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

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: NEWS2 Escalation Protocol - XML Representation

Active as of 2026-01-27

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<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="news2-escalation-plan"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
<div>
    <table class="grid dict">
        
        <tr>
            <th scope="row"><b>Id: </b></th>
            <td style="padding-left: 4px;">news2-escalation-plan</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Url: </b></th>
            <td style="padding-left: 4px;"><a href="PlanDefinition-news2-escalation-plan.html">NEWS2 Escalation Protocol</a></td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Version: </b></th>
            <td style="padding-left: 4px;">1.0.0</td>
        </tr>
        

        

        
        <tr>
            <th scope="row"><b>Title: </b></th>
            <td style="padding-left: 4px;">NEWS2 Escalation Protocol</td>
        </tr>
        

        

        

        

        
        <tr>
            <th scope="row"><b>Type: </b></th>
            <td style="padding-left: 4px;">
                
                    
                        
                        <p style="margin-bottom: 5px;">
                            <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>
                        </p>
                        
                        
                        <p style="margin-bottom: 5px;">
                            <b>code: </b> <span>clinical-protocol</span>
                        </p>
                        
                        
                    
                
                
            </td>
        </tr>
        

        

        
        <tr>
            <th scope="row"><b>Date: </b></th>
            <td style="padding-left: 4px;">2026-01-27 09:30:37+0000</td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Publisher: </b></th>
            <td style="padding-left: 4px;">The Open Nursing Community</td>
        </tr>
        

        

        

        

        

        

        

        

        

        

        

        

        

        
        <tr>
            <th scope="row"><b>Libraries: </b></th>
            <td style="padding-left: 4px;">
                <table class="grid-dict">
                    
                    <tr>
                        <td><a href="Library-onc-news2-cql.html">ONC NEWS2 Auto-Calculation Logic</a></td>
                    </tr>
                    
                </table>
            </td>
        </tr>
        

        
        <tr>
            <th scope="row"><b>Actions: </b></th>
            <td style="padding-left: 4px;">
                <table class="grid-dict">
                    
                    <tr>
                        <td>
                            
                            <b> High Clinical Risk - Emergency Response:</b> NEWS2 Score of 7 or more indicates high clinical risk. Urgent response required.
                            
                            <br/>
                            
                            <b>When:</b>
                            
                            <i>Named Event:</i> news2-score-calculated
                            <br/>
                            
                            
                            
                            <b>If:</b>
                            
                            <i>Applicability:</i>
                            
                            <i>(Clinical Risk Category = 'High')</i>
                            <br/>
                            
                            
                            
                            
                            
                        </td>
                    </tr>
                    
                </table>
            </td>
        </tr>
        
    </table>
</div>
</div>
  </text>
  <url value="http://opennursingcore.org/PlanDefinition/news2-escalation"/>
  <version value="1.0.0"/>
  <name value="NEWS2_Escalation_Protocol"/>
  <title value="NEWS2 Escalation Protocol"/>
  <type>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
      <code value="clinical-protocol"/>
    </coding>
  </type>
  <status value="active"/>
  <date value="2026-01-27T09:30:37+00:00"/>
  <publisher value="The Open Nursing Community"/>
  <library value="http://opennursingcore.org/Library/ONC-NEWS2-CQL"/>
  <action>
    <title value="High Clinical Risk - Emergency Response"/>
    <description
                 value="NEWS2 Score of 7 or more indicates high clinical risk. Urgent response required."/>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="225365006"/>
        <display value="Care plan"/>
      </coding>
    </code>
    <trigger>
      <type value="named-event"/>
      <name value="news2-score-calculated"/>
    </trigger>
    <condition>
      <kind value="applicability"/>
      <expression>
        <language value="text/cql"/>
        <expression value="Clinical Risk Category = 'High'"/>
      </expression>
    </condition>
    <dynamicValue>
      <path value="description"/>
      <expression>
        <language value="text/cql"/>
        <expression
                    value="'URGENT: NEWS2 Score is ' + ToString(&quot;NEWS2 Total Score&quot;) + '. Immediate medical review required.'"/>
      </expression>
    </dynamicValue>
  </action>
</PlanDefinition>