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

: Atrius OT Antibiotic Prophylaxis

Draft as of 2026-08-30

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{
  "resourceType" : "PlanDefinition",
  "id" : "atrius-ot-prophylaxis",
  "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/AtriusOtProphylaxis</code>. Suggests ceftriaxone via catalog AD; local antibiogram may substitute cefazolin.</p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-cdsHooksEndpoint",
      "valueUri" : "https://cds.atrius.in/cds-services/atrius-ot-prophylaxis"
    }
  ],
  "url" : "https://atrius.in/fhir/r4/atrius-in/PlanDefinition/atrius-ot-prophylaxis",
  "identifier" : [
    {
      "use" : "official",
      "value" : "atrius-ot-prophylaxis"
    },
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:1.3.6.1.4.1.66219.1.34.14"
    }
  ],
  "version" : "0.1.0",
  "name" : "AtriusOtProphylaxis",
  "title" : "OT Antibiotic Prophylaxis",
  "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" : "At encounter-start for a surgical encounter with no active ceftriaxone/cefazolin order, propose pre-incision antibiotic prophylaxis.",
  "relatedArtifact" : [
    {
      "type" : "documentation",
      "display" : "WHO Surgical Safety Checklist",
      "url" : "https://www.who.int/teams/integrated-health-services/patient-safety/research/safe-surgery",
      "document" : {
        "url" : "https://www.who.int/teams/integrated-health-services/patient-safety/research/safe-surgery"
      }
    },
    {
      "type" : "depends-on",
      "display" : "Surgical safety checklist gate (companion service)",
      "resource" : "https://atrius.in/fhir/r4/atrius-in/PlanDefinition/surgical-safety-checklist-rule|0.1.0"
    }
  ],
  "library" : [
    🔗 "https://atrius.in/fhir/r4/atrius-in/Library/AtriusOtProphylaxis|0.1.0"
  ],
  "action" : [
    {
      "id" : "atrius-ot-prophylaxis-root",
      "title" : "OT Antibiotic Prophylaxis",
      "description" : "Surgical encounter without peri-operative antibiotic order.",
      "trigger" : [
        {
          "type" : "named-event",
          "name" : "encounter-start"
        }
      ],
      "condition" : [
        {
          "kind" : "applicability",
          "expression" : {
            "language" : "text/cql",
            "expression" : "OT Antibiotic Prophylaxis Needed"
          }
        }
      ],
      "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" : "MedicationRequest",
          "profile" : [
            🔗 "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-medicationrequest|0.1.0"
          ]
        }
      ],
      "groupingBehavior" : "logical-group",
      "action" : [
        {
          "id" : "ot-antibiotic-due",
          "title" : "Order peri-operative antibiotic prophylaxis",
          "description" : "No active ceftriaxone or cefazolin order for this surgical encounter. Give antibiotic within 60 minutes before incision per local protocol (adjust for allergies and MRSA risk).",
          "priority" : "stat",
          "condition" : [
            {
              "kind" : "applicability",
              "expression" : {
                "language" : "text/cql",
                "expression" : "OT Antibiotic Prophylaxis Needed"
              }
            }
          ],
          "groupingBehavior" : "logical-group",
          "action" : [
            {
              "id" : "ot-order-ceftriaxone",
              "title" : "Order ceftriaxone (pre-incision)",
              "priority" : "stat",
              "definitionCanonical" : "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-med-ceftriaxone|0.1.0"
            }
          ]
        }
      ]
    }
  ]
}