{
  "resourceType": "StructureDefinition",
  "id": "logicalmodel-Nationalearlywarningscore2_news2_-R4",
  "url": "http://linkehr.com/fhir/logicalmodel-nationalearlywarningscore2_news2_-R4",
  "identifier": [
    {
      "system": "openEHR-CKM",
      "value": "openEHR-EHR-OBSERVATION.news2.v1"
    }
  ],
  "version": "0",
  "name": "Nationalearlywarningscore2_news2_",
  "title": "National Early Warning Score 2 (NEWS2)",
  "status": "draft",
  "date": "2024-06-18",
  "publisher": "openEHR",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.veratech.es"
        }
      ]
    }
  ],
  "description": "A simple assessment score used to identify clinical deterioration in a patient.",
  "purpose": "To record the value for each component variable for the NEWS2 score, and their total sum.",
  "fhirVersion": "4.0.0",
  "mapping": [
    {
      "identity": "openEHR",
      "uri": "http://openehr.org",
      "name": "openEHR Mapping"
    },
    {
      "identity": "openEHR-natural",
      "uri": "http://openehr.org",
      "name": "openEHR natural path"
    }
  ],
  "kind": "logical",
  "abstract": false,
  "type": "StructureDefinition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element",
  "snapshot": {
    "element": [
      {
        "id": "National_Early_Warning_Score_2_(NEWS2)",
        "path": "National_Early_Warning_Score_2_(NEWS2)",
        "short": "National Early Warning Score 2 (NEWS2)",
        "definition": "A simple assessment score used to identify clinical deterioration in a patient.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "National_Early_Warning_Score_2_(NEWS2)",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "National_Early_Warning_Score_2_(NEWS2).protocol",
        "path": "National_Early_Warning_Score_2_(NEWS2).protocol",
        "short": "Tree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "National_Early_Warning_Score_2_(NEWS2).protocol",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "National_Early_Warning_Score_2_(NEWS2).protocol.Extension",
        "path": "National_Early_Warning_Score_2_(NEWS2).protocol.Extension",
        "short": "Extension",
        "definition": "Additional information required to extend the model with local content or to align with other reference models/formalisms.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "National_Early_Warning_Score_2_(NEWS2).protocol.Extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "National_Early_Warning_Score_2_(NEWS2).Event_Series",
        "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series",
        "short": "Event Series",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event",
        "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event",
        "short": "Any point in time event",
        "definition": "Default, unspecified point in time event which may be explicitly defined in a template or at run-time.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data",
        "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data",
        "short": "Tree",
        "definition": "@ internal @",
        "min": 0,
        "max": "1",
        "base": {
          "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Respiration_rate",
        "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Respiration_rate",
        "short": "Respiration rate",
        "definition": "Category for the respiratory rate measurement.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Respiration_rate",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Respiration_rate.value",
        "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Respiration_rate.value",
        "short": "Respiration rate",
        "definition": "Category for the respiratory rate measurement.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Respiration_rate.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.SpO₂_Scale_1",
        "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.SpO₂_Scale_1",
        "short": "SpO₂ Scale 1",
        "definition": "Category for the oxygen saturation measurement.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.SpO₂_Scale_1",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.SpO₂_Scale_1.value",
        "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.SpO₂_Scale_1.value",
        "short": "SpO₂ Scale 1",
        "definition": "Category for the oxygen saturation measurement.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.SpO₂_Scale_1.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.SpO₂_Scale_2",
        "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.SpO₂_Scale_2",
        "short": "SpO₂ Scale 2",
        "definition": "Category for the oxygen saturation measurement in patients with a target oxygen saturation range of 88–92%.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.SpO₂_Scale_2",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.SpO₂_Scale_2.value",
        "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.SpO₂_Scale_2.value",
        "short": "SpO₂ Scale 2",
        "definition": "Category for the oxygen saturation measurement in patients with a target oxygen saturation range of 88–92%.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.SpO₂_Scale_2.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Air_or_oxygen_",
        "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Air_or_oxygen_",
        "short": "Air or oxygen?",
        "definition": "Is the patient receiving supplemental oxygen?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Air_or_oxygen_",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Air_or_oxygen_.value",
        "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Air_or_oxygen_.value",
        "short": "Air or oxygen?",
        "definition": "Is the patient receiving supplemental oxygen?",
        "min": 0,
        "max": "1",
        "base": {
          "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Air_or_oxygen_.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Systolic_blood_pressure",
        "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Systolic_blood_pressure",
        "short": "Systolic blood pressure",
        "definition": "Category for the systolic blood pressure measurement.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Systolic_blood_pressure",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Systolic_blood_pressure.value",
        "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Systolic_blood_pressure.value",
        "short": "Systolic blood pressure",
        "definition": "Category for the systolic blood pressure measurement.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Systolic_blood_pressure.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Pulse",
        "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Pulse",
        "short": "Pulse",
        "definition": "Category for the pulse measurement.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Pulse",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Pulse.value",
        "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Pulse.value",
        "short": "Pulse",
        "definition": "Category for the pulse measurement.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Pulse.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Consciousness",
        "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Consciousness",
        "short": "Consciousness",
        "definition": "Category for the observed conscious state, using the ACVPU scale.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Consciousness",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Consciousness.value",
        "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Consciousness.value",
        "short": "Consciousness",
        "definition": "Category for the observed conscious state, using the ACVPU scale.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Consciousness.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Temperature",
        "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Temperature",
        "short": "Temperature",
        "definition": "Range category for the body temperature measurement.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Temperature",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Temperature.value",
        "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Temperature.value",
        "short": "Temperature",
        "definition": "Range category for the body temperature measurement.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Temperature.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Total_score",
        "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Total_score",
        "short": "Total score",
        "definition": "The sum of points assigned for each of the component variables.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Total_score",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Total_score.value",
        "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Total_score.value",
        "short": "Total score",
        "definition": "The sum of points assigned for each of the component variables.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Total_score.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Clinical_risk_category",
        "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Clinical_risk_category",
        "short": "Clinical risk category",
        "definition": "Overall category representing the urgency and scale of the clinical response required in response to the physiological variables.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Clinical_risk_category",
          "min": 0,
          "max": "1"
        }
      },
      {
        "id": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Clinical_risk_category.value",
        "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Clinical_risk_category.value",
        "short": "Clinical risk category",
        "definition": "Overall category representing the urgency and scale of the clinical response required in response to the physiological variables.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "National_Early_Warning_Score_2_(NEWS2).Event_Series.Any_point_in_time_event.data.Clinical_risk_category.value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": false,
        "isModifier": false,
        "isSummary": true
      }
    ]
  }
}