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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<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="atrius-discharge-readiness"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/StructureDefinition/cdshooksserviceplandefinition|4.0.1"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p>See <code>Library/AtriusDischargeReadiness</code>. Clinical counterpart to IPD-Fin Account clearance.</p></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/cqf-cdsHooksEndpoint">
    <valueUri
              value="https://cds.atrius.in/cds-services/atrius-discharge-readiness"/>
  </extension>
  <url
       value="https://atrius.in/fhir/r4/atrius-in/PlanDefinition/atrius-discharge-readiness"/>
  <identifier>
    <use value="official"/>
    <value value="atrius-discharge-readiness"/>
  </identifier>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:1.3.6.1.4.1.66219.1.34.13"/>
  </identifier>
  <version value="0.1.0"/>
  <name value="AtriusDischargeReadiness"/>
  <title value="Discharge Readiness Advisory"/>
  <type>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
      <code value="eca-rule"/>
    </coding>
  </type>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2026-08-30T18:15:29+05:30"/>
  <publisher value="Atrius"/>
  <contact>
    <name value="Atrius"/>
    <telecom>
      <system value="url"/>
      <value value="https://atrius.in"/>
    </telecom>
  </contact>
  <description
               value="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
           value="https://atrius.in/fhir/r4/atrius-in/Library/AtriusDischargeReadiness|0.1.0"/>
  <action id="atrius-discharge-readiness-root">
    <title value="Discharge Readiness Advisory"/>
    <description value="Clinical blockers may remain before discharge."/>
    <trigger>
      <type value="named-event"/>
      <name value="patient-view"/>
    </trigger>
    <condition>
      <kind value="applicability"/>
      <expression>
        <language value="text/cql"/>
        <expression value="Discharge Readiness Concerns"/>
      </expression>
    </condition>
    <input>
      <type value="Patient"/>
      <profile
               value="https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-patient|0.1.0"/>
    </input>
    <input>
      <type value="Encounter"/>
      <profile
               value="https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-encounter|0.1.0"/>
    </input>
    <input>
      <type value="Task"/>
      <profile
               value="https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-task|0.1.0"/>
    </input>
    <input>
      <type value="MedicationRequest"/>
      <profile
               value="https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-medicationrequest|0.1.0"/>
    </input>
    <input>
      <type value="QuestionnaireResponse"/>
      <profile
               value="https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-questionnaireresponse|0.1.0"/>
    </input>
    <groupingBehavior value="logical-group"/>
    <action id="discharge-pending-labs">
      <title value="Pending laboratory work"/>
      <description
                   value="One or more lab fulfillment Tasks are still open for this admission. Review or complete before discharge."/>
      <priority value="routine"/>
      <condition>
        <kind value="applicability"/>
        <expression>
          <language value="text/cql"/>
          <expression value="Has Pending Labs"/>
        </expression>
      </condition>
    </action>
    <action id="discharge-active-iv">
      <title value="Active IV medications"/>
      <description
                   value="Active intravenous MedicationRequests remain on the chart. Convert to oral therapy or discontinue before discharge when clinically appropriate."/>
      <priority value="routine"/>
      <condition>
        <kind value="applicability"/>
        <expression>
          <language value="text/cql"/>
          <expression value="Has Active IV Medications"/>
        </expression>
      </condition>
    </action>
    <action id="discharge-checklist-incomplete">
      <title value="Surgical safety checklist incomplete"/>
      <description
                   value="An active surgical encounter has no completed WHO surgical safety checklist response."/>
      <priority value="urgent"/>
      <condition>
        <kind value="applicability"/>
        <expression>
          <language value="text/cql"/>
          <expression value="Incomplete Surgical Checklist"/>
        </expression>
      </condition>
      <action id="discharge-complete-checklist">
        <title value="Complete the surgical safety checklist"/>
        <definitionCanonical
                             value="https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-surgical-checklist|0.1.0"/>
      </action>
    </action>
  </action>
</PlanDefinition>