{
  "template": {
    "code": "news2",
    "name": "NEWS2 (Nursing early warning)",
    "category": "screening",
    "version": 1,
    "is_current": true,
    "is_active": true,
    "scoring_strategy": "sum_items",
    "description": "National Early Warning Score 2 style physiological track-and-trigger for ward nursing. Scores 0–20.",
    "meta": {
      "capture_roles": ["nurse", "ed_nurse", "theatre_nurse", "labour_ward_nurse", "fertility_nurse", "dialysis_nurse", "midwife", "doctor", "general_physician", "emergency_physician", "obstetrician", "gynecologist", "obgyn"],
      "specialty": "nursing",
      "pack_family": "nursing",
      "estimated_minutes": 3,
      "max_total": 20,
      "severity_bands": [
        { "max": 4, "label": "Low" },
        { "max": 6, "label": "Medium" },
        { "max": 20, "label": "High" }
      ],
      "attribution": "NEWS2-inspired clinical scoring for operational use. Official NEWS2 materials remain Royal College of Physicians IP — verify licensing for branded redistribution."
    }
  },
  "questions": [
    {
      "code": "respiration",
      "section": "Physiology",
      "label": "Respiration rate (breaths/min)",
      "answer_type": "score_item",
      "is_required": true,
      "sort_order": 10,
      "score_key": "news2",
      "options": {
        "max": 3,
        "choices": [
          { "code": "0", "label": "12–20", "score": 0 },
          { "code": "1", "label": "9–11", "score": 1 },
          { "code": "2", "label": "21–24", "score": 2 },
          { "code": "3a", "label": "≤8", "score": 3 },
          { "code": "3b", "label": "≥25", "score": 3 }
        ]
      }
    },
    {
      "code": "spo2",
      "section": "Physiology",
      "label": "SpO₂ scale 1 (%)",
      "answer_type": "score_item",
      "is_required": true,
      "sort_order": 20,
      "score_key": "news2",
      "options": {
        "max": 3,
        "choices": [
          { "code": "0", "label": "≥96", "score": 0 },
          { "code": "1", "label": "94–95", "score": 1 },
          { "code": "2", "label": "92–93", "score": 2 },
          { "code": "3", "label": "≤91", "score": 3 }
        ]
      }
    },
    {
      "code": "air_oxygen",
      "section": "Physiology",
      "label": "Air or oxygen",
      "answer_type": "score_item",
      "is_required": true,
      "sort_order": 30,
      "score_key": "news2",
      "options": {
        "max": 2,
        "choices": [
          { "code": "0", "label": "Air", "score": 0 },
          { "code": "2", "label": "Oxygen", "score": 2 }
        ]
      }
    },
    {
      "code": "systolic_bp",
      "section": "Physiology",
      "label": "Systolic BP (mmHg)",
      "answer_type": "score_item",
      "is_required": true,
      "sort_order": 40,
      "score_key": "news2",
      "options": {
        "max": 3,
        "choices": [
          { "code": "0", "label": "111–219", "score": 0 },
          { "code": "1", "label": "101–110", "score": 1 },
          { "code": "2", "label": "91–100", "score": 2 },
          { "code": "3a", "label": "≤90", "score": 3 },
          { "code": "3b", "label": "≥220", "score": 3 }
        ]
      }
    },
    {
      "code": "pulse",
      "section": "Physiology",
      "label": "Pulse (bpm)",
      "answer_type": "score_item",
      "is_required": true,
      "sort_order": 50,
      "score_key": "news2",
      "options": {
        "max": 3,
        "choices": [
          { "code": "0", "label": "51–90", "score": 0 },
          { "code": "1", "label": "41–50 or 91–110", "score": 1 },
          { "code": "2", "label": "111–130", "score": 2 },
          { "code": "3a", "label": "≤40", "score": 3 },
          { "code": "3b", "label": "≥131", "score": 3 }
        ]
      }
    },
    {
      "code": "consciousness",
      "section": "Physiology",
      "label": "Consciousness",
      "answer_type": "score_item",
      "is_required": true,
      "sort_order": 60,
      "score_key": "news2",
      "options": {
        "max": 3,
        "choices": [
          { "code": "0", "label": "Alert", "score": 0 },
          { "code": "3", "label": "CVPU", "score": 3 }
        ]
      }
    },
    {
      "code": "temperature",
      "section": "Physiology",
      "label": "Temperature (°C)",
      "answer_type": "score_item",
      "is_required": true,
      "sort_order": 70,
      "score_key": "news2",
      "options": {
        "max": 3,
        "choices": [
          { "code": "0", "label": "36.1–38.0", "score": 0 },
          { "code": "1a", "label": "35.1–36.0 or 38.1–39.0", "score": 1 },
          { "code": "2", "label": "≥39.1", "score": 2 },
          { "code": "3", "label": "≤35.0", "score": 3 }
        ]
      }
    }
  ]
}
