{ "resourceType" : "Questionnaire", "id" : "onc-news2-questionnaire", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Questionnaire onc-news2-questionnaire

Structure\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
LinkIDTextCardinalityTypeDescription & Constraints\"doco\"
\".\"\".\" ONCNEWS2QuestionnaireSDC questionnaire for capturing the NEWS2 physiological parameter set and total score. Coded items extract to Observations conforming to the ONC NEWS2 and vital-sign profiles. Scoring and escalation logic is computable via the ONC_NEWS2_Logic CQL library and the news2-escalation PlanDefinition.Questionnairehttps://opennursingcoreig.com/Questionnaire/onc-news2-questionnaire#1.0.0
\".\"\".\"\".\" resp-rateRespiration rate (breaths per minute)1..1integer
\".\"\".\"\".\" spo2Oxygen saturation, SpO2 (%)1..1integer
\".\"\".\"\".\" spo2-scale2Use SpO2 Scale 2? (Prescribed target saturation 88–92%, e.g. hypercapnic respiratory failure — decision made by a competent clinician)1..1boolean
\".\"\".\"\".\" o2-statusAir or supplemental oxygen?1..1choiceOptions: 2 options
\".\"\".\"\".\" systolic-bpSystolic blood pressure (mmHg)1..1integer
\".\"\".\"\".\" diastolic-bpDiastolic blood pressure (mmHg) — recorded, not scored0..1integer
\".\"\".\"\".\" heart-ratePulse / heart rate (beats per minute)1..1integer
\".\"\".\"\".\" temperatureBody temperature (°C)1..1decimal
\".\"\".\"\".\" acvpuLevel of consciousness (ACVPU)1..1choiceOptions: 5 options
\".\"\".\"\".\" news2-totalNEWS2 total score (0–20)1..1integer
\".\"\".\"\".\" escalation-guidanceEscalation (RCP NEWS2): 0–4 low risk — routine monitoring · 3 in any single parameter — registered nurse review · 5–6 medium risk — urgent review by a clinician competent in acute illness · 7+ high risk — emergency response. The ONC_NEWS2_Logic CQL library computes the score and the news2-escalation PlanDefinition encodes this protocol; this form does not replace clinical judgement.0..1display

\"doco\" Documentation for this format

Options Sets

Answer options for o2-status

Answer options for acvpu

" }, "extension" : [{ "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract", "valueBoolean" : true }], "url" : "https://opennursingcoreig.com/Questionnaire/onc-news2-questionnaire", "version" : "1.0.0", "name" : "ONCNEWS2Questionnaire", "title" : "NEWS2 (National Early Warning Score 2)", "status" : "draft", "subjectType" : ["Patient"], "date" : "2026-07-10T11:01:35+00:00", "publisher" : "The Open Nursing Community", "description" : "SDC questionnaire for capturing the NEWS2 physiological parameter set and total score. Coded items extract to Observations conforming to the ONC NEWS2 and vital-sign profiles. Scoring and escalation logic is computable via the ONC_NEWS2_Logic CQL library and the news2-escalation PlanDefinition.", "item" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit", "valueCoding" : { "system" : "http://unitsofmeasure.org", "code" : "/min", "display" : "/min" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/minValue", "valueInteger" : 0 }, { "url" : "http://hl7.org/fhir/StructureDefinition/maxValue", "valueInteger" : 90 }], "linkId" : "resp-rate", "code" : [{ "system" : "http://loinc.org", "code" : "9279-1", "display" : "Respiratory rate" }], "text" : "Respiration rate (breaths per minute)", "type" : "integer", "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit", "valueCoding" : { "system" : "http://unitsofmeasure.org", "code" : "%", "display" : "%" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/minValue", "valueInteger" : 0 }, { "url" : "http://hl7.org/fhir/StructureDefinition/maxValue", "valueInteger" : 100 }], "linkId" : "spo2", "code" : [{ "system" : "http://loinc.org", "code" : "59408-5", "display" : "Oxygen saturation in Arterial blood by Pulse oximetry" }], "text" : "Oxygen saturation, SpO2 (%)", "type" : "integer", "required" : true }, { "linkId" : "spo2-scale2", "text" : "Use SpO2 Scale 2? (Prescribed target saturation 88–92%, e.g. hypercapnic respiratory failure — decision made by a competent clinician)", "type" : "boolean", "required" : true }, { "linkId" : "o2-status", "code" : [{ "system" : "http://loinc.org", "code" : "3151-8", "display" : "Inhaled oxygen flow rate" }], "text" : "Air or supplemental oxygen?", "type" : "choice", "required" : true, "answerOption" : [{ "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "722742002", "display" : "Breathing room air" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "371825009", "display" : "Patient on oxygen" } }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit", "valueCoding" : { "system" : "http://unitsofmeasure.org", "code" : "mm[Hg]", "display" : "mm[Hg]" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/minValue", "valueInteger" : 20 }, { "url" : "http://hl7.org/fhir/StructureDefinition/maxValue", "valueInteger" : 300 }], "linkId" : "systolic-bp", "code" : [{ "system" : "http://loinc.org", "code" : "8480-6", "display" : "Systolic blood pressure" }], "text" : "Systolic blood pressure (mmHg)", "type" : "integer", "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit", "valueCoding" : { "system" : "http://unitsofmeasure.org", "code" : "mm[Hg]", "display" : "mm[Hg]" } }], "linkId" : "diastolic-bp", "code" : [{ "system" : "http://loinc.org", "code" : "8462-4", "display" : "Diastolic blood pressure" }], "text" : "Diastolic blood pressure (mmHg) — recorded, not scored", "type" : "integer", "required" : false }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit", "valueCoding" : { "system" : "http://unitsofmeasure.org", "code" : "/min", "display" : "/min" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/minValue", "valueInteger" : 0 }, { "url" : "http://hl7.org/fhir/StructureDefinition/maxValue", "valueInteger" : 350 }], "linkId" : "heart-rate", "code" : [{ "system" : "http://loinc.org", "code" : "8867-4", "display" : "Heart rate" }], "text" : "Pulse / heart rate (beats per minute)", "type" : "integer", "required" : true }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit", "valueCoding" : { "system" : "http://unitsofmeasure.org", "code" : "Cel", "display" : "Cel" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/minValue", "valueDecimal" : 25 }, { "url" : "http://hl7.org/fhir/StructureDefinition/maxValue", "valueDecimal" : 45 }], "linkId" : "temperature", "code" : [{ "system" : "http://loinc.org", "code" : "8310-5", "display" : "Body temperature" }], "text" : "Body temperature (°C)", "type" : "decimal", "required" : true }, { "linkId" : "acvpu", "code" : [{ "system" : "http://snomed.info/sct", "code" : "1104441000000107", "display" : "ACVPU (Alert Confusion Voice Pain Unresponsive) scale score" }], "text" : "Level of consciousness (ACVPU)", "type" : "choice", "required" : true, "answerOption" : [{ "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "248234008", "display" : "Mentally alert" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "130987000", "display" : "Acute confusion" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "300202002", "display" : "Responds to voice" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "450847001", "display" : "Responds to pain" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "422768004", "display" : "Unresponsive" } }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit", "valueCoding" : { "system" : "http://unitsofmeasure.org", "code" : "{score}", "display" : "{score}" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/minValue", "valueInteger" : 0 }, { "url" : "http://hl7.org/fhir/StructureDefinition/maxValue", "valueInteger" : 20 }], "linkId" : "news2-total", "code" : [{ "system" : "https://opennursingcoreig.com/CodeSystem/onc-observation-codes", "code" : "news2-score", "display" : "NEWS2 Score" }], "text" : "NEWS2 total score (0–20)", "type" : "integer", "required" : true }, { "linkId" : "escalation-guidance", "text" : "Escalation (RCP NEWS2): 0–4 low risk — routine monitoring · 3 in any single parameter — registered nurse review · 5–6 medium risk — urgent review by a clinician competent in acute illness · 7+ high risk — emergency response. The ONC_NEWS2_Logic CQL library computes the score and the news2-escalation PlanDefinition encodes this protocol; this form does not replace clinical judgement.", "type" : "display" }] }