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/sepsis-bundle> a fhir:PlanDefinition ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "sepsis-bundle"] ;
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/AtriusSepsis</code> for SIRS and severity 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/sepsis-bundle" ]
] ;
fhir:PlanDefinition.url [ fhir:value "https://atrius.in/fhir/r4/atrius-in/PlanDefinition/sepsis-bundle"] ;
fhir:PlanDefinition.identifier [
fhir:index -1 ;
fhir:Identifier.use [ fhir:value "official" ] ;
fhir:Identifier.value [ fhir:value "sepsis-bundle" ]
], [
fhir:index -1 ;
fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
fhir:Identifier.value [ fhir:value "urn:oid:1.3.6.1.4.1.66219.1.34.9" ]
] ;
fhir:PlanDefinition.version [ fhir:value "0.1.0"] ;
fhir:PlanDefinition.name [ fhir:value "AtriusSepsisBundle"] ;
fhir:PlanDefinition.title [ fhir:value "Sepsis Management Bundle"] ;
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 "order-set" ]
]
] ;
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 "Suspected sepsis (>= 2 SIRS criteria with infection on the chart): hour-1 bundle of blood cultures, serum lactate, empiric broad-spectrum antibiotic, and crystalloid resuscitation, with lactate-driven follow-up."] ;
fhir:PlanDefinition.relatedArtifact [
fhir:index -1 ;
fhir:RelatedArtifact.type [ fhir:value "documentation" ] ;
fhir:RelatedArtifact.display [ fhir:value "Surviving Sepsis Campaign hour-1 bundle" ] ;
fhir:RelatedArtifact.url [ fhir:value "https://www.sccm.org/survivingsepsiscampaign/guidelines-and-resources/hour-1-bundle" ] ;
fhir:RelatedArtifact.document [
fhir:Attachment.url [ fhir:value "https://www.sccm.org/survivingsepsiscampaign/guidelines-and-resources/hour-1-bundle" ]
]
] ;
fhir:PlanDefinition.library [
fhir:value "https://atrius.in/fhir/r4/atrius-in/Library/AtriusSepsis|0.1.0" ;
fhir:index -1 ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/Library/AtriusSepsis|0.1.0>
] ;
fhir:PlanDefinition.action [
fhir:index -1 ;
fhir:Element.id [ fhir:value "sepsis-bundle-root" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Sepsis Management Bundle" ] ;
fhir:PlanDefinition.action.description [ fhir:value "Suspected sepsis: two or more SIRS criteria with an infection-related condition." ] ;
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 "Sepsis Suspected" ]
]
] ;
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 "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 "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 "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:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ] ;
fhir:PlanDefinition.action.action [
fhir:index -1 ;
fhir:Element.id [ fhir:value "sepsis-hour1-bundle" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Hour-1 sepsis bundle" ] ;
fhir:PlanDefinition.action.description [ fhir:value "Complete all bundle elements within one hour of sepsis recognition: cultures before antibiotics, measure lactate, start empiric antimicrobials and fluids." ] ;
fhir:PlanDefinition.action.priority [ fhir:value "stat" ] ;
fhir:PlanDefinition.action.documentation [
fhir:index -1 ;
fhir:RelatedArtifact.type [ fhir:value "documentation" ] ;
fhir:RelatedArtifact.display [ fhir:value "Surviving Sepsis Campaign hour-1 bundle" ] ;
fhir:RelatedArtifact.url [ fhir:value "https://www.sccm.org/survivingsepsiscampaign/guidelines-and-resources/hour-1-bundle" ] ;
fhir:RelatedArtifact.document [
fhir:Attachment.url [ fhir:value "https://www.sccm.org/survivingsepsiscampaign/guidelines-and-resources/hour-1-bundle" ]
]
] ;
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 "sepsis-blood-cultures" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Blood cultures x2 (before antibiotics)" ] ;
fhir:PlanDefinition.action.priority [ fhir:value "stat" ] ;
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 "sepsis-lactate" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Serum lactate" ] ;
fhir:PlanDefinition.action.priority [ fhir:value "stat" ] ;
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 "sepsis-antibiotic" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Empiric broad-spectrum antibiotic" ] ;
fhir:PlanDefinition.action.priority [ fhir:value "stat" ] ;
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 "sepsis-crystalloid" ] ;
fhir:PlanDefinition.action.title [ fhir:value "IV crystalloid 30 mL/kg" ] ;
fhir:PlanDefinition.action.priority [ fhir:value "stat" ] ;
fhir:PlanDefinition.action.definitionCanonical [
fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-med-iv-crystalloid|0.1.0" ;
fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-med-iv-crystalloid|0.1.0>
]
]
], [
fhir:index -1 ;
fhir:Element.id [ fhir:value "sepsis-repeat-lactate" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Repeat lactate (initial value elevated)" ] ;
fhir:PlanDefinition.action.description [ fhir:value "Initial lactate above 2 mmol/L: remeasure within 2-4 hours to guide resuscitation." ] ;
fhir:PlanDefinition.action.documentation [
fhir:index -1 ;
fhir:RelatedArtifact.type [ fhir:value "documentation" ] ;
fhir:RelatedArtifact.display [ fhir:value "Surviving Sepsis Campaign hour-1 bundle" ] ;
fhir:RelatedArtifact.url [ fhir:value "https://www.sccm.org/survivingsepsiscampaign/guidelines-and-resources/hour-1-bundle" ] ;
fhir:RelatedArtifact.document [
fhir:Attachment.url [ fhir:value "https://www.sccm.org/survivingsepsiscampaign/guidelines-and-resources/hour-1-bundle" ]
]
] ;
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 "Sepsis Suspected and Lactate Elevated" ]
]
] ;
fhir:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ] ;
fhir:PlanDefinition.action.action [
fhir:index -1 ;
fhir:Element.id [ fhir:value "sepsis-repeat-lactate-order" ] ;
fhir:PlanDefinition.action.title [ fhir:value "Repeat serum lactate in 2-4 hours" ] ;
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>
]
]
]
] .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/PlanDefinition/sepsis-bundle.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/PlanDefinition/sepsis-bundle.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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