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-imaging-appropriateness> a fhir:PlanDefinition ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "atrius-imaging-appropriateness"] ;
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/AtriusImagingAppropriateness</code> for gating expressions and 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-imaging-appropriateness" ]
] ;
fhir:PlanDefinition.url [ fhir:value "https://atrius.in/fhir/r4/atrius-in/PlanDefinition/atrius-imaging-appropriateness"] ;
fhir:PlanDefinition.identifier [
fhir:index -1 ;
fhir:Identifier.use [ fhir:value "official" ] ;
fhir:Identifier.value [ fhir:value "atrius-imaging-appropriateness" ]
], [
fhir:index -1 ;
fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
fhir:Identifier.value [ fhir:value "urn:oid:1.3.6.1.4.1.66219.1.34.3" ]
] ;
fhir:PlanDefinition.version [ fhir:value "0.1.0"] ;
fhir:PlanDefinition.name [ fhir:value "AtriusImagingAppropriateness"] ;
fhir:PlanDefinition.title [ fhir:value "Imaging Appropriateness (Lumbar MRI)"] ;
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 "When a lumbar spine MRI is selected for a patient whose low back pain began within 6 weeks and who has no red-flag condition (cauda equina, malignancy), advise conservative therapy first and propose a plain lumbar radiograph when imaging is required."] ;
fhir:PlanDefinition.relatedArtifact [
fhir:index -1 ;
fhir:RelatedArtifact.type [ fhir:value "documentation" ] ;
fhir:RelatedArtifact.display [ fhir:value "ACR Appropriateness Criteria — Low Back Pain" ] ;
fhir:RelatedArtifact.url [ fhir:value "https://acsearch.acr.org/docs/69483/Narrative/" ] ;
fhir:RelatedArtifact.document [
fhir:Attachment.url [ fhir:value "https://acsearch.acr.org/docs/69483/Narrative/" ]
]
] ;
fhir:PlanDefinition.library [
fhir:value "https://atrius.in/fhir/r4/atrius-in/Library/AtriusImagingAppropriateness|0.1.0" ;
fhir:index -1 ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/Library/AtriusImagingAppropriateness|0.1.0>
] ;
fhir:PlanDefinition.action [
fhir:index -1 ;
fhir:Element.id [ fhir:value "atrius-imaging-appropriateness-root" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Imaging Appropriateness (Lumbar MRI)" ] ;
fhir:PlanDefinition.action.description [ fhir:value "Early lumbar MRI selected without red flags." ] ;
fhir:PlanDefinition.action.trigger [
fhir:index -1 ;
fhir:TriggerDefinition.type [ fhir:value "named-event" ] ;
fhir:TriggerDefinition.name [ fhir:value "order-select" ]
] ;
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 "Early Lumbar MRI Without Red Flags" ]
]
] ;
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 "Condition" ] ;
fhir:DataRequirement.profile [
fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-condition-encounter-diagnosis|0.1.0" ;
fhir:index -1 ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-condition-encounter-diagnosis|0.1.0>
], [
fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-condition-problems-health-concerns|0.1.0" ;
fhir:index -1 ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-condition-problems-health-concerns|0.1.0>
]
], [
fhir:index -1 ;
fhir:DataRequirement.type [ fhir:value "ServiceRequest" ] ;
fhir:DataRequirement.profile [
fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-servicerequest|0.1.0" ;
fhir:index -1 ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-servicerequest|0.1.0>
]
] ;
fhir:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ] ;
fhir:PlanDefinition.action.action [
fhir:index -1 ;
fhir:Element.id [ fhir:value "lumbar-mri-early" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Early lumbar MRI: imaging likely not indicated yet" ] ;
fhir:PlanDefinition.action.description [ fhir:value "Low back pain of less than 6 weeks without red flags: imaging does not improve outcomes. Prefer conservative therapy (activity modification, analgesia, physiotherapy) and reassess; if imaging is clinically required, start with plain radiographs." ] ;
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 "ACR Appropriateness Criteria — Low Back Pain" ] ;
fhir:RelatedArtifact.url [ fhir:value "https://acsearch.acr.org/docs/69483/Narrative/" ] ;
fhir:RelatedArtifact.document [
fhir:Attachment.url [ fhir:value "https://acsearch.acr.org/docs/69483/Narrative/" ]
]
] ;
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 "Early Lumbar MRI Without Red Flags" ]
]
] ;
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 "lumbar-xr-instead" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Order plain lumbar spine X-ray instead" ] ;
fhir:PlanDefinition.action.priority [ fhir:value "urgent" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-rad-xr-lumbar-spine|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-rad-xr-lumbar-spine|0.1.0>
]
]
]
] .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/PlanDefinition/atrius-imaging-appropriateness.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/PlanDefinition/atrius-imaging-appropriateness.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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