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 Preventive Care Reminders

Draft as of 2026-07-24

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{
  "resourceType" : "PlanDefinition",
  "id" : "atrius-preventive-care",
  "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/AtriusPreventiveCare</code> for CQL expression definitions.</p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-cdsHooksEndpoint",
      "valueUri" : "https://cds.atrius.in/cds-services/atrius-preventive-care"
    }
  ],
  "url" : "https://atrius.in/fhir/r4/atrius-in/PlanDefinition/atrius-preventive-care",
  "identifier" : [
    {
      "use" : "official",
      "value" : "atrius-preventive-care"
    },
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:1.3.6.1.4.1.66219.1.34.4"
    }
  ],
  "version" : "0.1.0",
  "name" : "AtriusPreventiveCare",
  "title" : "Preventive Care Reminders",
  "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" : "Non-interruptive reminders when preventive care is due: colorectal cancer screening (age 45–75, no colonoscopy in 10 years and no FIT/FOBT in 1 year) and seasonal influenza vaccination (adult, none in the last 12 months).",
  "relatedArtifact" : [
    {
      "type" : "documentation",
      "display" : "USPSTF colorectal cancer screening recommendation",
      "url" : "https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening",
      "document" : {
        "url" : "https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening"
      }
    }
  ],
  "library" : [
    🔗 "https://atrius.in/fhir/r4/atrius-in/Library/AtriusPreventiveCare|0.1.0"
  ],
  "action" : [
    {
      "id" : "atrius-preventive-care-root",
      "title" : "Preventive Care Reminders",
      "description" : "Preventive care due for this patient.",
      "trigger" : [
        {
          "type" : "named-event",
          "name" : "patient-view"
        }
      ],
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "language" : "text/cql",
            "expression" : "Preventive Care Reminder Needed"
          }
        }
      ],
      "input" : [
        {
          "type" : "Patient",
          "profile" : [
            🔗 "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-patient|0.1.0"
          ]
        },
        {
          "type" : "Procedure",
          "profile" : [
            🔗 "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-procedure|0.1.0"
          ]
        },
        {
          "type" : "Observation",
          "profile" : [
            🔗 "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-observation|0.1.0"
          ]
        },
        {
          "type" : "Immunization",
          "profile" : [
            🔗 "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-immunization|0.1.0"
          ]
        }
      ],
      "groupingBehavior" : "logical-group",
      "action" : [
        {
          "id" : "colorectal-screening-due",
          "title" : "Colorectal cancer screening due",
          "description" : "Age 45-75 with no colonoscopy in the last 10 years and no stool-based screening in the last year. Order a FIT or refer for colonoscopy.",
          "documentation" : [
            {
              "type" : "documentation",
              "display" : "USPSTF colorectal cancer screening recommendation",
              "url" : "https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening",
              "document" : {
                "url" : "https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening"
              }
            }
          ],
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "language" : "text/cql",
                "expression" : "Colorectal Screening Due"
              }
            }
          ],
          "groupingBehavior" : "logical-group",
          "selectionBehavior" : "at-most-one",
          "action" : [
            {
              "id" : "colorectal-fit",
              "title" : "Fecal immunochemical test (annual)",
              "definitionCanonical" : "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-fit-test|0.1.0"
            },
            {
              "id" : "colorectal-colonoscopy",
              "title" : "Colonoscopy referral (10-year interval)",
              "definitionCanonical" : "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-referral-colonoscopy|0.1.0"
            }
          ]
        },
        {
          "id" : "influenza-vaccine-due",
          "title" : "Influenza vaccination due",
          "description" : "No influenza vaccine recorded in the last 12 months. Offer seasonal influenza vaccination.",
          "documentation" : [
            {
              "type" : "documentation",
              "display" : "CDC/ACIP seasonal influenza vaccination recommendations",
              "url" : "https://www.cdc.gov/acip-recs/hcp/vaccine-specific/flu.html",
              "document" : {
                "url" : "https://www.cdc.gov/acip-recs/hcp/vaccine-specific/flu.html"
              }
            }
          ],
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "language" : "text/cql",
                "expression" : "Influenza Vaccine Due"
              }
            }
          ],
          "groupingBehavior" : "logical-group",
          "action" : [
            {
              "id" : "influenza-vaccine-order",
              "title" : "Seasonal influenza vaccine",
              "definitionCanonical" : "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-imm-influenza|0.1.0"
            }
          ]
        }
      ]
    }
  ]
}