{
  "resourceType": "StructureDefinition",
  "id": "logicalmodel-Nihstrokescale_nihss_-R4",
  "url": "http://linkehr.com/fhir/logicalmodel-nihstrokescale_nihss_-R4",
  "identifier": [
    {
      "system": "openEHR-CKM",
      "value": "openEHR-EHR-OBSERVATION.nihss.v0"
    }
  ],
  "version": "0",
  "name": "Nihstrokescale_nihss_",
  "title": "NIH Stroke Scale (NIHSS)",
  "status": "draft",
  "date": "2024-06-18",
  "publisher": "openEHR",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.veratech.es"
        }
      ]
    }
  ],
  "description": "15-item neurologic examination stroke scale that provides a quantitative measure of stroke-related neurological deficit.",
  "purpose": "To record the results of the National Institutes of Health Stroke Score as a quantitative measurement of stroke-related neurologic deficit.",
  "fhirVersion": "4.0.0",
  "mapping": [
    {
      "identity": "openEHR",
      "uri": "http://openehr.org",
      "name": "openEHR Mapping"
    },
    {
      "identity": "openEHR-natural",
      "uri": "http://openehr.org",
      "name": "openEHR natural path"
    }
  ],
  "kind": "logical",
  "abstract": false,
  "type": "StructureDefinition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element",
  "snapshot": {
    "element": [
      {
        "id": "NIH_Stroke_Scale_(NIHSS)",
        "path": "NIH_Stroke_Scale_(NIHSS)",
        "short": "NIH Stroke Scale (NIHSS)",
        "definition": "15-item neurologic examination stroke scale that provides a quantitative measure of stroke-related neurological deficit.",
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        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS)",
          "min": 1,
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        },
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          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).protocol",
        "path": "NIH_Stroke_Scale_(NIHSS).protocol",
        "short": "Item tree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).protocol",
          "min": 0,
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      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).protocol.Extension",
        "path": "NIH_Stroke_Scale_(NIHSS).protocol.Extension",
        "short": "Extension",
        "definition": "Additional information required to extend the model with local content or to align with other reference models or formalisms.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).protocol.Extension",
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            "code": "BackboneElement"
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        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History",
        "path": "NIH_Stroke_Scale_(NIHSS).History",
        "short": "History",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History",
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      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline",
        "short": "Baseline",
        "definition": "Baseline assessment.",
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        "max": "1",
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          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline",
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        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data",
        "short": "Tree",
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        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.LOC_responsiveness",
        "short": "LOC responsiveness",
        "definition": "Observed level of consciousness of the patient.",
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        "max": "1",
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          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.LOC_responsiveness",
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        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.LOC_responsiveness.value",
        "short": "LOC responsiveness",
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        "max": "1",
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          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.LOC_responsiveness.value",
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        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.LOC_questions",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.LOC_questions",
        "short": "LOC questions",
        "definition": "The patient is asked the month and his/her age.",
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        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.LOC_questions",
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      },
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        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.LOC_questions.value",
        "short": "LOC questions",
        "definition": "The patient is asked the month and his/her age.",
        "min": 0,
        "max": "1",
        "base": {
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        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.LOC_commands",
        "short": "LOC commands",
        "definition": "The patient is asked to open and close the eyes and then to grip and release the non-paretic hand.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.LOC_commands",
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      },
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        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.LOC_commands.value",
        "short": "LOC commands",
        "definition": "The patient is asked to open and close the eyes and then to grip and release the non-paretic hand.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.LOC_commands.value",
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        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Horizontal_eye_movements",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Horizontal_eye_movements",
        "short": "Horizontal eye movements",
        "definition": "Horizontal eye movement observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Horizontal_eye_movements",
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      },
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        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Horizontal_eye_movements.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Horizontal_eye_movements.value",
        "short": "Horizontal eye movements",
        "definition": "Horizontal eye movement observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Horizontal_eye_movements.value",
          "min": 0,
          "max": "1"
        },
        "type": [
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            "code": "CodeableConcept"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Visual_fields",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Visual_fields",
        "short": "Visual fields",
        "definition": "Visual field test observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Visual_fields",
          "min": 0,
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      },
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        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Visual_fields.value",
        "short": "Visual fields",
        "definition": "Visual field test observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Visual_fields.value",
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          "max": "1"
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        "type": [
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        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Facial_palsy",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Facial_palsy",
        "short": "Facial palsy",
        "definition": "Facial palsy observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Facial_palsy",
          "min": 0,
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      },
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        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Facial_palsy.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Facial_palsy.value",
        "short": "Facial palsy",
        "definition": "Facial palsy observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Facial_palsy.value",
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        ],
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        "isModifier": false,
        "isSummary": true
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        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Motor___left_arm",
        "short": "Motor - left arm",
        "definition": "Observation of left arm motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Motor___left_arm",
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      },
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        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Motor___left_arm.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Motor___left_arm.value",
        "short": "Motor - left arm",
        "definition": "Observation of left arm motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Motor___left_arm.value",
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        ],
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        "isModifier": false,
        "isSummary": true
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        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_left_arm_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_left_arm_untestable",
        "short": "Reason left arm untestable",
        "definition": "Narrative description about why the left arm motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_left_arm_untestable",
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      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_left_arm_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_left_arm_untestable.value",
        "short": "Reason left arm untestable",
        "definition": "Narrative description about why the left arm motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_left_arm_untestable.value",
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        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
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        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Motor___right_arm",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Motor___right_arm",
        "short": "Motor - right arm",
        "definition": "Observation of right arm motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Motor___right_arm",
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        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Motor___right_arm.value",
        "short": "Motor - right arm",
        "definition": "Observation of right arm motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Motor___right_arm.value",
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        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_right_arm_untestable",
        "short": "Reason right arm untestable",
        "definition": "Narrative description about why the right arm motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_right_arm_untestable",
          "min": 0,
          "max": "1"
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      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_right_arm_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_right_arm_untestable.value",
        "short": "Reason right arm untestable",
        "definition": "Narrative description about why the right arm motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_right_arm_untestable.value",
          "min": 0,
          "max": "1"
        },
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            "code": "CodeableConcept"
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        ],
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        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Motor___left_leg",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Motor___left_leg",
        "short": "Motor - left leg",
        "definition": "Observation of left leg motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Motor___left_leg",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Motor___left_leg.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Motor___left_leg.value",
        "short": "Motor - left leg",
        "definition": "Observation of left leg motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Motor___left_leg.value",
          "min": 0,
          "max": "1"
        },
        "type": [
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            "code": "CodeableConcept"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
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      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_left_leg_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_left_leg_untestable",
        "short": "Reason left leg untestable",
        "definition": "Narrative description about why the left leg motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_left_leg_untestable",
          "min": 0,
          "max": "1"
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      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_left_leg_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_left_leg_untestable.value",
        "short": "Reason left leg untestable",
        "definition": "Narrative description about why the left leg motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_left_leg_untestable.value",
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          "max": "1"
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        "isModifier": false,
        "isSummary": true
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        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Motor___right_leg",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Motor___right_leg",
        "short": "Motor - right leg",
        "definition": "Observation of right leg motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Motor___right_leg",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Motor___right_leg.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Motor___right_leg.value",
        "short": "Motor - right leg",
        "definition": "Observation of right leg motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Motor___right_leg.value",
          "min": 0,
          "max": "1"
        },
        "type": [
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            "code": "CodeableConcept"
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        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
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      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_right_leg_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_right_leg_untestable",
        "short": "Reason right leg untestable",
        "definition": "Narrative description about why the right leg motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_right_leg_untestable",
          "min": 0,
          "max": "1"
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      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_right_leg_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_right_leg_untestable.value",
        "short": "Reason right leg untestable",
        "definition": "Narrative description about why the right leg motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_right_leg_untestable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
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            "code": "CodeableConcept"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Limb_ataxia",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Limb_ataxia",
        "short": "Limb ataxia",
        "definition": "Observation of limb ataxia as evidence of a unilateral cerebellar lesion.\r\n\r\nOnly in the case of amputation or joint fusion, the examiner should record the score as untestable (UN)and record the reason in the 'Reason limb ataxia untestable' data element.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Limb_ataxia",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Limb_ataxia.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Limb_ataxia.value",
        "short": "Limb ataxia",
        "definition": "Observation of limb ataxia as evidence of a unilateral cerebellar lesion.\r\n\r\nOnly in the case of amputation or joint fusion, the examiner should record the score as untestable (UN)and record the reason in the 'Reason limb ataxia untestable' data element.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Limb_ataxia.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_limb_ataxia_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_limb_ataxia_untestable",
        "short": "Reason limb ataxia untestable",
        "definition": "Narrative description about why limb ataxia was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_limb_ataxia_untestable",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_limb_ataxia_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_limb_ataxia_untestable.value",
        "short": "Reason limb ataxia untestable",
        "definition": "Narrative description about why limb ataxia was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_limb_ataxia_untestable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Sensory",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Sensory",
        "short": "Sensory",
        "definition": "Observation of sensory loss.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Sensory",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Sensory.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Sensory.value",
        "short": "Sensory",
        "definition": "Observation of sensory loss.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Sensory.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Language",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Language",
        "short": "Language",
        "definition": "Observation of language capability.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Language",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Language.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Language.value",
        "short": "Language",
        "definition": "Observation of language capability.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Language.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Speech",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Speech",
        "short": "Speech",
        "definition": "Observation about speech capability.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Speech",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Speech.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Speech.value",
        "short": "Speech",
        "definition": "Observation about speech capability.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Speech.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_speech_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_speech_untestable",
        "short": "Reason speech untestable",
        "definition": "Narrative description about why speech was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_speech_untestable",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_speech_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_speech_untestable.value",
        "short": "Reason speech untestable",
        "definition": "Narrative description about why speech was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_speech_untestable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Extinction_and_inattention",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Extinction_and_inattention",
        "short": "Extinction and inattention",
        "definition": "Observation of any evidence of extinction or inattention.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Extinction_and_inattention",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Extinction_and_inattention.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Extinction_and_inattention.value",
        "short": "Extinction and inattention",
        "definition": "Observation of any evidence of extinction or inattention.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Extinction_and_inattention.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Total_score",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Total_score",
        "short": "Total score",
        "definition": "The total score is the arithmetic sum of all 15 responses, excluding any untestable responses.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Total_score",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Total_score.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Total_score.value",
        "short": "Total score",
        "definition": "The total score is the arithmetic sum of all 15 responses, excluding any untestable responses.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Total_score.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment",
        "short": "2 hours post treatment",
        "definition": "Assessment carried out 2 hours post treatment.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data",
        "definition": "ITEM_TREE",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_responsiveness",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_responsiveness",
        "short": "LOC responsiveness",
        "definition": "Observed level of consciousness of the patient.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_responsiveness",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_responsiveness.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_responsiveness.value",
        "short": "LOC responsiveness",
        "definition": "Observed level of consciousness of the patient.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_responsiveness.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_questions",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_questions",
        "short": "LOC questions",
        "definition": "The patient is asked the month and his/her age.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_questions",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_questions.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_questions.value",
        "short": "LOC questions",
        "definition": "The patient is asked the month and his/her age.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_questions.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_commands",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_commands",
        "short": "LOC commands",
        "definition": "The patient is asked to open and close the eyes and then to grip and release the non-paretic hand.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_commands",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_commands.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_commands.value",
        "short": "LOC commands",
        "definition": "The patient is asked to open and close the eyes and then to grip and release the non-paretic hand.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_commands.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Horizontal_eye_movements",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Horizontal_eye_movements",
        "short": "Horizontal eye movements",
        "definition": "Horizontal eye movement observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Horizontal_eye_movements",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Horizontal_eye_movements.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Horizontal_eye_movements.value",
        "short": "Horizontal eye movements",
        "definition": "Horizontal eye movement observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Horizontal_eye_movements.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Visual_fields",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Visual_fields",
        "short": "Visual fields",
        "definition": "Visual field test observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Visual_fields",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Visual_fields.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Visual_fields.value",
        "short": "Visual fields",
        "definition": "Visual field test observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Visual_fields.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Facial_palsy",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Facial_palsy",
        "short": "Facial palsy",
        "definition": "Facial palsy observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Facial_palsy",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Facial_palsy.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Facial_palsy.value",
        "short": "Facial palsy",
        "definition": "Facial palsy observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Facial_palsy.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___left_arm",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___left_arm",
        "short": "Motor - left arm",
        "definition": "Observation of left arm motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___left_arm",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___left_arm.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___left_arm.value",
        "short": "Motor - left arm",
        "definition": "Observation of left arm motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___left_arm.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_left_arm_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_left_arm_untestable",
        "short": "Reason left arm untestable",
        "definition": "Narrative description about why the left arm motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_left_arm_untestable",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_left_arm_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_left_arm_untestable.value",
        "short": "Reason left arm untestable",
        "definition": "Narrative description about why the left arm motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_left_arm_untestable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___right_arm",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___right_arm",
        "short": "Motor - right arm",
        "definition": "Observation of right arm motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___right_arm",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___right_arm.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___right_arm.value",
        "short": "Motor - right arm",
        "definition": "Observation of right arm motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___right_arm.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_right_arm_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_right_arm_untestable",
        "short": "Reason right arm untestable",
        "definition": "Narrative description about why the right arm motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_right_arm_untestable",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_right_arm_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_right_arm_untestable.value",
        "short": "Reason right arm untestable",
        "definition": "Narrative description about why the right arm motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_right_arm_untestable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___left_leg",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___left_leg",
        "short": "Motor - left leg",
        "definition": "Observation of left leg motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___left_leg",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___left_leg.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___left_leg.value",
        "short": "Motor - left leg",
        "definition": "Observation of left leg motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___left_leg.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_left_leg_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_left_leg_untestable",
        "short": "Reason left leg untestable",
        "definition": "Narrative description about why the left leg motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_left_leg_untestable",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_left_leg_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_left_leg_untestable.value",
        "short": "Reason left leg untestable",
        "definition": "Narrative description about why the left leg motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_left_leg_untestable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___right_leg",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___right_leg",
        "short": "Motor - right leg",
        "definition": "Observation of right leg motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___right_leg",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___right_leg.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___right_leg.value",
        "short": "Motor - right leg",
        "definition": "Observation of right leg motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___right_leg.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_right_leg_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_right_leg_untestable",
        "short": "Reason right leg untestable",
        "definition": "Narrative description about why the right leg motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_right_leg_untestable",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_right_leg_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_right_leg_untestable.value",
        "short": "Reason right leg untestable",
        "definition": "Narrative description about why the right leg motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_right_leg_untestable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Limb_ataxia",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Limb_ataxia",
        "short": "Limb ataxia",
        "definition": "Observation of limb ataxia as evidence of a unilateral cerebellar lesion.\r\n\r\nOnly in the case of amputation or joint fusion, the examiner should record the score as untestable (UN)and record the reason in the 'Reason limb ataxia untestable' data element.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Limb_ataxia",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Limb_ataxia.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Limb_ataxia.value",
        "short": "Limb ataxia",
        "definition": "Observation of limb ataxia as evidence of a unilateral cerebellar lesion.\r\n\r\nOnly in the case of amputation or joint fusion, the examiner should record the score as untestable (UN)and record the reason in the 'Reason limb ataxia untestable' data element.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Limb_ataxia.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_limb_ataxia_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_limb_ataxia_untestable",
        "short": "Reason limb ataxia untestable",
        "definition": "Narrative description about why limb ataxia was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_limb_ataxia_untestable",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_limb_ataxia_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_limb_ataxia_untestable.value",
        "short": "Reason limb ataxia untestable",
        "definition": "Narrative description about why limb ataxia was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_limb_ataxia_untestable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Sensory",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Sensory",
        "short": "Sensory",
        "definition": "Observation of sensory loss.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Sensory",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Sensory.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Sensory.value",
        "short": "Sensory",
        "definition": "Observation of sensory loss.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Sensory.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Language",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Language",
        "short": "Language",
        "definition": "Observation of language capability.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Language",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Language.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Language.value",
        "short": "Language",
        "definition": "Observation of language capability.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Language.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Speech",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Speech",
        "short": "Speech",
        "definition": "Observation about speech capability.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Speech",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Speech.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Speech.value",
        "short": "Speech",
        "definition": "Observation about speech capability.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Speech.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_speech_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_speech_untestable",
        "short": "Reason speech untestable",
        "definition": "Narrative description about why speech was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_speech_untestable",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_speech_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_speech_untestable.value",
        "short": "Reason speech untestable",
        "definition": "Narrative description about why speech was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_speech_untestable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Extinction_and_inattention",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Extinction_and_inattention",
        "short": "Extinction and inattention",
        "definition": "Observation of any evidence of extinction or inattention.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Extinction_and_inattention",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Extinction_and_inattention.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Extinction_and_inattention.value",
        "short": "Extinction and inattention",
        "definition": "Observation of any evidence of extinction or inattention.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Extinction_and_inattention.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Total_score",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Total_score",
        "short": "Total score",
        "definition": "The total score is the arithmetic sum of all 15 responses, excluding any untestable responses.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Total_score",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Total_score.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Total_score.value",
        "short": "Total score",
        "definition": "The total score is the arithmetic sum of all 15 responses, excluding any untestable responses.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Total_score.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset",
        "short": "24 hours post symptom onset",
        "definition": "Assessment carried out 24 hours post onset of symptoms (with tolerance of +-20 minutes).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data",
        "definition": "ITEM_TREE",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.LOC_responsiveness",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.LOC_responsiveness",
        "short": "LOC responsiveness",
        "definition": "Observed level of consciousness of the patient.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.LOC_responsiveness",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.LOC_responsiveness.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.LOC_responsiveness.value",
        "short": "LOC responsiveness",
        "definition": "Observed level of consciousness of the patient.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.LOC_responsiveness.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.LOC_questions",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.LOC_questions",
        "short": "LOC questions",
        "definition": "The patient is asked the month and his/her age.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.LOC_questions",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.LOC_questions.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.LOC_questions.value",
        "short": "LOC questions",
        "definition": "The patient is asked the month and his/her age.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.LOC_questions.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.LOC_commands",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.LOC_commands",
        "short": "LOC commands",
        "definition": "The patient is asked to open and close the eyes and then to grip and release the non-paretic hand.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.LOC_commands",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.LOC_commands.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.LOC_commands.value",
        "short": "LOC commands",
        "definition": "The patient is asked to open and close the eyes and then to grip and release the non-paretic hand.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.LOC_commands.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Horizontal_eye_movements",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Horizontal_eye_movements",
        "short": "Horizontal eye movements",
        "definition": "Horizontal eye movement observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Horizontal_eye_movements",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Horizontal_eye_movements.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Horizontal_eye_movements.value",
        "short": "Horizontal eye movements",
        "definition": "Horizontal eye movement observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Horizontal_eye_movements.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Visual_fields",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Visual_fields",
        "short": "Visual fields",
        "definition": "Visual field test observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Visual_fields",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Visual_fields.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Visual_fields.value",
        "short": "Visual fields",
        "definition": "Visual field test observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Visual_fields.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Facial_palsy",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Facial_palsy",
        "short": "Facial palsy",
        "definition": "Facial palsy observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Facial_palsy",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Facial_palsy.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Facial_palsy.value",
        "short": "Facial palsy",
        "definition": "Facial palsy observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Facial_palsy.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Motor___left_arm",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Motor___left_arm",
        "short": "Motor - left arm",
        "definition": "Observation of left arm motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Motor___left_arm",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Motor___left_arm.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Motor___left_arm.value",
        "short": "Motor - left arm",
        "definition": "Observation of left arm motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Motor___left_arm.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_left_arm_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_left_arm_untestable",
        "short": "Reason left arm untestable",
        "definition": "Narrative description about why the left arm motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_left_arm_untestable",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_left_arm_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_left_arm_untestable.value",
        "short": "Reason left arm untestable",
        "definition": "Narrative description about why the left arm motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_left_arm_untestable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Motor___right_arm",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Motor___right_arm",
        "short": "Motor - right arm",
        "definition": "Observation of right arm motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Motor___right_arm",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Motor___right_arm.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Motor___right_arm.value",
        "short": "Motor - right arm",
        "definition": "Observation of right arm motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Motor___right_arm.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_right_arm_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_right_arm_untestable",
        "short": "Reason right arm untestable",
        "definition": "Narrative description about why the right arm motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_right_arm_untestable",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_right_arm_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_right_arm_untestable.value",
        "short": "Reason right arm untestable",
        "definition": "Narrative description about why the right arm motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_right_arm_untestable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Motor___left_leg",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Motor___left_leg",
        "short": "Motor - left leg",
        "definition": "Observation of left leg motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Motor___left_leg",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Motor___left_leg.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Motor___left_leg.value",
        "short": "Motor - left leg",
        "definition": "Observation of left leg motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Motor___left_leg.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_left_leg_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_left_leg_untestable",
        "short": "Reason left leg untestable",
        "definition": "Narrative description about why the left leg motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_left_leg_untestable",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_left_leg_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_left_leg_untestable.value",
        "short": "Reason left leg untestable",
        "definition": "Narrative description about why the left leg motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_left_leg_untestable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Motor___right_leg",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Motor___right_leg",
        "short": "Motor - right leg",
        "definition": "Observation of right leg motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Motor___right_leg",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Motor___right_leg.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Motor___right_leg.value",
        "short": "Motor - right leg",
        "definition": "Observation of right leg motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Motor___right_leg.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_right_leg_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_right_leg_untestable",
        "short": "Reason right leg untestable",
        "definition": "Narrative description about why the right leg motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_right_leg_untestable",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_right_leg_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_right_leg_untestable.value",
        "short": "Reason right leg untestable",
        "definition": "Narrative description about why the right leg motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_right_leg_untestable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Limb_ataxia",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Limb_ataxia",
        "short": "Limb ataxia",
        "definition": "Observation of limb ataxia as evidence of a unilateral cerebellar lesion.\r\n\r\nOnly in the case of amputation or joint fusion, the examiner should record the score as untestable (UN)and record the reason in the 'Reason limb ataxia untestable' data element.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Limb_ataxia",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Limb_ataxia.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Limb_ataxia.value",
        "short": "Limb ataxia",
        "definition": "Observation of limb ataxia as evidence of a unilateral cerebellar lesion.\r\n\r\nOnly in the case of amputation or joint fusion, the examiner should record the score as untestable (UN)and record the reason in the 'Reason limb ataxia untestable' data element.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Limb_ataxia.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_limb_ataxia_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_limb_ataxia_untestable",
        "short": "Reason limb ataxia untestable",
        "definition": "Narrative description about why limb ataxia was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_limb_ataxia_untestable",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_limb_ataxia_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_limb_ataxia_untestable.value",
        "short": "Reason limb ataxia untestable",
        "definition": "Narrative description about why limb ataxia was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_limb_ataxia_untestable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Sensory",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Sensory",
        "short": "Sensory",
        "definition": "Observation of sensory loss.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Sensory",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Sensory.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Sensory.value",
        "short": "Sensory",
        "definition": "Observation of sensory loss.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Sensory.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Language",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Language",
        "short": "Language",
        "definition": "Observation of language capability.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Language",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Language.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Language.value",
        "short": "Language",
        "definition": "Observation of language capability.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Language.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Speech",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Speech",
        "short": "Speech",
        "definition": "Observation about speech capability.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Speech",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Speech.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Speech.value",
        "short": "Speech",
        "definition": "Observation about speech capability.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Speech.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_speech_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_speech_untestable",
        "short": "Reason speech untestable",
        "definition": "Narrative description about why speech was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_speech_untestable",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_speech_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_speech_untestable.value",
        "short": "Reason speech untestable",
        "definition": "Narrative description about why speech was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Reason_speech_untestable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Extinction_and_inattention",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Extinction_and_inattention",
        "short": "Extinction and inattention",
        "definition": "Observation of any evidence of extinction or inattention.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Extinction_and_inattention",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Extinction_and_inattention.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Extinction_and_inattention.value",
        "short": "Extinction and inattention",
        "definition": "Observation of any evidence of extinction or inattention.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Extinction_and_inattention.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Total_score",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Total_score",
        "short": "Total score",
        "definition": "The total score is the arithmetic sum of all 15 responses, excluding any untestable responses.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Total_score",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Total_score.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Total_score.value",
        "short": "Total score",
        "definition": "The total score is the arithmetic sum of all 15 responses, excluding any untestable responses.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.Total_score.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days",
        "short": "7–10 days",
        "definition": "Assessment carried out 7-10 days after stroke.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data",
        "definition": "ITEM_TREE",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.LOC_responsiveness",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.LOC_responsiveness",
        "short": "LOC responsiveness",
        "definition": "Observed level of consciousness of the patient.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.LOC_responsiveness",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.LOC_responsiveness.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.LOC_responsiveness.value",
        "short": "LOC responsiveness",
        "definition": "Observed level of consciousness of the patient.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.LOC_responsiveness.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.LOC_questions",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.LOC_questions",
        "short": "LOC questions",
        "definition": "The patient is asked the month and his/her age.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.LOC_questions",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.LOC_questions.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.LOC_questions.value",
        "short": "LOC questions",
        "definition": "The patient is asked the month and his/her age.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.LOC_questions.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.LOC_commands",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.LOC_commands",
        "short": "LOC commands",
        "definition": "The patient is asked to open and close the eyes and then to grip and release the non-paretic hand.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.LOC_commands",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.LOC_commands.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.LOC_commands.value",
        "short": "LOC commands",
        "definition": "The patient is asked to open and close the eyes and then to grip and release the non-paretic hand.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.LOC_commands.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Horizontal_eye_movements",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Horizontal_eye_movements",
        "short": "Horizontal eye movements",
        "definition": "Horizontal eye movement observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Horizontal_eye_movements",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Horizontal_eye_movements.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Horizontal_eye_movements.value",
        "short": "Horizontal eye movements",
        "definition": "Horizontal eye movement observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Horizontal_eye_movements.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Visual_fields",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Visual_fields",
        "short": "Visual fields",
        "definition": "Visual field test observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Visual_fields",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Visual_fields.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Visual_fields.value",
        "short": "Visual fields",
        "definition": "Visual field test observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Visual_fields.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Facial_palsy",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Facial_palsy",
        "short": "Facial palsy",
        "definition": "Facial palsy observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Facial_palsy",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Facial_palsy.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Facial_palsy.value",
        "short": "Facial palsy",
        "definition": "Facial palsy observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Facial_palsy.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Motor___left_arm",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Motor___left_arm",
        "short": "Motor - left arm",
        "definition": "Observation of left arm motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Motor___left_arm",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Motor___left_arm.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Motor___left_arm.value",
        "short": "Motor - left arm",
        "definition": "Observation of left arm motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Motor___left_arm.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_left_arm_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_left_arm_untestable",
        "short": "Reason left arm untestable",
        "definition": "Narrative description about why the left arm motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_left_arm_untestable",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_left_arm_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_left_arm_untestable.value",
        "short": "Reason left arm untestable",
        "definition": "Narrative description about why the left arm motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_left_arm_untestable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Motor___right_arm",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Motor___right_arm",
        "short": "Motor - right arm",
        "definition": "Observation of right arm motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Motor___right_arm",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Motor___right_arm.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Motor___right_arm.value",
        "short": "Motor - right arm",
        "definition": "Observation of right arm motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Motor___right_arm.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_right_arm_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_right_arm_untestable",
        "short": "Reason right arm untestable",
        "definition": "Narrative description about why the right arm motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_right_arm_untestable",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_right_arm_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_right_arm_untestable.value",
        "short": "Reason right arm untestable",
        "definition": "Narrative description about why the right arm motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_right_arm_untestable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Motor___left_leg",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Motor___left_leg",
        "short": "Motor - left leg",
        "definition": "Observation of left leg motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Motor___left_leg",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Motor___left_leg.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Motor___left_leg.value",
        "short": "Motor - left leg",
        "definition": "Observation of left leg motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Motor___left_leg.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_left_leg_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_left_leg_untestable",
        "short": "Reason left leg untestable",
        "definition": "Narrative description about why the left leg motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_left_leg_untestable",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_left_leg_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_left_leg_untestable.value",
        "short": "Reason left leg untestable",
        "definition": "Narrative description about why the left leg motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_left_leg_untestable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Motor___right_leg",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Motor___right_leg",
        "short": "Motor - right leg",
        "definition": "Observation of right leg motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Motor___right_leg",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Motor___right_leg.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Motor___right_leg.value",
        "short": "Motor - right leg",
        "definition": "Observation of right leg motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Motor___right_leg.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_right_leg_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_right_leg_untestable",
        "short": "Reason right leg untestable",
        "definition": "Narrative description about why the right leg motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_right_leg_untestable",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_right_leg_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_right_leg_untestable.value",
        "short": "Reason right leg untestable",
        "definition": "Narrative description about why the right leg motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_right_leg_untestable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Limb_ataxia",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Limb_ataxia",
        "short": "Limb ataxia",
        "definition": "Observation of limb ataxia as evidence of a unilateral cerebellar lesion.\r\n\r\nOnly in the case of amputation or joint fusion, the examiner should record the score as untestable (UN)and record the reason in the 'Reason limb ataxia untestable' data element.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Limb_ataxia",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Limb_ataxia.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Limb_ataxia.value",
        "short": "Limb ataxia",
        "definition": "Observation of limb ataxia as evidence of a unilateral cerebellar lesion.\r\n\r\nOnly in the case of amputation or joint fusion, the examiner should record the score as untestable (UN)and record the reason in the 'Reason limb ataxia untestable' data element.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Limb_ataxia.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_limb_ataxia_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_limb_ataxia_untestable",
        "short": "Reason limb ataxia untestable",
        "definition": "Narrative description about why limb ataxia was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_limb_ataxia_untestable",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_limb_ataxia_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_limb_ataxia_untestable.value",
        "short": "Reason limb ataxia untestable",
        "definition": "Narrative description about why limb ataxia was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_limb_ataxia_untestable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Sensory",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Sensory",
        "short": "Sensory",
        "definition": "Observation of sensory loss.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Sensory",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Sensory.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Sensory.value",
        "short": "Sensory",
        "definition": "Observation of sensory loss.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Sensory.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Language",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Language",
        "short": "Language",
        "definition": "Observation of language capability.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Language",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Language.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Language.value",
        "short": "Language",
        "definition": "Observation of language capability.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Language.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Speech",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Speech",
        "short": "Speech",
        "definition": "Observation about speech capability.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Speech",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Speech.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Speech.value",
        "short": "Speech",
        "definition": "Observation about speech capability.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Speech.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_speech_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_speech_untestable",
        "short": "Reason speech untestable",
        "definition": "Narrative description about why speech was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_speech_untestable",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_speech_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_speech_untestable.value",
        "short": "Reason speech untestable",
        "definition": "Narrative description about why speech was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_speech_untestable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Extinction_and_inattention",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Extinction_and_inattention",
        "short": "Extinction and inattention",
        "definition": "Observation of any evidence of extinction or inattention.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Extinction_and_inattention",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Extinction_and_inattention.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Extinction_and_inattention.value",
        "short": "Extinction and inattention",
        "definition": "Observation of any evidence of extinction or inattention.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Extinction_and_inattention.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Total_score",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Total_score",
        "short": "Total score",
        "definition": "The total score is the arithmetic sum of all 15 responses, excluding any untestable responses.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Total_score",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Total_score.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Total_score.value",
        "short": "Total score",
        "definition": "The total score is the arithmetic sum of all 15 responses, excluding any untestable responses.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Total_score.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months",
        "short": "3 months",
        "definition": "Assessment carried out 3 months after stroke.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data",
        "definition": "ITEM_TREE",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_responsiveness",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_responsiveness",
        "short": "LOC responsiveness",
        "definition": "Observed level of consciousness of the patient.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_responsiveness",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_responsiveness.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_responsiveness.value",
        "short": "LOC responsiveness",
        "definition": "Observed level of consciousness of the patient.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_responsiveness.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_questions",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_questions",
        "short": "LOC questions",
        "definition": "The patient is asked the month and his/her age.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_questions",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_questions.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_questions.value",
        "short": "LOC questions",
        "definition": "The patient is asked the month and his/her age.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_questions.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_commands",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_commands",
        "short": "LOC commands",
        "definition": "The patient is asked to open and close the eyes and then to grip and release the non-paretic hand.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_commands",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_commands.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_commands.value",
        "short": "LOC commands",
        "definition": "The patient is asked to open and close the eyes and then to grip and release the non-paretic hand.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_commands.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Horizontal_eye_movements",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Horizontal_eye_movements",
        "short": "Horizontal eye movements",
        "definition": "Horizontal eye movement observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Horizontal_eye_movements",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Horizontal_eye_movements.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Horizontal_eye_movements.value",
        "short": "Horizontal eye movements",
        "definition": "Horizontal eye movement observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Horizontal_eye_movements.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Visual_fields",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Visual_fields",
        "short": "Visual fields",
        "definition": "Visual field test observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Visual_fields",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Visual_fields.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Visual_fields.value",
        "short": "Visual fields",
        "definition": "Visual field test observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Visual_fields.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Facial_palsy",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Facial_palsy",
        "short": "Facial palsy",
        "definition": "Facial palsy observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Facial_palsy",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Facial_palsy.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Facial_palsy.value",
        "short": "Facial palsy",
        "definition": "Facial palsy observation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Facial_palsy.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___left_arm",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___left_arm",
        "short": "Motor - left arm",
        "definition": "Observation of left arm motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___left_arm",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___left_arm.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___left_arm.value",
        "short": "Motor - left arm",
        "definition": "Observation of left arm motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___left_arm.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_left_arm_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_left_arm_untestable",
        "short": "Reason left arm untestable",
        "definition": "Narrative description about why the left arm motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_left_arm_untestable",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_left_arm_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_left_arm_untestable.value",
        "short": "Reason left arm untestable",
        "definition": "Narrative description about why the left arm motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_left_arm_untestable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___right_arm",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___right_arm",
        "short": "Motor - right arm",
        "definition": "Observation of right arm motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___right_arm",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___right_arm.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___right_arm.value",
        "short": "Motor - right arm",
        "definition": "Observation of right arm motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___right_arm.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_right_arm_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_right_arm_untestable",
        "short": "Reason right arm untestable",
        "definition": "Narrative description about why the right arm motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_right_arm_untestable",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_right_arm_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_right_arm_untestable.value",
        "short": "Reason right arm untestable",
        "definition": "Narrative description about why the right arm motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_right_arm_untestable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___left_leg",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___left_leg",
        "short": "Motor - left leg",
        "definition": "Observation of left leg motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___left_leg",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___left_leg.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___left_leg.value",
        "short": "Motor - left leg",
        "definition": "Observation of left leg motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___left_leg.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_left_leg_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_left_leg_untestable",
        "short": "Reason left leg untestable",
        "definition": "Narrative description about why the left leg motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_left_leg_untestable",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_left_leg_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_left_leg_untestable.value",
        "short": "Reason left leg untestable",
        "definition": "Narrative description about why the left leg motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_left_leg_untestable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___right_leg",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___right_leg",
        "short": "Motor - right leg",
        "definition": "Observation of right leg motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___right_leg",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___right_leg.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___right_leg.value",
        "short": "Motor - right leg",
        "definition": "Observation of right leg motor function.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___right_leg.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_right_leg_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_right_leg_untestable",
        "short": "Reason right leg untestable",
        "definition": "Narrative description about why the right leg motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_right_leg_untestable",
          "min": 0,
          "max": "1"
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      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_right_leg_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_right_leg_untestable.value",
        "short": "Reason right leg untestable",
        "definition": "Narrative description about why the right leg motor function was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_right_leg_untestable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Limb_ataxia",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Limb_ataxia",
        "short": "Limb ataxia",
        "definition": "Observation of limb ataxia as evidence of a unilateral cerebellar lesion.\r\n\r\nOnly in the case of amputation or joint fusion, the examiner should record the score as untestable (UN)and record the reason in the 'Reason limb ataxia untestable' data element.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Limb_ataxia",
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          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Limb_ataxia.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Limb_ataxia.value",
        "short": "Limb ataxia",
        "definition": "Observation of limb ataxia as evidence of a unilateral cerebellar lesion.\r\n\r\nOnly in the case of amputation or joint fusion, the examiner should record the score as untestable (UN)and record the reason in the 'Reason limb ataxia untestable' data element.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Limb_ataxia.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_limb_ataxia_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_limb_ataxia_untestable",
        "short": "Reason limb ataxia untestable",
        "definition": "Narrative description about why limb ataxia was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_limb_ataxia_untestable",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_limb_ataxia_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_limb_ataxia_untestable.value",
        "short": "Reason limb ataxia untestable",
        "definition": "Narrative description about why limb ataxia was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_limb_ataxia_untestable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Sensory",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Sensory",
        "short": "Sensory",
        "definition": "Observation of sensory loss.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Sensory",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Sensory.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Sensory.value",
        "short": "Sensory",
        "definition": "Observation of sensory loss.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Sensory.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Language",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Language",
        "short": "Language",
        "definition": "Observation of language capability.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Language",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Language.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Language.value",
        "short": "Language",
        "definition": "Observation of language capability.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Language.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Speech",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Speech",
        "short": "Speech",
        "definition": "Observation about speech capability.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Speech",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Speech.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Speech.value",
        "short": "Speech",
        "definition": "Observation about speech capability.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Speech.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_speech_untestable",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_speech_untestable",
        "short": "Reason speech untestable",
        "definition": "Narrative description about why speech was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_speech_untestable",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_speech_untestable.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_speech_untestable.value",
        "short": "Reason speech untestable",
        "definition": "Narrative description about why speech was untestable.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_speech_untestable.value",
          "min": 0,
          "max": "1"
        },
        "type": [
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            "code": "CodeableConcept"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
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        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Extinction_and_inattention",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Extinction_and_inattention",
        "short": "Extinction and inattention",
        "definition": "Observation of any evidence of extinction or inattention.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Extinction_and_inattention",
          "min": 0,
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        }
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Extinction_and_inattention.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Extinction_and_inattention.value",
        "short": "Extinction and inattention",
        "definition": "Observation of any evidence of extinction or inattention.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Extinction_and_inattention.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Total_score",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Total_score",
        "short": "Total score",
        "definition": "The total score is the arithmetic sum of all 15 responses, excluding any untestable responses.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Total_score",
          "min": 0,
          "max": "1"
        }
      },
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        "id": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Total_score.value",
        "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Total_score.value",
        "short": "Total score",
        "definition": "The total score is the arithmetic sum of all 15 responses, excluding any untestable responses.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.3_months.data.Total_score.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Any_event",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Any_event",
        "short": "Any event",
        "definition": "Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Any_event",
          "min": 0,
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        },
        "type": [
          {
            "code": "BackboneElement"
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        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "NIH_Stroke_Scale_(NIHSS).History.Any_event.data",
        "path": "NIH_Stroke_Scale_(NIHSS).History.Any_event.data",
        "definition": "ITEM_TREE",
        "min": 1,
        "max": "1",
        "base": {
          "path": "NIH_Stroke_Scale_(NIHSS).History.Any_event.data",
          "min": 1,
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        },
        "contentReference": "#Nihstrokescale_nihss_.History.Baseline",
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      }
    ]
  }
}