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

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: Atrius Discharge Readiness Advisory

Draft as of 2026-08-30

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{
  "resourceType" : "PlanDefinition",
  "id" : "atrius-discharge-readiness",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/StructureDefinition/cdshooksserviceplandefinition|4.0.1"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>See <code>Library/AtriusDischargeReadiness</code>. Clinical counterpart to IPD-Fin Account clearance.</p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-cdsHooksEndpoint",
      "valueUri" : "https://cds.atrius.in/cds-services/atrius-discharge-readiness"
    }
  ],
  "url" : "https://atrius.in/fhir/r4/atrius-in/PlanDefinition/atrius-discharge-readiness",
  "identifier" : [
    {
      "use" : "official",
      "value" : "atrius-discharge-readiness"
    },
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:1.3.6.1.4.1.66219.1.34.13"
    }
  ],
  "version" : "0.1.0",
  "name" : "AtriusDischargeReadiness",
  "title" : "Discharge Readiness Advisory",
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/plan-definition-type",
        "code" : "eca-rule"
      }
    ]
  },
  "status" : "draft",
  "experimental" : true,
  "date" : "2026-08-30T18:15:29+05:30",
  "publisher" : "Atrius",
  "contact" : [
    {
      "name" : "Atrius",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://atrius.in"
        }
      ]
    }
  ],
  "description" : "Non-interruptive advisory when an active inpatient has pending lab Tasks, active IV MedicationRequests, or an incomplete surgical safety checklist. Does not block discharge; billing clearance remains a separate HIS Account gate.",
  "library" : [
    🔗 "https://atrius.in/fhir/r4/atrius-in/Library/AtriusDischargeReadiness|0.1.0"
  ],
  "action" : [
    {
      "id" : "atrius-discharge-readiness-root",
      "title" : "Discharge Readiness Advisory",
      "description" : "Clinical blockers may remain before discharge.",
      "trigger" : [
        {
          "type" : "named-event",
          "name" : "patient-view"
        }
      ],
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "language" : "text/cql",
            "expression" : "Discharge Readiness Concerns"
          }
        }
      ],
      "input" : [
        {
          "type" : "Patient",
          "profile" : [
            🔗 "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-patient|0.1.0"
          ]
        },
        {
          "type" : "Encounter",
          "profile" : [
            🔗 "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-encounter|0.1.0"
          ]
        },
        {
          "type" : "Task",
          "profile" : [
            🔗 "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-task|0.1.0"
          ]
        },
        {
          "type" : "MedicationRequest",
          "profile" : [
            🔗 "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-medicationrequest|0.1.0"
          ]
        },
        {
          "type" : "QuestionnaireResponse",
          "profile" : [
            🔗 "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-questionnaireresponse|0.1.0"
          ]
        }
      ],
      "groupingBehavior" : "logical-group",
      "action" : [
        {
          "id" : "discharge-pending-labs",
          "title" : "Pending laboratory work",
          "description" : "One or more lab fulfillment Tasks are still open for this admission. Review or complete before discharge.",
          "priority" : "routine",
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "language" : "text/cql",
                "expression" : "Has Pending Labs"
              }
            }
          ]
        },
        {
          "id" : "discharge-active-iv",
          "title" : "Active IV medications",
          "description" : "Active intravenous MedicationRequests remain on the chart. Convert to oral therapy or discontinue before discharge when clinically appropriate.",
          "priority" : "routine",
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "language" : "text/cql",
                "expression" : "Has Active IV Medications"
              }
            }
          ]
        },
        {
          "id" : "discharge-checklist-incomplete",
          "title" : "Surgical safety checklist incomplete",
          "description" : "An active surgical encounter has no completed WHO surgical safety checklist response.",
          "priority" : "urgent",
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "language" : "text/cql",
                "expression" : "Incomplete Surgical Checklist"
              }
            }
          ],
          "action" : [
            {
              "id" : "discharge-complete-checklist",
              "title" : "Complete the surgical safety checklist",
              "definitionCanonical" : "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-surgical-checklist|0.1.0"
            }
          ]
        }
      ]
    }
  ]
}