{
  "description": null,
  "_filename": "questionnaire-example-gcs.json",
  "package_name": "hl7.fhir.r5.examples",
  "subjectType": [ "Patient" ],
  "date": "2015-08-03",
  "publisher": "FHIR Project team",
  "name": null,
  "item": [ {
    "code": [ {
      "code": "9270-0",
      "system": "http://loinc.org"
    } ],
    "type": "coding",
    "linkId": "1.1",
    "answerValueSet": "#verbal"
  }, {
    "code": [ {
      "code": "9268-4",
      "system": "http://loinc.org"
    } ],
    "type": "coding",
    "linkId": "1.2",
    "answerValueSet": "#motor"
  }, {
    "code": [ {
      "code": "9267-6",
      "system": "http://loinc.org"
    } ],
    "type": "coding",
    "linkId": "1.3",
    "answerValueSet": "#eye"
  } ],
  "type": null,
  "experimental": "true",
  "resourceType": "Questionnaire",
  "title": "Glasgow Coma Score",
  "package_version": "5.0.0-snapshot2",
  "contained": [ {
    "id": "motor",
    "name": "GCS Motor Value Set",
    "status": "active",
    "compose": {
      "include": [ {
        "system": "http://loinc.org",
        "concept": [ {
          "code": "LA6562-8",
          "display": "No motor response"
        }, {
          "code": "LA6563-6",
          "display": "Extension to pain"
        }, {
          "code": "LA6564-4",
          "display": "Flexion to pain"
        }, {
          "code": "LA6565-1",
          "display": "Withdrawl from pain"
        }, {
          "code": "LA6566-9",
          "display": "Localizing pain"
        }, {
          "code": "LA6567-7",
          "display": "Obeys commands"
        } ]
      } ]
    },
    "identifier": [ {
      "value": "http://loinc.org/ValueSet/LL357-5",
      "system": "http://loinc.org"
    } ],
    "description": "LOINC ANSWER LIST    (LL357-5)",
    "resourceType": "ValueSet"
  }, {
    "id": "verbal",
    "name": "GCS Verbal Value Set",
    "status": "active",
    "compose": {
      "include": [ {
        "system": "http://loinc.org",
        "concept": [ {
          "code": "LA6557-8",
          "display": "No verbal response (>2yrs); no vocal response (<=2yrs)"
        }, {
          "code": "LA6558-6",
          "display": "Incomprehensible sounds"
        }, {
          "code": "LA6559-4",
          "display": "Inappropriate words"
        }, {
          "code": "LA6560-2",
          "display": "Confused"
        }, {
          "code": "LA6561-0",
          "display": "Oriented"
        } ]
      } ]
    },
    "identifier": [ {
      "value": "http://loinc.org/ValueSet/LL356-7",
      "system": "http://loinc.org"
    } ],
    "description": "LOINC ANSWER LIST    (LL356-7)",
    "resourceType": "ValueSet"
  }, {
    "id": "eye",
    "name": "GCS Eye Value Set",
    "status": "active",
    "compose": {
      "include": [ {
        "system": "http://loinc.org",
        "concept": [ {
          "code": "LA6553-7",
          "display": "No eye opening"
        }, {
          "code": "LA6554-5",
          "display": "Eye opening to pain"
        }, {
          "code": "LA6555-2",
          "display": "Eye opening to verbal command"
        }, {
          "code": "LA6556-0",
          "display": "Eyes open spontaneously"
        } ]
      } ]
    },
    "identifier": [ {
      "value": "http://loinc.org/ValueSet/LL355-9",
      "system": "http://loinc.org"
    } ],
    "description": "LOINC ANSWER LIST    (LL355-9)",
    "resourceType": "ValueSet"
  } ],
  "status": "draft",
  "id": "4da0e63a-cfce-4c53-a063-ddf88f228f72",
  "kind": null,
  "url": "http://hl7.org/fhir/Questionnaire/gcs",
  "code": [ {
    "code": "9269-2",
    "system": "http://loinc.org"
  } ],
  "version": null
}