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

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Behavior: Search Parameters

These define the properties by which a RESTful server can be searched. They can also be used for sorting and including related resources.

ChargeItem-gst-rate-class

GST rate class extension on ChargeItem

ChargeItem-status

ChargeItem lifecycle status (billable, billed, aborted, …)

ChargeItemDefinition-schedule-id

Schedule of charges id on ChargeItemDefinition

Location-physical-type

Physical form of the location (e.g. bed = bd)

Knowledge Artifacts: Libraries

These define logic, asset collections and other libraries as part of content in this implementation guide.

Atrius AHAOverall CQL

AHA Overall measure logic (heart failure composite, NCQA port for AtriusIn 0.1.0)

Atrius Adult Outpatient Encounters CQL

Qualifying outpatient encounters for CMS165-style measures

Atrius Advanced Illness and Frailty CQL

Advanced illness and frailty exclusion logic (NCQA port)

Atrius CMS165 Controlling High BP CQL

CMS165 measure logic for AtriusIn

Atrius CQM Common CQL

Atrius CQM common library (CQMCommon pattern, structural modelinfo)

Atrius Common CQL

Atrius common CQL library (QICoreCommon pattern, structural modelinfo)

Atrius Critical Labs CQL

Critical laboratory value flagging thresholds and latest-result logic

Atrius Drug Interactions CQL

Curated drug-drug interaction pairs (statin-macrolide, warfarin-NSAID, ACEi-K-sparing diuretic) over draft and active orders

Atrius ED Acute Breathlessness Pathway CQL

Applicability, danger-sign gate, and etiology classification for the ED acute breathlessness clinical pathway

Atrius ER Chest Pain Pathway CQL

Applicability and classification logic for the ER chest pain clinical pathway

Atrius HF Admission CQL

Heart failure admission applicability and BNP recency logic

Atrius Imaging Appropriateness CQL

Early lumbar MRI gating for acute low back pain without red flags

Atrius India Core ModelInfo

CQL modelinfo for AtriusIn 0.1.0 (FHIR R4 + atrius-in profiles)

Atrius Medication Duration CQL

Medication request period helper (simplified CMD)

Atrius Palliative Care CQL

Palliative care detection for CMS exclusion logic

Atrius Preventive Care CQL

Preventive care reminders — colorectal screening and influenza vaccination due

Atrius Renal Dosing CQL

Latest eGFR banding and renally-adjusted dose text for metformin and gabapentin draft orders

Atrius Sepsis CQL

SIRS screening and hour-1 sepsis bundle applicability logic

Atrius Status CQL

NCQA Status-pattern resource status constraints for AtriusIn

Atrius Surgical Safety CQL

Surgical encounter checklist gating (WHO surgical safety checklist completion)

Atrius VTE CQL

VTE measure shared definitions and hospitalization helpers (NCQA VTE port)

AtriusIn Helpers CQL

AtriusIn helper functions for CQL

FHIR Helpers CQL

FHIRHelpers 4.4.000 for AtriusIn measure logic

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

Atrius Clinical Task ActivityDefinition

Assessment, observation, or branch-pathway task template. $apply produces an AtriusIn Task draft with proposal intent.

Atrius India Core AdverseEvent

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core AllergyIntolerance

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Anesthesia Record

Anesthesia record with Atrius-specific section slicing until NDHM defines an equivalent artifact.

Atrius India Core Appointment

Atrius India Core Appointment profile. Parent: FHIR R4. NDHM 6.5.0 Appointment MS parity. Atrius OPD service/visit-mode extensions.

Atrius India Core Bed Location

Inpatient bed within a ward. ADT uses operationalStatus (HL7 v2-0116) for occupancy.

Atrius India Core Binary

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 Binary parity for embedded document payloads.

Atrius India Core BodyStructure

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core CarePlan

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core CarePlan Assess Plan

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core CareTeam

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core ChargeItem

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 ChargeItem parity. Atrius extensions add department, GST/HSN, and schedule attribution for operational billing.

Atrius India Core ChargeItemDefinition

Billing item master and versioned schedule-of-charges entry. Carries HSN/SAC, GST rate class, and item type via Atrius extensions.

Atrius India Core Claim

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Claim Bundle

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 ClaimBundle collection wrapper.

Atrius India Core ClaimResponse

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core ClaimResponse Bundle

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 ClaimResponseBundle collection wrapper.

Atrius India Core Communication

Base AtriusIn communication profile for NDHM-aligned storage and storage and AtriusIn CQL evaluation. Legacy QI-Core projection is documented in runtime-mapper.

Atrius India Core Communication Not Done

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core CommunicationRequest

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Condition

Base AtriusIn condition profile for NDHM-aligned storage and AtriusIn CQL evaluation. Legacy QI-Core projection is documented in runtime-mapper.

Atrius India Core Condition Encounter Diagnosis

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Condition Problems Health Concerns

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Consult Follow-Up Appointment

Lightweight Appointment for OP consult FollowUp section plan text without Slot booking requirements.

Atrius India Core Coverage

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core CoverageEligibilityRequest

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 CoverageEligibilityRequest parity.

Atrius India Core CoverageEligibilityRequest Bundle

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 CoverageEligibilityRequestBundle collection wrapper.

Atrius India Core CoverageEligibilityResponse

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 CoverageEligibilityResponse parity.

Atrius India Core CoverageEligibilityResponse Bundle

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 CoverageEligibilityResponseBundle collection wrapper.

Atrius India Core Device

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Device Prohibited

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Device Requested

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core DeviceRequest

Base AtriusIn device request profile for storage authoring and storage and AtriusIn CQL evaluation. Legacy QI-Core projection is documented in runtime-mapper.

Atrius India Core DeviceUseStatement

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Diagnostic Report Record

Laboratory and radiology report Composition with NDHM DiagnosticReportRecord-equivalent constraints.

Atrius India Core DiagnosticReport Lab

Atrius India Core profile. Parent: FHIR R4. NDHM DiagnosticReportLab parity. Legacy QI-Core projection: runtime-mapper.

Atrius India Core DiagnosticReport Note

Atrius India Core profile. Parent: FHIR R4. NDHM DiagnosticReportImaging parity. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Discharge Summary Record

Inpatient discharge summary Composition with NDHM DischargeSummaryRecord-equivalent constraints.

Atrius India Core Document Bundle

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 DocumentBundle for ABDM clinical document exchange.

Atrius India Core DocumentReference

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 DocumentReference parity for clinical document attachments.

Atrius India Core Encounter

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 Encounter parity. Atrius encounter-class VS; QI-Core via runtime-mapper where needed.

Atrius India Core EpisodeOfCare

Inpatient or longitudinal care episode for ADT. Links Encounter chain for a hospital stay.

Atrius India Core FamilyMemberHistory

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Flag

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Goal

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Group

Atrius India Core Group Profile

Atrius India Core Health Document Record

Unstructured health document Composition with NDHM HealthDocumentRecord-equivalent constraints.

Atrius India Core HealthcareService

Atrius India Core profile. Parent: FHIR R4.

Atrius India Core ImagingStudy

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Immunization

Base AtriusIn immunization profile for NDHM-aligned storage and storage and AtriusIn CQL evaluation. Legacy QI-Core projection is documented in runtime-mapper.

Atrius India Core Immunization Done

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Immunization Not Done

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Immunization Record

Immunization record Composition with NDHM ImmunizationRecord-equivalent constraints.

Atrius India Core ImmunizationEvaluation

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core ImmunizationRecommendation

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Inpatient Procedure Note

Department-specific inpatient procedure note. Atrius-specific until NDHM defines an IP consult artifact.

Atrius India Core Inpatient Progress Note

Ward or ICU daily progress note. Atrius-specific until NDHM defines an IP consult artifact.

Atrius India Core InsurancePlan

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 InsurancePlan parity.

Atrius India Core InsurancePlan Bundle

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 InsurancePlanBundle collection wrapper.

Atrius India Core Invoice

Atrius India Core Invoice. Parent: FHIR R4. NDHM Invoice parity; referenced from atrius-in-invoice-record Composition.

Atrius India Core Invoice Record

Billing invoice Composition with NDHM InvoiceRecord-equivalent constraints.

Atrius India Core Location

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Media

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 Media parity for imaging and document media attachments.

Atrius India Core Medication

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Medication Administration Not Done

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Medication Dispense Declined

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Medication Prohibited

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Medication Requested

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core MedicationAdministration

Base AtriusIn medication administration profile for storage authoring and storage and AtriusIn CQL evaluation. Legacy QI-Core projection is documented in runtime-mapper.

Atrius India Core MedicationDispense

Base AtriusIn medication dispense profile for storage authoring and storage and AtriusIn CQL evaluation. Legacy QI-Core projection is documented in runtime-mapper.

Atrius India Core MedicationRequest

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core MedicationRequest. Legacy QI-Core projection: runtime-mapper.

Atrius India Core MedicationStatement

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core NutritionOrder

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core OP Consult Record

Outpatient consultation Composition with NDHM OPConsultRecord-equivalent constraints.

Atrius India Core Observation

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Observation Body Measurement

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Observation General Assessment

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Observation Lifestyle

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Observation Physical Activity

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Observation Vital Signs

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Observation Women Health

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Operative Note

Surgical operative note with Atrius-specific section slicing until NDHM defines an equivalent artifact.

Atrius India Core Organization

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 Organization parity (identifier, type). QI-Core extensions via runtime-mapper where needed.

Atrius India Core Patient

Atrius India Core patient profile. Parent: FHIR R4. NDHM 6.5.0 Patient parity (identifier, demographics). QI-Core extensions via runtime-mapper where needed.

Atrius India Core PaymentNotice

Atrius India Core profile. Parent: FHIR R4. NDHM PaymentNotice (no differential MS; R4 baseline).

Atrius India Core PaymentReconciliation

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 PaymentReconciliation parity.

Atrius India Core Practitioner

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 Practitioner parity (identifier, qualification). QI-Core extensions via runtime-mapper where needed.

Atrius India Core PractitionerRole

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 PractitionerRole parity. QI-Core extensions via runtime-mapper where needed.

Atrius India Core Prescription Record

Prescription Composition with NDHM PrescriptionRecord-equivalent constraints.

Atrius India Core Procedure

Base AtriusIn procedure profile for NDHM-aligned storage and storage and AtriusIn CQL evaluation. Legacy QI-Core projection is documented in runtime-mapper.

Atrius India Core Procedure Not Done

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core QuestionnaireResponse

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core RelatedPerson

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Schedule

Atrius India Core Schedule profile. Parent: FHIR R4. Defines bookable availability for practitioners, services, and locations. Optional iCalendar recurrence via atrius-schedule-recurrence for slot expansion.

Atrius India Core Service Not Requested

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core ServiceRequest

Base AtriusIn service request profile for NDHM-aligned storage and storage and AtriusIn CQL evaluation. Legacy QI-Core projection is documented in runtime-mapper.

Atrius India Core Slot

Atrius India Core Slot profile. Parent: FHIR R4. Materialized bookable window linked to an Atrius Schedule.

Atrius India Core Specimen

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Substance

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Task

Base AtriusIn task profile for NDHM-aligned storage and storage and AtriusIn CQL evaluation. Legacy QI-Core projection is documented in runtime-mapper.

Atrius India Core Task Bundle

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 TaskBundle collection wrapper.

Atrius India Core Task Rejected

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Wellness Record

PHR wellness Composition with NDHM WellnessRecord-equivalent constraints.

Atrius Medication Order ActivityDefinition

Reusable medication order template. $apply produces an AtriusIn MedicationRequest draft with product and dosage.

Atrius Service Order ActivityDefinition

Reusable lab, imaging, referral, or procedure order template. $apply produces an AtriusIn ServiceRequest draft with intent order.

Atrius Service Proposal ActivityDefinition

Pathway guidance or conditional service action with proposal intent. $apply produces an AtriusIn ServiceRequest draft for clinician review.

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

Atrius Appointment Visit Mode

How the patient attends the appointment (in-person, telehealth, or hybrid).

Atrius Billing Department

Department attribution for a charge (HealthcareService or Location org-unit).

Atrius Billing Item Type

Operational billing category for catalog items (consultation, lab, bed-day, etc.).

Atrius Claim Condition

Covered or excluded conditions associated with an insurance plan product.

Atrius Claim Condition Item

A covered or excluded condition statement for an insurance plan product.

Atrius Claim Exclusion

Excluded coverage details within a health insurance product.

Atrius Claim Exclusion Category

Exclusion category for an insurance plan product.

Atrius Claim Exclusion Item

Specific excluded item for an insurance plan product.

Atrius Claim Exclusion Statement

General statement about an insurance plan exclusion.

Atrius Claim Supporting Info Category

Required supporting information category for claims against an insurance plan.

Atrius Claim Supporting Info Code

Required supporting information code for claims against an insurance plan.

Atrius Claim Supporting Info Documentation URL

Documentation URL for a required supporting information item.

Atrius Claim Supporting Info Requirement

Required supporting information categories and codes for claims against an insurance plan.

Atrius E-Invoice Acknowledgement Number

IRP acknowledgement number returned with the IRN.

Atrius E-Invoice Status
E-invoice lifecycle status on Invoice (pilot submitted cancelled). IRN itself is stored as Identifier with system https://atrius.in/fhir/r4/identifier/irn.
Atrius GST Line Breakdown

Line-level GST tax breakdown for audit (taxable value, CGST/SGST or IGST, rate, HSN/SAC).

Atrius GST Rate Class

Default GST rate class for a billing item (nil, exempt, or standard slabs).

Atrius HSN or SAC Code

Indian GST goods (HSN) or services (SAC) classification code for a billing item or charge line.

Atrius Hospital GSTIN

GST identification number for the billing hospital Organization.

Atrius Immunization Brand Name

Brand name associated with a vaccine product on an immunization.

Atrius Place of Supply State

Indian state code used as GST place of supply for an Invoice or Claim.

Atrius Schedule Recurrence (iCalendar)

RFC 5545 recurrence on Schedule for slot expansion. RRULE and TZID are required when this extension is present; EXDATE and RDATE are optional overrides.

Atrius Schedule of Charges Reference

Reference to the schedule-of-charges version used to price a ChargeItem or catalog entry.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

Atrius ACE Inhibitors

Angiotensin-converting enzyme inhibitors — DDI drug-class set (hyperkalemia risk with potassium-sparing diuretics).

Atrius Advanced Illness

Atrius-authored ValueSet for CQL valueset "Advanced Illness". VSAC OID 2.16.840.1.113883.3.464.1003.110.12.1082 is provenance only.

Atrius Annual Wellness Visit

Atrius-authored ValueSet for CQL valueset "Annual Wellness Visit". VSAC OID 2.16.840.1.113883.3.526.3.1240 is provenance only.

Atrius Billing Item Type Value Set

ValueSet of operational billing item type codes for ChargeItemDefinition bindings.

Atrius Care Services in Long Term Residential Facility

Atrius-authored ValueSet for CQL valueset "Care Services in Long Term Residential Facility". VSAC OID 2.16.840.1.113883.3.464.1003.101.12.1014 is provenance only.

Atrius Chronic Kidney Disease, Stage 5

Atrius-authored ValueSet for CQL valueset "Chronic Kidney Disease, Stage 5". VSAC OID 2.16.840.1.113883.3.526.3.1002 is provenance only.

Atrius Dementia Medications

Atrius-authored ValueSet for CQL valueset "Dementia Medications". VSAC OID 2.16.840.1.113883.3.464.1003.196.12.1510 is provenance only.

Atrius Dialysis Services

Atrius-authored ValueSet for CQL valueset "Dialysis Services". VSAC OID 2.16.840.1.113883.3.464.1003.109.12.1013 is provenance only.

Atrius E-Invoice Status Value Set

ValueSet of e-invoice status codes for Invoice.extension bindings.

Atrius ER Acute Breathlessness Danger Signs (ValueSet)

Allowed danger-sign answers for the ED acute breathlessness gate questionnaire.

Atrius ER Acute Breathlessness Working Classification (ValueSet)

Preferred SNOMED CT working etiologies for ER acute breathlessness classification, plus legacy Atrius local codes. Questionnaire quick-picks use the SNOMED concepts; typeahead may also select other clinical findings (mapped to the Other branch in CQL).

Atrius ER Chest Pain Working Classification (ValueSet)

Allowed working classification answers for ER chest pain questionnaire.

Atrius ESRD Monthly Outpatient Services

Atrius-authored ValueSet for CQL valueset "ESRD Monthly Outpatient Services". VSAC OID 2.16.840.1.113883.3.464.1003.109.12.1014 is provenance only.

Atrius Ejection Fraction

Atrius-authored ValueSet for CQL valueset "Ejection Fraction". VSAC OID 2.16.840.1.113883.3.526.3.1134 is provenance only.

Atrius Emergency Department Evaluation and Management Visit

Atrius-authored ValueSet for CQL valueset "Emergency Department Evaluation and Management Visit". VSAC OID 2.16.840.1.113883.3.464.1003.101.12.1010 is provenance only.

Atrius Emergency Department Visit

Atrius-authored ValueSet for CQL valueset "Emergency Department Visit". VSAC OID 2.16.840.1.113883.3.117.1.7.1.292 is provenance only.

Atrius Encounter Inpatient

Atrius-authored ValueSet for CQL valueset "Encounter Inpatient". VSAC OID 2.16.840.1.113883.3.666.5.307 is provenance only.

Atrius End Stage Renal Disease

Atrius-authored ValueSet for CQL valueset "End Stage Renal Disease". VSAC OID 2.16.840.1.113883.3.526.3.353 is provenance only.

Atrius Essential Hypertension

Atrius-authored ValueSet for CQL valueset "Essential Hypertension". VSAC OID 2.16.840.1.113883.3.464.1003.104.12.1011 is provenance only.

Atrius Frailty Device

Atrius-authored ValueSet for CQL valueset "Frailty Device". VSAC OID 2.16.840.1.113883.3.464.1003.118.12.1300 is provenance only.

Atrius Frailty Diagnosis

Atrius-authored ValueSet for CQL valueset "Frailty Diagnosis". VSAC OID 2.16.840.1.113883.3.464.1003.113.12.1074 is provenance only.

Atrius Frailty Encounter

Atrius-authored ValueSet for CQL valueset "Frailty Encounter". VSAC OID 2.16.840.1.113883.3.464.1003.101.12.1088 is provenance only.

Atrius Frailty Symptom

Atrius-authored ValueSet for CQL valueset "Frailty Symptom". VSAC OID 2.16.840.1.113883.3.464.1003.113.12.1075 is provenance only.

Atrius GST Rate Class Value Set

ValueSet of GST rate class codes for ChargeItem / ChargeItemDefinition bindings.

Atrius GST Tax Split Value Set

ValueSet of GST tax-split codes for Invoice / Claim line breakdown extensions.

Atrius Gabapentin

Gabapentin — renal dosing rule drug set (dose-banded by eGFR).

Atrius Heart Failure

Atrius-authored ValueSet for CQL valueset "Heart Failure". VSAC OID 2.16.840.1.113883.3.526.3.376 is provenance only.

Atrius Heart Transplant

Atrius-authored ValueSet for CQL valueset "Heart Transplant". VSAC OID 2.16.840.1.113762.1.4.1178.33 is provenance only.

Atrius Heart Transplant Complications

Atrius-authored ValueSet for CQL valueset "Heart Transplant Complications". VSAC OID 2.16.840.1.113762.1.4.1178.56 is provenance only.

Atrius Home Healthcare Services

Atrius-authored ValueSet for CQL valueset "Home Healthcare Services". VSAC OID 2.16.840.1.113883.3.464.1003.101.12.1016 is provenance only.

Atrius India Core Appointment Type

Appointment type codes for OPD and ambulatory booking (HL7 v2-0276 subset).

Atrius India Core Care Plan Category (ValueSet)

CarePlan.category for AtriusIn care plans including assess-plan and India plan types.

Atrius India Core Claim Status

Claim.status for AtriusIn storage and India claims workflows.

Atrius India Core ClaimResponse Status

ClaimResponse.status for AtriusIn storage.

Atrius India Core Composition Section Codes

SNOMED CT section codes for AtriusIn NDHM-aligned Composition clinical artifacts.

Atrius India Core Composition Type Codes

SNOMED CT and LOINC document type codes for AtriusIn NDHM-aligned Composition clinical artifacts.

Atrius India Core Condition Category

Condition.category for AtriusIn storage and CQL. Composes HL7 condition-category codes used by AtriusIn Condition subtypes.

Atrius India Core Coverage Payer Type (ValueSet)

Coverage.type for India payer and scheme identification at AtriusIn storage.

Atrius India Core Diagnostic Report Category

DiagnosticReport.category for AtriusIn lab and note profiles. Includes HL7 v2-0074 LAB and observation-category laboratory for CQL alignment without US-only storage.

Atrius India Core Diagnostic Report Laboratory Category

Required laboratory category codes for atrius-in-diagnosticreport-lab storage.

Atrius India Core Encounter Class

Encounter.class for AtriusIn storage. Extensible binding; includes common v3-ActCode encounter classes.

Atrius India Core OPD Service Category

Schedule and appointment serviceCategory for outpatient and ambulatory services.

Atrius India Core OPD Service Type

Schedule and appointment serviceType for common OPD specialties (SNOMED CT subset).

Atrius India Core Observation Category

Observation.category for AtriusIn observation profiles and CQL retrieves.

Atrius India Core Observation Laboratory Category

Laboratory observation category for atrius-in-observation and lab panels.

Atrius India Core Observation Vital Signs Category

Vital signs observation category for atrius-in-observation-vital-signs.

Atrius India Core Visit Mode (ValueSet)

Visit mode for booked appointments (in-person, telehealth, hybrid).

Atrius Intensive Care Unit

Atrius-authored ValueSet for CQL valueset "Intensive Care Unit". VSAC OID 2.16.840.1.113762.1.4.1029.206 is provenance only.

Atrius Kidney Transplant

Atrius-authored ValueSet for CQL valueset "Kidney Transplant". VSAC OID 2.16.840.1.113883.3.464.1003.109.12.1012 is provenance only.

Atrius Kidney Transplant Recipient

Atrius-authored ValueSet for CQL valueset "Kidney Transplant Recipient". VSAC OID 2.16.840.1.113883.3.464.1003.109.12.1029 is provenance only.

Atrius Left Ventricular Assist Device Complications

Atrius-authored ValueSet for CQL valueset "Left Ventricular Assist Device Complications". VSAC OID 2.16.840.1.113762.1.4.1178.58 is provenance only.

Atrius Left Ventricular Assist Device Placement

Atrius-authored ValueSet for CQL valueset "Left Ventricular Assist Device Placement". VSAC OID 2.16.840.1.113762.1.4.1178.61 is provenance only.

Atrius Low Back Pain

Low back pain diagnoses for imaging appropriateness gating.

Atrius Lumbar Imaging Red Flags

Red-flag conditions that justify early lumbar MRI (cauda equina, malignancy).

Atrius Lumbar Spine MRI

MRI of the lumbar spine order codes (with and without contrast).

Atrius Macrolides (CYP3A4-inhibiting)

Macrolide antibiotics with clinically significant CYP3A4 inhibition (statin interaction). Azithromycin is deliberately excluded (safer alternative).

Atrius Metformin

Metformin — renal dosing rule drug set (contraindicated below eGFR 30, dose-limited 30–45).

Atrius Moderate or Severe

Atrius-authored ValueSet for CQL valueset "Moderate or Severe". VSAC OID 2.16.840.1.113883.3.526.3.1092 is provenance only.

Atrius Moderate or Severe LVSD

Atrius-authored ValueSet for CQL valueset "Moderate or Severe LVSD". VSAC OID 2.16.840.1.113883.3.526.3.1090 is provenance only.

Atrius NSAIDs

Systemic non-steroidal anti-inflammatory drugs — DDI drug-class set (bleeding risk with anticoagulants).

Atrius Nursing Facility Visit

Atrius-authored ValueSet for CQL valueset "Nursing Facility Visit". VSAC OID 2.16.840.1.113883.3.464.1003.101.12.1012 is provenance only.

Atrius Observation Services

Atrius-authored ValueSet for CQL valueset "Observation Services". VSAC OID 2.16.840.1.113762.1.4.1111.143 is provenance only.

Atrius Obstetrical or Pregnancy Related Conditions

Atrius-authored ValueSet for CQL valueset "Obstetrical or Pregnancy Related Conditions". VSAC OID 2.16.840.1.113883.3.117.1.7.1.263 is provenance only.

Atrius Obstetrics VTE

Atrius-authored ValueSet for CQL valueset "Obstetrics VTE". VSAC OID 2.16.840.1.113883.3.117.1.7.1.264 is provenance only.

Atrius Office Visit

Atrius-authored ValueSet for CQL valueset "Office Visit". VSAC OID 2.16.840.1.113883.3.464.1003.101.12.1001 is provenance only.

Atrius Outpatient Consultation

Atrius-authored ValueSet for CQL valueset "Outpatient Consultation". VSAC OID 2.16.840.1.113883.3.464.1003.101.12.1008 is provenance only.

Atrius Outpatient Surgery Service

Atrius-authored ValueSet for CQL valueset "Outpatient Surgery Service". VSAC OID 2.16.840.1.113762.1.4.1110.38 is provenance only.

Atrius Palliative Care Diagnosis

Atrius-authored ValueSet for CQL valueset "Palliative Care Diagnosis". VSAC OID 2.16.840.1.113883.3.464.1003.1167 is provenance only.

Atrius Palliative Care Encounter

Atrius-authored ValueSet for CQL valueset "Palliative Care Encounter". VSAC OID 2.16.840.1.113883.3.464.1003.101.12.1090 is provenance only.

Atrius Palliative Care Intervention

Atrius-authored ValueSet for CQL valueset "Palliative Care Intervention". VSAC OID 2.16.840.1.113883.3.464.1003.198.12.1135 is provenance only.

Atrius Patient Provider Interaction

Atrius-authored ValueSet for CQL valueset "Patient Provider Interaction". VSAC OID 2.16.840.1.113883.3.526.3.1012 is provenance only.

Atrius Potassium-Sparing Diuretics

Potassium-sparing diuretics and aldosterone antagonists — DDI drug-class set.

Atrius Pregnancy

Atrius-authored ValueSet for CQL valueset "Pregnancy". VSAC OID 2.16.840.1.113883.3.526.3.378 is provenance only.

Atrius Present on Admission or Clinically Undetermined

Atrius-authored ValueSet for CQL valueset "Present on Admission or Clinically Undetermined". VSAC OID 2.16.840.1.113762.1.4.1147.197 is provenance only.

Atrius Preventive Care Services Established Office Visit, 18 and Up

Atrius-authored ValueSet for CQL valueset "Preventive Care Services Established Office Visit, 18 and Up". VSAC OID 2.16.840.1.113883.3.464.1003.101.12.1025 is provenance only.

Atrius Preventive Care Services Initial Office Visit, 18 and Up

Atrius-authored ValueSet for CQL valueset "Preventive Care Services Initial Office Visit, 18 and Up". VSAC OID 2.16.840.1.113883.3.464.1003.101.12.1023 is provenance only.

Atrius Statins

HMG-CoA reductase inhibitors (statins) — DDI drug-class set.

Atrius Telephone Visits

Atrius-authored ValueSet for CQL valueset "Telephone Visits". VSAC OID 2.16.840.1.113883.3.464.1003.101.12.1080 is provenance only.

Atrius Venous Thromboembolism

Atrius-authored ValueSet for CQL valueset "Venous Thromboembolism". VSAC OID 2.16.840.1.113883.3.117.1.7.1.279 is provenance only.

Atrius Virtual Encounter

Atrius-authored ValueSet for CQL valueset "Virtual Encounter". VSAC OID 2.16.840.1.113883.3.464.1003.101.12.1089 is provenance only.

Atrius Warfarin

Warfarin — DDI drug-class set (vitamin K antagonist).

Reason for encounter (chief complaint candidates)

Chief complaint candidates for clinical UI autocomplete (Atrius pilot codes).

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

Atrius Billing Item Type Code System

Operational billing item categories for Atrius India catalog and ChargeItemDefinition.

Atrius E-Invoice Status Code System

E-invoice lifecycle status codes for Invoice (pilot, submitted, cancelled).

Atrius ER Acute Breathlessness Danger Signs (CodeSystem)

Danger-sign answers for the ED acute breathlessness gate questionnaire. Any positive danger sign activates airway rescue; none-of-the-above does not.

Atrius ER Acute Breathlessness Working Classification (CodeSystem)

Legacy local working-etiology codes for ER acute breathlessness. Prefer SNOMED CT concepts from ValueSet atrius-in-er-acute-breathlessness-classification-vs for new captures. Kept so older QuestionnaireResponses remain interpretable.

Atrius ER Chest Pain Working Classification (CodeSystem)

Working etiology classification answers for the ER chest pain assessment questionnaire. Maps to pathway branch logic in Library AtriusERChestPainPathway.

Atrius GST Rate Class Code System

GST rate class codes for Atrius India billing (nil, exempt, and standard slabs).

Atrius GST Tax Split Code System

GST tax-split mode for line-level breakdown (CGST+SGST vs IGST).

Atrius India Core Care Plan Category (CodeSystem)

Care plan category codes for AtriusIn storage and CQL. Includes assessment-and-plan and other plan types used in India clinical workflows.

Atrius India Core Claim Status (CodeSystem)

Claim.status codes for AtriusIn storage and India claims workflows.

Atrius India Core Coverage Payer Type (CodeSystem)

India payer and scheme types for coverage.type at AtriusIn storage.

Atrius India Core Reason for Encounter (CodeSystem)

Pilot chief complaint codes for clinical UI autocomplete. Expand with SNOMED cross-maps when HTS is configured.

Atrius India Core Visit Mode (CodeSystem)

How the patient attends a booked appointment (in-person, telehealth, hybrid).

Terminology: Naming Systems

These define identifier and/or code system identities used by systems conforming to this implementation guide.

AtriusInCanonical

Canonical namespace for Atrius India Core artifacts and measure identifiers.

AtriusInCdsHooksEndpoint

Base URI namespace for Atrius CDS Hooks service endpoints (cqf-cdsHooksEndpoint extension values under https://cds.atrius.in/cds-services/).

AtriusInCdsService

Identifier namespace for Atrius CDS Hooks service ids (PlanDefinition.identifier.system).

NDHMFacilityId

Facility identifier system used in AtriusIn organization, practitioner role, and claim examples.

NDHMHealthId

Ayushman Bharat Health Account (ABHA) identifier system used in AtriusIn patient and practitioner examples.

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

ACS ECG Without STEMI Guidance

Continue ACS work-up when ECG shows no ST elevation

ACS Initial Troponin Not Elevated Guidance

Pathway guidance when initial troponin is not elevated

ACS STEMI Cath Lab Activation

Emergency cath lab activation when ECG shows STEMI

Atrius CMS165 CDS PlanDefinition

CDS Hooks service (CDSHooksServicePlanDefinition) for CMS165 Initial Population

Atrius CMS165 Measure

Population metadata for Atrius CMS165 Controlling High Blood Pressure

Atrius Critical Lab Value Alerts

Interruptive patient-view alerts for critical potassium, sodium, glucose, and troponin results

Atrius Drug-Drug Interaction Check

Order-sign screening of draft medication orders against active prescriptions for curated interaction pairs

Atrius Imaging Appropriateness (Lumbar MRI)

Order-select advisory against early lumbar MRI for acute low back pain without red flags

Atrius Preventive Care Reminders

Colorectal screening and influenza vaccination reminders at chart open

Atrius Renal Dosing Check

Order-sign eGFR banding for renally-cleared medications with dose-adjusted replacement orders

COPD / asthma exacerbation workup

Nebulized bronchodilators, systemic steroids, peak flow when feasible, and early senior review for life-threatening features.

Cardiogenic pulmonary edema / acute HF workup

Assess volume status and congestion; consider NIV for flash edema; diuresis and cardiology input.

Catalog — 12-lead ECG

Reusable radiology/cardiac imaging ActivityDefinition

Catalog — Aspirin

Reusable medication order ActivityDefinition

Catalog — Azithromycin

Reusable medication order ActivityDefinition

Catalog — B-type Natriuretic Peptide

Reusable lab order ActivityDefinition

Catalog — Basic Metabolic Panel

Reusable lab order ActivityDefinition

Catalog — Blood Culture

Reusable lab order ActivityDefinition

Catalog — CT Chest

Reusable radiology ActivityDefinition

Catalog — Cardiac Troponin I

Reusable lab order ActivityDefinition

Catalog — Cardiology Referral

Reusable referral ActivityDefinition

Catalog — Ceftriaxone

Reusable medication order ActivityDefinition

Catalog — Chest X-ray

Reusable radiology ActivityDefinition

Catalog — Clinical Assessment Task

Reusable assessment Task ActivityDefinition

Catalog — Colonoscopy Referral

Reusable referral ActivityDefinition

Catalog — Complete Blood Count

Reusable lab order ActivityDefinition

Catalog — Critical Lab Review Task

Reusable critical-value review Task ActivityDefinition

Catalog — Daily Weight Task

Reusable monitoring Task ActivityDefinition

Catalog — Emergency Medicine Service

Reusable referral ActivityDefinition

Catalog — Fecal Immunochemical Test

Reusable lab order ActivityDefinition

Catalog — Furosemide IV

Reusable medication order ActivityDefinition

Catalog — Gabapentin

Reusable medication order ActivityDefinition

Catalog — General Medicine Referral

Reusable referral ActivityDefinition

Catalog — IV Crystalloid Bolus

Reusable medication order ActivityDefinition

Catalog — Metformin

Reusable medication order ActivityDefinition

Catalog — Nursing Observation Task

Reusable nursing Task ActivityDefinition

Catalog — Paracetamol

Reusable medication order ActivityDefinition

Catalog — Seasonal Influenza Vaccine

Reusable immunization ActivityDefinition (ServiceRequest order)

Catalog — Serum Lactate

Reusable lab order ActivityDefinition

Catalog — Sodium-Restricted Diet Task

Reusable diet Task ActivityDefinition

Catalog — Surgical Checklist Task

Reusable checklist completion Task ActivityDefinition

Catalog — X-ray Lumbar Spine

Reusable radiology ActivityDefinition

ED Acute Breathlessness Clinical Pathway

ED dyspnea danger-sign gate, parallel stabilization, etiology classification, and branch-specific management

ED Acute Breathlessness Danger Signs Questionnaire

Danger-sign checklist that gates airway rescue before routine etiology workup

ED Acute Breathlessness Working Classification Questionnaire

Single-choice working etiology classification after danger-sign review and stabilization

ED Breathlessness — Call senior / ICU

Immediate senior emergency or critical-care help when danger signs are present.

ED Breathlessness — IV access

Establish large-bore IV access for fluids, bloods, and emergency medications.

ED Breathlessness — Peak expiratory flow

Measure peak expiratory flow (or FEV1 when available) to gauge severity of COPD / asthma exacerbation and response to bronchodilators.

ED Breathlessness — Prepare NIV

Prepare non-invasive ventilation (BiPAP/CPAP) when respiratory failure is present without immediate intubation indication.

ED Breathlessness — Prepare chest drain / needle decompression

Prepare equipment for needle decompression (tension) or tube thoracostomy when pneumothorax requires intervention.

ED Breathlessness — Prepare intubation (RSI)

Prepare rapid sequence intubation equipment and medications when airway protection or refractory hypoxemia requires invasive ventilation.

ED Breathlessness — Start supplemental oxygen

Start and titrate supplemental oxygen to target SpO2 per local protocol; consider high-flow nasal cannula when standard delivery is insufficient.

ER Chest Pain Clinical Pathway

ED chest pain triage, QuestionnaireResponse classification, and branch-specific order sets

ER Chest Pain Initial Assessment

Initial clinical assessment step for ER chest pain pathway

ER Chest Pain Working Classification Questionnaire

Single-choice working etiology classification after initial ED assessment

Example Atrius India Core Patient

Example patient for Atrius India Core actor profile illustrations.

Example AtriusIn Bed Location

Vacant inpatient bed in Medical Ward A.

Example AtriusIn Booked OPD Appointment

Booked follow-up visit linked to a free slot and OPD actors.

Example AtriusIn Claim

Institutional claim example for AtriusIn CQL.

Example AtriusIn Condition Encounter Diagnosis

Encounter diagnosis for AtriusIn CQL condition retrieves.

Example AtriusIn Coverage

PM-JAY coverage for claim example.

Example AtriusIn Encounter

Outpatient encounter for clinical examples.

Example AtriusIn Inpatient Encounter

In-progress inpatient encounter on a bed with linked EpisodeOfCare.

Example AtriusIn Inpatient EpisodeOfCare

Active inpatient episode linked to an admitting Encounter.

Example AtriusIn OP Consult Record

Final NDHM-aligned outpatient consultation note with SNOMED section codes and structured section entries.

Example AtriusIn OPD Clinic Location

Outpatient clinic location for scheduling examples.

Example AtriusIn OPD HealthcareService

General OPD service for scheduling examples.

Example AtriusIn OPD Schedule with Weekly Recurrence

Dr Mehta general OPD — weekdays 09:00 IST, 30-minute slots, 14-day planning horizon.

Example AtriusIn OPD Slot (09:30 free)

Free 30-minute OPD slot materialized from the weekday schedule.

Example AtriusIn OPD Slot (10:00 free)

Second free slot on the same OPD day.

Example AtriusIn Observation Vital Signs

Blood pressure vital sign for AtriusIn CQL observation retrieves.

Example AtriusIn Organization

Example hospital organization for AtriusIn actor profile illustrations.

Example AtriusIn Practitioner

Example practitioner for AtriusIn actor profile illustrations.

Example AtriusIn PractitionerRole

Example practitioner role linking a clinician to a hospital.

Example AtriusIn RelatedPerson

Example emergency contact linked to an AtriusIn patient.

Example AtriusIn Service Not Requested

Negated service request for AtriusIn CQL.

Example AtriusIn Ward Location

Medical ward for bed hierarchy examples.

Example ED Encounter — Chest Pain

Emergency encounter with chest pain chief complaint for ER chest pain pathway examples.

Example ER Chest Pain Classification — ACS

Completed classification QuestionnaireResponse selecting ACS for the demo ED encounter.

Example OP consult chief complaint

Chief complaint Condition entry referenced from the OP consult Composition ChiefComplaints section.

Example OP consult clinical finding

Assessment Observation entry referenced from the OP consult Composition OtherObservations section.

Example OP consult follow-up plan

Rest, follow up in 1 week, return if worsening

Example OP consult medical history

History of present illness Condition entry referenced from the OP consult Composition MedicalHistory section.

Example OP consult physical examination

Physical examination Observation entry referenced from the OP consult Composition PhysicalExamination section.

HF Admission — ED Eligibility

Confirm basic clinical features for acute decompensated heart failure before starting the HF admission clinical protocol.

Heart Failure Admission Protocol

Daily weights, sodium restriction, IV furosemide, and baseline BNP at heart failure admission

Lab — D-dimer

Fibrin D-dimer for PE / VTE workup when pretest probability is low–intermediate.

Medication — Enoxaparin (LMWH)

Low-molecular-weight heparin for suspected or confirmed pulmonary embolism when anticoagulation is indicated.

Medication — Prednisolone

Systemic corticosteroid for COPD / asthma exacerbation.

Medication — Salbutamol nebulizer

Nebulized short-acting beta-agonist for COPD / asthma exacerbation.

Non-cardiac — Pleurisy / pneumonia workup

Chest imaging, pulse oximetry, inflammatory markers; antibiotics when bacterial pneumonia confirmed.

Non-cardiac — Pneumothorax workup

Upright chest radiograph or bedside ultrasound; consider needle decompression or chest tube per severity.

Other / unclear breathlessness workup

Reassess history and examination; broaden differential and obtain senior / general medicine review when etiology remains unclear.

Other cardiac — Aortic dissection workup

CT angiography aorta, blood pressure control in both arms, surgical/cardiac surgery consult when suspected.

Other cardiac — Pericarditis workup

ECG, inflammatory markers, echocardiography; consider NSAIDs/colchicine per protocol.

Other — Heartburn / GERD

Trial of antacid or PPI; discharge advice; cardiology follow-up only if atypical features persist.

Other — Musculoskeletal chest pain

Reassurance, analgesia, avoid unnecessary cardiac workup when diagnosis is clear.

Pneumonia / infection workup

Cultures when sepsis suspected, inflammatory markers, and empiric antibiotics per local protocol.

Pneumothorax workup

Confirm with imaging or bedside ultrasound; decompress or place chest drain for tension or significant symptoms.

Pulmonary embolism workup

Risk stratify (Wells/PERC), D-dimer when appropriate, CT pulmonary angiography, and anticoagulation when indicated.

Radiology — Transthoracic echocardiogram

Bedside or formal transthoracic echocardiography for cardiac function and congestion assessment.

Referral — ENT consult

Otolaryngology (ENT) consultation for airway compromise, stridor, or suspected epiglottitis / foreign body.

Referral — Pulmonology / respiratory medicine

Respiratory medicine consultation for severe COPD/asthma or complex dyspnea.

Sepsis Management Bundle

SIRS-based sepsis screening with hour-1 bundle order set

Surgical Safety Checklist Gate

Encounter-start reminder when a surgical encounter has no completed WHO checklist response

Surgical Safety Checklist Questionnaire

WHO surgical safety checklist (abridged) — sign-in, time-out, sign-out

Surgical Safety Checklist Workflow

Sequential WHO surgical safety checklist phases: sign-in, time-out, and sign-out.

Upper airway obstruction workup

Assess stridor, angioedema, foreign body, or epiglottitis; involve ENT/anesthesia early; avoid agitating the patient.