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

: Surgical Safety Checklist Workflow

Draft as of 2026-07-14

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@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/surgical-safety-checklist-workflow> a fhir:PlanDefinition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "surgical-safety-checklist-workflow"] ;
  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><b>Surgical Safety Checklist Workflow</b> (<code>workflow-definition</code>). Companion to the <code>eca-rule</code> CDS service <code>surgical-safety-checklist-rule</code>. Form: <code>Questionnaire/surgical-safety-checklist</code>.</p></div>"
  ] ;
  fhir:PlanDefinition.url [ fhir:value "https://atrius.in/fhir/r4/atrius-in/PlanDefinition/surgical-safety-checklist-workflow"] ;
  fhir:PlanDefinition.identifier [
     fhir:index -1 ;
     fhir:Identifier.use [ fhir:value "official" ] ;
     fhir:Identifier.system [ fhir:value "https://atrius.in/fhir/sid/plan-definition" ] ;
     fhir:Identifier.value [ fhir:value "surgical-safety-checklist-workflow" ]
  ], [
     fhir:index -1 ;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
     fhir:Identifier.value [ fhir:value "urn:oid:1.3.6.1.4.1.66219.1.34.11" ]
  ] ;
  fhir:PlanDefinition.version [ fhir:value "0.1.0"] ;
  fhir:PlanDefinition.name [ fhir:value "AtriusSurgicalSafetyChecklistWorkflow"] ;
  fhir:PlanDefinition.title [ fhir:value "Surgical Safety Checklist Workflow"] ;
  fhir:PlanDefinition.subtitle [ fhir:value "Sign-in → time-out → sign-out"] ;
  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 "workflow-definition" ]
     ]
  ] ;
  fhir:PlanDefinition.status [ fhir:value "draft"] ;
  fhir:PlanDefinition.experimental [ fhir:value "true"^^xsd:boolean] ;
  fhir:PlanDefinition.subjectCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/resource-types" ] ;
       fhir:Coding.code [ fhir:value "Patient" ]
     ]
  ] ;
  fhir:PlanDefinition.date [ fhir:value "2026-07-14"^^xsd:date] ;
  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 "Defines the ordered phases of the WHO surgical safety checklist. Complete each phase with the whole team present; record answers on Questionnaire/surgical-safety-checklist."] ;
  fhir:PlanDefinition.useContext [
     fhir:index -1 ;
     fhir:UsageContext.code [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ] ;
       fhir:Coding.code [ fhir:value "venue" ]
     ] ;
     fhir:UsageContext.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ] ;
         fhir:Coding.code [ fhir:value "IMP" ] ;
         fhir:Coding.display [ fhir:value "inpatient encounter" ]
       ]
     ]
  ] ;
  fhir:PlanDefinition.purpose [ fhir:value "Make the checklist an explicit sequential workflow (not only an ECA reminder), so process tooling and training materials share one PlanDefinition."] ;
  fhir:PlanDefinition.usage [ fhir:value "Referenced by the surgical-safety-checklist-rule ECA service. Apply when the OR team is executing the checklist, or use as documentation of required phase order."] ;
  fhir:PlanDefinition.copyright [ fhir:value "Adapted from the WHO Surgical Safety Checklist."] ;
  fhir:PlanDefinition.topic [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/definition-topic" ] ;
       fhir:Coding.code [ fhir:value "treatment" ]
     ]
  ] ;
  fhir:PlanDefinition.relatedArtifact [
     fhir:index -1 ;
     fhir:RelatedArtifact.type [ fhir:value "documentation" ] ;
     fhir:RelatedArtifact.display [ fhir:value "WHO Surgical Safety Checklist" ] ;
     fhir:RelatedArtifact.url [ fhir:value "https://www.who.int/teams/integrated-health-services/patient-safety/research/safe-surgery" ] ;
     fhir:RelatedArtifact.document [
       fhir:Attachment.url [ fhir:value "https://www.who.int/teams/integrated-health-services/patient-safety/research/safe-surgery" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ;
     fhir:RelatedArtifact.display [ fhir:value "Surgical safety checklist questionnaire" ] ;
     fhir:RelatedArtifact.resource [
       fhir:value "https://atrius.in/fhir/r4/atrius-in/Questionnaire/surgical-safety-checklist|0.1.0" ;
       fhir:link <https://atrius.in/fhir/r4/atrius-in/Questionnaire/surgical-safety-checklist|0.1.0>
     ]
  ], [
     fhir:index -1 ;
     fhir:RelatedArtifact.type [ fhir:value "successor" ] ;
     fhir:RelatedArtifact.display [ fhir:value "CDS Hooks ECA gate (remind when checklist missing)" ] ;
     fhir:RelatedArtifact.resource [
       fhir:value "https://atrius.in/fhir/r4/atrius-in/PlanDefinition/surgical-safety-checklist-rule|0.1.0" ;
       fhir:link <https://atrius.in/fhir/r4/atrius-in/PlanDefinition/surgical-safety-checklist-rule|0.1.0>
     ]
  ] ;
  fhir:PlanDefinition.goal [
     fhir:index -1 ;
     fhir:Element.id [ fhir:value "checklist-complete" ] ;
     fhir:PlanDefinition.goal.category [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/goal-category" ] ;
         fhir:Coding.code [ fhir:value "safety" ]
       ]
     ] ;
     fhir:PlanDefinition.goal.description [
       fhir:CodeableConcept.text [ fhir:value "Complete sign-in, time-out, and sign-out before the patient leaves the operating room" ]
     ] ;
     fhir:PlanDefinition.goal.priority [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/goal-priority" ] ;
         fhir:Coding.code [ fhir:value "high-priority" ] ;
         fhir:Coding.display [ fhir:value "High Priority" ]
       ]
     ]
  ] ;
  fhir:PlanDefinition.action [
     fhir:index -1 ;
     fhir:Element.id [ fhir:value "surgical-safety-workflow-root" ] ;
     fhir:PlanDefinition.action.title [ fhir:value "Surgical safety checklist phases" ] ;
     fhir:PlanDefinition.action.description [ fhir:value "Execute checklist phases in order with the whole team present." ] ;
     fhir:PlanDefinition.action.goalId [
       fhir:value "checklist-complete" ;
       fhir:index -1
     ] ;
     fhir:PlanDefinition.action.groupingBehavior [ fhir:value "logical-group" ] ;
     fhir:PlanDefinition.action.selectionBehavior [ fhir:value "all" ] ;
     fhir:PlanDefinition.action.requiredBehavior [ fhir:value "must" ] ;
     fhir:PlanDefinition.action.cardinalityBehavior [ fhir:value "single" ] ;
     fhir:PlanDefinition.action.action [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "phase-sign-in" ] ;
       fhir:PlanDefinition.action.prefix [ fhir:value "1" ] ;
       fhir:PlanDefinition.action.title [ fhir:value "Sign in — before induction of anaesthesia" ] ;
       fhir:PlanDefinition.action.description [ fhir:value "Confirm identity, site, procedure, consent, anaesthesia checks, pulse oximeter, allergy, airway, and blood-loss risk." ] ;
       fhir:PlanDefinition.action.priority [ fhir:value "urgent" ] ;
       fhir:PlanDefinition.action.requiredBehavior [ fhir:value "must" ] ;
       fhir:PlanDefinition.action.definitionCanonical [
         fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-surgical-checklist|0.1.0" ;
         fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-surgical-checklist|0.1.0>
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "phase-time-out" ] ;
       fhir:PlanDefinition.action.prefix [ fhir:value "2" ] ;
       fhir:PlanDefinition.action.title [ fhir:value "Time out — before skin incision" ] ;
       fhir:PlanDefinition.action.description [ fhir:value "Team introductions; confirm patient/site/procedure; antibiotic prophylaxis; critical events; imaging." ] ;
       fhir:PlanDefinition.action.priority [ fhir:value "urgent" ] ;
       fhir:PlanDefinition.action.relatedAction [
         fhir:index -1 ;
         fhir:PlanDefinition.action.relatedAction.actionId [ fhir:value "phase-sign-in" ] ;
         fhir:PlanDefinition.action.relatedAction.relationship [ fhir:value "after-end" ]
       ] ;
       fhir:PlanDefinition.action.requiredBehavior [ fhir:value "must" ] ;
       fhir:PlanDefinition.action.definitionCanonical [
         fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-surgical-checklist|0.1.0" ;
         fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-surgical-checklist|0.1.0>
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "phase-sign-out" ] ;
       fhir:PlanDefinition.action.prefix [ fhir:value "3" ] ;
       fhir:PlanDefinition.action.title [ fhir:value "Sign out — before the patient leaves the operating room" ] ;
       fhir:PlanDefinition.action.description [ fhir:value "Nurse verbally confirms procedure, counts, specimen labelling, equipment issues; surgeon/anaesthetist/nurse review recovery concerns." ] ;
       fhir:PlanDefinition.action.priority [ fhir:value "urgent" ] ;
       fhir:PlanDefinition.action.relatedAction [
         fhir:index -1 ;
         fhir:PlanDefinition.action.relatedAction.actionId [ fhir:value "phase-time-out" ] ;
         fhir:PlanDefinition.action.relatedAction.relationship [ fhir:value "after-end" ]
       ] ;
       fhir:PlanDefinition.action.requiredBehavior [ fhir:value "must" ] ;
       fhir:PlanDefinition.action.definitionCanonical [
         fhir:value "https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-surgical-checklist|0.1.0" ;
         fhir:link <https://atrius.in/fhir/r4/atrius-in/ActivityDefinition/atrius-ad-task-surgical-checklist|0.1.0>
       ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/PlanDefinition/surgical-safety-checklist-workflow.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/PlanDefinition/surgical-safety-checklist-workflow.ttl> .