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 |
<PlanDefinition xmlns="http://hl7.org/fhir">
<id value="atrius-critical-labs"/>
<meta>
<profile
value="http://hl7.org/fhir/StructureDefinition/cdshooksserviceplandefinition|4.0.1"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>See <code>Library/AtriusCriticalLabs</code> for CQL expression definitions and thresholds.</p></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-cdsHooksEndpoint">
<valueUri
value="https://cds.atrius.in/cds-services/atrius-critical-labs"/>
</extension>
<url
value="https://atrius.in/fhir/r4/atrius-in/PlanDefinition/atrius-critical-labs"/>
<identifier>
<use value="official"/>
<value value="atrius-critical-labs"/>
</identifier>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:1.3.6.1.4.1.66219.1.34.1"/>
</identifier>
<version value="0.1.0"/>
<name value="AtriusCriticalLabs"/>
<title value="Critical Lab Value Alerts"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
<code value="eca-rule"/>
</coding>
</type>
<status value="draft"/>
<experimental value="true"/>
<date value="2026-07-24T19:16:12+05:30"/>
<publisher value="Atrius"/>
<contact>
<name value="Atrius"/>
<telecom>
<system value="url"/>
<value value="https://atrius.in"/>
</telecom>
</contact>
<description
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."/>
<library
value="https://atrius.in/fhir/r4/atrius-in/Library/AtriusCriticalLabs|0.1.0"/>
<action id="atrius-critical-labs-root">
<title value="Critical Lab Value Alerts"/>
<description
value="Most recent resulted lab crosses a critical threshold."/>
<trigger>
<type value="named-event"/>
<name value="patient-view"/>
</trigger>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/cql"/>
<expression value="Has Critical Lab Value"/>
</expression>
</condition>
<input>
<type value="Patient"/>
<profile
value="https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-patient|0.1.0"/>
</input>
<input>
<type value="Observation"/>
<profile
value="https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-observation|0.1.0"/>
</input>
<groupingBehavior value="logical-group"/>
<action id="critical-potassium">
<title value="Critical potassium result"/>
<description
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."/>
<priority value="stat"/>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/cql"/>
<expression value="Critical Potassium"/>
</expression>
</condition>
<groupingBehavior value="logical-group"/>
<action id="critical-potassium-review">
<title value="Immediate clinician review"/>
<priority value="stat"/>
<definitionCanonical
value="https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-critical-lab-review|0.1.0"/>
</action>
<action id="critical-potassium-repeat">
<title value="Repeat electrolytes (confirmatory)"/>
<definitionCanonical
value="https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-bmp|0.1.0"/>
</action>
</action>
<action id="critical-sodium">
<title value="Critical sodium result"/>
<description
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."/>
<priority value="stat"/>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/cql"/>
<expression value="Critical Sodium"/>
</expression>
</condition>
<groupingBehavior value="logical-group"/>
<action id="critical-sodium-review">
<title value="Immediate clinician review"/>
<priority value="stat"/>
<definitionCanonical
value="https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-critical-lab-review|0.1.0"/>
</action>
<action id="critical-sodium-repeat">
<title value="Repeat electrolytes (confirmatory)"/>
<definitionCanonical
value="https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-bmp|0.1.0"/>
</action>
</action>
<action id="critical-glucose">
<title value="Critical glucose result"/>
<description
value="Most recent serum glucose is below 40 or above 500 mg/dL. Treat hypoglycemia immediately; evaluate for DKA/HHS when critically high."/>
<priority value="stat"/>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/cql"/>
<expression value="Critical Glucose"/>
</expression>
</condition>
<groupingBehavior value="logical-group"/>
<action id="critical-glucose-review">
<title value="Immediate clinician review"/>
<priority value="stat"/>
<definitionCanonical
value="https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-critical-lab-review|0.1.0"/>
</action>
<action id="critical-glucose-repeat">
<title value="Repeat metabolic panel (confirmatory)"/>
<definitionCanonical
value="https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-bmp|0.1.0"/>
</action>
</action>
<action id="critical-troponin">
<title value="Critical troponin result"/>
<description
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."/>
<priority value="stat"/>
<documentation>
<type value="documentation"/>
<display value="2021 AHA/ACC chest pain guideline"/>
<url
value="https://www.ahajournals.org/doi/10.1161/CIR.0000000000001029"/>
<document>
<url
value="https://www.ahajournals.org/doi/10.1161/CIR.0000000000001029"/>
</document>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/cql"/>
<expression value="Critical Troponin"/>
</expression>
</condition>
<groupingBehavior value="logical-group"/>
<action id="critical-troponin-review">
<title value="Immediate clinician review"/>
<priority value="stat"/>
<definitionCanonical
value="https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-critical-lab-review|0.1.0"/>
</action>
<action id="critical-troponin-repeat">
<title value="Repeat troponin (serial sampling)"/>
<definitionCanonical
value="https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-troponin-cardiac|0.2.0"/>
</action>
</action>
</action>
</PlanDefinition>