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 |
@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/PlanDefinition/atrius-critical-labs> a fhir:PlanDefinition ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "atrius-critical-labs"] ;
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/StructureDefinition/cdshooksserviceplandefinition|4.0.1" ;
fhir:index -1 ;
fhir:link <http://hl7.org/fhir/StructureDefinition/cdshooksserviceplandefinition|4.0.1>
]
] ;
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>See <code>Library/AtriusCriticalLabs</code> for CQL expression definitions and thresholds.</p></div>"
] ;
fhir:DomainResource.extension [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-cdsHooksEndpoint" ] ;
fhir:Extension.valueUri [ fhir:value "https://cds.atrius.in/cds-services/atrius-critical-labs" ]
] ;
fhir:PlanDefinition.url [ fhir:value "https://atrius.in/fhir/r4/atrius-in/PlanDefinition/atrius-critical-labs"] ;
fhir:PlanDefinition.identifier [
fhir:index -1 ;
fhir:Identifier.use [ fhir:value "official" ] ;
fhir:Identifier.value [ fhir:value "atrius-critical-labs" ]
], [
fhir:index -1 ;
fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
fhir:Identifier.value [ fhir:value "urn:oid:1.3.6.1.4.1.66219.1.34.1" ]
] ;
fhir:PlanDefinition.version [ fhir:value "0.1.0"] ;
fhir:PlanDefinition.name [ fhir:value "AtriusCriticalLabs"] ;
fhir:PlanDefinition.title [ fhir:value "Critical Lab Value Alerts"] ;
fhir:PlanDefinition.type [
fhir:CodeableConcept.coding [
fhir:index -1 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/plan-definition-type" ] ;
fhir:Coding.code [ fhir:value "eca-rule" ]
]
] ;
fhir:PlanDefinition.status [ fhir:value "draft"] ;
fhir:PlanDefinition.experimental [ fhir:value "true"^^xsd:boolean] ;
fhir:PlanDefinition.date [ fhir:value "2026-07-24T19:16:12+05:30"^^xsd:dateTime] ;
fhir:PlanDefinition.publisher [ fhir:value "Atrius"] ;
fhir:PlanDefinition.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:PlanDefinition.description [ fhir:value "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."] ;
fhir:PlanDefinition.library [
fhir:value "https://atrius.in/fhir/r4/atrius-in/Library/AtriusCriticalLabs|0.1.0" ;
fhir:index -1 ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/Library/AtriusCriticalLabs|0.1.0>
] ;
fhir:PlanDefinition.action [
fhir:index -1 ;
fhir:Element.id [ fhir:value "atrius-critical-labs-root" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Critical Lab Value Alerts" ] ;
fhir:PlanDefinition.action.description [ fhir:value "Most recent resulted lab crosses a critical threshold." ] ;
fhir:PlanDefinition.action.trigger [
fhir:index -1 ;
fhir:TriggerDefinition.type [ fhir:value "named-event" ] ;
fhir:TriggerDefinition.name [ fhir:value "patient-view" ]
] ;
fhir:PlanDefinition.action.condition [
fhir:index -1 ;
fhir:PlanDefinition.action.condition.kind [ fhir:value "applicability" ] ;
fhir:PlanDefinition.action.condition.expression [
fhir:Expression.language [ fhir:value "text/cql" ] ;
fhir:Expression.expression [ fhir:value "Has Critical Lab Value" ]
]
] ;
fhir:PlanDefinition.action.input [
fhir:index -1 ;
fhir:DataRequirement.type [ fhir:value "Patient" ] ;
fhir:DataRequirement.profile [
fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-patient|0.1.0" ;
fhir:index -1 ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-patient|0.1.0>
]
], [
fhir:index -1 ;
fhir:DataRequirement.type [ fhir:value "Observation" ] ;
fhir:DataRequirement.profile [
fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-observation|0.1.0" ;
fhir:index -1 ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-observation|0.1.0>
]
] ;
fhir:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ] ;
fhir:PlanDefinition.action.action [
fhir:index -1 ;
fhir:Element.id [ fhir:value "critical-potassium" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Critical potassium result" ] ;
fhir:PlanDefinition.action.description [ fhir:value "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." ] ;
fhir:PlanDefinition.action.priority [ fhir:value "stat" ] ;
fhir:PlanDefinition.action.condition [
fhir:index -1 ;
fhir:PlanDefinition.action.condition.kind [ fhir:value "applicability" ] ;
fhir:PlanDefinition.action.condition.expression [
fhir:Expression.language [ fhir:value "text/cql" ] ;
fhir:Expression.expression [ fhir:value "Critical Potassium" ]
]
] ;
fhir:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ] ;
fhir:PlanDefinition.action.action [
fhir:index -1 ;
fhir:Element.id [ fhir:value "critical-potassium-review" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Immediate clinician review" ] ;
fhir:PlanDefinition.action.priority [ fhir:value "stat" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-critical-lab-review|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-critical-lab-review|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "critical-potassium-repeat" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Repeat electrolytes (confirmatory)" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-bmp|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-bmp|0.1.0>
]
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "critical-sodium" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Critical sodium result" ] ;
fhir:PlanDefinition.action.description [ fhir:value "Most recent serum sodium is below 120 or above 160 mmol/L. Evaluate neurologic status; correct at a controlled rate to avoid osmotic demyelination." ] ;
fhir:PlanDefinition.action.priority [ fhir:value "stat" ] ;
fhir:PlanDefinition.action.condition [
fhir:index -1 ;
fhir:PlanDefinition.action.condition.kind [ fhir:value "applicability" ] ;
fhir:PlanDefinition.action.condition.expression [
fhir:Expression.language [ fhir:value "text/cql" ] ;
fhir:Expression.expression [ fhir:value "Critical Sodium" ]
]
] ;
fhir:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ] ;
fhir:PlanDefinition.action.action [
fhir:index -1 ;
fhir:Element.id [ fhir:value "critical-sodium-review" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Immediate clinician review" ] ;
fhir:PlanDefinition.action.priority [ fhir:value "stat" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-critical-lab-review|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-critical-lab-review|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "critical-sodium-repeat" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Repeat electrolytes (confirmatory)" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-bmp|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-bmp|0.1.0>
]
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "critical-glucose" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Critical glucose result" ] ;
fhir:PlanDefinition.action.description [ fhir:value "Most recent serum glucose is below 40 or above 500 mg/dL. Treat hypoglycemia immediately; evaluate for DKA/HHS when critically high." ] ;
fhir:PlanDefinition.action.priority [ fhir:value "stat" ] ;
fhir:PlanDefinition.action.condition [
fhir:index -1 ;
fhir:PlanDefinition.action.condition.kind [ fhir:value "applicability" ] ;
fhir:PlanDefinition.action.condition.expression [
fhir:Expression.language [ fhir:value "text/cql" ] ;
fhir:Expression.expression [ fhir:value "Critical Glucose" ]
]
] ;
fhir:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ] ;
fhir:PlanDefinition.action.action [
fhir:index -1 ;
fhir:Element.id [ fhir:value "critical-glucose-review" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Immediate clinician review" ] ;
fhir:PlanDefinition.action.priority [ fhir:value "stat" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-critical-lab-review|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-critical-lab-review|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "critical-glucose-repeat" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Repeat metabolic panel (confirmatory)" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-bmp|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-bmp|0.1.0>
]
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "critical-troponin" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Critical troponin result" ] ;
fhir:PlanDefinition.action.description [ fhir:value "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." ] ;
fhir:PlanDefinition.action.priority [ fhir:value "stat" ] ;
fhir:PlanDefinition.action.documentation [
fhir:index -1 ;
fhir:RelatedArtifact.type [ fhir:value "documentation" ] ;
fhir:RelatedArtifact.display [ fhir:value "2021 AHA/ACC chest pain guideline" ] ;
fhir:RelatedArtifact.url [ fhir:value "https://www.ahajournals.org/doi/10.1161/CIR.0000000000001029" ] ;
fhir:RelatedArtifact.document [
fhir:Attachment.url [ fhir:value "https://www.ahajournals.org/doi/10.1161/CIR.0000000000001029" ]
]
] ;
fhir:PlanDefinition.action.condition [
fhir:index -1 ;
fhir:PlanDefinition.action.condition.kind [ fhir:value "applicability" ] ;
fhir:PlanDefinition.action.condition.expression [
fhir:Expression.language [ fhir:value "text/cql" ] ;
fhir:Expression.expression [ fhir:value "Critical Troponin" ]
]
] ;
fhir:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ] ;
fhir:PlanDefinition.action.action [
fhir:index -1 ;
fhir:Element.id [ fhir:value "critical-troponin-review" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Immediate clinician review" ] ;
fhir:PlanDefinition.action.priority [ fhir:value "stat" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-critical-lab-review|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-critical-lab-review|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "critical-troponin-repeat" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Repeat troponin (serial sampling)" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-troponin-cardiac|0.2.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-troponin-cardiac|0.2.0>
]
]
]
] .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/PlanDefinition/atrius-critical-labs.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/PlanDefinition/atrius-critical-labs.ttl> .
IG © 2026+ Atrius.
Package atrius.fhir.r4.india#0.1.0 based on FHIR 4.0.1.
Generated
2026-07-24
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