Open Nursing Core FHIR Implementation Guide (ONC-IG)
1.0.0 - release

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: NEWS2 Escalation Protocol - JSON Representation

Active as of 2026-01-27

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{
  "resourceType" : "PlanDefinition",
  "id" : "news2-escalation-plan",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<div>\n    <table class=\"grid dict\">\n        \n        <tr>\n            <th scope=\"row\"><b>Id: </b></th>\n            <td style=\"padding-left: 4px;\">news2-escalation-plan</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Url: </b></th>\n            <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-news2-escalation-plan.html\">NEWS2 Escalation Protocol</a></td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Version: </b></th>\n            <td style=\"padding-left: 4px;\">1.0.0</td>\n        </tr>\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Title: </b></th>\n            <td style=\"padding-left: 4px;\">NEWS2 Escalation Protocol</td>\n        </tr>\n        \n\n        \n\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Type: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                    \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>system: </b> <span><a href=\"http://terminology.hl7.org/7.0.1/CodeSystem-plan-definition-type.html\">http://terminology.hl7.org/CodeSystem/plan-definition-type</a></span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>code: </b> <span>clinical-protocol</span>\n                        </p>\n                        \n                        \n                    \n                \n                \n            </td>\n        </tr>\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Date: </b></th>\n            <td style=\"padding-left: 4px;\">2026-01-27 09:30:37+0000</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Publisher: </b></th>\n            <td style=\"padding-left: 4px;\">The Open Nursing Community</td>\n        </tr>\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Libraries: </b></th>\n            <td style=\"padding-left: 4px;\">\n                <table class=\"grid-dict\">\n                    \n                    <tr>\n                        <td><a href=\"Library-onc-news2-cql.html\">ONC NEWS2 Auto-Calculation Logic</a></td>\n                    </tr>\n                    \n                </table>\n            </td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Actions: </b></th>\n            <td style=\"padding-left: 4px;\">\n                <table class=\"grid-dict\">\n                    \n                    <tr>\n                        <td>\n                            \n                            <b> High Clinical Risk - Emergency Response:</b> NEWS2 Score of 7 or more indicates high clinical risk. Urgent response required.\n                            \n                            <br/>\n                            \n                            <b>When:</b>\n                            \n                            <i>Named Event:</i> news2-score-calculated\n                            <br/>\n                            \n                            \n                            \n                            <b>If:</b>\n                            \n                            <i>Applicability:</i>\n                            \n                            <i>(Clinical Risk Category = 'High')</i>\n                            <br/>\n                            \n                            \n                            \n                            \n                            \n                        </td>\n                    </tr>\n                    \n                </table>\n            </td>\n        </tr>\n        \n    </table>\n</div>\n</div>"
  },
  "url" : "http://opennursingcore.org/PlanDefinition/news2-escalation",
  "version" : "1.0.0",
  "name" : "NEWS2_Escalation_Protocol",
  "title" : "NEWS2 Escalation Protocol",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
        "code" : "clinical-protocol"
      }
    ]
  },
  "status" : "active",
  "date" : "2026-01-27T09:30:37+00:00",
  "publisher" : "The Open Nursing Community",
  "library" : [
    🔗 "http://opennursingcore.org/Library/ONC-NEWS2-CQL"
  ],
  "action" : [
    {
      "title" : "High Clinical Risk - Emergency Response",
      "description" : "NEWS2 Score of 7 or more indicates high clinical risk. Urgent response required.",
      "code" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "225365006",
              "display" : "Care plan"
            }
          ]
        }
      ],
      "trigger" : [
        {
          "type" : "named-event",
          "name" : "news2-score-calculated"
        }
      ],
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "language" : "text/cql",
            "expression" : "Clinical Risk Category = 'High'"
          }
        }
      ],
      "dynamicValue" : [
        {
          "path" : "description",
          "expression" : {
            "language" : "text/cql",
            "expression" : "'URGENT: NEWS2 Score is ' + ToString(\"NEWS2 Total Score\") + '. Immediate medical review required.'"
          }
        }
      ]
    }
  ]
}