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/er-acute-breathlessness-pathway> a fhir:PlanDefinition ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "er-acute-breathlessness-pathway"] ;
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/AtriusEDAcuteBreathlessness</code> for CQL expression definitions.</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/er-acute-breathlessness-pathway" ]
] ;
fhir:PlanDefinition.url [ fhir:value "https://atrius.in/fhir/r4/atrius-in/PlanDefinition/er-acute-breathlessness-pathway"] ;
fhir:PlanDefinition.identifier [
fhir:index -1 ;
fhir:Identifier.use [ fhir:value "official" ] ;
fhir:Identifier.value [ fhir:value "er-acute-breathlessness-pathway" ]
], [
fhir:index -1 ;
fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
fhir:Identifier.value [ fhir:value "urn:oid:1.3.6.1.4.1.66219.1.34.12" ]
] ;
fhir:PlanDefinition.version [ fhir:value "0.1.0"] ;
fhir:PlanDefinition.name [ fhir:value "EDAcuteBreathlessnessPathway"] ;
fhir:PlanDefinition.title [ fhir:value "Emergency Department Acute Breathlessness Pathway"] ;
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 "clinical-protocol" ]
]
] ;
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 "Person presenting to the emergency department with acute breathlessness: danger-sign review, airway rescue when indicated, parallel stabilization (access, monitoring, imaging, labs), working etiology classification, then branch-specific management."] ;
fhir:PlanDefinition.library [
fhir:value "https://atrius.in/fhir/r4/atrius-in/Library/AtriusEDAcuteBreathlessness|0.1.4" ;
fhir:index -1 ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/Library/AtriusEDAcuteBreathlessness|0.1.4>
] ;
fhir:PlanDefinition.action [
fhir:index -1 ;
fhir:Element.id [ fhir:value "er-acute-breathlessness-pathway-root" ] ;
fhir:PlanDefinition.action.title [ fhir:value "ED Acute Breathlessness Pathway" ] ;
fhir:PlanDefinition.action.description [ fhir:value "Active ED encounter with dyspnea / acute breathlessness chief complaint." ] ;
fhir:PlanDefinition.action.trigger [
fhir:index -1 ;
fhir:TriggerDefinition.type [ fhir:value "named-event" ] ;
fhir:TriggerDefinition.name [ fhir:value "encounter-start" ]
] ;
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 "In Scope" ]
]
] ;
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 "Encounter" ] ;
fhir:DataRequirement.profile [
fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-encounter|0.1.0" ;
fhir:index -1 ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-encounter|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 "Observation" ] ;
fhir:DataRequirement.profile [
fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-observation|0.1.0" ;
fhir:index -1 ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-observation|0.1.0>
]
], [
fhir:index -1 ;
fhir:DataRequirement.type [ fhir:value "QuestionnaireResponse" ] ;
fhir:DataRequirement.profile [
fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-questionnaireresponse|0.1.0" ;
fhir:index -1 ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-questionnaireresponse|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:index -1 ;
fhir:DataRequirement.type [ fhir:value "MedicationRequest" ] ;
fhir:DataRequirement.profile [
fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-medicationrequest|0.1.0" ;
fhir:index -1 ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-medicationrequest|0.1.0>
]
] ;
fhir:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ] ;
fhir:PlanDefinition.action.action [
fhir:index -1 ;
fhir:Element.id [ fhir:value "danger-signs-review" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Review Danger Signs" ] ;
fhir:PlanDefinition.action.description [ fhir:value "Confirm whether any danger sign mandates immediate airway and ventilation escalation." ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/Questionnaire/er-acute-breathlessness-danger-signs|0.2.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/Questionnaire/er-acute-breathlessness-danger-signs|0.2.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "airway-rescue" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Airway Rescue" ] ;
fhir:PlanDefinition.action.description [ fhir:value "Senior help, NIV preparation, and intubation readiness when danger signs are present." ] ;
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 "Airway Endangered" ]
]
] ;
fhir:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ] ;
fhir:PlanDefinition.action.selectionBehavior [ fhir:value "all" ] ;
fhir:PlanDefinition.action.action [
fhir:index -1 ;
fhir:Element.id [ fhir:value "airway-call-senior" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Call senior / ICU" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-airway-call-senior|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-airway-call-senior|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "airway-prepare-niv" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Prepare NIV" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-prepare-niv|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-prepare-niv|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "airway-prepare-intubation" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Prepare intubation (RSI)" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-prepare-intubation|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-prepare-intubation|0.1.0>
]
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "parallel-stabilization" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Parallel Stabilization" ] ;
fhir:PlanDefinition.action.description [ fhir:value "IV access, oxygen, imaging, and baseline labs while etiology is evaluated." ] ;
fhir:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ] ;
fhir:PlanDefinition.action.selectionBehavior [ fhir:value "all" ] ;
fhir:PlanDefinition.action.action [
fhir:index -1 ;
fhir:Element.id [ fhir:value "stabilize-iv-access" ] ;
fhir:PlanDefinition.action.title [ fhir:value "IV access" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-iv-access|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-iv-access|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "stabilize-oxygen" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Start supplemental oxygen" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-supplemental-oxygen|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-supplemental-oxygen|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "stabilize-cxr" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Chest radiograph" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-rad-cxr|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-rad-cxr|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "stabilize-ecg" ] ;
fhir:PlanDefinition.action.title [ fhir:value "12-lead ECG" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-rad-ecg-12-lead|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-rad-ecg-12-lead|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "stabilize-bmp" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Basic metabolic panel" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-bmp|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-bmp|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "stabilize-lactate" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Lactate" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-lactate|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-lactate|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "stabilize-troponin" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Cardiac troponin" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-troponin-cardiac|0.2.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-troponin-cardiac|0.2.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "stabilize-bnp" ] ;
fhir:PlanDefinition.action.title [ fhir:value "BNP / NT-proBNP" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-bnp|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-bnp|0.1.0>
]
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "capture-classification" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Record Working Classification" ] ;
fhir:PlanDefinition.action.description [ fhir:value "Clinician selects working etiology after danger-sign review and initial stabilization." ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/Questionnaire/er-acute-breathlessness-classification|0.2.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/Questionnaire/er-acute-breathlessness-classification|0.2.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "breathlessness-classification" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Apply Pathway Branch" ] ;
fhir:PlanDefinition.action.description [ fhir:value "Cardiogenic/HF; COPD/asthma; PE; pneumonia; pneumothorax; upper airway; other." ] ;
fhir:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ] ;
fhir:PlanDefinition.action.selectionBehavior [ fhir:value "exactly-one" ] ;
fhir:PlanDefinition.action.action [
fhir:index -1 ;
fhir:Element.id [ fhir:value "branch-cardiogenic" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Cardiogenic pulmonary edema / acute HF" ] ;
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 "Classification Is Cardiogenic Pulmonary Edema" ]
]
] ;
fhir:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ] ;
fhir:PlanDefinition.action.action [
fhir:index -1 ;
fhir:Element.id [ fhir:value "cardiogenic-guidance" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Cardiogenic workup guidance" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-branch-cardiogenic|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-branch-cardiogenic|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "cardiogenic-niv" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Prepare NIV (flash edema)" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-prepare-niv|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-prepare-niv|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "cardiogenic-furosemide" ] ;
fhir:PlanDefinition.action.title [ fhir:value "IV furosemide" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-med-furosemide|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-med-furosemide|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "cardiogenic-bnp" ] ;
fhir:PlanDefinition.action.title [ fhir:value "BNP / NT-proBNP" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-bnp|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-bnp|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "cardiogenic-echo" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Transthoracic echocardiogram" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-rad-echo-transthoracic|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-rad-echo-transthoracic|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "cardiogenic-daily-weight" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Daily weight" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-daily-weight|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-daily-weight|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "cardiogenic-cardiology" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Cardiology consult" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-referral-cardiology|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-referral-cardiology|0.1.0>
]
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "branch-copd-asthma" ] ;
fhir:PlanDefinition.action.title [ fhir:value "COPD / asthma exacerbation" ] ;
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 "Classification Is COPD Asthma Exacerbation" ]
]
] ;
fhir:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ] ;
fhir:PlanDefinition.action.action [
fhir:index -1 ;
fhir:Element.id [ fhir:value "copd-guidance" ] ;
fhir:PlanDefinition.action.title [ fhir:value "COPD / asthma workup guidance" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-branch-copd-asthma|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-branch-copd-asthma|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "copd-salbutamol" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Salbutamol nebulizer" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-med-salbutamol-nebulizer|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-med-salbutamol-nebulizer|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "copd-prednisolone" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Prednisolone" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-med-prednisolone|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-med-prednisolone|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "copd-peak-flow" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Peak expiratory flow" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-peak-flow|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-peak-flow|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "copd-pulmonology" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Pulmonology consult" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-referral-pulmonology|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-referral-pulmonology|0.1.0>
]
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "branch-pe" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Pulmonary embolism" ] ;
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 "Classification Is Pulmonary Embolism" ]
]
] ;
fhir:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ] ;
fhir:PlanDefinition.action.action [
fhir:index -1 ;
fhir:Element.id [ fhir:value "pe-guidance" ] ;
fhir:PlanDefinition.action.title [ fhir:value "PE workup guidance" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-branch-pe|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-branch-pe|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "pe-d-dimer" ] ;
fhir:PlanDefinition.action.title [ fhir:value "D-dimer" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-d-dimer|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-d-dimer|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "pe-ct-chest" ] ;
fhir:PlanDefinition.action.title [ fhir:value "CT chest (PE protocol)" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-rad-ct-chest|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-rad-ct-chest|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "pe-enoxaparin" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Enoxaparin (therapeutic LMWH)" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-med-enoxaparin|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-med-enoxaparin|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "pe-general-medicine" ] ;
fhir:PlanDefinition.action.title [ fhir:value "General medicine consult" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-referral-general-medicine|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-referral-general-medicine|0.1.0>
]
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "branch-pneumonia" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Pneumonia / infection" ] ;
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 "Classification Is Pneumonia" ]
]
] ;
fhir:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ] ;
fhir:PlanDefinition.action.action [
fhir:index -1 ;
fhir:Element.id [ fhir:value "pneumonia-guidance" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Pneumonia workup guidance" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-branch-pneumonia|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-branch-pneumonia|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "pneumonia-cbc" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Complete blood count" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-cbc|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-cbc|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "pneumonia-blood-culture" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Blood culture" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-blood-culture|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-blood-culture|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "pneumonia-ceftriaxone" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Ceftriaxone" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-med-ceftriaxone|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-med-ceftriaxone|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "pneumonia-azithromycin" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Azithromycin" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-med-azithromycin|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-med-azithromycin|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "pneumonia-general-medicine" ] ;
fhir:PlanDefinition.action.title [ fhir:value "General medicine consult" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-referral-general-medicine|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-referral-general-medicine|0.1.0>
]
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "branch-pneumothorax" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Pneumothorax" ] ;
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 "Classification Is Pneumothorax" ]
]
] ;
fhir:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ] ;
fhir:PlanDefinition.action.action [
fhir:index -1 ;
fhir:Element.id [ fhir:value "pneumothorax-guidance" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Pneumothorax workup guidance" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-branch-pneumothorax|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-branch-pneumothorax|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "pneumothorax-cxr" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Chest X-ray" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-rad-cxr|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-rad-cxr|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "pneumothorax-chest-drain" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Prepare chest drain / needle decompression" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-prepare-chest-drain|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-prepare-chest-drain|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "pneumothorax-senior" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Call senior / ICU" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-airway-call-senior|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-airway-call-senior|0.1.0>
]
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "branch-upper-airway" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Upper airway obstruction" ] ;
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 "Classification Is Upper Airway Obstruction" ]
]
] ;
fhir:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ] ;
fhir:PlanDefinition.action.action [
fhir:index -1 ;
fhir:Element.id [ fhir:value "upper-airway-guidance" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Upper airway workup guidance" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-branch-upper-airway|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-branch-upper-airway|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "upper-airway-senior" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Call senior / ICU" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-airway-call-senior|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-airway-call-senior|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "upper-airway-ent" ] ;
fhir:PlanDefinition.action.title [ fhir:value "ENT consult" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-referral-ent|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-referral-ent|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "upper-airway-rsi" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Prepare intubation (RSI)" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-prepare-intubation|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-prepare-intubation|0.1.0>
]
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "branch-other" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Other / unclear" ] ;
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 "Classification Is Other Unclear" ]
]
] ;
fhir:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ] ;
fhir:PlanDefinition.action.action [
fhir:index -1 ;
fhir:Element.id [ fhir:value "other-guidance" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Other / unclear workup guidance" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-branch-other|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/er-breathlessness-branch-other|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "other-assessment" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Clinical reassessment" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-clinical-assessment|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-clinical-assessment|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "other-cbc" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Complete blood count" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-cbc|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-cbc|0.1.0>
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "other-general-medicine" ] ;
fhir:PlanDefinition.action.title [ fhir:value "General medicine consult" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-referral-general-medicine|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-referral-general-medicine|0.1.0>
]
]
]
]
] .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/PlanDefinition/er-acute-breathlessness-pathway.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/PlanDefinition/er-acute-breathlessness-pathway.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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