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 2026-07-14 |
{
"resourceType" : "PlanDefinition",
"id" : "surgical-safety-checklist-workflow",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Surgical Safety Checklist Workflow</b> (<code>workflow-definition</code>). Companion to the <code>eca-rule</code> CDS service <code>surgical-safety-checklist-rule</code>. Form: <code>Questionnaire/surgical-safety-checklist</code>.</p></div>"
},
"url" : "https://atrius.in/fhir/r4/atrius-in/PlanDefinition/surgical-safety-checklist-workflow",
"identifier" : [
{
"use" : "official",
"system" : "https://atrius.in/fhir/sid/plan-definition",
"value" : "surgical-safety-checklist-workflow"
},
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:1.3.6.1.4.1.66219.1.34.11"
}
],
"version" : "0.1.0",
"name" : "AtriusSurgicalSafetyChecklistWorkflow",
"title" : "Surgical Safety Checklist Workflow",
"subtitle" : "Sign-in → time-out → sign-out",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
"code" : "workflow-definition"
}
]
},
"status" : "draft",
"experimental" : true,
"subjectCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/resource-types",
"code" : "Patient"
}
]
},
"date" : "2026-07-14",
"publisher" : "Atrius",
"contact" : [
{
"name" : "Atrius",
"telecom" : [
{
"system" : "url",
"value" : "https://atrius.in"
}
]
}
],
"description" : "Defines the ordered phases of the WHO surgical safety checklist. Complete each phase with the whole team present; record answers on Questionnaire/surgical-safety-checklist.",
"useContext" : [
{
"code" : {
"system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
"code" : "venue"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "IMP",
"display" : "inpatient encounter"
}
]
}
}
],
"purpose" : "Make the checklist an explicit sequential workflow (not only an ECA reminder), so process tooling and training materials share one PlanDefinition.",
"usage" : "Referenced by the surgical-safety-checklist-rule ECA service. Apply when the OR team is executing the checklist, or use as documentation of required phase order.",
"copyright" : "Adapted from the WHO Surgical Safety Checklist.",
"topic" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/definition-topic",
"code" : "treatment"
}
]
}
],
"relatedArtifact" : [
{
"type" : "documentation",
"display" : "WHO Surgical Safety Checklist",
"url" : "https://www.who.int/teams/integrated-health-services/patient-safety/research/safe-surgery",
"document" : {
"url" : "https://www.who.int/teams/integrated-health-services/patient-safety/research/safe-surgery"
}
},
{
"type" : "depends-on",
"display" : "Surgical safety checklist questionnaire",
"resource" : "https://atrius.in/fhir/r4/atrius-in/Questionnaire/surgical-safety-checklist|0.1.0"
},
{
"type" : "successor",
"display" : "CDS Hooks ECA gate (remind when checklist missing)",
"resource" : "https://atrius.in/fhir/r4/atrius-in/PlanDefinition/surgical-safety-checklist-rule|0.1.0"
}
],
"goal" : [
{
"id" : "checklist-complete",
"category" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/goal-category",
"code" : "safety"
}
]
},
"description" : {
"text" : "Complete sign-in, time-out, and sign-out before the patient leaves the operating room"
},
"priority" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/goal-priority",
"code" : "high-priority",
"display" : "High Priority"
}
]
}
}
],
"action" : [
{
"id" : "surgical-safety-workflow-root",
"title" : "Surgical safety checklist phases",
"description" : "Execute checklist phases in order with the whole team present.",
"goalId" : [
"checklist-complete"
],
"groupingBehavior" : "logical-group",
"selectionBehavior" : "all",
"requiredBehavior" : "must",
"cardinalityBehavior" : "single",
"action" : [
{
"id" : "phase-sign-in",
"prefix" : "1",
"title" : "Sign in — before induction of anaesthesia",
"description" : "Confirm identity, site, procedure, consent, anaesthesia checks, pulse oximeter, allergy, airway, and blood-loss risk.",
"priority" : "urgent",
"requiredBehavior" : "must",
"definitionCanonical" : "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-surgical-checklist|0.1.0"
},
{
"id" : "phase-time-out",
"prefix" : "2",
"title" : "Time out — before skin incision",
"description" : "Team introductions; confirm patient/site/procedure; antibiotic prophylaxis; critical events; imaging.",
"priority" : "urgent",
"relatedAction" : [
{
"actionId" : "phase-sign-in",
"relationship" : "after-end"
}
],
"requiredBehavior" : "must",
"definitionCanonical" : "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-surgical-checklist|0.1.0"
},
{
"id" : "phase-sign-out",
"prefix" : "3",
"title" : "Sign out — before the patient leaves the operating room",
"description" : "Nurse verbally confirms procedure, counts, specimen labelling, equipment issues; surgeon/anaesthetist/nurse review recovery concerns.",
"priority" : "urgent",
"relatedAction" : [
{
"actionId" : "phase-time-out",
"relationship" : "after-end"
}
],
"requiredBehavior" : "must",
"definitionCanonical" : "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-surgical-checklist|0.1.0"
}
]
}
]
}