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  <id value="logicalmodel-Nationalearlywarningscore_news_-R4" />
  <url value="http://linkehr.com/fhir/logicalmodel-nationalearlywarningscore_news_-R4" />
  <identifier>
    <system value="openEHR-CKM" />
    <value value="openEHR-EHR-OBSERVATION.news_uk_rcp.v1" />
  </identifier>
  <version value="0" />
  <name value="Nationalearlywarningscore_news_" />
  <title value="National Early Warning Score (NEWS)" />
  <status value="draft" />
  <date value="2024-06-18" />
  <publisher value="openEHR" />
  <contact>
    <telecom>
      <system value="url" />
      <value value="http://www.veratech.es" />
    </telecom>
  </contact>
  <description value="NEWS (National Early Warning Score) is a simple score used to provide an objective indication of a patient's degree of clinical deterioration. This version follows guidance issued by the UK Royal College of Physicians." />
  <purpose value="To record a composite score based on categorising physiological readings and observations, as a simple method to support objective assessment of the degree of clinical deterioration in an unwell patient over the age of 16 years." />
  <fhirVersion value="4.0.0" />
  <mapping>
    <identity value="openEHR" />
    <uri value="http://openehr.org" />
    <name value="openEHR Mapping" />
  </mapping>
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    <identity value="openEHR-natural" />
    <uri value="http://openehr.org" />
    <name value="openEHR natural path" />
  </mapping>
  <kind value="logical" />
  <abstract value="false" />
  <type value="StructureDefinition" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" />
  <snapshot>
    <element id="National_Early_Warning_Score_(NEWS)">
      <path value="National_Early_Warning_Score_(NEWS)" />
      <short value="National Early Warning Score (NEWS)" />
      <definition value="NEWS (National Early Warning Score) is a simple score used to provide an objective indication of a patient's degree of clinical deterioration. This version follows guidance issued by the UK Royal College of Physicians." />
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    <element id="National_Early_Warning_Score_(NEWS).protocol.Extension">
      <path value="National_Early_Warning_Score_(NEWS).protocol.Extension" />
      <short value="Extension" />
      <definition value="Additional information required to capture local content or to align with other reference models/formalisms." />
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    <element id="National_Early_Warning_Score_(NEWS).Event_Series">
      <path value="National_Early_Warning_Score_(NEWS).Event_Series" />
      <short value="Event Series" />
      <definition value="@ internal @" />
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    <element id="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time">
      <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time" />
      <short value="Point in time" />
      <definition value="A specific date and/or time which may be explicitly defined in a template or at run-time." />
      <min value="0" />
      <max value="*" />
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        <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time" />
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      <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Respiration_rate" />
      <short value="Respiration rate" />
      <definition value="Range category for the respiratory rate (RR) measurement of a patient." />
      <min value="0" />
      <max value="1" />
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        <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Respiration_rate" />
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      <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Respiration_rate.value" />
      <short value="Respiration rate" />
      <definition value="Range category for the respiratory rate (RR) measurement of a patient." />
      <min value="0" />
      <max value="1" />
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        <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Respiration_rate.value" />
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    <element id="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Oxygen_saturation">
      <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Oxygen_saturation" />
      <short value="Oxygen saturation" />
      <definition value="Range category for the oxygen saturation measurement of a patient." />
      <min value="0" />
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        <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Oxygen_saturation" />
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    <element id="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Oxygen_saturation.value">
      <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Oxygen_saturation.value" />
      <short value="Oxygen saturation" />
      <definition value="Range category for the oxygen saturation measurement of a patient." />
      <min value="0" />
      <max value="1" />
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        <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Oxygen_saturation.value" />
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    <element id="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Supplemental_oxygen">
      <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Supplemental_oxygen" />
      <short value="Supplemental oxygen" />
      <definition value="Range category depending on whether the patient is receiving supplemental oxygen." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Supplemental_oxygen" />
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    <element id="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Supplemental_oxygen.value">
      <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Supplemental_oxygen.value" />
      <short value="Supplemental oxygen" />
      <definition value="Range category depending on whether the patient is receiving supplemental oxygen." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Supplemental_oxygen.value" />
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    <element id="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Body_temperature">
      <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Body_temperature" />
      <short value="Body temperature" />
      <definition value="Range category for the body temperature (Temp) measurement of a patient." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Body_temperature" />
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    <element id="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Body_temperature.value">
      <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Body_temperature.value" />
      <short value="Body temperature" />
      <definition value="Range category for the body temperature (Temp) measurement of a patient." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Body_temperature.value" />
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    <element id="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Systolic_blood_pressure">
      <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Systolic_blood_pressure" />
      <short value="Systolic blood pressure" />
      <definition value="Range category for the systolic blood pressure (SBP) measurement of a patient." />
      <min value="0" />
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      <base>
        <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Systolic_blood_pressure" />
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    <element id="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Systolic_blood_pressure.value">
      <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Systolic_blood_pressure.value" />
      <short value="Systolic blood pressure" />
      <definition value="Range category for the systolic blood pressure (SBP) measurement of a patient." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Systolic_blood_pressure.value" />
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    <element id="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Heart_rate">
      <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Heart_rate" />
      <short value="Heart rate" />
      <definition value="Range category for the heart rate (HR) measurement of a patient." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Heart_rate" />
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    <element id="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Heart_rate.value">
      <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Heart_rate.value" />
      <short value="Heart rate" />
      <definition value="Range category for the heart rate (HR) measurement of a patient." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Heart_rate.value" />
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    <element id="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Level_of_consciousness">
      <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Level_of_consciousness" />
      <short value="Level of consciousness" />
      <definition value="Observed category for the AVPU scale rating of a patient's conscious state." />
      <min value="0" />
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        <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Level_of_consciousness" />
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    <element id="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Level_of_consciousness.value">
      <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Level_of_consciousness.value" />
      <short value="Level of consciousness" />
      <definition value="Observed category for the AVPU scale rating of a patient's conscious state." />
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        <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Level_of_consciousness.value" />
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    <element id="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Total_score">
      <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Total_score" />
      <short value="Total score" />
      <definition value="The total sum of all the NEWS parameter ordinals." />
      <min value="0" />
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        <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Total_score" />
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    <element id="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Total_score.value">
      <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Total_score.value" />
      <short value="Total score" />
      <definition value="The total sum of all the NEWS parameter ordinals." />
      <min value="0" />
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      <base>
        <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Total_score.value" />
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      <type>
        <code value="Quantity" />
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      <mustSupport value="false" />
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    <element id="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Clinical_risk_category">
      <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Clinical_risk_category" />
      <short value="Clinical risk category" />
      <definition value="Overall category representing the urgency and scale of the clinical response required in response to the physiological parameters." />
      <min value="0" />
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      <base>
        <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Clinical_risk_category" />
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      <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Clinical_risk_category.value" />
      <short value="Clinical risk category" />
      <definition value="Overall category representing the urgency and scale of the clinical response required in response to the physiological parameters." />
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        <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Clinical_risk_category.value" />
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    <element id="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Comment">
      <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Comment" />
      <short value="Comment" />
      <definition value="Additional narrative about the overall NEWS score not captured in other fields." />
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        <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Comment" />
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      <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Comment.value" />
      <short value="Comment" />
      <definition value="Additional narrative about the overall NEWS score not captured in other fields." />
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        <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.data.Comment.value" />
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    <element id="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.state">
      <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.state" />
      <short value="Tree" />
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      <path value="National_Early_Warning_Score_(NEWS).Event_Series.Point_in_time.state.Confounding_factors" />
      <short value="Confounding factors" />
      <definition value="Description of any incidental factors that may have contributed to the score." />
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