<status value="draft" /> <date value="2017-09-19T09:26:00.2524640Z" /> <publisher value="FHIR Project team" /> <code> <system value="http://loinc.org" /> <code value="9269-2" /> </code> <subjectType value="Patient" /> <item> <linkId value="1.1" /> <code> <system value="http://loinc.org" /> <code value="9270-0" /> </code> <type value="choice" /> <options> <reference value="#verbal" /> </options> </item> <item> <linkId value="1.2" /> <code> <system value="http://loinc.org" /> <code value="9268-4" /> </code> <type value="choice" /> <options> <reference value="#motor" /> </options> </item> <item> <linkId value="1.3" /> <code> <system value="http://loinc.org" /> <code value="9267-6" /> </code> <type value="choice" /> <options> <reference value="#eye" /> </options> </item> </Questionnaire>


  
    
      
      
        
        
      
      
      
      
      
        
          
          
            
            
          
          
            
            
          
          
            
            
          
          
            
            
          
          
            
            
          
        
      
    
  
  
    
      
      
        
        
      
      
      
      
      
        
          
          
            
            
          
          
            
            
          
          
            
            
          
          
            
            
          
        
      
    
  
  
  
  
  <status value="draft" />
  <date value="2017-09-19T09:26:00.2524640Z" />
  <publisher value="FHIR Project team" />
  <code>
    <system value="http://loinc.org" />
    <code value="9269-2" />
  </code>
  <subjectType value="Patient" />
  <item>
    <linkId value="1.1" />
    <code>
      <system value="http://loinc.org" />
      <code value="9270-0" />
    </code>
    <type value="choice" />
    <options>
      <reference value="#verbal" />
    </options>
  </item>
  <item>
    <linkId value="1.2" />
    <code>
      <system value="http://loinc.org" />
      <code value="9268-4" />
    </code>
    <type value="choice" />
    <options>
      <reference value="#motor" />
    </options>
  </item>
  <item>
    <linkId value="1.3" />
    <code>
      <system value="http://loinc.org" />
      <code value="9267-6" />
    </code>
    <type value="choice" />
    <options>
      <reference value="#eye" />
    </options>
  </item>
</Questionnaire>