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

: ER Chest Pain Clinical Pathway

Draft as of 2026-07-24

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@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/er-chest-pain-pathway> a fhir:PlanDefinition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "er-chest-pain-pathway"] ;
  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/AtriusERChestPainPathway</code> for CQL expression definitions.</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/er-chest-pain-pathway" ]
  ] ;
  fhir:PlanDefinition.url [ fhir:value "https://atrius.in/fhir/r4/atrius-in/PlanDefinition/er-chest-pain-pathway"] ;
  fhir:PlanDefinition.identifier [
     fhir:index -1 ;
     fhir:Identifier.use [ fhir:value "official" ] ;
     fhir:Identifier.value [ fhir:value "er-chest-pain-pathway" ]
  ], [
     fhir:index -1 ;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
     fhir:Identifier.value [ fhir:value "urn:oid:1.3.6.1.4.1.66219.1.34.7" ]
  ] ;
  fhir:PlanDefinition.version [ fhir:value "0.1.0"] ;
  fhir:PlanDefinition.name [ fhir:value "ERChestPainPathway"] ;
  fhir:PlanDefinition.title [ fhir:value "Emergency Department Chest Pain Pathway"] ;
  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 "clinical-protocol" ]
     ]
  ] ;
  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 "Person presenting to the emergency department with chest pain: initial clinical assessment, classification into ACS / other cardiac / non-cardiac / other causes, then branch-specific management. ACS branch includes ECG, troponin, aspirin, and cardiology consult."] ;
  fhir:PlanDefinition.library [
     fhir:value "https://atrius.in/fhir/r4/atrius-in/Library/AtriusERChestPainPathway|0.4.2" ;
     fhir:index -1 ;
     fhir:link <https://atrius.in/fhir/r4/atrius-in/Library/AtriusERChestPainPathway|0.4.2>
  ] ;
  fhir:PlanDefinition.action [
     fhir:index -1 ;
     fhir:Element.id [ fhir:value "er-chest-pain-pathway-root" ] ;
     fhir:PlanDefinition.action.title [ fhir:value "ER Chest Pain Pathway" ] ;
     fhir:PlanDefinition.action.description [ fhir:value "Active ED encounter with chest pain chief complaint." ] ;
     fhir:PlanDefinition.action.trigger [
       fhir:index -1 ;
       fhir:TriggerDefinition.type [ fhir:value "named-event" ] ;
       fhir:TriggerDefinition.name [ fhir:value "encounter-start" ]
     ] ;
     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 "In Scope" ]
       ]
     ] ;
     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 "Encounter" ] ;
       fhir:DataRequirement.profile [
         fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-encounter|0.1.0" ;
         fhir:index -1 ;
         fhir:link <https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-encounter|0.1.0>
       ]
     ], [
       fhir:index -1 ;
       fhir:DataRequirement.type [ fhir:value "Condition" ] ;
       fhir:DataRequirement.profile [
         fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-condition-encounter-diagnosis|0.1.0" ;
         fhir:index -1 ;
         fhir:link <https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-condition-encounter-diagnosis|0.1.0>
       ], [
         fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-condition-problems-health-concerns|0.1.0" ;
         fhir:index -1 ;
         fhir:link <https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-condition-problems-health-concerns|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:index -1 ;
       fhir:DataRequirement.type [ fhir:value "QuestionnaireResponse" ] ;
       fhir:DataRequirement.profile [
         fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-questionnaireresponse|0.1.0" ;
         fhir:index -1 ;
         fhir:link <https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-questionnaireresponse|0.1.0>
       ]
     ], [
       fhir:index -1 ;
       fhir:DataRequirement.type [ fhir:value "ServiceRequest" ] ;
       fhir:DataRequirement.profile [
         fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-servicerequest|0.1.0" ;
         fhir:index -1 ;
         fhir:link <https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-servicerequest|0.1.0>
       ]
     ], [
       fhir:index -1 ;
       fhir:DataRequirement.type [ fhir:value "MedicationRequest" ] ;
       fhir:DataRequirement.profile [
         fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-medicationrequest|0.1.0" ;
         fhir:index -1 ;
         fhir:link <https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-medicationrequest|0.1.0>
       ]
     ], [
       fhir:index -1 ;
       fhir:DataRequirement.type [ fhir:value "DiagnosticReport" ] ;
       fhir:DataRequirement.profile [
         fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-diagnosticreport-note|0.1.0" ;
         fhir:index -1 ;
         fhir:link <https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-diagnosticreport-note|0.1.0>
       ]
     ], [
       fhir:index -1 ;
       fhir:DataRequirement.type [ fhir:value "MedicationAdministration" ] ;
       fhir:DataRequirement.profile [
         fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-medicationadministration|0.1.0" ;
         fhir:index -1 ;
         fhir:link <https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-medicationadministration|0.1.0>
       ]
     ] ;
     fhir:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ] ;
     fhir:PlanDefinition.action.action [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "initial-clinical-assessment" ] ;
       fhir:PlanDefinition.action.title [ fhir:value "Initial Clinical Assessment" ] ;
       fhir:PlanDefinition.action.description [ fhir:value "History, examination, vitals; obtain ECG when ACS suspected." ] ;
       fhir:PlanDefinition.action.definitionCanonical [
         fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-chest-pain-initial-assessment|0.1.0" ;
         fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-chest-pain-initial-assessment|0.1.0>
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "capture-classification" ] ;
       fhir:PlanDefinition.action.title [ fhir:value "Record Working Classification" ] ;
       fhir:PlanDefinition.action.description [ fhir:value "Clinician selects working chest pain etiology after initial assessment." ] ;
       fhir:PlanDefinition.action.definitionCanonical [
         fhir:value "https://atrius.in/fhir/r4/atrius-in/Questionnaire/er-chest-pain-classification|0.2.0" ;
         fhir:link <https://atrius.in/fhir/r4/atrius-in/Questionnaire/er-chest-pain-classification|0.2.0>
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "chest-pain-classification" ] ;
       fhir:PlanDefinition.action.title [ fhir:value "Apply Pathway Branch" ] ;
       fhir:PlanDefinition.action.description [ fhir:value "ACS; other cardiac (aortic dissection, pericarditis); non-cardiac pulmonary (pneumothorax, pleurisy/pneumonia); other (musculoskeletal, heartburn)." ] ;
       fhir:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ] ;
       fhir:PlanDefinition.action.selectionBehavior [ fhir:value "exactly-one" ] ;
       fhir:PlanDefinition.action.action [
         fhir:index -1 ;
         fhir:Element.id [ fhir:value "branch-acs" ] ;
         fhir:PlanDefinition.action.title [ fhir:value "Acute Coronary Syndrome" ] ;
         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 "Classification Is ACS" ]
           ]
         ] ;
         fhir:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ] ;
         fhir:PlanDefinition.action.action [
           fhir:index -1 ;
           fhir:Element.id [ fhir:value "acs-ecg" ] ;
           fhir:PlanDefinition.action.title [ fhir:value "12-lead ECG" ] ;
           fhir:PlanDefinition.action.definitionCanonical [
             fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-rad-ecg-12-lead|0.1.0" ;
             fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-rad-ecg-12-lead|0.1.0>
           ]
         ], [
           fhir:index -1 ;
           fhir:Element.id [ fhir:value "acs-troponin" ] ;
           fhir:PlanDefinition.action.title [ fhir:value "Cardiac troponin" ] ;
           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>
           ]
         ], [
           fhir:index -1 ;
           fhir:Element.id [ fhir:value "acs-aspirin" ] ;
           fhir:PlanDefinition.action.title [ fhir:value "Aspirin" ] ;
           fhir:PlanDefinition.action.definitionCanonical [
             fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-med-aspirin|0.2.0" ;
             fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-med-aspirin|0.2.0>
           ]
         ], [
           fhir:index -1 ;
           fhir:Element.id [ fhir:value "acs-cardiology-consult" ] ;
           fhir:PlanDefinition.action.title [ fhir:value "Cardiology consult" ] ;
           fhir:PlanDefinition.action.definitionCanonical [
             fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-referral-cardiology|0.1.0" ;
             fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-referral-cardiology|0.1.0>
           ]
         ], [
           fhir:index -1 ;
           fhir:Element.id [ fhir:value "acs-troponin-elevated" ] ;
           fhir:PlanDefinition.action.title [ fhir:value "Elevated troponin — repeat sampling" ] ;
           fhir:PlanDefinition.action.description [ fhir:value "Initial troponin above pathway threshold; order repeat troponin per ACS protocol." ] ;
           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 "Classification Is ACS and Troponin Elevated" ]
             ]
           ] ;
           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>
           ]
         ], [
           fhir:index -1 ;
           fhir:Element.id [ fhir:value "acs-troponin-not-elevated" ] ;
           fhir:PlanDefinition.action.title [ fhir:value "Initial troponin not elevated" ] ;
           fhir:PlanDefinition.action.description [ fhir:value "Continue ACS rule-out and serial sampling per protocol." ] ;
           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 "Classification Is ACS and Troponin Not Elevated" ]
             ]
           ] ;
           fhir:PlanDefinition.action.definitionCanonical [
             fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-chest-pain-acs-troponin-normal-guidance|0.1.0" ;
             fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-chest-pain-acs-troponin-normal-guidance|0.1.0>
           ]
         ], [
           fhir:index -1 ;
           fhir:Element.id [ fhir:value "acs-ecg-stemi" ] ;
           fhir:PlanDefinition.action.title [ fhir:value "STEMI on ECG — activate cath lab" ] ;
           fhir:PlanDefinition.action.description [ fhir:value "ST-segment elevation on 12-lead ECG; urgent reperfusion pathway." ] ;
           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 "Classification Is ACS and ECG Shows STEMI" ]
             ]
           ] ;
           fhir:PlanDefinition.action.definitionCanonical [
             fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-chest-pain-acs-stemi-cath-lab|0.1.0" ;
             fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-chest-pain-acs-stemi-cath-lab|0.1.0>
           ]
         ], [
           fhir:index -1 ;
           fhir:Element.id [ fhir:value "acs-ecg-no-stemi" ] ;
           fhir:PlanDefinition.action.title [ fhir:value "ECG without STEMI" ] ;
           fhir:PlanDefinition.action.description [ fhir:value "ECG reviewed without ST elevation; continue ACS work-up." ] ;
           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 "Classification Is ACS and ECG Without STEMI" ]
             ]
           ] ;
           fhir:PlanDefinition.action.definitionCanonical [
             fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-chest-pain-acs-ecg-no-stemi-guidance|0.1.0" ;
             fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-chest-pain-acs-ecg-no-stemi-guidance|0.1.0>
           ]
         ]
       ], [
         fhir:index -1 ;
         fhir:Element.id [ fhir:value "branch-aortic-dissection" ] ;
         fhir:PlanDefinition.action.title [ fhir:value "Aortic Dissection" ] ;
         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 "Classification Is Aortic Dissection" ]
           ]
         ] ;
         fhir:PlanDefinition.action.definitionCanonical [
           fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-chest-pain-branch-aortic-dissection|0.1.0" ;
           fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-chest-pain-branch-aortic-dissection|0.1.0>
         ]
       ], [
         fhir:index -1 ;
         fhir:Element.id [ fhir:value "branch-pericarditis" ] ;
         fhir:PlanDefinition.action.title [ fhir:value "Pericarditis" ] ;
         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 "Classification Is Pericarditis" ]
           ]
         ] ;
         fhir:PlanDefinition.action.definitionCanonical [
           fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-chest-pain-branch-pericarditis|0.1.0" ;
           fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-chest-pain-branch-pericarditis|0.1.0>
         ]
       ], [
         fhir:index -1 ;
         fhir:Element.id [ fhir:value "branch-pneumothorax" ] ;
         fhir:PlanDefinition.action.title [ fhir:value "Pneumothorax" ] ;
         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 "Classification Is Pneumothorax" ]
           ]
         ] ;
         fhir:PlanDefinition.action.definitionCanonical [
           fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-chest-pain-branch-pneumothorax|0.1.0" ;
           fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-chest-pain-branch-pneumothorax|0.1.0>
         ]
       ], [
         fhir:index -1 ;
         fhir:Element.id [ fhir:value "branch-pleurisy-pneumonia" ] ;
         fhir:PlanDefinition.action.title [ fhir:value "Pleurisy / Pneumonia" ] ;
         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 "Classification Is Pleurisy Or Pneumonia" ]
           ]
         ] ;
         fhir:PlanDefinition.action.definitionCanonical [
           fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-chest-pain-branch-pleurisy-pneumonia|0.1.0" ;
           fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-chest-pain-branch-pleurisy-pneumonia|0.1.0>
         ]
       ], [
         fhir:index -1 ;
         fhir:Element.id [ fhir:value "branch-musculoskeletal" ] ;
         fhir:PlanDefinition.action.title [ fhir:value "Musculoskeletal Chest Pain" ] ;
         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 "Classification Is Musculoskeletal" ]
           ]
         ] ;
         fhir:PlanDefinition.action.definitionCanonical [
           fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-chest-pain-branch-musculoskeletal|0.1.0" ;
           fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-chest-pain-branch-musculoskeletal|0.1.0>
         ]
       ], [
         fhir:index -1 ;
         fhir:Element.id [ fhir:value "branch-heartburn" ] ;
         fhir:PlanDefinition.action.title [ fhir:value "Heartburn / GERD" ] ;
         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 "Classification Is Heartburn" ]
           ]
         ] ;
         fhir:PlanDefinition.action.definitionCanonical [
           fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-chest-pain-branch-heartburn|0.1.0" ;
           fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-chest-pain-branch-heartburn|0.1.0>
         ]
       ]
     ]
  ] .

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

<http://hl7.org/fhir/PlanDefinition/er-chest-pain-pathway.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/PlanDefinition/er-chest-pain-pathway.ttl> .