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  <url value="http://linkehr.com/fhir/logicalmodel-nihstrokescale_nihss_-R4" />
  <identifier>
    <system value="openEHR-CKM" />
    <value value="openEHR-EHR-OBSERVATION.nihss.v0" />
  </identifier>
  <version value="0" />
  <name value="Nihstrokescale_nihss_" />
  <title value="NIH Stroke Scale (NIHSS)" />
  <status value="draft" />
  <date value="2024-06-18" />
  <publisher value="openEHR" />
  <contact>
    <telecom>
      <system value="url" />
      <value value="http://www.veratech.es" />
    </telecom>
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  <description value="15-item neurologic examination stroke scale that provides a quantitative measure of stroke-related neurological deficit." />
  <purpose value="To record the results of the National Institutes of Health Stroke Score as a quantitative measurement of stroke-related neurologic deficit." />
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    <uri value="http://openehr.org" />
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      <short value="NIH Stroke Scale (NIHSS)" />
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      <definition value="Additional information required to extend the model with local content or to align with other reference models or formalisms." />
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      <short value="History" />
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      <short value="Horizontal eye movements" />
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      <short value="Horizontal eye movements" />
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      <short value="Visual fields" />
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        <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Visual_fields.value" />
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      <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Facial_palsy" />
      <short value="Facial palsy" />
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        <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Facial_palsy" />
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      <short value="Facial palsy" />
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        <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Facial_palsy.value" />
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      <short value="Motor - left arm" />
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        <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_right_leg_untestable.value" />
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      <short value="Limb ataxia" />
      <definition value="Observation of limb ataxia as evidence of a unilateral cerebellar lesion.&#xD;&#xA;&#xD;&#xA;Only 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." />
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        <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Limb_ataxia" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Limb_ataxia.value">
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      <short value="Limb ataxia" />
      <definition value="Observation of limb ataxia as evidence of a unilateral cerebellar lesion.&#xD;&#xA;&#xD;&#xA;Only 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 value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Limb_ataxia.value" />
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        <code value="CodeableConcept" />
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      <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_limb_ataxia_untestable" />
      <short value="Reason limb ataxia untestable" />
      <definition value="Narrative description about why limb ataxia was untestable." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_limb_ataxia_untestable" />
        <min value="0" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_limb_ataxia_untestable.value">
      <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_limb_ataxia_untestable.value" />
      <short value="Reason limb ataxia untestable" />
      <definition value="Narrative description about why limb ataxia was untestable." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_limb_ataxia_untestable.value" />
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        <code value="CodeableConcept" />
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      <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Sensory" />
      <short value="Sensory" />
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      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Sensory" />
        <min value="0" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Sensory.value">
      <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Sensory.value" />
      <short value="Sensory" />
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      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Sensory.value" />
        <min value="0" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Language">
      <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Language" />
      <short value="Language" />
      <definition value="Observation of language capability." />
      <min value="0" />
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      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Language" />
        <min value="0" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Language.value">
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      <short value="Language" />
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      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Language.value" />
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      <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Speech" />
      <short value="Speech" />
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      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Speech" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Speech.value">
      <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Speech.value" />
      <short value="Speech" />
      <definition value="Observation about speech capability." />
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      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Speech.value" />
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        <code value="CodeableConcept" />
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      <mustSupport value="false" />
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      <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_speech_untestable" />
      <short value="Reason speech untestable" />
      <definition value="Narrative description about why speech was untestable." />
      <min value="0" />
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      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_speech_untestable" />
        <min value="0" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_speech_untestable.value">
      <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_speech_untestable.value" />
      <short value="Reason speech untestable" />
      <definition value="Narrative description about why speech was untestable." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Reason_speech_untestable.value" />
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        <code value="CodeableConcept" />
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      <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Extinction_and_inattention" />
      <short value="Extinction and inattention" />
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      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Extinction_and_inattention" />
        <min value="0" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Extinction_and_inattention.value">
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      <short value="Extinction and inattention" />
      <definition value="Observation of any evidence of extinction or inattention." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Extinction_and_inattention.value" />
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        <code value="CodeableConcept" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Total_score">
      <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Total_score" />
      <short value="Total score" />
      <definition value="The total score is the arithmetic sum of all 15 responses, excluding any untestable responses." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Total_score" />
        <min value="0" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Total_score.value">
      <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Total_score.value" />
      <short value="Total score" />
      <definition value="The total score is the arithmetic sum of all 15 responses, excluding any untestable responses." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.Baseline.data.Total_score.value" />
        <min value="0" />
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      <type>
        <code value="Quantity" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment">
      <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment" />
      <short value="2 hours post treatment" />
      <definition value="Assessment carried out 2 hours post treatment." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment" />
        <min value="0" />
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      <type>
        <code value="BackboneElement" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data">
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      <definition value="ITEM_TREE" />
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        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data" />
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      <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_responsiveness" />
      <short value="LOC responsiveness" />
      <definition value="Observed level of consciousness of the patient." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_responsiveness" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_responsiveness.value">
      <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_responsiveness.value" />
      <short value="LOC responsiveness" />
      <definition value="Observed level of consciousness of the patient." />
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      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_responsiveness.value" />
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      <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_questions" />
      <short value="LOC questions" />
      <definition value="The patient is asked the month and his/her age." />
      <min value="0" />
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      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_questions" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_questions.value">
      <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_questions.value" />
      <short value="LOC questions" />
      <definition value="The patient is asked the month and his/her age." />
      <min value="0" />
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      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_questions.value" />
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        <code value="CodeableConcept" />
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      <short value="LOC commands" />
      <definition value="The patient is asked to open and close the eyes and then to grip and release the non-paretic hand." />
      <min value="0" />
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      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_commands" />
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      <short value="LOC commands" />
      <definition value="The patient is asked to open and close the eyes and then to grip and release the non-paretic hand." />
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      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.LOC_commands.value" />
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      <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Horizontal_eye_movements" />
      <short value="Horizontal eye movements" />
      <definition value="Horizontal eye movement observation." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Horizontal_eye_movements" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Horizontal_eye_movements.value">
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      <short value="Horizontal eye movements" />
      <definition value="Horizontal eye movement observation." />
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        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Horizontal_eye_movements.value" />
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      <short value="Visual fields" />
      <definition value="Visual field test observation." />
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      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Visual_fields" />
        <min value="0" />
        <max value="1" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Visual_fields.value">
      <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Visual_fields.value" />
      <short value="Visual fields" />
      <definition value="Visual field test observation." />
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      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Visual_fields.value" />
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      <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Facial_palsy" />
      <short value="Facial palsy" />
      <definition value="Facial palsy observation." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Facial_palsy" />
        <min value="0" />
        <max value="1" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Facial_palsy.value">
      <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Facial_palsy.value" />
      <short value="Facial palsy" />
      <definition value="Facial palsy observation." />
      <min value="0" />
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      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Facial_palsy.value" />
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      <definition value="Observation of left arm motor function." />
      <min value="0" />
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      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___left_arm" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___left_arm.value">
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      <short value="Motor - left arm" />
      <definition value="Observation of left arm motor function." />
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      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___left_arm.value" />
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      <short value="Reason left arm untestable" />
      <definition value="Narrative description about why the left arm motor function was untestable." />
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      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_left_arm_untestable" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_left_arm_untestable.value">
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      <short value="Reason left arm untestable" />
      <definition value="Narrative description about why the left arm motor function was untestable." />
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        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_left_arm_untestable.value" />
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      <short value="Motor - right arm" />
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      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___right_arm" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___right_arm.value">
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      <short value="Motor - right arm" />
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        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___right_arm.value" />
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      <short value="Reason right arm untestable" />
      <definition value="Narrative description about why the right arm motor function was untestable." />
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        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_right_arm_untestable" />
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      <short value="Reason right arm untestable" />
      <definition value="Narrative description about why the right arm motor function was untestable." />
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        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_right_arm_untestable.value" />
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      <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___left_leg" />
      <short value="Motor - left leg" />
      <definition value="Observation of left leg motor function." />
      <min value="0" />
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      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___left_leg" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___left_leg.value">
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      <short value="Motor - left leg" />
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        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Motor___left_leg.value" />
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      <short value="Reason left leg untestable" />
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      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_left_leg_untestable" />
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      <short value="Reason left leg untestable" />
      <definition value="Narrative description about why the left leg motor function was untestable." />
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      <short value="Motor - right leg" />
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      <short value="Motor - right leg" />
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      <short value="Reason right leg untestable" />
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      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_right_leg_untestable" />
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      <short value="Reason right leg untestable" />
      <definition value="Narrative description about why the right leg motor function was untestable." />
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      <short value="Limb ataxia" />
      <definition value="Observation of limb ataxia as evidence of a unilateral cerebellar lesion.&#xD;&#xA;&#xD;&#xA;Only 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." />
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      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Limb_ataxia" />
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      <short value="Limb ataxia" />
      <definition value="Observation of limb ataxia as evidence of a unilateral cerebellar lesion.&#xD;&#xA;&#xD;&#xA;Only 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." />
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        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Limb_ataxia.value" />
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      <short value="Reason limb ataxia untestable" />
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      <short value="Reason limb ataxia untestable" />
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      <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Sensory" />
      <short value="Sensory" />
      <definition value="Observation of sensory loss." />
      <min value="0" />
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        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Sensory" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Sensory.value">
      <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Sensory.value" />
      <short value="Sensory" />
      <definition value="Observation of sensory loss." />
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        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Sensory.value" />
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      <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Language" />
      <short value="Language" />
      <definition value="Observation of language capability." />
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        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Language" />
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      <short value="Language" />
      <definition value="Observation of language capability." />
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        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Language.value" />
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      <short value="Speech" />
      <definition value="Observation about speech capability." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Speech" />
        <min value="0" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Speech.value">
      <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Speech.value" />
      <short value="Speech" />
      <definition value="Observation about speech capability." />
      <min value="0" />
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      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Speech.value" />
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      <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_speech_untestable" />
      <short value="Reason speech untestable" />
      <definition value="Narrative description about why speech was untestable." />
      <min value="0" />
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      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_speech_untestable" />
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      <short value="Reason speech untestable" />
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      <min value="0" />
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      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Reason_speech_untestable.value" />
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      <short value="Extinction and inattention" />
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      <min value="0" />
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        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Extinction_and_inattention" />
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      <short value="Extinction and inattention" />
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        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Extinction_and_inattention.value" />
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      <definition value="The total score is the arithmetic sum of all 15 responses, excluding any untestable responses." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Total_score" />
        <min value="0" />
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      <short value="Total score" />
      <definition value="The total score is the arithmetic sum of all 15 responses, excluding any untestable responses." />
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        <path value="NIH_Stroke_Scale_(NIHSS).History.2_hours_post_treatment.data.Total_score.value" />
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        <path value="NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset" />
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      <definition value="Observed level of consciousness of the patient." />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.LOC_responsiveness.value">
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      <short value="LOC responsiveness" />
      <definition value="Observed level of consciousness of the patient." />
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      <definition value="The patient is asked the month and his/her age." />
      <min value="0" />
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        <path value="NIH_Stroke_Scale_(NIHSS).History.24_hours_post_symptom_onset.data.LOC_questions" />
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      <short value="LOC questions" />
      <definition value="The patient is asked the month and his/her age." />
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      <short value="LOC commands" />
      <definition value="The patient is asked to open and close the eyes and then to grip and release the non-paretic hand." />
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      <short value="LOC commands" />
      <definition value="The patient is asked to open and close the eyes and then to grip and release the non-paretic hand." />
      <min value="0" />
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        <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_right_leg_untestable" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_right_leg_untestable.value">
      <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_right_leg_untestable.value" />
      <short value="Reason right leg untestable" />
      <definition value="Narrative description about why the right leg motor function was untestable." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_right_leg_untestable.value" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Limb_ataxia">
      <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Limb_ataxia" />
      <short value="Limb ataxia" />
      <definition value="Observation of limb ataxia as evidence of a unilateral cerebellar lesion.&#xD;&#xA;&#xD;&#xA;Only 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 value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Limb_ataxia" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Limb_ataxia.value">
      <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Limb_ataxia.value" />
      <short value="Limb ataxia" />
      <definition value="Observation of limb ataxia as evidence of a unilateral cerebellar lesion.&#xD;&#xA;&#xD;&#xA;Only 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 value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Limb_ataxia.value" />
        <min value="0" />
        <max value="1" />
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      <type>
        <code value="CodeableConcept" />
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      <mustSupport value="false" />
      <isModifier value="false" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_limb_ataxia_untestable">
      <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_limb_ataxia_untestable" />
      <short value="Reason limb ataxia untestable" />
      <definition value="Narrative description about why limb ataxia was untestable." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_limb_ataxia_untestable" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_limb_ataxia_untestable.value">
      <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_limb_ataxia_untestable.value" />
      <short value="Reason limb ataxia untestable" />
      <definition value="Narrative description about why limb ataxia was untestable." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_limb_ataxia_untestable.value" />
        <min value="0" />
        <max value="1" />
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      <type>
        <code value="CodeableConcept" />
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      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Sensory">
      <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Sensory" />
      <short value="Sensory" />
      <definition value="Observation of sensory loss." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Sensory" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Sensory.value">
      <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Sensory.value" />
      <short value="Sensory" />
      <definition value="Observation of sensory loss." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Sensory.value" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
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      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Language">
      <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Language" />
      <short value="Language" />
      <definition value="Observation of language capability." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Language" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Language.value">
      <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Language.value" />
      <short value="Language" />
      <definition value="Observation of language capability." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Language.value" />
        <min value="0" />
        <max value="1" />
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      <type>
        <code value="CodeableConcept" />
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      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Speech">
      <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Speech" />
      <short value="Speech" />
      <definition value="Observation about speech capability." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Speech" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Speech.value">
      <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Speech.value" />
      <short value="Speech" />
      <definition value="Observation about speech capability." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Speech.value" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_speech_untestable">
      <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_speech_untestable" />
      <short value="Reason speech untestable" />
      <definition value="Narrative description about why speech was untestable." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_speech_untestable" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_speech_untestable.value">
      <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_speech_untestable.value" />
      <short value="Reason speech untestable" />
      <definition value="Narrative description about why speech was untestable." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Reason_speech_untestable.value" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Extinction_and_inattention">
      <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Extinction_and_inattention" />
      <short value="Extinction and inattention" />
      <definition value="Observation of any evidence of extinction or inattention." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Extinction_and_inattention" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Extinction_and_inattention.value">
      <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Extinction_and_inattention.value" />
      <short value="Extinction and inattention" />
      <definition value="Observation of any evidence of extinction or inattention." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Extinction_and_inattention.value" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Total_score">
      <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Total_score" />
      <short value="Total score" />
      <definition value="The total score is the arithmetic sum of all 15 responses, excluding any untestable responses." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Total_score" />
        <min value="0" />
        <max value="1" />
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    </element>
    <element id="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Total_score.value">
      <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Total_score.value" />
      <short value="Total score" />
      <definition value="The total score is the arithmetic sum of all 15 responses, excluding any untestable responses." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.7–10_days.data.Total_score.value" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="Quantity" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="NIH_Stroke_Scale_(NIHSS).History.3_months">
      <path value="NIH_Stroke_Scale_(NIHSS).History.3_months" />
      <short value="3 months" />
      <definition value="Assessment carried out 3 months after stroke." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.3_months" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="NIH_Stroke_Scale_(NIHSS).History.3_months.data">
      <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data" />
      <definition value="ITEM_TREE" />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data" />
        <min value="0" />
        <max value="1" />
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      <type>
        <code value="BackboneElement" />
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      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_responsiveness">
      <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_responsiveness" />
      <short value="LOC responsiveness" />
      <definition value="Observed level of consciousness of the patient." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_responsiveness" />
        <min value="0" />
        <max value="1" />
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    </element>
    <element id="NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_responsiveness.value">
      <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_responsiveness.value" />
      <short value="LOC responsiveness" />
      <definition value="Observed level of consciousness of the patient." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_responsiveness.value" />
        <min value="0" />
        <max value="1" />
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      <type>
        <code value="CodeableConcept" />
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      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_questions">
      <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_questions" />
      <short value="LOC questions" />
      <definition value="The patient is asked the month and his/her age." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_questions" />
        <min value="0" />
        <max value="1" />
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    </element>
    <element id="NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_questions.value">
      <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_questions.value" />
      <short value="LOC questions" />
      <definition value="The patient is asked the month and his/her age." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_questions.value" />
        <min value="0" />
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      <type>
        <code value="CodeableConcept" />
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      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_commands">
      <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_commands" />
      <short value="LOC commands" />
      <definition value="The patient is asked to open and close the eyes and then to grip and release the non-paretic hand." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_commands" />
        <min value="0" />
        <max value="1" />
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    </element>
    <element id="NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_commands.value">
      <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_commands.value" />
      <short value="LOC commands" />
      <definition value="The patient is asked to open and close the eyes and then to grip and release the non-paretic hand." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.LOC_commands.value" />
        <min value="0" />
        <max value="1" />
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      <type>
        <code value="CodeableConcept" />
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      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Horizontal_eye_movements">
      <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Horizontal_eye_movements" />
      <short value="Horizontal eye movements" />
      <definition value="Horizontal eye movement observation." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Horizontal_eye_movements" />
        <min value="0" />
        <max value="1" />
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    </element>
    <element id="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Horizontal_eye_movements.value">
      <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Horizontal_eye_movements.value" />
      <short value="Horizontal eye movements" />
      <definition value="Horizontal eye movement observation." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Horizontal_eye_movements.value" />
        <min value="0" />
        <max value="1" />
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      <type>
        <code value="CodeableConcept" />
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      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Visual_fields">
      <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Visual_fields" />
      <short value="Visual fields" />
      <definition value="Visual field test observation." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Visual_fields" />
        <min value="0" />
        <max value="1" />
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    </element>
    <element id="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Visual_fields.value">
      <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Visual_fields.value" />
      <short value="Visual fields" />
      <definition value="Visual field test observation." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Visual_fields.value" />
        <min value="0" />
        <max value="1" />
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      <type>
        <code value="CodeableConcept" />
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      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Facial_palsy">
      <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Facial_palsy" />
      <short value="Facial palsy" />
      <definition value="Facial palsy observation." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Facial_palsy" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Facial_palsy.value">
      <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Facial_palsy.value" />
      <short value="Facial palsy" />
      <definition value="Facial palsy observation." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Facial_palsy.value" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <code value="CodeableConcept" />
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      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
    </element>
    <element id="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___left_arm">
      <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___left_arm" />
      <short value="Motor - left arm" />
      <definition value="Observation of left arm motor function." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___left_arm" />
        <min value="0" />
        <max value="1" />
      </base>
    </element>
    <element id="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___left_arm.value">
      <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___left_arm.value" />
      <short value="Motor - left arm" />
      <definition value="Observation of left arm motor function." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Motor___left_arm.value" />
        <min value="0" />
        <max value="1" />
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      <type>
        <code value="CodeableConcept" />
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      <mustSupport value="false" />
      <isModifier value="false" />
      <isSummary value="true" />
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    <element id="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_left_arm_untestable">
      <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_left_arm_untestable" />
      <short value="Reason left arm untestable" />
      <definition value="Narrative description about why the left arm motor function was untestable." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_left_arm_untestable" />
        <min value="0" />
        <max value="1" />
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    </element>
    <element id="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_left_arm_untestable.value">
      <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_left_arm_untestable.value" />
      <short value="Reason left arm untestable" />
      <definition value="Narrative description about why the left arm motor function was untestable." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="NIH_Stroke_Scale_(NIHSS).History.3_months.data.Reason_left_arm_untestable.value" />
        <min value="0" />
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        <code value="CodeableConcept" />
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