linkId" : "/70187-0",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "70187-0",
      "display" : "Best gaze [NIH Stroke Scale]"
    }],
    "text" : "Best gaze",
    "type" : "choice",
    "answerOption" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "0"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 0
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA6626-1",
        "display" : "Normal"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "1"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 1
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18446-7",
        "display" : "Partial gaze palsy; gaze is abnormal in one or both eyes, but forced deviation or total gaze paresis is not present"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "2"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 2
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18447-5",
        "display" : "Forced deviation, or total gaze paresis not overcome by the oculocephalic maneuver"
      }
    }],
    "item" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/questionnaire-item-control",
            "code" : "help",
            "display" : "Help-Button"
          }],
          "text" : "Help-Button"
        }
      }],
      "linkId" : "/70187-0-help",
      "text" : "Tests horizontal eye movement and is graded from 0-2",
      "type" : "display"
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "drop-down",
          "display" : "Drop down"
        }],
        "text" : "Drop down"
      }
    }],
    "linkId" : "/70188-8",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "70188-8",
      "display" : "Visual [NIH Stroke Scale]"
    }],
    "text" : "Visual",
    "type" : "choice",
    "answerOption" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "0"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 0
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18448-3",
        "display" : "No visual loss"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "1"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 1
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18449-1",
        "display" : "Partial hemianopia"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "2"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 2
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18450-9",
        "display" : "Complete hemianopia"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "3"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 3
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18451-7",
        "display" : "Bilateral hemianopia (blind including cortical blindness)"
      }
    }],
    "item" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/questionnaire-item-control",
            "code" : "help",
            "display" : "Help-Button"
          }],
          "text" : "Help-Button"
        }
      }],
      "linkId" : "/70188-8-help",
      "text" : "Tests visual fields and is graded from 0-3",
      "type" : "display"
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "drop-down",
          "display" : "Drop down"
        }],
        "text" : "Drop down"
      }
    }],
    "linkId" : "/70189-6",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "70189-6",
      "display" : "Facial palsy [NIH Stroke Scale]"
    }],
    "text" : "Facial palsy",
    "type" : "choice",
    "answerOption" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "0"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 0
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18452-5",
        "display" : "Normal symmetrical movements"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "1"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 1
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18453-3",
        "display" : "Minor paralysis (flattened nasolabial fold, asymmetry on smiling)"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "2"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 2
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18454-1",
        "display" : "Partial paralysis (total or near-total paralysis of lower face)"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "3"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 3
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18455-8",
        "display" : "Complete paralysis of one or both sides (absence of facial movement in the upper and lower face)"
      }
    }],
    "item" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/questionnaire-item-control",
            "code" : "help",
            "display" : "Help-Button"
          }],
          "text" : "Help-Button"
        }
      }],
      "linkId" : "/70189-6-help",
      "text" : "Tests the patient's ability to move facial muscles and is graded from 0-3",
      "type" : "display"
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "drop-down",
          "display" : "Drop down"
        }],
        "text" : "Drop down"
      }
    }],
    "linkId" : "/70190-4",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "70190-4",
      "display" : "Motor arm Left arm [NIH Stroke Scale]"
    }],
    "text" : "Motor arm",
    "type" : "choice",
    "answerOption" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "0"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 0
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18456-6",
        "display" : "No drift; limb holds 90 (or 45) degrees for full 10 seconds"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "1"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 1
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18457-4",
        "display" : "Drift; limb holds 90 (or 45) degrees, but drifts down before full 10 seconds; does not hit bed or other support"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "2"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 2
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18458-2",
        "display" : "Some effort against gravity; limb cannot get to or maintain (if cued) 90 (or 45) degrees, drifts down to bed, but has some effort against gravity"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "3"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 3
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18459-0",
        "display" : "No effort against gravity; limb falls"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "4"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 4
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18460-8",
        "display" : "No movement"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "UN"
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18461-6",
        "display" : "Amputation or joint fusion, explain:"
      }
    }],
    "item" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/questionnaire-item-control",
            "code" : "help",
            "display" : "Help-Button"
          }],
          "text" : "Help-Button"
        }
      }],
      "linkId" : "/70190-4-help",
      "text" : "Tests motor abilities of the arms and is graded from 0-4",
      "type" : "display"
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "drop-down",
          "display" : "Drop down"
        }],
        "text" : "Drop down"
      }
    }],
    "linkId" : "/70967-5",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "70967-5",
      "display" : "Motor arm Right arm [NIH Stroke Scale]"
    }],
    "text" : "Motor arm",
    "type" : "choice",
    "answerOption" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "0"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 0
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18456-6",
        "display" : "No drift; limb holds 90 (or 45) degrees for full 10 seconds"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "1"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 1
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18457-4",
        "display" : "Drift; limb holds 90 (or 45) degrees, but drifts down before full 10 seconds; does not hit bed or other support"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "2"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 2
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18458-2",
        "display" : "Some effort against gravity; limb cannot get to or maintain (if cued) 90 (or 45) degrees, drifts down to bed, but has some effort against gravity"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "3"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 3
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18459-0",
        "display" : "No effort against gravity; limb falls"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "4"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 4
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18460-8",
        "display" : "No movement"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "UN"
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18461-6",
        "display" : "Amputation or joint fusion, explain:"
      }
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "drop-down",
          "display" : "Drop down"
        }],
        "text" : "Drop down"
      }
    }],
    "linkId" : "/70191-2",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "70191-2",
      "display" : "Motor leg Leg - left [NIH Stroke Scale]"
    }],
    "text" : "Motor leg",
    "type" : "choice",
    "answerOption" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "0"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 0
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18462-4",
        "display" : "No drift; leg holds 30-degree position for full 5 seconds"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "1"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 1
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18463-2",
        "display" : "Drift; leg falls by the end of the 5-second period but does not hit bed"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "2"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 2
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18464-0",
        "display" : "Some effort against gravity; leg falls to bed by 5 seconds, but has some effort against gravity"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "3"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 3
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18465-7",
        "display" : "No effort against gravity; leg falls to bed immediately"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "4"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 4
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18460-8",
        "display" : "No movement"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "UN"
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18461-6",
        "display" : "Amputation or joint fusion, explain:"
      }
    }],
    "item" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/questionnaire-item-control",
            "code" : "help",
            "display" : "Help-Button"
          }],
          "text" : "Help-Button"
        }
      }],
      "linkId" : "/70191-2-help",
      "text" : "Tests motor abilites of the legs and is graded from 0-4",
      "type" : "display"
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "drop-down",
          "display" : "Drop down"
        }],
        "text" : "Drop down"
      }
    }],
    "linkId" : "/70968-3",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "70968-3",
      "display" : "Motor leg Leg - right [NIH Stroke Scale]"
    }],
    "text" : "Motor leg",
    "type" : "choice",
    "answerOption" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "0"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 0
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18462-4",
        "display" : "No drift; leg holds 30-degree position for full 5 seconds"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "1"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 1
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18463-2",
        "display" : "Drift; leg falls by the end of the 5-second period but does not hit bed"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "2"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 2
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18464-0",
        "display" : "Some effort against gravity; leg falls to bed by 5 seconds, but has some effort against gravity"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "3"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 3
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18465-7",
        "display" : "No effort against gravity; leg falls to bed immediately"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "4"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 4
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18460-8",
        "display" : "No movement"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "UN"
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18461-6",
        "display" : "Amputation or joint fusion, explain:"
      }
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "drop-down",
          "display" : "Drop down"
        }],
        "text" : "Drop down"
      }
    }],
    "linkId" : "/70192-0",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "70192-0",
      "display" : "Limb ataxia [NIH Stroke Scale]"
    }],
    "text" : "Limb ataxia",
    "type" : "choice",
    "answerOption" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "0"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 0
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA9634-2",
        "display" : "Absent"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "1"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 1
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18466-5",
        "display" : "Present in one limb"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "2"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 2
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18467-3",
        "display" : "Present in two limbs"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "UN"
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18461-6",
        "display" : "Amputation or joint fusion, explain:"
      }
    }],
    "item" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/questionnaire-item-control",
            "code" : "help",
            "display" : "Help-Button"
          }],
          "text" : "Help-Button"
        }
      }],
      "linkId" : "/70192-0-help",
      "text" : "Tests coordination of muscle movements and is graded from 0-2",
      "type" : "display"
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "drop-down",
          "display" : "Drop down"
        }],
        "text" : "Drop down"
      }
    }],
    "linkId" : "/70193-8",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "70193-8",
      "display" : "Sensory [NIH Stroke Scale]"
    }],
    "text" : "Sensory",
    "type" : "choice",
    "answerOption" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "0"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 0
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18468-1",
        "display" : "Normal; no sensory loss"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "1"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 1
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18469-9",
        "display" : "Mild-to-moderate sensory loss; patient feels pinprick is less sharp or is dull on the affected side; or there is a loss of superficial pain with pinprick, but patient is aware of being touched"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "2"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 2
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18470-7",
        "display" : "Severe to total sensory loss; patient is not aware of being touched in the face, arm, and leg"
      }
    }],
    "item" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/questionnaire-item-control",
            "code" : "help",
            "display" : "Help-Button"
          }],
          "text" : "Help-Button"
        }
      }],
      "linkId" : "/70193-8-help",
      "text" : "Tests sensation of the face, arms. And legs and is graded from 0-2",
      "type" : "display"
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "drop-down",
          "display" : "Drop down"
        }],
        "text" : "Drop down"
      }
    }],
    "linkId" : "/70194-6",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "70194-6",
      "display" : "Best language [NIH Stroke Scale]"
    }],
    "text" : "Best language",
    "type" : "choice",
    "answerOption" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "0"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 0
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18471-5",
        "display" : "No aphasia; normal"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "1"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 1
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18472-3",
        "display" : "Mild-to-moderate aphasia; some obvious loss of fluency or facility of comprehension, without significant limitation on ideas expressed or form of expression"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "2"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 2
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18473-1",
        "display" : "Severe aphasia; all communication is through fragmentary expression; great need for inference, questioning, and guessing by the listener"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "3"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 3
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18474-9",
        "display" : "Mute, global aphasia; no usable speech or auditory comprehension"
      }
    }],
    "item" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/questionnaire-item-control",
            "code" : "help",
            "display" : "Help-Button"
          }],
          "text" : "Help-Button"
        }
      }],
      "linkId" : "/70194-6-help",
      "text" : "Tests the patient's comprehension and communication and is graded from 0-3",
      "type" : "display"
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "drop-down",
          "display" : "Drop down"
        }],
        "text" : "Drop down"
      }
    }],
    "linkId" : "/70195-3",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "70195-3",
      "display" : "Dysarthria [NIH Stroke Scale]"
    }],
    "text" : "Dysarthria",
    "type" : "choice",
    "answerOption" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "0"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 0
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA6626-1",
        "display" : "Normal"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "1"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 1
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18475-6",
        "display" : "Mild-to-moderate dysarthria; patient slurs at least some words and, at worst, can be understood with some difficulty"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "2"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 2
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18476-4",
        "display" : "Severe dysarthria; patient's speech is so slurred as to be unintelligible in the absence of or out of proportion to any dysphasia, or is mute/anarthric"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "UN"
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18477-2",
        "display" : "Intubated or other physical barrier, explain:"
      }
    }],
    "item" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/questionnaire-item-control",
            "code" : "help",
            "display" : "Help-Button"
          }],
          "text" : "Help-Button"
        }
      }],
      "linkId" : "/70195-3-help",
      "text" : "Tests patient's speech and is graded from 0-2",
      "type" : "display"
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "drop-down",
          "display" : "Drop down"
        }],
        "text" : "Drop down"
      }
    }],
    "linkId" : "/70196-1",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "70196-1",
      "display" : "Extinction and inattention [NIH Stroke Scale]"
    }],
    "text" : "Extinction and inattention",
    "type" : "choice",
    "answerOption" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "0"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 0
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18478-0",
        "display" : "No abnormality"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "1"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 1
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18479-8",
        "display" : "Visual, tactile, auditory, spatial, or personal inattention or extinction to bilateral simultaneous stimulation in one of the sensory modalities"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "2"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 2
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18480-6",
        "display" : "Profound hemi-inattention or extinction to more than one modality; does not recognize own hand or orients to only one side of space"
      }
    }],
    "item" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/questionnaire-item-control",
            "code" : "help",
            "display" : "Help-Button"
          }],
          "text" : "Help-Button"
        }
      }],
      "linkId" : "/70196-1-help",
      "text" : "Tests patient's recognition of self and is graded from 0-2",
      "type" : "display"
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
      "valueCoding" : {
        "system" : "http://unitsofmeasure.org",
        "code" : "{score}",
        "display" : "{score}"
      }
    }],
    "linkId" : "/72089-6",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "72089-6",
      "display" : "Total score [NIH Stroke Scale]"
    }],
    "text" : "Total score",
    "type" : "decimal",
    "item" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/questionnaire-item-control",
            "code" : "help",
            "display" : "Help-Button"
          }],
          "text" : "Help-Button"
        }
      }],
      "linkId" : "/72089-6-help",
      "text" : "Used to gauge the severity of a stroke. Patients are given more points for greater deficiencies. A score of 0 indicates that the test is normal.",
      "type" : "display"
    }]
  }]
}

```
