{

"resourceType": "Questionnaire",
"id": "gcs",
"contained": [
  {
    "resourceType": "ValueSet",
    "id": "motor",
    "identifier": [
      {
        "system": "http://loinc.org",
        "value": "http://loinc.org/ValueSet/LL357-5"
      }
    ],
    "name": "GCS Motor Value Set",
    "status": "active",
    "description": "LOINC ANSWER LIST    (LL357-5)",
    "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"
            }
          ]
        }
      ]
    }
  },
  {
    "resourceType": "ValueSet",
    "id": "verbal",
    "identifier": [
      {
        "system": "http://loinc.org",
        "value": "http://loinc.org/ValueSet/LL356-7"
      }
    ],
    "name": "GCS Verbal Value Set",
    "status": "active",
    "description": "LOINC ANSWER LIST    (LL356-7)",
    "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"
            }
          ]
        }
      ]
    }
  },
  {
    "resourceType": "ValueSet",
    "id": "eye",
    "identifier": [
      {
        "system": "http://loinc.org",
        "value": "http://loinc.org/ValueSet/LL355-9"
      }
    ],
    "name": "GCS Eye Value Set",
    "status": "active",
    "description": "LOINC ANSWER LIST    (LL355-9)",
    "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"
            }
          ]
        }
      ]
    }
  }
],
"url": "http://hl7.org/fhir/Questionnaire/gcs",
"title": "Glasgow Coma Score",
"status": "draft",
"subjectType": [
  "Patient"
],
"date": "2015-08-03",
"publisher": "FHIR Project team",
"code": [
  {
    "system": "http://loinc.org",
    "code": "9269-2"
  }
],
"item": [
  {
    "linkId": "1.1",
    "code": [
      {
        "system": "http://loinc.org",
        "code": "9270-0"
      }
    ],
    "type": "choice",
    "answerValueSet": "#verbal"
  },
  {
    "linkId": "1.2",
    "code": [
      {
        "system": "http://loinc.org",
        "code": "9268-4"
      }
    ],
    "type": "choice",
    "answerValueSet": "#motor"
  },
  {
    "linkId": "1.3",
    "code": [
      {
        "system": "http://loinc.org",
        "code": "9267-6"
      }
    ],
    "type": "choice",
    "answerValueSet": "#eye"
  }
]

}