<?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 (>2yrs); no vocal response (<=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>