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 2026-08-30 |
@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/atrius-ddi-check> a fhir:PlanDefinition ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "atrius-ddi-check"] ;
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/AtriusDrugInteractions</code> for pair definitions and drug-class ValueSets.</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/atrius-ddi-check" ]
] ;
fhir:PlanDefinition.url [ fhir:value "https://atrius.in/fhir/r4/atrius-in/PlanDefinition/atrius-ddi-check"] ;
fhir:PlanDefinition.identifier [
fhir:index -1 ;
fhir:Identifier.use [ fhir:value "official" ] ;
fhir:Identifier.value [ fhir:value "atrius-ddi-check" ]
], [
fhir:index -1 ;
fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
fhir:Identifier.value [ fhir:value "urn:oid:1.3.6.1.4.1.66219.1.34.2" ]
] ;
fhir:PlanDefinition.version [ fhir:value "0.1.0"] ;
fhir:PlanDefinition.name [ fhir:value "AtriusDdiCheck"] ;
fhir:PlanDefinition.title [ fhir:value "Drug-Drug Interaction Check"] ;
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 "eca-rule" ]
]
] ;
fhir:PlanDefinition.status [ fhir:value "draft"] ;
fhir:PlanDefinition.experimental [ fhir:value "true"^^xsd:boolean] ;
fhir:PlanDefinition.date [ fhir:value "2026-08-30T18:15:29+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 "Interruptive alerts at order signing when a draft medication order interacts with an active prescription: statin + CYP3A4-inhibiting macrolide (rhabdomyolysis), warfarin + NSAID (bleeding), ACE inhibitor + potassium-sparing diuretic (hyperkalemia). Cards propose safer alternatives or monitoring."] ;
fhir:PlanDefinition.library [
fhir:value "https://atrius.in/fhir/r4/atrius-in/Library/AtriusDrugInteractions|0.1.0" ;
fhir:index -1 ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/Library/AtriusDrugInteractions|0.1.0>
] ;
fhir:PlanDefinition.action [
fhir:index -1 ;
fhir:Element.id [ fhir:value "atrius-ddi-check-root" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Drug-Drug Interaction Check" ] ;
fhir:PlanDefinition.action.description [ fhir:value "A draft order interacts with an active prescription." ] ;
fhir:PlanDefinition.action.trigger [
fhir:index -1 ;
fhir:TriggerDefinition.type [ fhir:value "named-event" ] ;
fhir:TriggerDefinition.name [ fhir:value "order-sign" ]
] ;
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 "Has Drug Interaction" ]
]
] ;
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 "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:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ] ;
fhir:PlanDefinition.action.action [
fhir:index -1 ;
fhir:Element.id [ fhir:value "ddi-statin-macrolide" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Statin + macrolide: rhabdomyolysis risk" ] ;
fhir:PlanDefinition.action.description [ fhir:value "Clarithromycin and erythromycin inhibit CYP3A4 and raise statin exposure, risking myopathy and rhabdomyolysis. Consider azithromycin (minimal CYP3A4 inhibition) or hold the statin for the antibiotic course." ] ;
fhir:PlanDefinition.action.priority [ fhir:value "stat" ] ;
fhir:PlanDefinition.action.documentation [
fhir:index -1 ;
fhir:RelatedArtifact.type [ fhir:value "documentation" ] ;
fhir:RelatedArtifact.display [ fhir:value "AHA statement — statin drug interactions" ] ;
fhir:RelatedArtifact.url [ fhir:value "https://www.ahajournals.org/doi/10.1161/CIR.0000000000000456" ] ;
fhir:RelatedArtifact.document [
fhir:Attachment.url [ fhir:value "https://www.ahajournals.org/doi/10.1161/CIR.0000000000000456" ]
]
] ;
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 "Statin Macrolide Interaction" ]
]
] ;
fhir:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ] ;
fhir:PlanDefinition.action.selectionBehavior [ fhir:value "at-most-one" ] ;
fhir:PlanDefinition.action.action [
fhir:index -1 ;
fhir:Element.id [ fhir:value "ddi-statin-macrolide-azithromycin" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Switch to azithromycin (no CYP3A4 interaction)" ] ;
fhir:PlanDefinition.action.priority [ fhir:value "stat" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-med-azithromycin|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-med-azithromycin|0.1.0>
]
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "ddi-warfarin-nsaid" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Warfarin + NSAID: bleeding risk" ] ;
fhir:PlanDefinition.action.description [ fhir:value "NSAIDs potentiate warfarin and independently injure gastric mucosa, sharply raising GI bleeding risk. Prefer paracetamol for analgesia; if an NSAID is unavoidable, add gastroprotection and increase INR monitoring." ] ;
fhir:PlanDefinition.action.priority [ fhir:value "stat" ] ;
fhir:PlanDefinition.action.documentation [
fhir:index -1 ;
fhir:RelatedArtifact.type [ fhir:value "documentation" ] ;
fhir:RelatedArtifact.display [ fhir:value "Warfarin drug interactions (StatPearls)" ] ;
fhir:RelatedArtifact.url [ fhir:value "https://www.ncbi.nlm.nih.gov/books/NBK470313/" ] ;
fhir:RelatedArtifact.document [
fhir:Attachment.url [ fhir:value "https://www.ncbi.nlm.nih.gov/books/NBK470313/" ]
]
] ;
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 "Warfarin NSAID Interaction" ]
]
] ;
fhir:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ] ;
fhir:PlanDefinition.action.selectionBehavior [ fhir:value "at-most-one" ] ;
fhir:PlanDefinition.action.action [
fhir:index -1 ;
fhir:Element.id [ fhir:value "ddi-warfarin-nsaid-paracetamol" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Use paracetamol for analgesia instead" ] ;
fhir:PlanDefinition.action.priority [ fhir:value "stat" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-med-paracetamol|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-med-paracetamol|0.1.0>
]
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "ddi-acei-k-sparing" ] ;
fhir:PlanDefinition.action.title [ fhir:value "ACE inhibitor + potassium-sparing diuretic: hyperkalemia risk" ] ;
fhir:PlanDefinition.action.description [ fhir:value "Combined ACE inhibitor and potassium-sparing diuretic therapy risks hyperkalemia, particularly with renal impairment. If co-prescription is intended, check baseline and follow-up potassium and renal function." ] ;
fhir:PlanDefinition.action.priority [ fhir:value "urgent" ] ;
fhir:PlanDefinition.action.documentation [
fhir:index -1 ;
fhir:RelatedArtifact.type [ fhir:value "documentation" ] ;
fhir:RelatedArtifact.display [ fhir:value "UK Kidney Association — acute hyperkalaemia guideline" ] ;
fhir:RelatedArtifact.url [ fhir:value "https://ukkidney.org/health-professionals/guidelines/treatment-acute-hyperkalaemia-adults" ] ;
fhir:RelatedArtifact.document [
fhir:Attachment.url [ fhir:value "https://ukkidney.org/health-professionals/guidelines/treatment-acute-hyperkalaemia-adults" ]
]
] ;
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 "ACE Inhibitor Potassium Sparing Diuretic Interaction" ]
]
] ;
fhir:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ] ;
fhir:PlanDefinition.action.action [
fhir:index -1 ;
fhir:Element.id [ fhir:value "ddi-acei-k-sparing-bmp" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Order potassium and renal function (BMP)" ] ;
fhir:PlanDefinition.action.priority [ fhir:value "urgent" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-bmp|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-bmp|0.1.0>
]
]
]
] .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/PlanDefinition/atrius-ddi-check.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/PlanDefinition/atrius-ddi-check.ttl> .
IG © 2026+ Atrius.
Package atrius.fhir.r4.india#0.1.0 based on FHIR 4.0.1.
Generated
2026-08-30
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