<?xml version=“1.0” encoding=“UTF-8”?> <Questionnaire xmlns=“hl7.org/fhir”>

<id value="gcs"/>
<meta>
  <security>
    <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
    <code value="HTEST"/>
    <display value="test health data"/>
  </security>
</meta>
<contained>
  <ValueSet>
    <id value="motor"/>
    <identifier>
      <system value="http://loinc.org"/>
      <value value="http://loinc.org/ValueSet/LL357-5"/>
    </identifier>
    <name value="GCS Motor Value Set"/>
    <status value="active"/>
    <description value="LOINC ANSWER LIST    (LL357-5)"/>
    <compose>
      <include>
        <system value="http://loinc.org"/>
        <concept>
          <code value="LA6562-8"/>
          <display value="No motor response"/>
        </concept>
        <concept>
          <code value="LA6563-6"/>
          <display value="Extension to pain"/>
        </concept>
        <concept>
          <code value="LA6564-4"/>
          <display value="Flexion to pain"/>
        </concept>
        <concept>
          <code value="LA6565-1"/>
          <display value="Withdrawl from pain"/>
        </concept>
        <concept>
          <code value="LA6566-9"/>
          <display value="Localizing pain"/>
        </concept>
        <concept>
          <code value="LA6567-7"/>
          <display value="Obeys commands"/>
        </concept>
      </include>
    </compose>
  </ValueSet>
</contained>
<contained>
  <ValueSet>
    <id value="verbal"/>
    <identifier>
      <system value="http://loinc.org"/>
      <value value="http://loinc.org/ValueSet/LL356-7"/>
    </identifier>
    <name value="GCS Verbal Value Set"/>
    <status value="active"/>
    <description value="LOINC ANSWER LIST    (LL356-7)"/>
    <compose>
      <include>
        <system value="http://loinc.org"/>
        <concept>
          <code value="LA6557-8"/>
          <display value="No verbal response (&gt;2yrs); no vocal response (&lt;=2yrs)"/>
        </concept>
        <concept>
          <code value="LA6558-6"/>
          <display value="Incomprehensible sounds"/>
        </concept>
        <concept>
          <code value="LA6559-4"/>
          <display value="Inappropriate words"/>
        </concept>
        <concept>
          <code value="LA6560-2"/>
          <display value="Confused"/>
        </concept>
        <concept>
          <code value="LA6561-0"/>
          <display value="Oriented"/>
        </concept>
      </include>
    </compose>
  </ValueSet>
</contained>
<contained>
  <ValueSet>
    <id value="eye"/>
    <identifier>
      <system value="http://loinc.org"/>
      <value value="http://loinc.org/ValueSet/LL355-9"/>
    </identifier>
    <name value="GCS Eye Value Set"/>
    <status value="active"/>
    <description value="LOINC ANSWER LIST    (LL355-9)"/>
    <compose>
      <include>
        <system value="http://loinc.org"/>
        <concept>
          <code value="LA6553-7"/>
          <display value="No eye opening"/>
        </concept>
        <concept>
          <code value="LA6554-5"/>
          <display value="Eye opening to pain"/>
        </concept>
        <concept>
          <code value="LA6555-2"/>
          <display value="Eye opening to verbal command"/>
        </concept>
        <concept>
          <code value="LA6556-0"/>
          <display value="Eyes open spontaneously"/>
        </concept>
      </include>
    </compose>
  </ValueSet>
</contained>
<url value="http://hl7.org/fhir/Questionnaire/gcs"/>
<title value="Glasgow Coma Score"/>
<status value="draft"/>
<subjectType value="Patient"/>
<date value="2015-08-03"/>
<publisher value="FHIR Project team"/>
<code>
  <system value="http://loinc.org"/>
  <code value="9269-2"/>
</code>
<item>
  <linkId value="1.1"/>
  <code>
    <system value="http://loinc.org"/>
    <code value="9270-0"/>
  </code>
  <type value="choice"/>
  <answerValueSet value="#verbal"/>
</item>
<item>
  <linkId value="1.2"/>
  <code>
    <system value="http://loinc.org"/>
    <code value="9268-4"/>
  </code>
  <type value="choice"/>
  <answerValueSet value="#motor"/>
</item>
<item>
  <linkId value="1.3"/>
  <code>
    <system value="http://loinc.org"/>
    <code value="9267-6"/>
  </code>
  <type value="choice"/>
  <answerValueSet value="#eye"/>
</item>

</Questionnaire>