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 Malnutrition Diagnosis

Active as of 2026-09-21

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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/ValueSet/atrius-vs-malnutrition-diagnosis> a fhir:ValueSet ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "atrius-vs-malnutrition-diagnosis"] ;
  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 class=\"res-header-id\"><b>Generated Narrative: ValueSet atrius-vs-malnutrition-diagnosis</b></p><a name=\"atrius-vs-malnutrition-diagnosis\"> </a><a name=\"hcatrius-vs-malnutrition-diagnosis\"> </a><p>This value set includes codes based on the following rules:</p><ul><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-icd10.html\"><code>http://hl7.org/fhir/sid/icd-10</code></a><span title=\"Version is not explicitly stated. No matching Code System found\"> version Not Stated (use latest from terminology server)</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>E40</td><td>Kwashiorkor</td></tr><tr><td>E41</td><td>Nutritional marasmus</td></tr><tr><td>E42</td><td>Marasmic kwashiorkor</td></tr><tr><td>E43</td><td>Unspecified severe protein-energy malnutrition</td></tr><tr><td>E45</td><td>Retarded development following protein-energy malnutrition</td></tr><tr><td>E46</td><td>Unspecified protein-energy malnutrition</td></tr><tr><td>E63.9</td><td>Nutritional deficiency, unspecified</td></tr><tr><td>E64.0</td><td>Sequelae of protein-energy malnutrition</td></tr><tr><td>M62.8</td><td>Other specified disorders of muscle</td></tr><tr><td>R62.8</td><td>Other lack of expected normal physiological development</td></tr><tr><td>T73.0</td><td>Effects of hunger</td></tr></table></li><li>Include codes from<a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-icd10.html\"><code>http://hl7.org/fhir/sid/icd-10</code></a><span title=\"Version is not explicitly stated. No matching Code System found\"> version Not Stated (use latest from terminology server)</span> where concept  is-a E44 (Protein-energy malnutrition of moderate and mild degree)</li><li>Include codes from<a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-icd10.html\"><code>http://hl7.org/fhir/sid/icd-10</code></a><span title=\"Version is not explicitly stated. No matching Code System found\"> version Not Stated (use latest from terminology server)</span> where concept  is-a O25 (Malnutrition in pregnancy)</li><li>Include codes from<a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-icd10.html\"><code>http://hl7.org/fhir/sid/icd-10</code></a><span title=\"Version is not explicitly stated. No matching Code System found\"> version Not Stated (use latest from terminology server)</span> where concept  is-a R64 (Cachexia)</li><li>Include these codes as defined in <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a><span title=\"Version is not explicitly stated. No matching Code System found\"> version Not Stated (use latest from terminology server)</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://snomed.info/id/102635008\">102635008</a></td><td>Acute nutritional deficiency (finding)</td></tr><tr><td><a href=\"http://snomed.info/id/102636009\">102636009</a></td><td>Chronic nutritional deficiency (finding)</td></tr><tr><td><a href=\"http://snomed.info/id/129588001\">129588001</a></td><td>Adult failure to thrive syndrome (disorder)</td></tr><tr><td><a href=\"http://snomed.info/id/190606006\">190606006</a></td><td>Moderate protein energy malnutrition (disorder)</td></tr><tr><td><a href=\"http://snomed.info/id/238107002\">238107002</a></td><td>Deficiency of macronutrients (disorder)</td></tr><tr><td><a href=\"http://snomed.info/id/238108007\">238108007</a></td><td>Cachexia (finding)</td></tr><tr><td><a href=\"http://snomed.info/id/238111008\">238111008</a></td><td>Deficiency of micronutrients (disorder)</td></tr><tr><td><a href=\"http://snomed.info/id/2492009\">2492009</a></td><td>Nutritional disorder (disorder)</td></tr><tr><td><a href=\"http://snomed.info/id/272588001\">272588001</a></td><td>Malnutrition (calorie) (disorder)</td></tr><tr><td><a href=\"http://snomed.info/id/281583001\">281583001</a></td><td>Nutritional wasting (disorder)</td></tr><tr><td><a href=\"http://snomed.info/id/285588004\">285588004</a></td><td>Nutrition deficiency due to insufficient food (disorder)</td></tr><tr><td><a href=\"http://snomed.info/id/288517002\">288517002</a></td><td>Wasting disease (disorder)</td></tr><tr><td><a href=\"http://snomed.info/id/371597004\">371597004</a></td><td>Emaciated (finding)</td></tr><tr><td><a href=\"http://snomed.info/id/432788009\">432788009</a></td><td>Pediatric failure to thrive (disorder)</td></tr><tr><td><a href=\"http://snomed.info/id/441951000124102\">441951000124102</a></td><td>Starvation-related malnutrition (disorder)</td></tr><tr><td><a href=\"http://snomed.info/id/441961000124100\">441961000124100</a></td><td>Acute disease or injury-related malnutrition (disorder)</td></tr><tr><td><a href=\"http://snomed.info/id/441971000124107\">441971000124107</a></td><td>Chronic disease-related malnutrition (disorder)</td></tr><tr><td><a href=\"http://snomed.info/id/54840006\">54840006</a></td><td>Failure to thrive (disorder)</td></tr><tr><td><a href=\"http://snomed.info/id/56882008\">56882008</a></td><td>Anorexia nervosa (disorder)</td></tr><tr><td><a href=\"http://snomed.info/id/65404009\">65404009</a></td><td>Undernutrition (disorder)</td></tr><tr><td><a href=\"http://snomed.info/id/70241007\">70241007</a></td><td>Nutritional deficiency disorder (disorder)</td></tr><tr><td><a href=\"http://snomed.info/id/722959000\">722959000</a></td><td>Anorexia nervosa co-occurrent with dangerously low body weight (disorder)</td></tr><tr><td><a href=\"http://snomed.info/id/722960005\">722960005</a></td><td>Anorexia nervosa co-occurrent with significantly low body weight (disorder)</td></tr><tr><td><a href=\"http://snomed.info/id/723917005\">723917005</a></td><td>Dangerously low body weight co-occurrent and due to anorexia nervosa of restricting type (disorder)</td></tr><tr><td><a href=\"http://snomed.info/id/723919008\">723919008</a></td><td>Significantly low body weight co-occurrent and due to anorexia nervosa of restricting type (disorder)</td></tr><tr><td><a href=\"http://snomed.info/id/772791006\">772791006</a></td><td>Sarcopenia (disorder)</td></tr><tr><td><a href=\"http://snomed.info/id/77675002\">77675002</a></td><td>Anorexia nervosa, restricting type (disorder)</td></tr><tr><td><a href=\"http://snomed.info/id/788876001\">788876001</a></td><td>Cachexia due to malignant neoplastic disease (finding)</td></tr></table></li></ul></div>"
  ] ;
  fhir:ValueSet.url [ fhir:value "https://atrius.in/fhir/r4/atrius-in/ValueSet/atrius-vs-malnutrition-diagnosis"] ;
  fhir:ValueSet.identifier [
     fhir:index -1 ;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
     fhir:Identifier.value [ fhir:value "urn:oid:1.3.6.1.4.1.66219.1.48.130" ]
  ] ;
  fhir:ValueSet.version [ fhir:value "0.1.0"] ;
  fhir:ValueSet.name [ fhir:value "AtriusVsMalnutritionDiagnosis"] ;
  fhir:ValueSet.title [ fhir:value "Atrius Malnutrition Diagnosis"] ;
  fhir:ValueSet.status [ fhir:value "active"] ;
  fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:ValueSet.date [ fhir:value "2026-09-21T19:22:21+05:30"^^xsd:dateTime] ;
  fhir:ValueSet.publisher [ fhir:value "Atrius"] ;
  fhir:ValueSet.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:ValueSet.description [ fhir:value "Atrius-authored ValueSet for CQL valueset \"Malnutrition Diagnosis\". The ICD arm targets WHO ICD-10 (http://hl7.org/fhir/sid/icd-10), which is the system HIS stamps on Condition.code; ICD-10-CM is provenance only. The 22 ICD-10-CM codes in the VSAC expansion roll up to 14 WHO entries (3 block(s) by is-a, 11 exact code(s)). CM-only categories mapped by hand: E88.A to R64, R62.7 to R62.8. VSAC OID 2.16.840.1.113762.1.4.1095.55 is provenance only."] ;
  fhir:ValueSet.purpose [ fhir:value "CQL membership for Atrius measure/pathway libraries. Provenance VSAC OID: 2.16.840.1.113762.1.4.1095.55."] ;
  fhir:ValueSet.compose [
     fhir:ValueSet.compose.include [
       fhir:index -1 ;
       fhir:ValueSet.compose.include.system [ fhir:value "http://hl7.org/fhir/sid/icd-10" ] ;
       fhir:ValueSet.compose.include.concept [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "E40" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Kwashiorkor" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "E41" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Nutritional marasmus" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "E42" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Marasmic kwashiorkor" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "E43" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Unspecified severe protein-energy malnutrition" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "E45" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Retarded development following protein-energy malnutrition" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "E46" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Unspecified protein-energy malnutrition" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "E63.9" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Nutritional deficiency, unspecified" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "E64.0" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Sequelae of protein-energy malnutrition" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "M62.8" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Other specified disorders of muscle" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "R62.8" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Other lack of expected normal physiological development" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "T73.0" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Effects of hunger" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ValueSet.compose.include.system [ fhir:value "http://hl7.org/fhir/sid/icd-10" ] ;
       fhir:ValueSet.compose.include.filter [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.filter.property [ fhir:value "concept" ] ;
         fhir:ValueSet.compose.include.filter.op [ fhir:value "is-a" ] ;
         fhir:ValueSet.compose.include.filter.value [ fhir:value "E44" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ValueSet.compose.include.system [ fhir:value "http://hl7.org/fhir/sid/icd-10" ] ;
       fhir:ValueSet.compose.include.filter [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.filter.property [ fhir:value "concept" ] ;
         fhir:ValueSet.compose.include.filter.op [ fhir:value "is-a" ] ;
         fhir:ValueSet.compose.include.filter.value [ fhir:value "O25" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ValueSet.compose.include.system [ fhir:value "http://hl7.org/fhir/sid/icd-10" ] ;
       fhir:ValueSet.compose.include.filter [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.filter.property [ fhir:value "concept" ] ;
         fhir:ValueSet.compose.include.filter.op [ fhir:value "is-a" ] ;
         fhir:ValueSet.compose.include.filter.value [ fhir:value "R64" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ValueSet.compose.include.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:ValueSet.compose.include.concept [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "102635008" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Acute nutritional deficiency (finding)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "102636009" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Chronic nutritional deficiency (finding)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "129588001" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Adult failure to thrive syndrome (disorder)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "190606006" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Moderate protein energy malnutrition (disorder)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "238107002" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Deficiency of macronutrients (disorder)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "238108007" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Cachexia (finding)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "238111008" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Deficiency of micronutrients (disorder)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "2492009" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Nutritional disorder (disorder)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "272588001" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Malnutrition (calorie) (disorder)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "281583001" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Nutritional wasting (disorder)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "285588004" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Nutrition deficiency due to insufficient food (disorder)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "288517002" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Wasting disease (disorder)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "371597004" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Emaciated (finding)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "432788009" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Pediatric failure to thrive (disorder)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "441951000124102" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Starvation-related malnutrition (disorder)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "441961000124100" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Acute disease or injury-related malnutrition (disorder)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "441971000124107" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Chronic disease-related malnutrition (disorder)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "54840006" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Failure to thrive (disorder)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "56882008" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Anorexia nervosa (disorder)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "65404009" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Undernutrition (disorder)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "70241007" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Nutritional deficiency disorder (disorder)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "722959000" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Anorexia nervosa co-occurrent with dangerously low body weight (disorder)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "722960005" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Anorexia nervosa co-occurrent with significantly low body weight (disorder)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "723917005" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Dangerously low body weight co-occurrent and due to anorexia nervosa of restricting type (disorder)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "723919008" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Significantly low body weight co-occurrent and due to anorexia nervosa of restricting type (disorder)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "772791006" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Sarcopenia (disorder)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "77675002" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Anorexia nervosa, restricting type (disorder)" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "788876001" ] ;
         fhir:ValueSet.compose.include.concept.display [ fhir:value "Cachexia due to malignant neoplastic disease (finding)" ]
       ]
     ]
  ] .

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

<http://hl7.org/fhir/ValueSet/atrius-vs-malnutrition-diagnosis.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/ValueSet/atrius-vs-malnutrition-diagnosis.ttl> .