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 |
<PlanDefinition xmlns="http://hl7.org/fhir">
<id value="sepsis-bundle"/>
<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/AtriusSepsis</code> for SIRS and severity expression definitions.</p></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/cqf-cdsHooksEndpoint">
<valueUri value="https://cds.atrius.in/cds-services/sepsis-bundle"/>
</extension>
<url
value="https://atrius.in/fhir/r4/atrius-in/PlanDefinition/sepsis-bundle"/>
<identifier>
<use value="official"/>
<value value="sepsis-bundle"/>
</identifier>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:1.3.6.1.4.1.66219.1.34.9"/>
</identifier>
<version value="0.1.0"/>
<name value="AtriusSepsisBundle"/>
<title value="Sepsis Management Bundle"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/plan-definition-type"/>
<code value="order-set"/>
</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="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."/>
<relatedArtifact>
<type value="documentation"/>
<display value="Surviving Sepsis Campaign hour-1 bundle"/>
<url
value="https://www.sccm.org/survivingsepsiscampaign/guidelines-and-resources/hour-1-bundle"/>
<document>
<url
value="https://www.sccm.org/survivingsepsiscampaign/guidelines-and-resources/hour-1-bundle"/>
</document>
</relatedArtifact>
<library
value="https://atrius.in/fhir/r4/atrius-in/Library/AtriusSepsis|0.1.0"/>
<action id="sepsis-bundle-root">
<title value="Sepsis Management Bundle"/>
<description
value="Suspected sepsis: two or more SIRS criteria with an infection-related condition."/>
<trigger>
<type value="named-event"/>
<name value="encounter-start"/>
</trigger>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/cql"/>
<expression value="Sepsis Suspected"/>
</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="Observation"/>
<profile
value="https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-observation|0.1.0"/>
</input>
<input>
<type value="Condition"/>
<profile
value="https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-condition-encounter-diagnosis|0.1.0"/>
<profile
value="https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-condition-problems-health-concerns|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>
<groupingBehavior value="logical-group"/>
<action id="sepsis-hour1-bundle">
<title value="Hour-1 sepsis bundle"/>
<description
value="Complete all bundle elements within one hour of sepsis recognition: cultures before antibiotics, measure lactate, start empiric antimicrobials and fluids."/>
<priority value="stat"/>
<documentation>
<type value="documentation"/>
<display value="Surviving Sepsis Campaign hour-1 bundle"/>
<url
value="https://www.sccm.org/survivingsepsiscampaign/guidelines-and-resources/hour-1-bundle"/>
<document>
<url
value="https://www.sccm.org/survivingsepsiscampaign/guidelines-and-resources/hour-1-bundle"/>
</document>
</documentation>
<groupingBehavior value="logical-group"/>
<selectionBehavior value="all"/>
<action id="sepsis-blood-cultures">
<title value="Blood cultures x2 (before antibiotics)"/>
<priority value="stat"/>
<definitionCanonical
value="https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-blood-culture|0.1.0"/>
</action>
<action id="sepsis-lactate">
<title value="Serum lactate"/>
<priority value="stat"/>
<definitionCanonical
value="https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-lactate|0.1.0"/>
</action>
<action id="sepsis-antibiotic">
<title value="Empiric broad-spectrum antibiotic"/>
<priority value="stat"/>
<definitionCanonical
value="https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-med-ceftriaxone|0.1.0"/>
</action>
<action id="sepsis-crystalloid">
<title value="IV crystalloid 30 mL/kg"/>
<priority value="stat"/>
<definitionCanonical
value="https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-med-iv-crystalloid|0.1.0"/>
</action>
</action>
<action id="sepsis-repeat-lactate">
<title value="Repeat lactate (initial value elevated)"/>
<description
value="Initial lactate above 2 mmol/L: remeasure within 2-4 hours to guide resuscitation."/>
<documentation>
<type value="documentation"/>
<display value="Surviving Sepsis Campaign hour-1 bundle"/>
<url
value="https://www.sccm.org/survivingsepsiscampaign/guidelines-and-resources/hour-1-bundle"/>
<document>
<url
value="https://www.sccm.org/survivingsepsiscampaign/guidelines-and-resources/hour-1-bundle"/>
</document>
</documentation>
<condition>
<kind value="applicability"/>
<expression>
<language value="text/cql"/>
<expression value="Sepsis Suspected and Lactate Elevated"/>
</expression>
</condition>
<groupingBehavior value="logical-group"/>
<action id="sepsis-repeat-lactate-order">
<title value="Repeat serum lactate in 2-4 hours"/>
<definitionCanonical
value="https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-lab-lactate|0.1.0"/>
</action>
</action>
</action>
</PlanDefinition>