Clinical Observations

This guidance is under active development by NHS Digital and content may be added or updated on a regular basis.

NPEWS1 Observation Example

<Observation xmlns="http://hl7.org/fhir">
<id value="NPEWS1ObservationWithSubScores" />
<identifier>
<system value="https://tools.ietf.org/html/rfc4122" />
<value value="ea45c120-504f-40f2-a79f-cb8cd3dd1307" />
</identifier>
<status value="final" />
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/observation-category" />
<code value="survey" />
<display value="Survey" />
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="1363261000000104" />
<display value="NPEWS (National Paediatric Early Warning Score) - total score" />
</coding>
</code>
<subject>
<reference value="Patient/30d3de6f-e800-47fa-b610-b02c7c8e9d57" />
</subject>
<effectiveDateTime value="2018-10-04T14:17:59+01:00" />
<performer>
<reference value="Practitioner/627be677-3eb2-4db4-9570-5669fd8c92f5" />
</performer>
<performer>
<reference value="Organization/cdaea3db-8b40-41dc-9834-b42503e12382" />
</performer>
<valueQuantity>
<value value="12" />
<unit value="ScoreOf" />
<system value="http://unitsofmeasure.org" />
<code value="{ScoreOf}" />
</valueQuantity>
<derivedFrom>
<reference value="Observation/f47cb818-29e1-49db-ae6c-19ddf0303ead" />
</derivedFrom>
<derivedFrom>
<reference value="Observation/7bfdba8e-c1f2-4d66-96fc-d7ee1e9c2b06" />
</derivedFrom>
<derivedFrom>
<reference value="Observation/8504223d-ec0d-455e-8401-c84ae1577406" />
</derivedFrom>
<derivedFrom>
<reference value="Observation/71006952-f165-40a6-a636-b922d60790b6" />
</derivedFrom>
<derivedFrom>
<reference value="Observation/764d6298-b444-4489-9882-1cf68d969330" />
</derivedFrom>
<derivedFrom>
<reference value="Observation/7c38444d-81dc-47cb-8439-0d38a1d1c229" />
</derivedFrom>
<derivedFrom>
<reference value="Observation/d7234e73-6efe-4528-b1f5-bd721a91d8c6" />
</derivedFrom>
<derivedFrom>
<reference value="Observation/d7234e73-6efe-4528-b1f5-bd721a91d8c9" />
</derivedFrom>
<derivedFrom>
<reference value="Observation/d7234e73-6efe-4528-b1f5-bd721a91d8c4" />
</derivedFrom>
<component>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="1363271000000106" />
<display value="NPEWS (National Paediatric Early Warning Score) - respiration rate score" />
</coding>
</code>
<valueQuantity>
<value value="1" />
<unit value="ScoreOf" />
<system value="http://unitsofmeasure.org" />
<code value="{ScoreOf}" />
</valueQuantity>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="1363301000000109" />
<display value="NPEWS (National Paediatric Early Warning Score) - respiratory distress score" />
</coding>
</code>
<valueQuantity>
<value value="1" />
<unit value="ScoreOf" />
<system value="http://unitsofmeasure.org" />
<code value="{ScoreOf}" />
</valueQuantity>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="1363311000000106" />
<display value="NPEWS (National Paediatric Early Warning Score) - peripheral oxygen saturation score" />
</coding>
</code>
<valueQuantity>
<value value="1" />
<unit value="ScoreOf" />
<system value="http://unitsofmeasure.org" />
<code value="{ScoreOf}" />
</valueQuantity>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="1363321000000100" />
<display value="NPEWS (National Paediatric Early Warning Score) - inspired oxygen score" />
</coding>
</code>
<valueQuantity>
<value value="2" />
<unit value="ScoreOf" />
<system value="http://unitsofmeasure.org" />
<code value="{ScoreOf}" />
</valueQuantity>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="1363331000000103" />
<display value="NPEWS (National Paediatric Early Warning Score) - heart rate score" />
</coding>
</code>
<valueQuantity>
<value value="1" />
<unit value="ScoreOf" />
<system value="http://unitsofmeasure.org" />
<code value="{ScoreOf}" />
</valueQuantity>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="1363291000000105" />
<display value="NPEWS (National Paediatric Early Warning Score) - systolic blood pressure score" />
</coding>
</code>
<valueQuantity>
<value value="1" />
<unit value="ScoreOf" />
<system value="http://unitsofmeasure.org" />
<code value="{ScoreOf}" />
</valueQuantity>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="1363341000000107" />
<display value="NPEWS (National Paediatric Early Warning Score) - capillary refill time score" />
</coding>
</code>
<valueQuantity>
<value value="3" />
<unit value="ScoreOf" />
<system value="http://unitsofmeasure.org" />
<code value="{ScoreOf}" />
</valueQuantity>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="1363351000000105" />
<display value="NPEWS (National Paediatric Early Warning Score) - consciousness score" />
</coding>
</code>
<valueQuantity>
<value value="1" />
<unit value="ScoreOf" />
<system value="http://unitsofmeasure.org" />
<code value="{ScoreOf}" />
</valueQuantity>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="1363361000000108" />
<display value="NPEWS (National Paediatric Early Warning Score) - temperature score" />
</coding>
</code>
<valueQuantity>
<value value="1" />
<unit value="ScoreOf" />
<system value="http://unitsofmeasure.org" />
<code value="{ScoreOf}" />
</valueQuantity>
</component>
</Observation>
{
"resourceType": "Observation",
"id": "NPEWS1ObservationWithSubScores",
"identifier": [
{
"system": "https://tools.ietf.org/html/rfc4122",
"value": "ea45c120-504f-40f2-a79f-cb8cd3dd1307"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1363261000000104",
"display": "NPEWS (National Paediatric Early Warning Score) - total score"
}
]
},
"subject": {
"reference": "Patient/30d3de6f-e800-47fa-b610-b02c7c8e9d57"
},
"effectiveDateTime": "2018-10-04T14:17:59+01:00",
"performer": [
{
"reference": "Practitioner/627be677-3eb2-4db4-9570-5669fd8c92f5"
},
{
"reference": "Organization/cdaea3db-8b40-41dc-9834-b42503e12382"
}
],
"valueQuantity": {
"value": 12,
"unit": "ScoreOf",
"system": "http://unitsofmeasure.org",
"code": "{ScoreOf}"
},
"derivedFrom": [
{
"reference": "Observation/f47cb818-29e1-49db-ae6c-19ddf0303ead"
},
{
"reference": "Observation/7bfdba8e-c1f2-4d66-96fc-d7ee1e9c2b06"
},
{
"reference": "Observation/8504223d-ec0d-455e-8401-c84ae1577406"
},
{
"reference": "Observation/71006952-f165-40a6-a636-b922d60790b6"
},
{
"reference": "Observation/764d6298-b444-4489-9882-1cf68d969330"
},
{
"reference": "Observation/7c38444d-81dc-47cb-8439-0d38a1d1c229"
},
{
"reference": "Observation/d7234e73-6efe-4528-b1f5-bd721a91d8c6"
},
{
"reference": "Observation/d7234e73-6efe-4528-b1f5-bd721a91d8c9"
},
{
"reference": "Observation/d7234e73-6efe-4528-b1f5-bd721a91d8c4"
}
],
"component": [
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1363271000000106",
"display": "NPEWS (National Paediatric Early Warning Score) - respiration rate score"
}
]
},
"valueQuantity": {
"value": 1,
"unit": "ScoreOf",
"system": "http://unitsofmeasure.org",
"code": "{ScoreOf}"
}
},
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1363301000000109",
"display": "NPEWS (National Paediatric Early Warning Score) - respiratory distress score"
}
]
},
"valueQuantity": {
"value": 1,
"unit": "ScoreOf",
"system": "http://unitsofmeasure.org",
"code": "{ScoreOf}"
}
},
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1363311000000106",
"display": "NPEWS (National Paediatric Early Warning Score) - peripheral oxygen saturation score"
}
]
},
"valueQuantity": {
"value": 1,
"unit": "ScoreOf",
"system": "http://unitsofmeasure.org",
"code": "{ScoreOf}"
}
},
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1363321000000100",
"display": "NPEWS (National Paediatric Early Warning Score) - inspired oxygen score"
}
]
},
"valueQuantity": {
"value": 2,
"unit": "ScoreOf",
"system": "http://unitsofmeasure.org",
"code": "{ScoreOf}"
}
},
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1363331000000103",
"display": "NPEWS (National Paediatric Early Warning Score) - heart rate score"
}
]
},
"valueQuantity": {
"value": 1,
"unit": "ScoreOf",
"system": "http://unitsofmeasure.org",
"code": "{ScoreOf}"
}
},
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1363291000000105",
"display": "NPEWS (National Paediatric Early Warning Score) - systolic blood pressure score"
}
]
},
"valueQuantity": {
"value": 1,
"unit": "ScoreOf",
"system": "http://unitsofmeasure.org",
"code": "{ScoreOf}"
}
},
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1363341000000107",
"display": "NPEWS (National Paediatric Early Warning Score) - capillary refill time score"
}
]
},
"valueQuantity": {
"value": 3,
"unit": "ScoreOf",
"system": "http://unitsofmeasure.org",
"code": "{ScoreOf}"
}
},
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1363351000000105",
"display": "NPEWS (National Paediatric Early Warning Score) - consciousness score"
}
]
},
"valueQuantity": {
"value": 1,
"unit": "ScoreOf",
"system": "http://unitsofmeasure.org",
"code": "{ScoreOf}"
}
},
{
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1363361000000108",
"display": "NPEWS (National Paediatric Early Warning Score) - temperature score"
}
]
},
"valueQuantity": {
"value": 1,
"unit": "ScoreOf",
"system": "http://unitsofmeasure.org",
"code": "{ScoreOf}"
}
}
]
}
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