{
  "template": {
    "code": "mrs",
    "name": "Modified Rankin Scale",
    "category": "disease",
    "version": 1,
    "is_current": true,
    "is_active": true,
    "scoring_strategy": "single_value",
    "description": "Global disability scale after stroke (0–6). Required on stroke pathway activation.",
    "meta": {
      "capture_roles": ["doctor"],
      "specialty": "neurology",
      "estimated_minutes": 2,
      "pathway_codes": ["stroke"],
      "attribution": "Modified Rankin Scale (mRS) — clinical instrument for educational/clinical use. Verify commercial redistribution rights before packaging for sale."
    }
  },
  "questions": [
    {
      "code": "mrs_score",
      "section": "Disability",
      "label": "Modified Rankin Scale score",
      "help_text": "Select the grade that best describes the patient.",
      "answer_type": "score_item",
      "is_required": true,
      "sort_order": 1,
      "score_key": "total",
      "options": {
        "min": 0,
        "max": 6,
        "choices": [
          { "code": "0", "label": "No symptoms at all", "score": 0 },
          { "code": "1", "label": "No significant disability despite symptoms; able to carry out all usual duties and activities", "score": 1 },
          { "code": "2", "label": "Slight disability; unable to carry out all previous activities, but able to look after own affairs without assistance", "score": 2 },
          { "code": "3", "label": "Moderate disability; requiring some help, but able to walk without assistance", "score": 3 },
          { "code": "4", "label": "Moderately severe disability; unable to walk without assistance and unable to attend to own bodily needs without assistance", "score": 4 },
          { "code": "5", "label": "Severe disability; bedridden, incontinent and requiring constant nursing care and attention", "score": 5 },
          { "code": "6", "label": "Dead", "score": 6 }
        ]
      },
      "validation": { "min": 0, "max": 6 }
    }
  ]
}
