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

Open Nursing Core FHIR Implementation Guide (ONC-IG) - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: NEWS2 Escalation Protocol - TTL Representation

Active as of 2026-07-10

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/PlanDefinition/news2-escalation-plan> a fhir:PlanDefinition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "news2-escalation-plan"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.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/7.2.0/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;\">2026-07-10 11:01:35+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>"
  ] ;
  fhir:PlanDefinition.url [ fhir:value "http://opennursingcore.org/PlanDefinition/news2-escalation"] ;
  fhir:PlanDefinition.version [ fhir:value "1.0.0"] ;
  fhir:PlanDefinition.name [ fhir:value "NEWS2_Escalation_Protocol"] ;
  fhir:PlanDefinition.title [ fhir:value "NEWS2 Escalation Protocol"] ;
  fhir:PlanDefinition.type [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/plan-definition-type" ] ;
       fhir:Coding.code [ fhir:value "clinical-protocol" ]
     ]
  ] ;
  fhir:PlanDefinition.status [ fhir:value "active"] ;
  fhir:PlanDefinition.date [ fhir:value "2026-07-10T11:01:35+00:00"^^xsd:dateTime] ;
  fhir:PlanDefinition.publisher [ fhir:value "The Open Nursing Community"] ;
  fhir:PlanDefinition.library [
     fhir:value "http://opennursingcore.org/Library/ONC-NEWS2-CQL" ;
     fhir:index 0 ;
     fhir:link <http://opennursingcore.org/Library/ONC-NEWS2-CQL>
  ] ;
  fhir:PlanDefinition.action [
     fhir:index 0 ;
     fhir:PlanDefinition.action.title [ fhir:value "High Clinical Risk - Emergency Response" ] ;
     fhir:PlanDefinition.action.description [ fhir:value "NEWS2 Score of 7 or more indicates high clinical risk. Urgent response required." ] ;
     fhir:PlanDefinition.action.code [
       fhir:index 0 ;
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a sct:225365006 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "225365006" ] ;
         fhir:Coding.display [ fhir:value "Care plan" ]
       ]
     ] ;
     fhir:PlanDefinition.action.trigger [
       fhir:index 0 ;
       fhir:TriggerDefinition.type [ fhir:value "named-event" ] ;
       fhir:TriggerDefinition.name [ fhir:value "news2-score-calculated" ]
     ] ;
     fhir:PlanDefinition.action.condition [
       fhir:index 0 ;
       fhir:PlanDefinition.action.condition.kind [ fhir:value "applicability" ] ;
       fhir:PlanDefinition.action.condition.expression [
         fhir:Expression.language [ fhir:value "text/cql" ] ;
         fhir:Expression.expression [ fhir:value "Clinical Risk Category = 'High'" ]
       ]
     ] ;
     fhir:PlanDefinition.action.dynamicValue [
       fhir:index 0 ;
       fhir:PlanDefinition.action.dynamicValue.path [ fhir:value "description" ] ;
       fhir:PlanDefinition.action.dynamicValue.expression [
         fhir:Expression.language [ fhir:value "text/cql" ] ;
         fhir:Expression.expression [ fhir:value "'URGENT: NEWS2 Score is ' + ToString(\"NEWS2 Total Score\") + '. Immediate medical review required.'" ]
       ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/PlanDefinition/news2-escalation-plan.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/PlanDefinition/news2-escalation-plan.ttl> .