| All | OperationalTemplate [rootArchetypeId=openEHR-EHR-COMPOSITION.report.v1, otherContributors=null, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1], code=at0000, itemType=COMPOSITION, level=0, text=NIHSS, description=Document to communicate information to others, commonly in response to a request from another party., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=COMPOSITION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=null, code=null, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=1, text=Other Context, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/context/other_context[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=2, text=Report ID, description=Identification information about the report., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/context/other_context[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=2, text=Status, description=The status of the entire report. Note: This is not the status of any of the report components., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.case_identification.v0], code=at0000, itemType=CLUSTER, level=2, text=Case identification, description=To record case identification details for public health purposes., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.case_identification.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=3, text=Case identifier, description=The identifier of this case., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.nihss.v0], code=at0000, itemType=OBSERVATION, level=1, text=NIHSS, description=15-item neurologic examination stroke scale that provides a quantitative measure of stroke-related neurological deficit., comment=NIHSS - National Institutes of Health Stroke Scale., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.nihss.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.nihss.v0]/data[at0001]/events[at0091], code=at0091, itemType=EVENT, level=3, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.nihss.v0]/data[at0001]/events[at0091]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.nihss.v0]/data[at0001]/events[at0091]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=5, text=LOC responsiveness, description=Observed level of consciousness of the patient., comment=The investigator must choose a response if a full evaluation is prevented by such obstacles as an endotracheal tube, language barrier, orotracheal trauma/bandages. A 3 is scored only if the patient makes no movement (other than reflexive posturing) in response to noxious stimulation., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 0: Alert
- 1: Not alert, but arousable
- 2: Not alert, requires repeated stimulation
- 3: Reflex reponses only or totally unreponsive
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.nihss.v0]/data[at0001]/events[at0091]/data[at0003]/items[at0009], code=at0009, itemType=ELEMENT, level=5, text=LOC questions, description=The patient is asked the month and his/her age., comment=The patient is asked the month and his/her age. The answer must be correct - there is no partial credit for being close. Aphasic and stuporous patients who do not comprehend the questions will score 2. Patients unable to speak because of endotracheal intubation, orotracheal trauma, severe dysarthria from any cause, language barrier, or any other problem not secondary to aphasia are given a 1. It is important that only
the initial answer be graded and that the examiner not “help” the patient with verbal or non-verbal cues., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 0: Both correct
- 1: One correct
- 2: Neither correct
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.nihss.v0]/data[at0001]/events[at0091]/data[at0003]/items[at0013], code=at0013, itemType=ELEMENT, level=5, text=LOC commands, description=The patient is asked to open and close the eyes and then to grip and release the nonparetic hand., comment=The patient is asked to open and close the eyes and then to grip and release the nonparetic hand. Substitute another one-step command if the hands cannot be used. Credit is given if an unequivocal attempt is made but not completed due to weakness. If the patient does not respond to command, the task should be demonstrated to him or her (pantomime), and the result scored (i.e., follows none, one, or two
commands). Patients with trauma, amputation, or other physical impediments should be given suitable one-step commands. Only the first attempt is scored., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 0: Both correct
- 1: One correct
- 2: Neither correct
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.nihss.v0]/data[at0001]/events[at0091]/data[at0003]/items[at0017], code=at0017, itemType=ELEMENT, level=5, text=Best Gaze, description=Horizontal eye movement observation., comment=Only horizontal eye movements will be tested. Voluntary or reflexive (oculocephalic) eye movements
will be scored, but caloric testing is not done. If the patient has a conjugate deviation of the eyes that can be overcome by voluntary or reflexive activity, the score will be 1. If a patient has an isolated peripheral nerve paresis (CN III, IV, or VI), score a 1. Gaze is testable in all aphasic patients. Patients with ocular trauma, bandages, pre-existing blindness, or other disorder of visual acuity or fields should be tested with reflexive movements, and a choice made by the investigator. Establishing eye contact and then moving about the patient from side to side will occasionally clarify the presence of a partial gaze palsy., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 0: Normal
- 1: Partial gaze palsy
- 2: Forced deviation or total gaze paresis
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.nihss.v0]/data[at0001]/events[at0091]/data[at0003]/items[at0021], code=at0021, itemType=ELEMENT, level=5, text=Visual, description=Visual field test observation., comment=Visual fields (upper and lower quadrants) are tested by confrontation, using finger counting or visual
threat, as appropriate. Patients may be encouraged, but if they look at the side of the moving fingers appropriately, this can be scored as normal. If there is unilateral blindness or enucleation, visual fields in the remaining eye are scored. Score 1 only if a clear-cut asymmetry, including quadrantanopia, is found. If patient is blind from any cause, score 3. Double simultaneous stimulation is performed at this point., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 0: No visual loss
- 1: Partial hemianopia
- 2: Complete hemianopia
- 3: Bilateral hemianopia
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.nihss.v0]/data[at0001]/events[at0091]/data[at0003]/items[at0026], code=at0026, itemType=ELEMENT, level=5, text=Facial palsy, description=Facial palsy observation., comment=Ask - or use pantomime to encourage - the patient to show teeth or raise eyebrows and close eyes.
Score symmetry of grimace in response to noxious stimuli in the poorly responsive or non-comprehending patient. If facial trauma/ bandages, orotracheal tube, tape, or other physical barriers obscure the face, these should be removed to the extent possible., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 0: Normal
- 1: Minor paralysis
- 2: Partial paralysis
- 3: Complete paralysis of one or both sides
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.nihss.v0]/data[at0001]/events[at0091]/data[at0003]/items[at0031], code=at0031, itemType=ELEMENT, level=5, text=Motor - left arm, description=Observation of left arm motor function., comment=Only in the case of amputation or joint fusion at the shoulder, the examiner should record the score as 'Untestable' and record the reason in the 'Reason left arm untestable' data element.
Implementation note: Although the 'Untestable' value is included in the ordinal to allow its inclusion in the user interface dropdown menu, NIHSS does not assign a numerical score for the 'Untestable' option in the total NIHSS score., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 0: No drift
- 1: Drift
- 2: Some effort against gravity
- 3: No effort against gravity
- 4: No movement
- 99: Untestable
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.nihss.v0]/data[at0001]/events[at0091]/data[at0003]/items[at0037], code=at0037, itemType=ELEMENT, level=5, text=Reason left arm untestable, description=Narrative description about why the left arm motor function was untestable., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.nihss.v0]/data[at0001]/events[at0091]/data[at0003]/items[at0038], code=at0038, itemType=ELEMENT, level=5, text=Motor - right arm, description=Observation of right arm motor function., comment=Only in the case of amputation or joint fusion at the shoulder, the examiner should record the score as 'Untestable' and record the reason in the 'Reason right arm untestable' data element.
Implementation note: Although the 'Untestable' value is included in the ordinal to allow its inclusion in the user interface dropdown menu, NIHSS does not assign a numerical score for the 'Untestable' option in the total NIHSS score., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 0: No drift
- 1: Drift
- 2: Some effort against gravity
- 3: No effort against gravity
- 4: No movement
- 99: Untestable
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.nihss.v0]/data[at0001]/events[at0091]/data[at0003]/items[at0045], code=at0045, itemType=ELEMENT, level=5, text=Reason right arm untestable, description=Narrative description about why the right arm motor function was untestable., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.nihss.v0]/data[at0001]/events[at0091]/data[at0003]/items[at0046], code=at0046, itemType=ELEMENT, level=5, text=Motor - left leg, description=Observation of left leg motor function., comment=Only in the case of amputation or joint fusion at the hip, the examiner should record the score as 'Untestable' and record the reason in the 'Reason left leg untestable' data element.
Implementation note: Although the 'Untestable' value is included in the ordinal to allow its inclusion in the user interface dropdown menu, NIHSS does not assign a numerical score for the 'Untestable' option in the total NIHSS score., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 0: No drift
- 1: Drift
- 2: Some effort against gravity
- 3: No effort against gravity
- 4: No movement
- 99: Untestable
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.nihss.v0]/data[at0001]/events[at0091]/data[at0003]/items[at0053], code=at0053, itemType=ELEMENT, level=5, text=Reason left leg untestable, description=Narrative description about why the left leg motor function was untestable., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.nihss.v0]/data[at0001]/events[at0091]/data[at0003]/items[at0141], code=at0141, itemType=ELEMENT, level=5, text=Motor - right leg, description=Observation of right leg motor function., comment=Only in the case of amputation or joint fusion at the hip, the examiner should record the score as 'Untestable' and record the reason in the 'Reason right leg untestable' data element.
Implementation note: Although the 'Untestable' value is included in the ordinal to allow its inclusion in the user interface dropdown menu, NIHSS does not assign a numerical score for the 'Untestable' option in the total NIHSS score., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 0: No drift
- 1: Drift
- 2: Some effort against gravity
- 3: No effort against gravity
- 4: No movement
- 99: Untestable
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.nihss.v0]/data[at0001]/events[at0091]/data[at0003]/items[at0060], code=at0060, itemType=ELEMENT, level=5, text=Reason right leg untestable, description=Narrative description about why the right leg motor function was untestable., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.nihss.v0]/data[at0001]/events[at0091]/data[at0003]/items[at0061], code=at0061, itemType=ELEMENT, level=5, text=Limb ataxia, description=Observation of limb ataxia as evidence of a unilateral cerebellar lesion., comment=Only in the case of amputation or joint fusion, the examiner should record the score as 'Untestable' and record the reason in the 'Reason limb ataxia untestable' data element.
Implementation note: Although the 'Untestable' value is included in the ordinal to allow its inclusion in the user interface dropdown menu, NIHSS does not assign a numerical score for the 'Untestable' option in the total NIHSS score., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 0: Absent
- 1: Present in one limb
- 2: Present in two limbs
- 99: Untestable
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.nihss.v0]/data[at0001]/events[at0091]/data[at0003]/items[at0066], code=at0066, itemType=ELEMENT, level=5, text=Reason limb ataxia untestable, description=Narrative description about why limb ataxia was untestable., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.nihss.v0]/data[at0001]/events[at0091]/data[at0003]/items[at0067], code=at0067, itemType=ELEMENT, level=5, text=Sensory, description=Observation of sensory loss., comment=Sensation or grimace to pinprick when tested, or withdrawal from noxious stimulus in the obtunded
or aphasic patient. Only sensory loss attributed to stroke is scored as abnormal and the examiner should test as many body areas (arms [not hands], legs, trunk, face) as needed to accurately check for hemisensory loss. A score of 2, “severe or total sensory loss,” should only be given when a severe or total loss of sensation can be clearly demonstrated. Stuporous and aphasic patients will, therefore, probably score 1 or 0. The patient with brainstem stroke who has bilateral loss of sensation is scored 2. If the patient does not respond and is quadriplegic, score 2. Patients in a coma (item 1a=3) are automatically given a 2 on this item., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 0: Normal
- 1: Mild-to-moderate sensory loss
- 2: Severe or total sensory loss
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.nihss.v0]/data[at0001]/events[at0091]/data[at0003]/items[at0071], code=at0071, itemType=ELEMENT, level=5, text=Best Language, description=Observation of language capability., comment=Comprehension is judged from responses here, as well as to all of the commands in the preceding general neurological exam. If visual loss interferes with the tests, ask the patient to identify objects placed in the hand, repeat, and produce speech. The intubated patient should be asked to write. The patient in a coma (item 1a=3) will automatically score 3 on this item. The examiner must choose a score for the patient with stupor or limited cooperation, but a score of 3 should be used only if the patient is mute and follows no one-step commands., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 0: No aphasia
- 1: Mild-to-moderate aphasia
- 2: Severe aphasia
- 3: Mute, global aphasia
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.nihss.v0]/data[at0001]/events[at0091]/data[at0003]/items[at0076], code=at0076, itemType=ELEMENT, level=5, text=Dysarthria, description=Observation about speech capability., comment=Only if the patient is intubated or has other physical barriers to producing speech, the examiner should record the score as 'Untestable' and record the reason in the 'Reason speech untestable' data element.
Implementation note: Although the 'Untestable' value is included in the ordinal to allow its inclusion in the user interface dropdown menu, NIHSS does not assign a numerical score for the 'Untestable' option in the total NIHSS score., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 0: Normal
- 1: Mild-to-moderate dysarthria
- 2: Severe dysarthria
- 99: Untestable
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.nihss.v0]/data[at0001]/events[at0091]/data[at0003]/items[at0081], code=at0081, itemType=ELEMENT, level=5, text=Reason speech untestable, description=Narrative description about why speech was untestable., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.nihss.v0]/data[at0001]/events[at0091]/data[at0003]/items[at0082], code=at0082, itemType=ELEMENT, level=5, text=Extinction and inattention, description=Observation of any evidence of extinction or inattention., comment=Extinction and Inattention (formerly Neglect): Sufficient information to identify neglect may be obtained during the prior testing. If the patient has a severe visual loss preventing visual double simultaneous stimulation, and the cutaneous stimuli are normal, the score is normal. If the patient has aphasia but does appear to attend to both sides, the score is normal. The presence of visual spatial neglect or anosagnosia may also be taken as evidence of abnormality. Since the abnormality is scored only if present, the item is never untestable., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 0: No abnormality
- 1: Inattention, or bilateral extinction in one sensory modality
- 2: Profound hemi-inattention or extinction to more than one modality
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.nihss.v0]/data[at0001]/events[at0091]/data[at0003]/items[at0086], code=at0086, itemType=ELEMENT, level=5, text=Total score, description=The total score is the arithmetic sum of all 15 responses, excluding any untestable responses., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=0..42, extendedValues=null]], templateType=normal] |