{
  "template": {
    "code": "gcs",
    "name": "Glasgow Coma Scale",
    "category": "disease",
    "version": 1,
    "is_current": true,
    "is_active": true,
    "scoring_strategy": "sum_items",
    "description": "Glasgow Coma Scale (E + V + M). Total 3–15. Optional on stroke pathway.",
    "meta": {
      "capture_roles": ["doctor", "nurse"],
      "specialty": "neurology",
      "estimated_minutes": 2,
      "pathway_codes": ["stroke"],
      "max_total": 15,
      "attribution": "Glasgow Coma Scale (GCS) — Teasdale & Jennett. Standard clinical instrument; confirm local documentation practice."
    }
  },
  "questions": [
    {
      "code": "eye",
      "section": "GCS",
      "label": "Eye opening (E)",
      "answer_type": "score_item",
      "is_required": true,
      "sort_order": 10,
      "score_key": "eye",
      "options": {
        "min": 1,
        "max": 4,
        "choices": [
          { "code": "4", "label": "Spontaneous", "score": 4 },
          { "code": "3", "label": "To speech", "score": 3 },
          { "code": "2", "label": "To pain", "score": 2 },
          { "code": "1", "label": "None", "score": 1 }
        ]
      }
    },
    {
      "code": "verbal",
      "section": "GCS",
      "label": "Verbal response (V)",
      "answer_type": "score_item",
      "is_required": true,
      "sort_order": 20,
      "score_key": "verbal",
      "options": {
        "min": 1,
        "max": 5,
        "choices": [
          { "code": "5", "label": "Oriented", "score": 5 },
          { "code": "4", "label": "Confused", "score": 4 },
          { "code": "3", "label": "Inappropriate words", "score": 3 },
          { "code": "2", "label": "Incomprehensible sounds", "score": 2 },
          { "code": "1", "label": "None", "score": 1 }
        ]
      }
    },
    {
      "code": "motor",
      "section": "GCS",
      "label": "Motor response (M)",
      "answer_type": "score_item",
      "is_required": true,
      "sort_order": 30,
      "score_key": "motor",
      "options": {
        "min": 1,
        "max": 6,
        "choices": [
          { "code": "6", "label": "Obeys commands", "score": 6 },
          { "code": "5", "label": "Localizes pain", "score": 5 },
          { "code": "4", "label": "Withdrawal from pain", "score": 4 },
          { "code": "3", "label": "Flexion to pain (decorticate)", "score": 3 },
          { "code": "2", "label": "Extension to pain (decerebrate)", "score": 2 },
          { "code": "1", "label": "None", "score": 1 }
        ]
      }
    }
  ]
}