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 OT Antibiotic Prophylaxis

Draft as of 2026-08-30

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