description: This level 3 Observation profile captures the National Early Warning Score (NEWS2), it is an aggregate scoring system in which a score is allocated to physiological measurements, already recorded in routine practice, when patients present to, or are being monitored in hospital. Six simple physiological parameters form the basis of the scoring system:\r\n1 respiration rate\r\n2 oxygen saturation\r\n3 systolic blood pressure\r\n4 pulse rate\r\n5 level of consciousness or new confusion\r\n6 temperature. package_name: NHSD.Assets.STU3 derivation: constraint name: CareConnect-NEWS2-Observation-1 type: Observation elements: category: mustSupport: false index: 5 elements: coding: index: 6 elements: system: pattern: {type: Uri, value: 'http://hl7.org/fhir/observation-category'} index: 7 code: pattern: {type: Code, value: survey} index: 8 display: pattern: {type: String, value: Survey} index: 9 required: [display, system, code] required: [coding] method: elements: coding: index: 34 slicing: rules: open ordered: false discriminator: - {path: system, type: value} min: null slices: snomedCT: match: {system: 'http://snomed.info/sct'} schema: index: 35 extensions: snomedCTDescriptionID: url: h type: Extension index: 37 elements: url: pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'} index: 38 elements: extension: index: 36 slicing: rules: open discriminator: - {path: url, type: value} min: null slices: snomedCTDescriptionID: match: {url: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'} schema: type: Extension url: h index: 37 elements: url: pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'} index: 38 system: pattern: {type: Uri, value: 'http://snomed.info/sct'} index: 39 version: {index: 40} code: {index: 41} display: {index: 42} required: [display, system, code] specimen: {index: 43} valueQuantity: type: Quantity mustSupport: false index: 21 slicing: slices: valueQuantity: match: {} schema: type: Quantity mustSupport: false _required: true index: 21 elements: value: {index: 22} required: [value] related: mustSupport: false index: 44 elements: type: pattern: {type: Code, value: derived-from} index: 45 target: type: Reference short: Resource that is related to this one. refers: ['https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ACVPU-Observation-1', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-BloodPressure-Observation-1', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-BodyTemperature-Observation-1', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HeartRate-Observation-1', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-InspiredOxygen-Observation-1', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-OxygenSaturation-Observation-1', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-RespiratoryRate-Observation-1', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Subscore-Observation-1'] index: 46 required: [type] component: index: 47 elements: code: elements: coding: index: 48 slicing: rules: open ordered: false discriminator: - {path: system, type: value} min: null slices: snomedCT: match: {system: 'http://snomed.info/sct'} schema: index: 49 extensions: snomedCTDescriptionID: url: h type: Extension index: 51 elements: url: pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'} index: 52 elements: extension: index: 50 slicing: rules: open discriminator: - {path: url, type: value} min: null slices: snomedCTDescriptionID: match: {url: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'} schema: type: Extension url: h index: 51 elements: url: pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'} index: 52 system: pattern: {type: Uri, value: 'http://snomed.info/sct'} index: 53 version: {index: 54} code: {index: 55} display: {index: 56} required: [display, system, code] status: pattern: {type: Code, value: final} mustSupport: false index: 4 effective: choices: [] index: 19 code: mustSupport: false index: 10 elements: coding: index: 11 elements: system: pattern: {type: Uri, value: 'http://snomed.info/sct'} index: 12 version: {index: 13} code: pattern: {type: Code, value: '1104051000000101'} index: 14 display: pattern: {type: String, value: Royal College of Physicians NEWS2 (National Early Warning Score 2) total score} index: 15 required: [display, system, code] required: [coding] identifier: elements: system: {index: 0} value: {index: 1} assigner: type: Reference refers: ['https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1'] index: 2 required: [value, system] bodySite: index: 24 elements: coding: index: 25 slicing: rules: open ordered: false discriminator: - {path: system, type: value} min: null slices: snomedCT: match: {system: 'http://snomed.info/sct'} schema: index: 26 extensions: snomedCTDescriptionID: url: h type: Extension index: 28 elements: url: pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'} index: 29 elements: extension: index: 27 slicing: rules: open discriminator: - {path: url, type: value} min: null slices: snomedCTDescriptionID: match: {url: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'} schema: type: Extension url: h index: 28 elements: url: pattern: {type: Uri, value: 'https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid'} index: 29 system: pattern: {type: Uri, value: 'http://snomed.info/sct'} index: 30 version: {index: 31} code: {index: 32} display: {index: 33} required: [display, system, code] context: type: Reference refers: ['http://hl7.org/fhir/StructureDefinition/EpisodeOfCare', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1'] index: 17 basedOn: type: Reference refers: ['http://hl7.org/fhir/StructureDefinition/CarePlan', 'http://hl7.org/fhir/StructureDefinition/DeviceRequest', 'http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation', 'http://hl7.org/fhir/StructureDefinition/NutritionOrder', 'http://hl7.org/fhir/StructureDefinition/ProcedureRequest', 'http://hl7.org/fhir/StructureDefinition/ReferralRequest', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-MedicationRequest-1'] index: 3 subject: type: Reference mustSupport: false refers: ['https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1'] index: 16 performer: type: Reference mustSupport: false refers: ['https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1'] index: 20 dataAbsentReason: {index: 23} package_version: 1.2.0 class: profile kind: resource url: https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-NEWS2-Observation-1 base: http://hl7.org/fhir/StructureDefinition/Observation version: 1.0.0 required: [subject, valueQuantity, effective, performer]