ARCHETYPE NEWS2 (UK RCP) (openEHR-EHR-OBSERVATION.news2_uk_rcp.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.news2_uk_rcp.v0
ConceptNEWS2 (UK RCP)
DescriptionNEWS2 (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 updated guidance issued by the UK Royal College of Physicians.
UseUse to record a composite score to support assessment of the degree of clinical deterioration in an unwell patient, over the age of 16 years.
MisuseNot to be used to record each physical measurement or clinical observation. Use specific OBSERVATION archetypes for this purpose - OBSERVATION.blood_pressure, OBSERVATION.pulse, OBSERVATION.respirations, OBSERVATION.body_temperature, OBSERVATION.avpu, CLUSTER.ambient_oxygen or OBSERVATION.indirect_oximetry. Not to be used for children/teens under the age of 16 years or in pregnancy.
PurposeTo 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.
Referenceshttps://www.rcplondon.ac.uk/projects/outputs/national-early-warning-score-news-2 cited 01-Feb-2018
Copyright© Clinical Models UK
AuthorsAuthor name: Hildegard Franke
Organisation: freshEHR Clinical Informatics Ltd.
Email: hildi@freshehr.com
Date originally authored: 2018-02-01
Other Details LanguageAuthor name: Hildegard Franke
Organisation: freshEHR Clinical Informatics Ltd.
Email: hildi@freshehr.com
Date originally authored: 2018-02-01
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/., custodian_organisation=UK Clinical Models, references=https://www.rcplondon.ac.uk/projects/outputs/national-early-warning-score-news-2 cited 01-Feb-2018, current_contact=Hildegard Franke, freshEHR Clinical Informatics Ltd., original_namespace=uk.org.clinicalmodels, original_publisher=UK Clinical Models, custodian_namespace=uk.org.clinicalmodels, MD5-CAM-1.0.1=B9765110741BC95CFC1725FFE96ABB00, build_uid=09f5670e-3b88-429a-b6b6-e3fb3d1ad128, revision=0.0.1}
Keywordswarning, AVPU, RR, HR, BP, Temp, SBP, triage, NEWS, Sats, MEWS, EWS, oxygen, saturation, illness, degree, score
Lifecyclerejected
UIDc108feb8-feed-4f0b-8d1e-8aa583bd08ff
Language useden
Citeable Identifier1051.32.707
Revision Number0.0.1
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=NEWS2 (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 updated guidance issued by the UK Royal College of Physicians., archetypeConceptComment=null, otherContributors=, originalLanguage=en, translators=
  • Norwegian Bokmål: John Tore Valand, Helse Bergen HF

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    All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0045]/items[at0053], code=at0053, itemType=SLOT, level=2, text=Oxygen delivery details, description=Details of oxygen delivery or device., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
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    1: 9-11 [The respiratory rate measurement is between 9 and 11 breaths/min; scored as 1 point.]
    2: 21-24 [The respiratory rate measurement is between 21 and 24 breaths/min; scored as 2 points.]
    3: <=8 or >=25 [The respiratory rate measurement is less than/equal to 8 breaths/min or greater than/equal to 25 breaths/min; scored as 3 points.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0029], code=at0029, itemType=ELEMENT, level=4, text=SpO2 Scale 1, description=Range category for the oxygen saturation measurement of a patient., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: >= 96 [The oxygen saturation level is greater than/equal to 96%;scored as 0 points.]
    1: 94-95 [The oxygen saturation level is between 94% and 95%; scored as 1 point.]
    2: 92-93 [The oxygen saturation level is between 92% and 93%; scored as 2 points.]
    3: <=91 [The oxygen saturation level is less than/equal to 91%; scored as 3 points.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0047], code=at0047, itemType=ELEMENT, level=4, text=SpO2 Scale 2, description=Range category for the oxygen saturation measurement of a patient where the target range is 88-92%, e.g. in hypercapnic respiratory failure., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: 88-92 or >=93 on air [The oxygen saturation level is between 88% and 92% or greater than/equal to 93% on air; scored as 0 points.]
    1: 86-87 or 93-94 on O2 [The oxygen saturation level is between 86% and 87% or between 93% and 94% on oxygen; scored as 1 point.]
    2: 84-85 or 95-96 on O2 [The oxygen saturation level is between 84% and 85% or between 95% and 96% on oxygen; scored as 2 points.]
    3: <=83 or >=97 on O2 [The oxygen saturation level is less or equal 83% or between >=97% on oxygen; scored as 3 points.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0034], code=at0034, itemType=ELEMENT, level=4, text=Supplemental oxygen, description=Range category depending on whether the patient is receiving supplemental oxygen., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No [The patient is not receiving supplemental oxygen; scored as 0 points.]
    2: Yes [The patient is receiving supplemental oxygen; scored as 2 points.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Systolic blood pressure, description=Range category for the systolic blood pressure (SBP) measurement of a patient., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: 111-219 [The systolic blood pressure measurement is between 111 and 219 mmHg; scored as 0 points.]
    1: 101-110 [The systolic blood pressure measurement is between 101 and 110 mmHg; scored as 1 point.]
    2: 91-100 [The systolic blood pressure measurement is between 91 and 100 mmHg; scored as 2 points.]
    3: <=90 or >= 220 [The systolic blood pressure measurement is less than/equal to 90 mmHg or greater than/equal to 220 mmHg; scored as 3 points.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Pulse, description=Range category for the pulse measurement of a patient., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: 51-90 [The pulse measurement is between 51 and 90 beats/min; scored as 0 points.]
    1: 41-50 or 91-110 [The pulse measurement is between 41 and 50 beats/min or between 91 and 110 beats/min; scored as 1 point.]
    2: 111-130 [The pulse measurement is between 111 and 130 beats/min; scored as 2 points.]
    3: <=40 or >=131 [The pulse measurement is less than/equal to 40 beats/min or greater than/equal to 131 beats/min; scored as 3 points.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0008], code=at0008, itemType=ELEMENT, level=4, text=Level of consciousness, description=Observed category for the AVPU scale rating of a patient's conscious state., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: A [The patient is alert or awake; scored as 0 points.]
    3: C, V, P or U [The patient is confused or responds only to verbal, pain or stimulus; scored as 3 points.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0007], code=at0007, itemType=ELEMENT, level=4, text=Body temperature, description=Range category for the body temperature (Temp) measurement of a patient., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: 36.1-38.0 [The body temperature measurement is between 36.1 and 38.0 degrees Celsius; scored as 0 points.]
    1: 35.1-36.0 or 38.1-39.0 [The body temperature measurement is between 35.1 and 36.0 degrees Celsius or between 38.1 and 39.0 degrees Celsius; scored as 1 point.]
    2: >=39.1 [The body temperature is greater than/equal to 39.1 degrees Celcius; scored as 2 points.]
    3: <=35.0 [The body temperature is less than/equal to 35 degrees Celcius ; scored as 3 points.]
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