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