Atrius India Core FHIR Implementation Guide
0.1.0 - ci-build

Atrius India Core FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Atrius ER Acute Breathlessness Danger Signs (CodeSystem)

Active as of 2026-07-24

Raw ttl | Download


@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 xsd: <http://www.w3.org/2001/XMLSchema#> .

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

<http://hl7.org/fhir/CodeSystem/atrius-in-er-acute-breathlessness-danger-signs-cs> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "atrius-in-er-acute-breathlessness-danger-signs-cs"] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem atrius-in-er-acute-breathlessness-danger-signs-cs</b></p><a name=\"atrius-in-er-acute-breathlessness-danger-signs-cs\"> </a><a name=\"hcatrius-in-er-acute-breathlessness-danger-signs-cs\"> </a><p>This case-sensitive code system <code>https://atrius.in/fhir/r4/atrius-in/CodeSystem/atrius-in-er-acute-breathlessness-danger-signs-cs</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">altered-consciousness<a name=\"atrius-in-er-acute-breathlessness-danger-signs-cs-altered-consciousness\"> </a></td><td>Altered consciousness</td><td>Altered consciousness or reduced Glasgow Coma Scale</td></tr><tr><td style=\"white-space:nowrap\">exhausting-breathing<a name=\"atrius-in-er-acute-breathlessness-danger-signs-cs-exhausting-breathing\"> </a></td><td>Exhausting breathing</td><td>Exhausting respiratory effort or inability to speak in full sentences</td></tr><tr><td style=\"white-space:nowrap\">silent-chest<a name=\"atrius-in-er-acute-breathlessness-danger-signs-cs-silent-chest\"> </a></td><td>Silent chest</td><td>Silent chest / poor air entry on auscultation</td></tr><tr><td style=\"white-space:nowrap\">refractory-hypoxemia<a name=\"atrius-in-er-acute-breathlessness-danger-signs-cs-refractory-hypoxemia\"> </a></td><td>Refractory hypoxemia</td><td>SpO2 below target despite supplemental oxygen</td></tr><tr><td style=\"white-space:nowrap\">hemodynamic-instability<a name=\"atrius-in-er-acute-breathlessness-danger-signs-cs-hemodynamic-instability\"> </a></td><td>Hemodynamic instability</td><td>Hemodynamic instability (e.g. systolic BP &lt; 90 mmHg or clinical shock)</td></tr><tr><td style=\"white-space:nowrap\">airway-unprotected<a name=\"atrius-in-er-acute-breathlessness-danger-signs-cs-airway-unprotected\"> </a></td><td>Unprotected airway</td><td>Inability to protect airway or copious secretions / aspiration risk</td></tr><tr><td style=\"white-space:nowrap\">none<a name=\"atrius-in-er-acute-breathlessness-danger-signs-cs-none\"> </a></td><td>None of the above</td><td>No danger signs present — do not activate airway rescue / RSI preparation</td></tr></table></div>"
  ] ;
  fhir:CodeSystem.url [ fhir:value "https://atrius.in/fhir/r4/atrius-in/CodeSystem/atrius-in-er-acute-breathlessness-danger-signs-cs"] ;
  fhir:CodeSystem.identifier [
     fhir:index -1 ;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
     fhir:Identifier.value [ fhir:value "urn:oid:1.3.6.1.4.1.66219.1.16.8" ]
  ] ;
  fhir:CodeSystem.version [ fhir:value "0.1.0"] ;
  fhir:CodeSystem.name [ fhir:value "AtriusInERAcuteBreathlessnessDangerSignsCS"] ;
  fhir:CodeSystem.title [ fhir:value "Atrius ER Acute Breathlessness Danger Signs (CodeSystem)"] ;
  fhir:CodeSystem.status [ fhir:value "active"] ;
  fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:CodeSystem.date [ fhir:value "2026-07-24T19:16:12+05:30"^^xsd:dateTime] ;
  fhir:CodeSystem.publisher [ fhir:value "Atrius"] ;
  fhir:CodeSystem.contact [
     fhir:index -1 ;
     fhir:ContactDetail.name [ fhir:value "Atrius" ] ;
     fhir:ContactDetail.telecom [
       fhir:index -1 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://atrius.in" ]
     ]
  ] ;
  fhir:CodeSystem.description [ fhir:value "Danger-sign answers for the ED acute breathlessness gate questionnaire. Any positive danger sign activates airway rescue; none-of-the-above does not."] ;
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean] ;
  fhir:CodeSystem.content [ fhir:value "complete"] ;
  fhir:CodeSystem.count [ fhir:value "7"^^xsd:nonNegativeInteger] ;
  fhir:CodeSystem.concept [
     fhir:index -1 ;
     fhir:CodeSystem.concept.code [ fhir:value "altered-consciousness" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Altered consciousness" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Altered consciousness or reduced Glasgow Coma Scale" ]
  ], [
     fhir:index -1 ;
     fhir:CodeSystem.concept.code [ fhir:value "exhausting-breathing" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Exhausting breathing" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Exhausting respiratory effort or inability to speak in full sentences" ]
  ], [
     fhir:index -1 ;
     fhir:CodeSystem.concept.code [ fhir:value "silent-chest" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Silent chest" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Silent chest / poor air entry on auscultation" ]
  ], [
     fhir:index -1 ;
     fhir:CodeSystem.concept.code [ fhir:value "refractory-hypoxemia" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Refractory hypoxemia" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "SpO2 below target despite supplemental oxygen" ]
  ], [
     fhir:index -1 ;
     fhir:CodeSystem.concept.code [ fhir:value "hemodynamic-instability" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Hemodynamic instability" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Hemodynamic instability (e.g. systolic BP < 90 mmHg or clinical shock)" ]
  ], [
     fhir:index -1 ;
     fhir:CodeSystem.concept.code [ fhir:value "airway-unprotected" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Unprotected airway" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Inability to protect airway or copious secretions / aspiration risk" ]
  ], [
     fhir:index -1 ;
     fhir:CodeSystem.concept.code [ fhir:value "none" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "None of the above" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "No danger signs present — do not activate airway rescue / RSI preparation" ]
  ] .

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

<http://hl7.org/fhir/CodeSystem/atrius-in-er-acute-breathlessness-danger-signs-cs.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/CodeSystem/atrius-in-er-acute-breathlessness-danger-signs-cs.ttl> .