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
| Draft as of 2026-07-24 |
{
"resourceType" : "PlanDefinition",
"id" : "atrius-critical-labs",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/cdshooksserviceplandefinition|4.0.1"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>See <code>Library/AtriusCriticalLabs</code> for CQL expression definitions and thresholds.</p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-cdsHooksEndpoint",
"valueUri" : "https://cds.atrius.in/cds-services/atrius-critical-labs"
}
],
"url" : "https://atrius.in/fhir/r4/atrius-in/PlanDefinition/atrius-critical-labs",
"identifier" : [
{
"use" : "official",
"value" : "atrius-critical-labs"
},
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:1.3.6.1.4.1.66219.1.34.1"
}
],
"version" : "0.1.0",
"name" : "AtriusCriticalLabs",
"title" : "Critical Lab Value Alerts",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
"code" : "eca-rule"
}
]
},
"status" : "draft",
"experimental" : true,
"date" : "2026-07-24T19:16:12+05:30",
"publisher" : "Atrius",
"contact" : [
{
"name" : "Atrius",
"telecom" : [
{
"system" : "url",
"value" : "https://atrius.in"
}
]
}
],
"description" : "Interruptive alerts when the most recent resulted potassium, sodium, glucose, or cardiac troponin crosses a critical threshold. Each alert proposes an immediate clinician review task and a confirmatory repeat sample.",
"library" : [
🔗 "https://atrius.in/fhir/r4/atrius-in/Library/AtriusCriticalLabs|0.1.0"
],
"action" : [
{
"id" : "atrius-critical-labs-root",
"title" : "Critical Lab Value Alerts",
"description" : "Most recent resulted lab crosses a critical threshold.",
"trigger" : [
{
"type" : "named-event",
"name" : "patient-view"
}
],
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql",
"expression" : "Has Critical Lab Value"
}
}
],
"input" : [
{
"type" : "Patient",
"profile" : [
🔗 "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-patient|0.1.0"
]
},
{
"type" : "Observation",
"profile" : [
🔗 "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-observation|0.1.0"
]
}
],
"groupingBehavior" : "logical-group",
"action" : [
{
"id" : "critical-potassium",
"title" : "Critical potassium result",
"description" : "Most recent serum potassium is below 2.5 or above 6.0 mmol/L. Assess for arrhythmia risk; obtain ECG and treat per hyper/hypokalemia protocol.",
"priority" : "stat",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql",
"expression" : "Critical Potassium"
}
}
],
"groupingBehavior" : "logical-group",
"action" : [
{
"id" : "critical-potassium-review",
"title" : "Immediate clinician review",
"priority" : "stat",
"definitionCanonical" : "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-critical-lab-review|0.1.0"
},
{
"id" : "critical-potassium-repeat",
"title" : "Repeat electrolytes (confirmatory)",
"definitionCanonical" : "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-bmp|0.1.0"
}
]
},
{
"id" : "critical-sodium",
"title" : "Critical sodium result",
"description" : "Most recent serum sodium is below 120 or above 160 mmol/L. Evaluate neurologic status; correct at a controlled rate to avoid osmotic demyelination.",
"priority" : "stat",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql",
"expression" : "Critical Sodium"
}
}
],
"groupingBehavior" : "logical-group",
"action" : [
{
"id" : "critical-sodium-review",
"title" : "Immediate clinician review",
"priority" : "stat",
"definitionCanonical" : "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-critical-lab-review|0.1.0"
},
{
"id" : "critical-sodium-repeat",
"title" : "Repeat electrolytes (confirmatory)",
"definitionCanonical" : "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-bmp|0.1.0"
}
]
},
{
"id" : "critical-glucose",
"title" : "Critical glucose result",
"description" : "Most recent serum glucose is below 40 or above 500 mg/dL. Treat hypoglycemia immediately; evaluate for DKA/HHS when critically high.",
"priority" : "stat",
"condition" : [
{
"kind" : "applicability",
"expression" : {
"language" : "text/cql",
"expression" : "Critical Glucose"
}
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"definitionCanonical" : "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-critical-lab-review|0.1.0"
},
{
"id" : "critical-glucose-repeat",
"title" : "Repeat metabolic panel (confirmatory)",
"definitionCanonical" : "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-bmp|0.1.0"
}
]
},
{
"id" : "critical-troponin",
"title" : "Critical troponin result",
"description" : "Most recent cardiac troponin I is above 0.04 ng/mL. Evaluate for acute coronary syndrome; consider the ER chest pain pathway when in the ED.",
"priority" : "stat",
"documentation" : [
{
"type" : "documentation",
"display" : "2021 AHA/ACC chest pain guideline",
"url" : "https://www.ahajournals.org/doi/10.1161/CIR.0000000000001029",
"document" : {
"url" : "https://www.ahajournals.org/doi/10.1161/CIR.0000000000001029"
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}
],
"condition" : [
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"kind" : "applicability",
"expression" : {
"language" : "text/cql",
"expression" : "Critical Troponin"
}
}
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"groupingBehavior" : "logical-group",
"action" : [
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"title" : "Immediate clinician review",
"priority" : "stat",
"definitionCanonical" : "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-critical-lab-review|0.1.0"
},
{
"id" : "critical-troponin-repeat",
"title" : "Repeat troponin (serial sampling)",
"definitionCanonical" : "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-troponin-cardiac|0.2.0"
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}
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}
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}