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

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Behavior: Message Definitions

These define the types of messages that can be sent and/or received by systems conforming to this implementation guide.

Imaging Result Message

Inbound imaging result message processed by HIS $process-message (consequence semantics).

Lab Result Message

Inbound laboratory result message processed by HIS $process-message (consequence semantics).

Behavior: Search Parameters

These define the properties by which a RESTful server can be searched. They can also be used for sorting and including related resources.

ChargeItem-gst-rate-class

GST rate class extension on ChargeItem

ChargeItem-status

ChargeItem lifecycle status (billable, billed, aborted, …)

ChargeItemDefinition-schedule-id

Schedule of charges id on ChargeItemDefinition

Location-physical-type

Physical form of the location (e.g. bed = bd)

Knowledge Artifacts: Plan Definitions

These define workflows, rules, strategies, or protocols as part of content in this implementation guide.

Atrius CMS165 CDS PlanDefinition

CDS Hooks service (CDSHooksServicePlanDefinition) for CMS165 Initial Population

Knowledge Artifacts: Measure

These define measures as part of content in this implementation guide.

Atrius CMS165 Measure

Population metadata for Atrius CMS165 Controlling High Blood Pressure

Knowledge Artifacts: Libraries

These define logic, asset collections and other libraries as part of content in this implementation guide.

Atrius AHAOverall CQL

AHA Overall measure logic (heart failure composite, NCQA port for AtriusIn 0.1.0)

Atrius Adult Outpatient Encounters CQL

Qualifying outpatient encounters for CMS165-style measures

Atrius Advanced Illness and Frailty CQL

Advanced illness and frailty exclusion logic (NCQA port)

Atrius CMS165 Controlling High BP CQL

CMS165 measure logic for AtriusIn

Atrius CQM Common CQL

Atrius CQM common library (CQMCommon pattern, structural modelinfo)

Atrius Common CQL

Atrius common CQL library (QICoreCommon pattern, structural modelinfo)

Atrius Critical Labs CQL

Critical laboratory value flagging thresholds and latest-result logic

Atrius Discharge Readiness CQL

Clinical discharge blockers — pending labs, active IV meds, incomplete surgical checklist

Atrius Drug Interactions CQL

Curated drug-drug interaction pairs (statin-macrolide, warfarin-NSAID, ACEi-K-sparing diuretic) over draft and active orders

Atrius ED Acute Breathlessness Pathway CQL

Applicability, danger-sign gate, and etiology classification for the ED acute breathlessness clinical pathway

Atrius ER Chest Pain Pathway CQL

Applicability and classification logic for the ER chest pain clinical pathway

Atrius HF Admission CQL

Heart failure admission applicability and BNP recency logic

Atrius Imaging Appropriateness CQL

Early lumbar MRI gating for acute low back pain without red flags

Atrius India Core ModelInfo

CQL modelinfo for AtriusIn 0.1.0 (FHIR R4 + atrius-in profiles)

Atrius Medication Duration CQL

Medication request period helper (simplified CMD)

Atrius OT Prophylaxis CQL

Surgical encounter peri-operative antibiotic prophylaxis applicability

Atrius Palliative Care CQL

Palliative care detection for CMS exclusion logic

Atrius Preventive Care CQL

Preventive care reminders — colorectal screening and influenza vaccination due

Atrius Renal Dosing CQL

Latest eGFR banding and renally-adjusted dose text for metformin and gabapentin draft orders

Atrius Sepsis CQL

SIRS screening and hour-1 sepsis bundle applicability logic

Atrius Status CQL

NCQA Status-pattern resource status constraints for AtriusIn

Atrius Surgical Safety CQL

Surgical encounter checklist gating (WHO surgical safety checklist completion)

Atrius VTE CQL

VTE measure helpers (NCQA port) plus CDS encounter-start prophylaxis defines

AtriusIn Helpers CQL

AtriusIn helper functions for CQL

FHIR Helpers CQL

FHIRHelpers 4.4.000 for AtriusIn measure logic

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

Atrius Clinical Task ActivityDefinition

Assessment, observation, or branch-pathway task template. $apply produces an AtriusIn Task draft with proposal intent.

Atrius India Core Account

IPD patient finance account for a single admission (running balance computed on read).

Atrius India Core AdverseEvent

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core AllergyIntolerance

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Anesthesia Record

Anesthesia record with Atrius-specific section slicing until NDHM defines an equivalent artifact.

Atrius India Core Appointment

Atrius India Core Appointment profile. Parent: FHIR R4. NDHM 6.5.0 Appointment MS parity. Atrius OPD service/visit-mode extensions.

Atrius India Core Bed Location

Inpatient bed within a ward. ADT uses operationalStatus (HL7 v2-0116) for occupancy. Accommodation class is Location.type sliced as bedCategory (atrius-bed-category), which room rent, payer entitlement, and package eligibility key on.

Atrius India Core Binary

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 Binary parity for embedded document payloads.

Atrius India Core BiologicallyDerivedProduct

Chart-side blood/tissue unit identity (Wave Workforce Wf-3). Records the administered unit on the encounter; blood-bank inventory remains an external adapter (D6).

Atrius India Core BodyStructure

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core CarePlan

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core CarePlan Assess Plan

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core CareTeam

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core ChargeItem

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 ChargeItem parity. Atrius extensions add department, GST/HSN, schedule attribution, and charge-master provenance (rate version, entitlement, package disposition, billed professional/facility split). Practitioner compensation is not projected onto this resource.

Atrius India Core ChargeItemDefinition

Billing item master and versioned schedule-of-charges entry. Carries HSN/SAC, GST rate class, item type, and charge-master rate dimensions (bed category, visit class, practitioner tier). Package definitions add inclusion, cap, and fee-split extensions — not practitioner payout contracts.

Atrius India Core Claim

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Claim Bundle

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 ClaimBundle collection wrapper.

Atrius India Core ClaimResponse

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core ClaimResponse Bundle

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 ClaimResponseBundle collection wrapper.

Atrius India Core Communication

Base AtriusIn communication profile for NDHM-aligned storage and storage and AtriusIn CQL evaluation. Legacy QI-Core projection is documented in runtime-mapper.

Atrius India Core Communication Not Done

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core CommunicationRequest

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Condition

Base AtriusIn condition profile for NDHM-aligned storage and AtriusIn CQL evaluation. Legacy QI-Core projection is documented in runtime-mapper.

Encounter diagnoses may carry dual ICD-10 and ICD-11 MMS codings (see AtriusInConditionEncounterDiagnosisDualIcdExample). ICD-10 (http://hl7.org/fhir/sid/icd-10) is the statutory spine; ICD-11 MMS (http://id.who.int/icd/release/11/mms) is additive and must remain an example/preferred binding only (postcoordinated clusters are not CodeSystem-validatable). Derived sides use extension atrius-code-derived.

Atrius India Core Condition Encounter Diagnosis

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Condition Problems Health Concerns

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Consent

Surgical / procedure consent for inpatient OT. Thin storage profile; not ABDM consent exchange.

Atrius India Core Consent Provenance

Attribution and signatures for a clinical/procedure Consent (roadmap D10d).

R4 Consent has no signature element. This Provenance targets the Consent, optionally points at the signed PDF DocumentReference as entity, and carries:

  • Consenter Signature (ISO ASTM Consent Signature) — PKCS#7 when Aadhaar eSign succeeded
  • Staff witness Signature (Signature Witness Signature)
  • Second-physician Verification Signature on the emergency two-physician path

Never store an Aadhaar number here; the ESP transaction id belongs on RelatedPerson.identifier[esignTxn].

Atrius India Core Consult Follow-Up Appointment

Lightweight Appointment for OP consult FollowUp section plan text without Slot booking requirements.

Atrius India Core Coverage

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core CoverageEligibilityRequest

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 CoverageEligibilityRequest parity.

Atrius India Core CoverageEligibilityRequest Bundle

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 CoverageEligibilityRequestBundle collection wrapper.

Atrius India Core CoverageEligibilityResponse

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 CoverageEligibilityResponse parity.

Atrius India Core CoverageEligibilityResponse Bundle

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 CoverageEligibilityResponseBundle collection wrapper.

Atrius India Core Device

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Device Prohibited

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Device Requested

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core DeviceRequest

Base AtriusIn device request profile for storage authoring and storage and AtriusIn CQL evaluation. Legacy QI-Core projection is documented in runtime-mapper.

Atrius India Core DeviceUseStatement

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Diagnostic Report Record

Laboratory and radiology report Composition with NDHM DiagnosticReportRecord-equivalent constraints.

Atrius India Core DiagnosticReport Imaging

Radiology / cardiology imaging report derived from DiagnosticReportNote. Category RAD; conclusion is the impression. Not a SaMD diagnostic device.

Atrius India Core DiagnosticReport Lab

Atrius India Core profile. Parent: FHIR R4. NDHM DiagnosticReportLab parity. Legacy QI-Core projection: runtime-mapper.

Atrius India Core DiagnosticReport Note

Atrius India Core profile. Parent: FHIR R4. NDHM DiagnosticReportImaging parity. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Discharge Summary Record

Inpatient discharge summary Composition with NDHM DischargeSummaryRecord-equivalent constraints.

Atrius India Core Document Bundle

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 DocumentBundle for ABDM clinical document exchange.

Atrius India Core DocumentReference

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 DocumentReference parity for clinical document attachments.

Atrius India Core Encounter

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 Encounter parity. Atrius encounter-class VS; QI-Core via runtime-mapper where needed.

Atrius India Core Endoscopy Suite Location
Endoscopy / procedure suite. physicalType is Room (ro); type coding atrius-location-type endoscopy.
Atrius India Core EpisodeOfCare

Inpatient or longitudinal care episode for ADT. Links Encounter chain for a hospital stay.

Atrius India Core FamilyMemberHistory

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Flag

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Goal

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Group

Atrius India Core Group Profile

Atrius India Core GuidanceResponse

CDS Hooks card feedback audit trail persisted by cds-server.

status is success for both accepted and overridden outcomes; the outcome lives in the cds-feedback extension and note text. moduleCanonical points at the service PlanDefinition when known.

Atrius India Core Health Document Record

Unstructured health document Composition with NDHM HealthDocumentRecord-equivalent constraints.

Atrius India Core HealthcareService

Atrius India Core profile. Parent: FHIR R4.

Atrius India Core ImagingStudy

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Immunization

Base AtriusIn immunization profile for NDHM-aligned storage and storage and AtriusIn CQL evaluation. Legacy QI-Core projection is documented in runtime-mapper.

Atrius India Core Immunization Done

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Immunization Not Done

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Immunization Record

Immunization record Composition with NDHM ImmunizationRecord-equivalent constraints.

Atrius India Core ImmunizationEvaluation

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core ImmunizationRecommendation

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Inpatient Procedure Note

Department-specific inpatient procedure note. Atrius-specific until NDHM defines an IP consult artifact.

Atrius India Core Inpatient Progress Note

Ward or ICU daily progress note. Atrius-specific until NDHM defines an IP consult artifact.

Atrius India Core InsurancePlan

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 InsurancePlan parity, including NDHM min cardinalities so Claim-* extension context checks succeed.

Atrius India Core InsurancePlan Bundle

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 InsurancePlanBundle collection wrapper.

Atrius India Core Invoice

Atrius India Core Invoice. Parent: FHIR R4. NDHM Invoice parity; referenced from atrius-in-invoice-record Composition.

Atrius India Core Invoice Record

Billing invoice Composition with NDHM InvoiceRecord-equivalent constraints.

Atrius India Core Location

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Media

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 Media parity for imaging and document media attachments.

Atrius India Core Medication

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Medication Administration Not Done

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Medication Dispense Declined

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Medication Prohibited

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Medication Requested

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core MedicationAdministration

Base AtriusIn medication administration profile for storage authoring and storage and AtriusIn CQL evaluation. Legacy QI-Core projection is documented in runtime-mapper.

Atrius India Core MedicationDispense

Base AtriusIn medication dispense profile for pharmacy fills and CQL.

Pharmacy completed fills SHALL use AtriusInMedicationDispensePharmacy. Medication is dual-coded when available: hospital formulary concept first, then SNOMED CT (India Drug Extension pack and/or International Edition). Legacy QI-Core projection is documented in runtime-mapper.

Atrius India Core MedicationDispense (Pharmacy fill)

Completed inpatient pharmacy fill linked to an authorizing MedicationRequest.

Requires quantity and whenHandedOver. Prefer formulary + India pack SCTID coding (same pattern as eMAR MedicationRequest). Stock qty decrement is D1 ledger; this resource is the clinical / interop projection.

Atrius India Core MedicationRequest

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core MedicationRequest. Legacy QI-Core projection: runtime-mapper.

Atrius India Core MedicationStatement

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core NutritionOrder

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core OP Consult Record

Outpatient consultation Composition with NDHM OPConsultRecord-equivalent constraints.

Atrius India Core OT Room Location
Operating theatre / procedure room. physicalType is Room (ro); type coding atrius-location-type ot distinguishes OT from other rooms.
Atrius India Core Observation

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Observation Body Measurement

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Observation General Assessment

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Observation Lifestyle

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Observation Physical Activity

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Observation Vital Signs

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Observation Women Health

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Observation — Transfusion Reaction

Adverse reaction to a blood transfusion; partOf links to the transfusion Procedure (Wave Workforce Wf-3).

Atrius India Core Operative Note

Surgical operative note with Atrius-specific section slicing until NDHM defines an equivalent artifact.

Atrius India Core Organization

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 Organization parity (identifier, type). QI-Core extensions via runtime-mapper where needed.

Atrius India Core Package Case

Package-case Account for an encounter (or episode). Inclusion allocation lives in Postgres; this resource is the published case header. Practitioner compensation is not recorded here.

Atrius India Core Patient

Atrius India Core patient profile. Parent: FHIR R4. NDHM 6.5.0 Patient parity (identifier, demographics). QI-Core extensions via runtime-mapper where needed.

Atrius India Core Payer Contract

Published projection of a versioned payer schedule binding. Discount-matrix rows, entitlement, and room-rent policy live on extensions. Practitioner compensation is not this resource — those contracts stay in Postgres.

Atrius India Core PaymentNotice

Atrius India Core profile. Parent: FHIR R4. NDHM PaymentNotice (no differential MS; R4 baseline).

Atrius India Core PaymentReconciliation

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 PaymentReconciliation parity.

Atrius India Core Practitioner

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 Practitioner parity (identifier, qualification). qualification.code is bound extensibly to AtriusInPractitionerQualificationVS (occupation-style hospital workforce, including registration and HIM/IT). Degrees stay in qualification.code.text. Privileges are on PractitionerRole.

Atrius India Core PractitionerRole

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 PractitionerRole parity. code binds AtriusPrivilegeVS (superset of NDHM practitioner-role plus Atrius privilege codes).

Atrius India Core Prescription Record

Prescription Composition with NDHM PrescriptionRecord-equivalent constraints.

Atrius India Core Procedure

Base AtriusIn procedure profile for NDHM-aligned storage and storage and AtriusIn CQL evaluation. Legacy QI-Core projection is documented in runtime-mapper.

Atrius India Core Procedure Not Done

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Procedure — Transfusion

Blood product transfusion administration (Wave Workforce Wf-3).

Runtime (atrius-his) populates usedReference with BiologicallyDerivedProduct/{id}. FHIR R4 Procedure.usedReference core targets are only Device Medication Substance, so this profile cannot constrain the targetProfile to AtriusInBiologicallyDerivedProduct without SUSHI/type errors; the BDP link is still the chart SoR and is validated by application rules.
Atrius India Core QuestionnaireResponse

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Radiology Provenance

One Provenance per RIS DiagnosticReport status transition (protocol, draft, prelim, final, amend). Professional attestation is not Aadhaar eSign.

Atrius India Core Referral Note

Receiving consultant's note for a referral ServiceRequest. Finalize completes the referral order. Distinct from OP consult (which may place a narrative referral) and from inpatient progress notes.

Atrius India Core RelatedPerson

Atrius India Core profile for a person related to a patient — next of kin, attendant, or guardian.

Used as the legal signer of record for proxy consent (roadmap D10d): Consent.performer and Signature.who reference this resource, not Patient.contact (a backbone element with no independent identity).

Identifier rules for eSign:

  • Prefer identifier[esignTxn] for the ESP transaction / masked signer reference returned by Aadhaar eSign.
  • identifier[abha] may be recorded when the attendant has an ABHA.
  • Never store an Aadhaar number on this resource (UIDAI prohibition).
Atrius India Core RequestGroup

Order-set / pathway action group returned from PlanDefinition/$apply and surfaced as CDS Hooks suggestions.

Leaf actions carry draft ServiceRequest or MedicationRequest resources (or canonical references to ActivityDefinitions applied into drafts). selectionBehavior and groupingBehavior mirror the source PlanDefinition.

Atrius India Core Schedule

Atrius India Core Schedule profile. Parent: FHIR R4. Defines bookable availability for practitioners, services, and locations. Optional iCalendar recurrence via atrius-schedule-recurrence for slot expansion.

Atrius India Core Service Not Requested

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core ServiceRequest

Base AtriusIn service request profile for NDHM-aligned storage and storage and AtriusIn CQL evaluation. Legacy QI-Core projection is documented in runtime-mapper.

Atrius India Core Slot

Atrius India Core Slot profile. Parent: FHIR R4. Materialized bookable window linked to an Atrius Schedule.

Atrius India Core Specimen

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Substance

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core SupplyDelivery

Audit / interop projection for inventory movements (GRN receive, later ward/OT issue).

Quantity balances live in the HIS Postgres stock ledger (D1), not on this resource. HIS stamps this profile on GRN SupplyDelivery writes.

Atrius India Core Surgical Consent

Consent for an operative / OT procedure linked to an Encounter.

Atrius India Core Task

Base AtriusIn task profile for NDHM-aligned storage and storage and AtriusIn CQL evaluation. Legacy QI-Core projection is documented in runtime-mapper.

Atrius India Core Task Bundle

Atrius India Core profile. Parent: FHIR R4. NDHM 6.5.0 TaskBundle collection wrapper.

Atrius India Core Task Rejected

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Atrius India Core Wellness Record

PHR wellness Composition with NDHM WellnessRecord-equivalent constraints.

Atrius India Equipment Device

Biomedical / facility equipment register (not patient-bound). Used for asset tracking, location, and next-service date. Patient-use devices remain on AtriusInDevice.

Atrius Medication Order ActivityDefinition

Reusable medication order template. $apply produces an AtriusIn MedicationRequest draft with product and dosage.

Atrius Service Order ActivityDefinition

Reusable lab, imaging, referral, or procedure order template. $apply produces an AtriusIn ServiceRequest draft with intent order.

Atrius Service Proposal ActivityDefinition

Pathway guidance or conditional service action with proposal intent. $apply produces an AtriusIn ServiceRequest draft for clinician review.

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

Account charge item

ChargeItem posted against this IPD Account. Listed on the Account so statement/interim can direct-GET without search-index lag.

Account credit limit

Maximum patient-share outstanding allowed before advisory over-limit flag.

Account encounter

Encounter (admission) for which this IPD Account applies.

Account payment notice

PaymentNotice (deposit / settlement / refund) belonging to this IPD Account. Listed on the Account so balance can be computed via direct GET without search-index lag.

Atrius Appointment Visit Mode

How the patient attends the appointment (in-person, telehealth, or hybrid).

Atrius Bed Category Extension

Accommodation class on a rate row, payer contract, package, or posted charge. Occupied class on a Location is Location.type with this CodeSystem, not this extension.

Atrius Beyond-LOS Policy Extension

How extra bed days beyond included LOS are priced.

Atrius Billing Department

Department attribution for a charge (HealthcareService or Location org-unit).

Atrius Billing Item Type

Operational billing category for catalog items (consultation, lab, bed-day, etc.).

Atrius Cash Schedule Reference

Cash schedule-of-charges id used as the SOR fallback for this contract.

Atrius Charge Adjustment

One manual adjustment, carrying the quantity, price and reason it replaced. Repeats because overrideReason holds only the latest edit.

Atrius Charge Liability Extension

Who pays for the resolved line (payer or patient).

Atrius Charge Void

Why and when a ChargeItem was voided (status aborted). A void is not an adjustment: amounts stay as they were.

Atrius Claimable Amount

Payer-claimable amount on the line after discounts and entitlement. Cash/self-pay is 0.

Atrius Code Derived

Marks a Coding that was filled by ConceptMap $translate rather than entered by a human coder. Used when MRD dual-coding derives ICD-10 from ICD-11 (or the reverse). Reports can filter coded vs mapped sides.

Atrius Contract Reference

Payer Contract that prices this Coverage or package-case Account.

Atrius Contract Version

Integer generation of the payer contract that priced this line, or the published generation on the Contract header.

Atrius Default Discount Percent

Wildcard discount percent on the payer Contract when no discount-matrix row matches.

Atrius Discount Rule

One contract_discount_rule matrix row on a payer Contract. A bound billing code beats a service group beats an item type; visit class and bed category further qualify. Postgres is the resolution store; this is the published projection.

Atrius Discount Rule Sequence

seq of the winning contract_discount_rule when a discount-matrix row priced the line rather than a negotiated rate row.

Atrius E-Invoice Acknowledgement Number

IRP acknowledgement number returned with the IRN.

Atrius E-Invoice Status
E-invoice lifecycle status on Invoice (pilot submitted cancelled). IRN itself is stored as Identifier with system https://atrius.in/fhir/r4/identifier/irn.
Atrius Facility Amount

Per-unit facility component of the charged price, snapshotted onto the ChargeItem.

Atrius GST Line Breakdown

Line-level GST tax breakdown for audit (taxable value, CGST/SGST or IGST, rate, HSN/SAC).

Atrius GST Rate Class

Default GST rate class for a billing item (nil, exempt, or standard slabs).

Atrius HSN or SAC Code

Indian GST goods (HSN) or services (SAC) classification code for a billing item or charge line.

Atrius Hospital GSTIN

GST identification number for the billing hospital Organization.

Atrius ICD-11 Stem

Stem code for an ICD-11 MMS postcoordinated cluster. When Coding.code holds a cluster such as 1A00&XN8P1, this extension carries the stem (1A00) used for $translate and Condition id anchoring.

Atrius IDSP Reportable

True when the Condition’s ICD-10 diagnosis (coded or derived) matches an IDSP notifiable disease. Stamped by HIS on assign; drives statutory case-reported events.

Atrius Included Item Types

Comma-joined billing item types treated as included when HIS synthesises inclusion rules from the FHIR/CSV projection. Prefer AtriusInPackageInclusion for the matrix.

Atrius Included Length of Stay

Bed days included in a package definition or authorised on a package-case Account.

Atrius India Device Next Service Date

Next planned service / PM date for biomedical equipment.

Atrius India Orderable TAT Breach Seconds

Per-test turnaround-time breach threshold in seconds for lab/imaging orderables (ActivityDefinition). Lab worklist uses this when present; otherwise a server default applies.

Atrius Item-Type Discount

Legacy per-item-type discount percent on a payer Contract. Prefer AtriusInDiscountRule; HIS still writes this projection from item_type_discounts.

Atrius Package Cap Bucket

Aggregate cap shared by several inclusion rules (for example all investigations). Postgres is the resolution store; this is the published projection.

Atrius Package Code

Package billing code on a package-case Account.

Atrius Package Definition Reference

ChargeItemDefinition that defines this package case.

Atrius Package Disposition Extension

Allocator outcome on the line (included, overflow-chargeable, …).

Atrius Package Exception

Pending or decided package exception (unclassifiable / bucket breach / pre-auth). Nested urls match HIS (status, kind, reason, decision, decidedBy, decidedAt).

Atrius Package Excluded Codes

Comma-joined billing codes treated as excluded when HIS synthesises inclusion rules from the FHIR/CSV projection. Prefer AtriusInPackageInclusion.

Atrius Package Fee Split

Declared surgeon / anaesthetist / assistant share of the package professional component. This is the package's internal fee split, not a practitioner payout contract. Percentage shares on a package must sum to 100.

Atrius Package Included

True when this ChargeItem was absorbed by a package case.

Atrius Package Inclusion Rule

One package_inclusion matrix row on a package ChargeItemDefinition. A named billing code beats a service group beats an item type. Postgres is the resolution store; this is the published projection.

Atrius Package Per-Day Rate

Fixed per-extra-day rate when beyond-LOS policy is per-day-rate.

Atrius Package Rule Sequence

Winning package_inclusion.seq on a posted ChargeItem.

Atrius Payer Category Extension
govt-scheme insurer tpa corporate.
Atrius Payer Organization

Payor Organization on a Contract or package definition.

Atrius Place of Supply State

Indian state code used as GST place of supply for an Invoice or Claim.

Atrius Practitioner Rate Override

Per-practitioner override above the tier band on a ChargeItemDefinition rate row.

Atrius Practitioner Tier Extension

Seniority band a ChargeItemDefinition rate row applies to.

Atrius Pricing Explanation

Human-readable why-this-price, from the shared matcher plus entitlement.

Atrius Professional Amount

Per-unit professional component of the charged price, snapshotted onto the ChargeItem. A payout share is taken of this figure; it is not a practitioner contract. Dropped when a biller overrides the unit price.

Atrius Rate Schedule Version

Integer generation of the rate schedule that priced this ChargeItem. Absent when the price came from the ChargeItemDefinition projection rather than the rate store.

Atrius Room-Rent Cap

Rupee cap the payer will honour for a bed-day under this contract.

Atrius Room-Rent Deduction

Nested deduction basis on every ChargeItem affected by entitlement or a room-rent cap, so the claim and the patient bill can each explain themselves. Nested urls match HIS (policy, actualBedRate, …).

Atrius Room-Rent Policy Extension
Contract-header policy: none cap-delta-to-patient proportionate-deduction.
Atrius Schedule Recurrence (iCalendar)

RFC 5545 recurrence on Schedule for slot expansion. RRULE and TZID are required when this extension is present; EXDATE and RDATE are optional overrides.

Atrius Schedule of Charges Reference

Reference to the schedule-of-charges version used to price a ChargeItem or catalog entry.

Atrius TPA Organization

Third-party administrator Organization on a payer Contract.

Atrius Tariff Source Extension

How the unit price was derived (contract row, discounted SOR, package, cash, …).

Atrius Uncontracted Behavior Extension

Header default when a charge code has no contract SOC row. A discount-rule row may override.

Atrius Video Patient Join URL

Patient join URL for a telemedicine Encounter (Wave Workforce Wf-4). Patient-side join UX is deferred to atrius-patient-ui (D10).

Atrius Video Staff Join URL

Staff join URL for a telemedicine Encounter (Wave Workforce Wf-4).

Atrius Visit Class

Visit-class dimension (AMB / IMP / …) on a rate row or payer contract header.

Atrius dosage frequency shorthand

Indian frequency code (OD/BID/TDS/QID/…) on MedicationRequest.dosageInstruction for eMAR expansion.

Atrius scheduled administration time

Planned due time for a MedicationAdministration chart slot. On complete, MedicationAdministration.effectiveDateTime carries the actual administration time.

CDS Hooks feedback payload

Structured CDS Hooks feedback (accepted / overridden card) as a JSON string.

Written by cds-server on POST …/feedback. Payload fields include serviceId, card, outcome (accepted|overridden), acceptedSuggestions, and overrideReason.

CQF Related Requirement (targetProperty overlay)

Extensions Pack 5.3.0 cqf-relatedRequirement plus targetProperty for publisher 2.3.3

Consent encounter

Encounter for which this surgical consent applies.

Payment kind

Marks a PaymentNotice as deposit, settlement, or refund against an Account.

Stock batch / lot number

Batch or lot number for a supply line item (GRN receive or stock-lot Basic).

Stock expiry date

Expiry date (YYYY-MM-DD) for a supply line item batch.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

Atrius ACE Inhibitors

Angiotensin-converting enzyme inhibitors — DDI drug-class set (hyperkalemia risk with potassium-sparing diuretics).

Atrius Advanced Illness

Atrius-authored ValueSet for CQL valueset "Advanced Illness". VSAC OID 2.16.840.1.113883.3.464.1003.110.12.1082 is provenance only.

Atrius Annual Wellness Visit

Atrius-authored ValueSet for CQL valueset "Annual Wellness Visit". VSAC OID 2.16.840.1.113883.3.526.3.1240 is provenance only.

Atrius Bed Category ValueSet

Accommodation-class codes for Location.type, rate dimensions, and entitlement.

Atrius Beyond-LOS Policy ValueSet

Beyond-package length-of-stay policy codes.

Atrius Billing Item Type Value Set

ValueSet of operational billing item type codes for ChargeItemDefinition bindings.

Atrius Blood Product ValueSet

Blood products used on transfusion ServiceRequest / BiologicallyDerivedProduct.

Atrius Care Services in Long Term Residential Facility

Atrius-authored ValueSet for CQL valueset "Care Services in Long Term Residential Facility". VSAC OID 2.16.840.1.113883.3.464.1003.101.12.1014 is provenance only.

Atrius Charge Liability ValueSet

Charge-liability codes stamped on ChargeItem.

Atrius Chronic Kidney Disease, Stage 5

Atrius-authored ValueSet for CQL valueset "Chronic Kidney Disease, Stage 5". VSAC OID 2.16.840.1.113883.3.526.3.1002 is provenance only.

Atrius DICOM SOP Class

Common DICOM SOP Class UIDs for ImagingStudy.series.instance.sopClass.

Replaces the R4 binding to the Part 4 HTML table (…/part04/sect_B.5.html#table_B.5-1), which is not a FHIR ValueSet.

Atrius DICOM modality

Common DICOM acquisition modalities for ImagingStudy.modality and ImagingStudy.series.modality.

Replaces the R4 binding to the CID 29 HTML page (…/part16/sect_CID_29.html), which is not a FHIR ValueSet.

Atrius Dementia Medications

Atrius-authored ValueSet for CQL valueset "Dementia Medications". VSAC OID 2.16.840.1.113883.3.464.1003.196.12.1510 is provenance only.

Atrius Dialysis Services

Atrius-authored ValueSet for CQL valueset "Dialysis Services". VSAC OID 2.16.840.1.113883.3.464.1003.109.12.1013 is provenance only.

Atrius Diet Type ValueSet

Diet types used on Atrius NutritionOrder.

Atrius E-Invoice Status Value Set

ValueSet of e-invoice status codes for Invoice.extension bindings.

Atrius ER Acute Breathlessness Danger Signs (ValueSet)

Allowed danger-sign answers for the ED acute breathlessness gate questionnaire.

Atrius ER Acute Breathlessness Working Classification (ValueSet)

Preferred SNOMED CT working etiologies for ER acute breathlessness classification, plus legacy Atrius local codes. Questionnaire quick-picks use the SNOMED concepts; typeahead may also select other clinical findings (mapped to the Other branch in CQL).

Atrius ER Chest Pain Working Classification (ValueSet)

Allowed working classification answers for ER chest pain questionnaire.

Atrius ESRD Monthly Outpatient Services

Atrius-authored ValueSet for CQL valueset "ESRD Monthly Outpatient Services". VSAC OID 2.16.840.1.113883.3.464.1003.109.12.1014 is provenance only.

Atrius Ejection Fraction

Atrius-authored ValueSet for CQL valueset "Ejection Fraction". VSAC OID 2.16.840.1.113883.3.526.3.1134 is provenance only.

Atrius Emergency Department Evaluation and Management Visit

Atrius-authored ValueSet for CQL valueset "Emergency Department Evaluation and Management Visit". VSAC OID 2.16.840.1.113883.3.464.1003.101.12.1010 is provenance only.

Atrius Emergency Department Visit

Atrius-authored ValueSet for CQL valueset "Emergency Department Visit". VSAC OID 2.16.840.1.113883.3.117.1.7.1.292 is provenance only.

Atrius Encounter Inpatient

Atrius-authored ValueSet for CQL valueset "Encounter Inpatient". VSAC OID 2.16.840.1.113883.3.666.5.307 is provenance only.

Atrius End Stage Renal Disease

Atrius-authored ValueSet for CQL valueset "End Stage Renal Disease". VSAC OID 2.16.840.1.113883.3.526.3.353 is provenance only.

Atrius Essential Hypertension

Atrius-authored ValueSet for CQL valueset "Essential Hypertension". VSAC OID 2.16.840.1.113883.3.464.1003.104.12.1011 is provenance only.

Atrius Frailty Device

Atrius-authored ValueSet for CQL valueset "Frailty Device". VSAC OID 2.16.840.1.113883.3.464.1003.118.12.1300 is provenance only.

Atrius Frailty Diagnosis

Atrius-authored ValueSet for CQL valueset "Frailty Diagnosis". VSAC OID 2.16.840.1.113883.3.464.1003.113.12.1074 is provenance only.

Atrius Frailty Encounter

Atrius-authored ValueSet for CQL valueset "Frailty Encounter". VSAC OID 2.16.840.1.113883.3.464.1003.101.12.1088 is provenance only.

Atrius Frailty Symptom

Atrius-authored ValueSet for CQL valueset "Frailty Symptom". VSAC OID 2.16.840.1.113883.3.464.1003.113.12.1075 is provenance only.

Atrius GST Rate Class Value Set

ValueSet of GST rate class codes for ChargeItem / ChargeItemDefinition bindings.

Atrius GST Tax Split Value Set

ValueSet of GST tax-split codes for Invoice / Claim line breakdown extensions.

Atrius Gabapentin

Gabapentin — renal dosing rule drug set (dose-banded by eGFR).

Atrius HSN / SAC Codes Value Set

Codes from the Atrius HSN/SAC fragment CodeSystem. Binding is example so implementations may use official CBIC codes not listed here.

Atrius Heart Failure

Atrius-authored ValueSet for CQL valueset "Heart Failure". VSAC OID 2.16.840.1.113883.3.526.3.376 is provenance only.

Atrius Heart Transplant

Atrius-authored ValueSet for CQL valueset "Heart Transplant". VSAC OID 2.16.840.1.113762.1.4.1178.33 is provenance only.

Atrius Heart Transplant Complications

Atrius-authored ValueSet for CQL valueset "Heart Transplant Complications". VSAC OID 2.16.840.1.113762.1.4.1178.56 is provenance only.

Atrius Home Healthcare Services

Atrius-authored ValueSet for CQL valueset "Home Healthcare Services". VSAC OID 2.16.840.1.113883.3.464.1003.101.12.1016 is provenance only.

Atrius IDSP Notifiable ICD-10 Codes

Starter set of WHO ICD-10 codes for India IDSP-style notifiable / priority surveillance diseases.

Includes all TB forms (A15–A19: respiratory, nervous system, other organs including lymph node and bones/joints, miliary). Not a complete national schedule — extend as official IDSP line-list codes are confirmed.

HIS runtime: exact code match, then 3-character prefix. Prefer 3-char categories when every subdivision is reportable; use dotted codes (e.g. A92.0, A75.3) when only a specific entity is in scope.

Atrius India Core Appointment Type

Appointment type codes for OPD and ambulatory booking (HL7 v2-0276 subset).

Atrius India Core Care Plan Category (ValueSet)

CarePlan.category for AtriusIn care plans including assess-plan and India plan types.

Atrius India Core Claim Status

Claim.status for AtriusIn storage and India claims workflows.

Atrius India Core ClaimResponse Status

ClaimResponse.status for AtriusIn storage.

Atrius India Core Composition Section Codes

SNOMED CT section codes for AtriusIn NDHM-aligned Composition clinical artifacts.

Atrius India Core Composition Type Codes

SNOMED CT and LOINC document type codes for AtriusIn NDHM-aligned Composition clinical artifacts.

Atrius India Core Condition Category

Condition.category for AtriusIn storage and CQL. Composes HL7 condition-category codes used by AtriusIn Condition subtypes.

Atrius India Core Coverage Payer Type (ValueSet)

Coverage.type for India payer and scheme identification at AtriusIn storage.

Atrius India Core Diagnostic Report Category

DiagnosticReport.category for AtriusIn lab and note profiles. Includes HL7 v2-0074 LAB and observation-category laboratory for CQL alignment without US-only storage.

Atrius India Core Diagnostic Report Laboratory Category

Required laboratory category codes for atrius-in-diagnosticreport-lab storage.

Atrius India Core Encounter Class

Encounter.class for AtriusIn storage. Extensible binding; includes common v3-ActCode encounter classes.

Atrius India Core OPD Service Category

Schedule and appointment serviceCategory for outpatient and ambulatory services.

Atrius India Core OPD Service Type

Schedule and appointment serviceType for common OPD specialties (SNOMED CT subset).

Atrius India Core Observation Category

Observation.category for AtriusIn observation profiles and CQL retrieves.

Atrius India Core Observation Laboratory Category

Laboratory observation category for atrius-in-observation and lab panels.

Atrius India Core Observation Vital Signs Category

Vital signs observation category for atrius-in-observation-vital-signs.

Atrius India Core Visit Mode (ValueSet)

Visit mode for booked appointments (in-person, telehealth, hybrid).

Atrius Intensive Care Unit

Atrius-authored ValueSet for CQL valueset "Intensive Care Unit". VSAC OID 2.16.840.1.113762.1.4.1029.206 is provenance only.

Atrius Kidney Transplant

Atrius-authored ValueSet for CQL valueset "Kidney Transplant". VSAC OID 2.16.840.1.113883.3.464.1003.109.12.1012 is provenance only.

Atrius Kidney Transplant Recipient

Atrius-authored ValueSet for CQL valueset "Kidney Transplant Recipient". VSAC OID 2.16.840.1.113883.3.464.1003.109.12.1029 is provenance only.

Atrius Left Ventricular Assist Device Complications

Atrius-authored ValueSet for CQL valueset "Left Ventricular Assist Device Complications". VSAC OID 2.16.840.1.113762.1.4.1178.58 is provenance only.

Atrius Left Ventricular Assist Device Placement

Atrius-authored ValueSet for CQL valueset "Left Ventricular Assist Device Placement". VSAC OID 2.16.840.1.113762.1.4.1178.61 is provenance only.

Atrius Low Back Pain

Low back pain diagnoses for imaging appropriateness gating.

Atrius Lumbar Imaging Red Flags

Red-flag conditions that justify early lumbar MRI (cauda equina, malignancy).

Atrius Lumbar Spine MRI

MRI of the lumbar spine order codes (with and without contrast).

Atrius Macrolides (CYP3A4-inhibiting)

Macrolide antibiotics with clinically significant CYP3A4 inhibition (statin interaction). Azithromycin is deliberately excluded (safer alternative).

Atrius Metformin

Metformin — renal dosing rule drug set (contraindicated below eGFR 30, dose-limited 30–45).

Atrius Moderate or Severe

Atrius-authored ValueSet for CQL valueset "Moderate or Severe". VSAC OID 2.16.840.1.113883.3.526.3.1092 is provenance only.

Atrius Moderate or Severe LVSD

Atrius-authored ValueSet for CQL valueset "Moderate or Severe LVSD". VSAC OID 2.16.840.1.113883.3.526.3.1090 is provenance only.

Atrius NSAIDs

Systemic non-steroidal anti-inflammatory drugs — DDI drug-class set (bleeding risk with anticoagulants).

Atrius Nursing Facility Visit

Atrius-authored ValueSet for CQL valueset "Nursing Facility Visit". VSAC OID 2.16.840.1.113883.3.464.1003.101.12.1012 is provenance only.

Atrius Observation Services

Atrius-authored ValueSet for CQL valueset "Observation Services". VSAC OID 2.16.840.1.113762.1.4.1111.143 is provenance only.

Atrius Obstetrical or Pregnancy Related Conditions

Atrius-authored ValueSet for CQL valueset "Obstetrical or Pregnancy Related Conditions". VSAC OID 2.16.840.1.113883.3.117.1.7.1.263 is provenance only.

Atrius Obstetrics VTE

Atrius-authored ValueSet for CQL valueset "Obstetrics VTE". VSAC OID 2.16.840.1.113883.3.117.1.7.1.264 is provenance only.

Atrius Office Visit

Atrius-authored ValueSet for CQL valueset "Office Visit". VSAC OID 2.16.840.1.113883.3.464.1003.101.12.1001 is provenance only.

Atrius Outpatient Consultation

Atrius-authored ValueSet for CQL valueset "Outpatient Consultation". VSAC OID 2.16.840.1.113883.3.464.1003.101.12.1008 is provenance only.

Atrius Outpatient Surgery Service

Atrius-authored ValueSet for CQL valueset "Outpatient Surgery Service". VSAC OID 2.16.840.1.113762.1.4.1110.38 is provenance only.

Atrius Package Bucket On-Breach ValueSet

Cap-bucket on-breach codes.

Atrius Package Disposition ValueSet

Package disposition codes on ChargeItem.

Atrius Package Exception Decision ValueSet

Package-exception decision codes.

Atrius Package Exception Status ValueSet

Package-exception status codes.

Atrius Package Inclusion Mode ValueSet

Package inclusion-rule mode codes.

Atrius Package Participant Role ValueSet

Package fee-split participant roles.

Atrius Palliative Care Diagnosis

Atrius-authored ValueSet for CQL valueset "Palliative Care Diagnosis". VSAC OID 2.16.840.1.113883.3.464.1003.1167 is provenance only.

Atrius Palliative Care Encounter

Atrius-authored ValueSet for CQL valueset "Palliative Care Encounter". VSAC OID 2.16.840.1.113883.3.464.1003.101.12.1090 is provenance only.

Atrius Palliative Care Intervention

Atrius-authored ValueSet for CQL valueset "Palliative Care Intervention". VSAC OID 2.16.840.1.113883.3.464.1003.198.12.1135 is provenance only.

Atrius Patient Provider Interaction

Atrius-authored ValueSet for CQL valueset "Patient Provider Interaction". VSAC OID 2.16.840.1.113883.3.526.3.1012 is provenance only.

Atrius Payer Category ValueSet

Payer-contract category codes.

Atrius Potassium-Sparing Diuretics

Potassium-sparing diuretics and aldosterone antagonists — DDI drug-class set.

Atrius Practitioner Qualification

Union of Atrius practitioner-qualification CodeSystems for Practitioner.qualification.code.

Covers licensed clinicians and non-clinical hospital staff who are Practitioners in FHIR (registration, HIM/IT). Best-effort starter set — extensible. Not v2-0360 degrees; put MBBS/BDS/RN in qualification.code.text or an additional Coding. Not OT/OPD/IPD privileges (those are AtriusPrivilegeVS on PractitionerRole).

Atrius Practitioner Tier ValueSet

Practitioner seniority bands for rate dimensions.

Atrius Pregnancy

Atrius-authored ValueSet for CQL valueset "Pregnancy". VSAC OID 2.16.840.1.113883.3.526.3.378 is provenance only.

Atrius Present on Admission or Clinically Undetermined

Atrius-authored ValueSet for CQL valueset "Present on Admission or Clinically Undetermined". VSAC OID 2.16.840.1.113762.1.4.1147.197 is provenance only.

Atrius Preventive Care Services Established Office Visit, 18 and Up

Atrius-authored ValueSet for CQL valueset "Preventive Care Services Established Office Visit, 18 and Up". VSAC OID 2.16.840.1.113883.3.464.1003.101.12.1025 is provenance only.

Atrius Preventive Care Services Initial Office Visit, 18 and Up

Atrius-authored ValueSet for CQL valueset "Preventive Care Services Initial Office Visit, 18 and Up". VSAC OID 2.16.840.1.113883.3.464.1003.101.12.1023 is provenance only.

Atrius Privilege ValueSet

Privileges used in Atrius PractitionerRole credentialing. Superset of NDHM practitioner-role plus Atrius OT/OPD/IPD privilege codes.

Atrius Room-Rent Policy ValueSet

Room-rent entitlement policy codes.

Atrius Service Group ValueSet

Service-group codes for discount, inclusion, and rate grouping.

Atrius Statins

HMG-CoA reductase inhibitors (statins) — DDI drug-class set.

Atrius Tariff Source ValueSet

Tariff-source codes stamped on ChargeItem.

Atrius Telephone Visits

Atrius-authored ValueSet for CQL valueset "Telephone Visits". VSAC OID 2.16.840.1.113883.3.464.1003.101.12.1080 is provenance only.

Atrius Uncontracted Behavior ValueSet

Uncontracted-item behaviour codes for payer contracts and discount rules.

Atrius Venous Thromboembolism

Atrius-authored ValueSet for CQL valueset "Venous Thromboembolism". VSAC OID 2.16.840.1.113883.3.117.1.7.1.279 is provenance only.

Atrius Virtual Encounter

Atrius-authored ValueSet for CQL valueset "Virtual Encounter". VSAC OID 2.16.840.1.113883.3.464.1003.101.12.1089 is provenance only.

Atrius Visit Class ValueSet

Visit-class dimension on rates, payer contracts, and discount rules. Subset of v3-ActCode used as Encounter.class.

Atrius Warfarin

Warfarin — DDI drug-class set (vitamin K antagonist).

Atrius imaging procedure

SNOMED CT and LOINC codes for common imaging procedures on ImagingStudy.procedureCode.

Replaces the R4 binding to the RadLex Playbook website (http://www.rsna.org/RadLex_Playbook.aspx), which is not a FHIR ValueSet. Binding is extensible (same strength as R4) so PACS may send additional SNOMED, LOINC, or RadLex codes.

Atrius medication frequency value set

Frequencies supported for inpatient eMAR schedule expansion.

Hospital Formulary Value Set

All codes from the hospital formulary CodeSystem (hospital overlays extend the fragment).

Reason for encounter (chief complaint candidates)

Chief complaint candidates for clinical UI autocomplete (Atrius pilot codes).

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

Atrius Bed Category

Accommodation class used for room-rent entitlement, package eligibility, and rate dimensions. Stamped on ward/room/bed Location.type. Tenants republish this CodeSystem id with their offering list; rank orders richer accommodation.

Atrius Beyond-LOS Policy

How extra bed days beyond a package's included length of stay are priced.

Atrius Billing Item Type Code System

Operational billing item categories for Atrius India catalog and ChargeItemDefinition.

Atrius Blood Product CodeSystem

Blood products ordered/administered as transfusion (Wave Workforce Wf-3).

Atrius Charge Liability

Who pays for a resolved charge line.

Atrius Consent Category

Operational consent categories for Atrius HIS (not ABDM).

Atrius Diet Type CodeSystem

IPD oral diet types for NutritionOrder.oralDiet.type (Wave Workforce Wf-2 / D8).

Atrius E-Invoice Status Code System

E-invoice lifecycle status codes for Invoice (pilot, submitted, cancelled).

Atrius ER Acute Breathlessness Danger Signs (CodeSystem)

Danger-sign answers for the ED acute breathlessness gate questionnaire. Any positive danger sign activates airway rescue; none-of-the-above does not.

Atrius ER Acute Breathlessness Working Classification (CodeSystem)

Legacy local working-etiology codes for ER acute breathlessness. Prefer SNOMED CT concepts from ValueSet atrius-in-er-acute-breathlessness-classification-vs for new captures. Kept so older QuestionnaireResponses remain interpretable.

Atrius ER Chest Pain Working Classification (CodeSystem)

Working etiology classification answers for the ER chest pain assessment questionnaire. Maps to pathway branch logic in Library AtriusERChestPainPathway.

Atrius GST Rate Class Code System

GST rate class codes for Atrius India billing (nil, exempt, and standard slabs).

Atrius GST Tax Split Code System

GST tax-split mode for line-level breakdown (CGST+SGST vs IGST).

Atrius HSN / SAC Codes Code System

Fragment of Indian GST Harmonized System of Nomenclature (HSN) goods codes and Services Accounting Codes (SAC) used on Atrius billing items.

This is not the full CBIC schedule. Hospitals may send additional official HSN/SAC codes; this fragment is what the IG publishes so example and catalog Codings resolve.

Atrius India Core Care Plan Category (CodeSystem)

Care plan category codes for AtriusIn storage and CQL. Includes assessment-and-plan and other plan types used in India clinical workflows.

Atrius India Core Claim Status (CodeSystem)

Claim.status codes for AtriusIn storage and India claims workflows.

Atrius India Core Coverage Payer Type (CodeSystem)

India payer and scheme types for coverage.type at AtriusIn storage.

Atrius India Core Reason for Encounter (CodeSystem)

Pilot chief complaint codes for clinical UI autocomplete. Expand with SNOMED cross-maps when HTS is configured.

Atrius India Core Visit Mode (CodeSystem)

How the patient attends a booked appointment (in-person, telehealth, hybrid).

Atrius Invoice Type

Operational invoice kinds for Atrius HIS cash desk.

Atrius Location Type

Atrius operational location kinds beyond HL7 physicalType.

Atrius Message Events

Event codes for FHIR Messaging ($process-message) on the HIS inbound endpoint.

Event URIs are {system}/{code} (e.g. https://atrius.in/fhir/message-events/lab-result). Used as MessageHeader.eventUri / eventCoding and MessageDefinition.eventUri.

Atrius OT Case Category

Marks ServiceRequests that represent inpatient OT cases.

Atrius Order Category CodeSystem

Atrius CPOE ServiceRequest.category codes beyond HL7 service-request-category.

Atrius Package Bucket On-Breach

What happens when a package cap bucket is exhausted.

Atrius Package Disposition

Package allocator outcome on a posted ChargeItem.

Atrius Package Exception Decision

Clerk decision on a package-exception worklist item.

Atrius Package Exception Status

Lifecycle of a package-exception worklist item on ChargeItem.

Atrius Package Inclusion Mode

How a matching package inclusion rule treats the line.

Atrius Package Participant Role

Surgical role in a package professional-fee split (surgeon, anaesthetist, assistant). This is the package's declared fee split, not a practitioner payout contract.

Atrius Payer Category

Indian hospital payer-contract category on Contract.

Atrius Payment Kind

Kinds of PaymentNotice linked to an IPD Account (deposit, settlement, refund).

Atrius Practitioner Qualification — Allied Health (CodeSystem)

Allied health qualifications commonly employed in Indian hospitals.

Atrius Practitioner Qualification — Health Records IT (CodeSystem)

IT / HIM staff who merge or unmerge patient records and other health-information operations that must be attributable.

Atrius Practitioner Qualification — Medical (CodeSystem)

Licensed independent medical practitioners: physicians, dentists, pharmacists, and AYUSH. Starter set — not a complete NMC/DCI/PCI register.

Atrius Practitioner Qualification — Nursing and Clinical Support (CodeSystem)

Nursing and physician-support qualifications, including scribes who document in the legal record.

Atrius Practitioner Qualification — Registration and Front Office (CodeSystem)

Front-office staff who handle patient registration and therefore appear as Practitioner in the record.

Atrius Practitioner Qualification — Social and Community Care (CodeSystem)

Social work, professional homecare, and official volunteers who appear as Practitioner when they act in the care record.

Atrius Practitioner Qualification — Technical and Diagnostics (CodeSystem)

Laboratory, imaging, prosthetic, and other technical qualifications.

Atrius Practitioner Tier

Practitioner seniority band used as a rate dimension on ChargeItemDefinition. Not a compensation table — contracts and payout shares stay in Postgres. Tenants republish this CodeSystem id.

Atrius Privilege CodeSystem

Hospital privileging codes stamped on PractitionerRole.code for OT / OPD / IPD gates.

Atrius Room-Rent Policy

How a payer contract treats a stay above entitled bed category or above the room-rent cap.

Atrius Service Group

Service-group codes that discount matrices, package inclusion rules, and (in Postgres) payout rules key on. Tenants republish this CodeSystem id.

Atrius Supply Delivery Kind

Kinds of SupplyDelivery used for inventory audit projections (GRN receive, ward/OT issue).

Atrius Tariff Source

How the unit price on a ChargeItem was derived.

Atrius Uncontracted Behavior

What to do when a charge code has no contract schedule-of-charges row.

Atrius medication frequency codes

Common Indian inpatient prescribing frequencies (OD/BID/TDS/QID/…) used on MedicationRequest dosage and eMAR schedule expansion.

Hospital Formulary

Local hospital formulary / stock item codes for pharmacy MedicationDispense.

Content is a fragment: hospitals overlay their own codes. Example concepts illustrate the dual-coding pattern (formulary + SNOMED) used by AtriusInMedicationDispense.

ISO 4217 Currency codes (INR fragment)

Fragment of ISO 4217 Currency codes containing INR.

FHIR Money.currency is required from http://hl7.org/fhir/ValueSet/currencies (all codes from urn:iso:std:iso:4217). Local HTS does not serve that CodeSystem, which otherwise fails IG QA for every INR amount.

URI (RFC 3986) — DICOM SOP Class fragment

Fragment of urn:ietf:rfc:3986 containing DICOM SOP Class UID URNs used on ImagingStudy.series.instance.sopClass.

FHIR R4 represents SOP Class as a URI. This is not the full URI space — only codes this IG publishes for validation.

Terminology: Naming Systems

These define identifier and/or code system identities used by systems conforming to this implementation guide.

AtriusInAccession

Accession identifier namespace (Ops-4 lab + D9 imaging). Lab format ACC-{hospital}-{seq}; radiology format RAD-{hospital}-{suffix}. HIS SHALL stamp Specimen.identifier.system and imaging ServiceRequest/ImagingStudy accession identifiers with this URI.

AtriusInCanonical

Canonical namespace for Atrius India Core artifacts and measure identifiers.

AtriusInCdsHooksCard

Identifier namespace for CDS Hooks card ids persisted on GuidanceResponse.requestIdentifier (cds-server feedback). Value is the card uuid/id from the CDS Hooks response, not the service id (that is https://atrius.in/fhir/sid/cds-service).

AtriusInCdsHooksEndpoint

Base URI namespace for Atrius CDS Hooks service endpoints (cqf-cdsHooksEndpoint extension values under https://cds.atrius.in/cds-services/).

AtriusInCdsService

Identifier namespace for Atrius CDS Hooks service ids (PlanDefinition.identifier.system).

AtriusInDocument

Business document identifier on Bundle.type=document (ABDM-style clinical document wrappers). Value is the hospital document number (e.g. DOC-{year}-{seq}).

AtriusInEsignTxn

Aadhaar eSign transaction reference on RelatedPerson.identifier (and Consent Provenance agents). Records the ESP transaction id / masked signer reference returned by the eSign ceremony — never the Aadhaar number, which UIDAI prohibits storing (roadmap D10d).

AtriusInGrn

Goods Received Note (GRN) number on SupplyDelivery.identifier for inventory receive audit projections.

AtriusInGstin

Indian Goods and Services Tax Identification Number (GSTIN) on Organization (hospitalGstin extension). Value is the 15-character GSTIN (e.g. 29AABCU9603R1ZX).

AtriusInIrn

GST e-invoice Invoice Reference Number (IRN) on Invoice.identifier. Companion to AtriusInEinvoiceStatus / AtriusInEinvoiceAck for India e-invoicing lifecycle.

AtriusInMessageEvents

Event URIs for HIS $process-message (MessageDefinition.eventUri / MessageHeader.eventUri). Codes live in CodeSystem AtriusMessageEvents (https://atrius.in/fhir/message-events). Each uniqueId is the composed event URI {system}/{code}; the validator does not infer those URLs from the CodeSystem alone.

AtriusInPackageCase
Package-case Account identifier (encounter package-code) on AtriusInPackageCase. Allocation ledger is Postgres; this namespace identifies the published case header.
AtriusInPayerContract

Payer contract business identifier on AtriusInPayerContract (Contract). Distinguishes hospital–payer tariff agreements used for package pricing and claimable amounts.

AtriusInReadingQueue

Radiology reading-queue tag on ImagingStudy.identifier. Value names the worklist queue (e.g. radiology) for reporting workflow routing.

IRDAIProductUin

IRDAI Unique Identification Number (UIN) for a regulated insurance product. Used as InsurancePlan.identifier.system: the payer-issued product id that covers the combinations offered under that plan (NDHM InsurancePlan.identifier). Value is the UIN string (e.g. IRDAI product UIN or a PM-JAY product code in the same namespace). Do not use the bare website https://irdai.gov.in — that is not an identifier namespace.

NDHMFacilityId

Facility identifier system used in AtriusIn organization, practitioner role, and claim examples.

NDHMHealthId

Ayushman Bharat Health Account (ABHA) identifier system used in AtriusIn patient and practitioner examples.

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

ACS ECG Without STEMI Guidance

Continue ACS work-up when ECG shows no ST elevation

ACS Initial Troponin Not Elevated Guidance

Pathway guidance when initial troponin is not elevated

ACS STEMI Cath Lab Activation

Emergency cath lab activation when ECG shows STEMI

Atrius Critical Lab Value Alerts

Interruptive patient-view alerts for critical potassium, sodium, glucose, and troponin results

Atrius Discharge Readiness Advisory

Patient-view advisory for pending labs, active IV meds, or incomplete surgical checklist

Atrius Drug-Drug Interaction Check

Order-sign screening of draft medication orders against active prescriptions for curated interaction pairs

Atrius Imaging Appropriateness (Lumbar MRI)

Order-select advisory against early lumbar MRI for acute low back pain without red flags

Atrius OT Antibiotic Prophylaxis

Encounter-start reminder for peri-operative antibiotic prophylaxis on surgical encounters

Atrius Preventive Care Reminders

Colorectal screening and influenza vaccination reminders at chart open

Atrius Renal Dosing Check

Order-sign eGFR banding for renally-cleared medications with dose-adjusted replacement orders

Atrius VTE Prophylaxis Reminder

Encounter-start reminder for adult inpatient pharmacologic VTE prophylaxis

COPD / asthma exacerbation workup

Nebulized bronchodilators, systemic steroids, peak flow when feasible, and early senior review for life-threatening features.

Cardiogenic pulmonary edema / acute HF workup

Assess volume status and congestion; consider NIV for flash edema; diuresis and cardiology input.

Catalog — 12-lead ECG

Reusable radiology/cardiac imaging ActivityDefinition

Catalog — Aspirin

Reusable medication order ActivityDefinition

Catalog — Azithromycin

Reusable medication order ActivityDefinition

Catalog — B-type Natriuretic Peptide

Reusable lab order ActivityDefinition

Catalog — Basic Metabolic Panel

Reusable lab order ActivityDefinition

Catalog — Blood Culture

Reusable lab order ActivityDefinition

Catalog — CT Chest

Reusable radiology ActivityDefinition

Catalog — Cardiac Troponin I

Reusable lab order ActivityDefinition

Catalog — Cardiology Referral

Reusable referral ActivityDefinition

Catalog — Ceftriaxone

Reusable medication order ActivityDefinition

Catalog — Chest X-ray

Reusable radiology ActivityDefinition

Catalog — Clinical Assessment Task

Reusable assessment Task ActivityDefinition

Catalog — Colonoscopy Referral

Reusable referral ActivityDefinition

Catalog — Complete Blood Count

Reusable lab order ActivityDefinition

Catalog — Critical Lab Review Task

Reusable critical-value review Task ActivityDefinition

Catalog — Daily Weight Task

Reusable monitoring Task ActivityDefinition

Catalog — Emergency Medicine Service

Reusable referral ActivityDefinition

Catalog — Fecal Immunochemical Test

Reusable lab order ActivityDefinition

Catalog — Furosemide IV

Reusable medication order ActivityDefinition

Catalog — Gabapentin

Reusable medication order ActivityDefinition

Catalog — General Medicine Referral

Reusable referral ActivityDefinition

Catalog — IV Crystalloid Bolus

Reusable medication order ActivityDefinition

Catalog — Metformin

Reusable medication order ActivityDefinition

Catalog — Nursing Observation Task

Reusable nursing Task ActivityDefinition

Catalog — Paracetamol

Reusable medication order ActivityDefinition

Catalog — Seasonal Influenza Vaccine

Reusable immunization ActivityDefinition (ServiceRequest order)

Catalog — Serum Lactate

Reusable lab order ActivityDefinition

Catalog — Sodium-Restricted Diet Task

Reusable diet Task ActivityDefinition

Catalog — Surgical Checklist Task

Reusable checklist completion Task ActivityDefinition

Catalog — X-ray Lumbar Spine

Reusable radiology ActivityDefinition

ED Acute Breathlessness Clinical Pathway

ED dyspnea danger-sign gate, parallel stabilization, etiology classification, and branch-specific management

ED Acute Breathlessness Danger Signs Questionnaire

Danger-sign checklist that gates airway rescue before routine etiology workup

ED Acute Breathlessness Working Classification Questionnaire

Single-choice working etiology classification after danger-sign review and stabilization

ED Breathlessness — Call senior / ICU

Immediate senior emergency or critical-care help when danger signs are present.

ED Breathlessness — IV access

Establish large-bore IV access for fluids, bloods, and emergency medications.

ED Breathlessness — Peak expiratory flow

Measure peak expiratory flow (or FEV1 when available) to gauge severity of COPD / asthma exacerbation and response to bronchodilators.

ED Breathlessness — Prepare NIV

Prepare non-invasive ventilation (BiPAP/CPAP) when respiratory failure is present without immediate intubation indication.

ED Breathlessness — Prepare chest drain / needle decompression

Prepare equipment for needle decompression (tension) or tube thoracostomy when pneumothorax requires intervention.

ED Breathlessness — Prepare intubation (RSI)

Prepare rapid sequence intubation equipment and medications when airway protection or refractory hypoxemia requires invasive ventilation.

ED Breathlessness — Start supplemental oxygen

Start and titrate supplemental oxygen to target SpO2 per local protocol; consider high-flow nasal cannula when standard delivery is insufficient.

ER Chest Pain Clinical Pathway

ED chest pain triage, QuestionnaireResponse classification, and branch-specific order sets

ER Chest Pain Initial Assessment

Initial clinical assessment step for ER chest pain pathway

ER Chest Pain Working Classification Questionnaire

Single-choice working etiology classification after initial ED assessment

Example Atrius India Core Patient

Example patient for Atrius India Core actor profile illustrations.

Example AtriusIn AdverseEvent

Actual mild rash after penicillin exposure.

Example AtriusIn AllergyIntolerance

Penicillin allergy with rash manifestation.

Example AtriusIn Anesthesia Record

Anesthesia record with pre-eval, airway, agents, monitoring, and PACU handoff.

Example AtriusIn Bed Location

Vacant inpatient bed in Medical Ward A.

Example AtriusIn Binary

Embedded plain-text prescription payload.

Example AtriusIn BiologicallyDerivedProduct — PRBC

Chart-side packed red cell unit identity.

Example AtriusIn BodyStructure

Active body structure for the left lower lobe of lung.

Example AtriusIn Booked OPD Appointment

Booked follow-up visit linked to a free slot and OPD actors.

Example AtriusIn CarePlan

Active hypertension care plan referencing the BP goal.

Example AtriusIn CarePlan Assess Plan

Assessment-and-plan care plan with the required assess-plan category slice.

Example AtriusIn CareTeam

Inpatient treating team with attending physician.

Example AtriusIn ChargeItem — ICU bed day with room-rent deduction

Posted ICU bed-day priced from rate version 3 under the example payer contract. Occupied ICU vs entitled general yields cap-delta-to-patient. Professional/facility amounts are the billed split, not a payout instruction.

Example AtriusIn ChargeItem — OPD consult

Posted OPD consultation charge with HSN, GST class, department, schedule ref, and line GST breakdown.

Example AtriusIn ChargeItemDefinition — ICU bed day

Rate row for ICU bed-day on the cash IP schedule, versioned by effectivePeriod, with practitioner-tier left open (facility rate).

Example AtriusIn ChargeItemDefinition — OPD consult

Billing item master for OPD consultation with HSN/SAC, GST rate class, item type, department, and schedule-of-charges ref.

Example AtriusIn ChargeItemDefinition — surgical package

Package definition with inclusion cap, aggregate investigation bucket, and professional fee split. The fee split is the package's declared surgeon/anaesthetist/assistant shares, not a practitioner payout contract.

Example AtriusIn Claim

Institutional claim example for AtriusIn CQL.

Example AtriusIn Claim Bundle

Collection Bundle wrapping the institutional Claim example.

Example AtriusIn ClaimResponse

Adjudicated institutional claim response for the example claim.

Example AtriusIn ClaimResponse Bundle

Collection Bundle wrapping the ClaimResponse example.

Example AtriusIn Communication

Completed discharge counselling note to the patient.

Example AtriusIn Communication Not Done

Attempted family update that was not completed.

Example AtriusIn CommunicationRequest

Active request to call the next of kin with an admission update.

Example AtriusIn Condition Encounter Diagnosis

Encounter diagnosis for AtriusIn CQL condition retrieves (ICD-10 only).

Example AtriusIn Condition Encounter Diagnosis (dual ICD-10/11)

Encounter diagnosis with both WHO ICD-10 and ICD-11 MMS codings. Matches the atrius-his MRD dual-coding write path: coder selects ICD-11 cluster 1D2Z&XK9J in the Embedded Coding Tool; HIS derives ICD-10 A97 via HTS ConceptMap $translate and stamps atrius-code-derived on the mapped Coding, atrius-icd11-stem on the cluster, and atrius-idsp-reportable when the diagnosis is notifiable.

Example AtriusIn Condition — problem list

Active problem-list item for essential hypertension.

Example AtriusIn Consent

Active treatment consent for the inpatient stay.

Example AtriusIn Coverage

PM-JAY coverage for claim example.

Example AtriusIn CoverageEligibilityRequest

Benefits discovery request against the example PM-JAY coverage.

Example AtriusIn CoverageEligibilityRequest Bundle

Collection Bundle wrapping the eligibility request example.

Example AtriusIn CoverageEligibilityResponse

In-force benefits response for the eligibility request.

Example AtriusIn CoverageEligibilityResponse Bundle

Collection Bundle wrapping the eligibility response example.

Example AtriusIn Device

Patient-bound glucometer.

Example AtriusIn Device Prohibited

doNotPerform device request: CPAP declined.

Example AtriusIn Device Requested

Positive device order (doNotPerform false) for incentive spirometer.

Example AtriusIn DeviceRequest

Active order for a wheelchair.

Example AtriusIn DeviceUseStatement

Active use of the example glucometer.

Example AtriusIn Diagnostic Report Record

Composition wrapping the laboratory DiagnosticReport and a DocumentReference.

Example AtriusIn DiagnosticReport Imaging

Final radiology report derived from DiagnosticReportNote.

Example AtriusIn DiagnosticReport Lab

Final CBC laboratory report with a hemoglobin result.

Example AtriusIn DiagnosticReport Note

Radiology report note for the chest X-ray ImagingStudy.

Example AtriusIn Discharge Summary Record

Inpatient discharge summary Composition with NDHM-aligned sections.

Example AtriusIn Document Bundle

ABDM-style document Bundle whose first entry is the OP consult Composition, with all referenced resources inlined.

Example AtriusIn DocumentReference

Clinical attachment with embedded payload.

Example AtriusIn Encounter

Outpatient encounter for clinical examples.

Example AtriusIn Encounter — telemedicine

Virtual encounter carrying staff and patient video join URL extensions (Wave Workforce Wf-4).

Example AtriusIn Equipment Device

Facility defibrillator with next planned service date (not patient-bound).

Example AtriusIn FamilyMemberHistory

Father with coronary artery disease.

Example AtriusIn Flag

Active fall-risk flag.

Example AtriusIn Goal

Blood pressure control goal.

Example AtriusIn Group

Enumerated person group for a diabetes education cohort.

Example AtriusIn GuidanceResponse

CDS Hooks card feedback (accepted) persisted from atrius-critical-labs.

Example AtriusIn Health Document Record

Unstructured health document Composition pointing at a DocumentReference.

Example AtriusIn IPD Account

Active inpatient finance account with encounter, credit limit, linked PaymentNotice and ChargeItem.

Example AtriusIn ImagingStudy

Available chest X-ray study with one series, accession, and reading-queue identifier.

Example AtriusIn Immunization

Seasonal influenza vaccination with brand-name extension.

Example AtriusIn Immunization Done

Completed tetanus toxoid dose.

Example AtriusIn Immunization Not Done

Influenza vaccine not given; patient declined.

Example AtriusIn Immunization Record

Immunization Composition with immunization, recommendation, and document entries.

Example AtriusIn ImmunizationEvaluation

Valid influenza dose evaluation.

Example AtriusIn ImmunizationRecommendation

Due recommendation for next seasonal influenza vaccine.

Example AtriusIn Inpatient Encounter

In-progress inpatient encounter on a bed with linked EpisodeOfCare.

Example AtriusIn Inpatient EpisodeOfCare

Active inpatient episode linked to an admitting Encounter.

Example AtriusIn Inpatient Procedure Note

Bedside procedure note with indication, procedure, and findings.

Example AtriusIn Inpatient Progress Note

Ward SOAP progress note.

Example AtriusIn InsurancePlan

PM-JAY style product with claim exclusion, covered-condition, and supporting-info requirement extensions.

Example AtriusIn InsurancePlan Bundle

Collection Bundle wrapping the InsurancePlan example.

Example AtriusIn Invoice Record

Billing invoice Composition wrapping the cash Invoice.

Example AtriusIn Invoice — cash

Cash OPD invoice with place of supply, e-invoice IRN/ack, HSN and GST breakdown on the line.

Example AtriusIn Media

Chest radiograph still image (1×1 PNG placeholder).

Example AtriusIn Medication

Paracetamol 500 mg tablet as a Medication resource (batch + manufacturer).

Example AtriusIn Medication Prohibited

doNotPerform order documenting that NSAIDs should not be given.

Example AtriusIn Medication Requested

Positive (doNotPerform false) inpatient enoxaparin order.

Example AtriusIn MedicationAdministration

Completed eMAR administration; scheduled-time is the chart slot, effectiveDateTime is actual given time.

Example AtriusIn MedicationAdministration Not Done

Charted missed dose with statusReason.

Example AtriusIn MedicationDispense

In-progress pharmacy prepare with formulary + SNOMED dual coding.

Example AtriusIn MedicationDispense (pharmacy fill)

Completed inpatient pharmacy fill handed over to the ward.

Example AtriusIn MedicationDispense Declined

Pharmacy declined fill (stock-out) with statusReason.

Example AtriusIn MedicationRequest

Inpatient paracetamol order with Atrius dosage-frequency shorthand for eMAR expansion.

Example AtriusIn MedicationStatement

Home metformin that the patient reports taking on admission.

Example AtriusIn NutritionOrder

Active low-sodium oral diet for the inpatient encounter.

Example AtriusIn OP Consult Record

Final NDHM-aligned outpatient consultation note with SNOMED section codes and structured section entries.

Example AtriusIn OPD Clinic Location

Outpatient clinic location for scheduling examples.

Example AtriusIn OPD HealthcareService

General OPD service for scheduling examples.

Example AtriusIn OPD Schedule with Weekly Recurrence

Dr Mehta general OPD — weekdays 09:00 IST, 30-minute slots, 14-day planning horizon.

Example AtriusIn OPD Slot (09:30 free)

Free 30-minute OPD slot materialized from the weekday schedule.

Example AtriusIn OPD Slot (10:00 free)

Second free slot on the same OPD day.

Example AtriusIn OT Room Location

Operating theatre room under Medical Ward A.

Example AtriusIn Observation Body Measurement

Body weight.

Example AtriusIn Observation General Assessment

General well-being assessment.

Example AtriusIn Observation Lifestyle

Tobacco smoking status.

Example AtriusIn Observation Physical Activity

Self-reported weekly exercise.

Example AtriusIn Observation Vital Signs

Blood pressure vital sign for AtriusIn CQL observation retrieves.

Example AtriusIn Observation Women Health

Last menstrual period.

Example AtriusIn Observation — hemoglobin

Final hemoglobin result referenced from the laboratory DiagnosticReport.

Example AtriusIn Observation — transfusion reaction

No adverse reaction during the example PRBC transfusion.

Example AtriusIn Operative Note

Operative note with pre-op diagnosis, procedure, findings, specimens, and post-op plan.

Example AtriusIn Organization

Example hospital organization for AtriusIn actor profile illustrations.

Example AtriusIn Organization — insurer

Insurer Organization used as Contract.authority / payor.

Example AtriusIn Package Case

Surgical package-case Account on the inpatient encounter. Allocation ledger is Postgres; this is the published header.

Example AtriusIn Payer Contract

Versioned insurer contract with entitled general-ward cap-delta room-rent policy and one lab discount-matrix row. Practitioner compensation is not on this resource.

Example AtriusIn PaymentNotice — deposit

IPD advance deposit against the inpatient account.

Example AtriusIn PaymentReconciliation

Payer remittance for the institutional claim example.

Example AtriusIn Practitioner

Example practitioner for AtriusIn actor profile illustrations.

Example AtriusIn PractitionerRole

Example practitioner role linking a clinician to a hospital.

Example AtriusIn Prescription Record

Prescription Composition with MedicationRequest and Binary entries.

Example AtriusIn Procedure

Completed bedside ultrasound.

Example AtriusIn Procedure Not Done

Colonoscopy not performed; patient declined.

Example AtriusIn Procedure — transfusion
Completed PRBC transfusion. R4 Procedure.usedReference targets Device Medication Substance; the chart BDP unit remains a standalone example.
Example AtriusIn Referral Note

Cardiology consultant note fulfilling a referral ServiceRequest.

Example AtriusIn RelatedPerson

Example next-of-kin / attendant who may consent for an admitted patient (D10d). Carries an eSign transaction reference — never an Aadhaar number.

Example AtriusIn RequestGroup

Order-set group applying a CBC ServiceRequest.

Example AtriusIn Service Not Requested

Negated service request for AtriusIn CQL.

Example AtriusIn ServiceRequest — CBC

Active laboratory order for complete blood count.

Example AtriusIn ServiceRequest — PRBC

Transfusion order for packed red cells.

Example AtriusIn ServiceRequest — cardiology referral

CPOE referral order (SNOMED Patient referral category) awaiting the specialist's Referral Note.

Example AtriusIn ServiceRequest — chest X-ray

Active imaging order with radiology accession and Study Instance UID.

Example AtriusIn Specimen — venous blood

Venous blood specimen for the CBC laboratory report.

Example AtriusIn Substance

Iohexol contrast used in imaging.

Example AtriusIn Substance — PRBC

R4-legal Procedure.usedReference target representing the packed red cell product used in the transfusion example.

Example AtriusIn Surgical Consent

Active surgical consent linked to the inpatient encounter.

Example AtriusIn Task

In-progress nursing observation task.

Example AtriusIn Task Bundle

Collection Bundle wrapping the nursing Task example.

Example AtriusIn Task Rejected

Rejected lab collection task with statusReason.

Example AtriusIn Ward Location

Medical ward for bed hierarchy examples.

Example AtriusIn Wellness Record

PHR wellness Composition covering vital signs, body measurement, activity, assessment, women health, lifestyle, and attachment sections.

Example ED Encounter — Chest Pain

Emergency encounter with chest pain chief complaint for ER chest pain pathway examples.

Example ER Chest Pain Classification — ACS

Completed classification QuestionnaireResponse selecting ACS for the demo ED encounter.

Example GRN SupplyDelivery

Completed goods-received note with one line item (batch + expiry).

Example OP consult chief complaint

Chief complaint Condition entry referenced from the OP consult Composition ChiefComplaints section.

Example OP consult clinical finding

Assessment Observation entry referenced from the OP consult Composition OtherObservations section.

Example OP consult follow-up plan

Rest, follow up in 1 week, return if worsening

Example OP consult medical history

History of present illness Condition entry referenced from the OP consult Composition MedicalHistory section.

Example OP consult physical examination

Physical examination Observation entry referenced from the OP consult Composition PhysicalExamination section.

Example patient visit feedback

Completed OPD satisfaction QuestionnaireResponse for atrius-patient-feedback.

Deterministic id convention in HIS: qr-feedback-{encounterId}.

HF Admission — ED Eligibility

Confirm basic clinical features for acute decompensated heart failure before starting the HF admission clinical protocol.

Heart Failure Admission Protocol

Daily weights, sodium restriction, IV furosemide, and baseline BNP at heart failure admission

Lab — D-dimer

Fibrin D-dimer for PE / VTE workup when pretest probability is low–intermediate.

Medication — Enoxaparin (LMWH)

Low-molecular-weight heparin for suspected or confirmed pulmonary embolism when anticoagulation is indicated.

Medication — Prednisolone

Systemic corticosteroid for COPD / asthma exacerbation.

Medication — Salbutamol nebulizer

Nebulized short-acting beta-agonist for COPD / asthma exacerbation.

Non-cardiac — Pleurisy / pneumonia workup

Chest imaging, pulse oximetry, inflammatory markers; antibiotics when bacterial pneumonia confirmed.

Non-cardiac — Pneumothorax workup

Upright chest radiograph or bedside ultrasound; consider needle decompression or chest tube per severity.

Other / unclear breathlessness workup

Reassess history and examination; broaden differential and obtain senior / general medicine review when etiology remains unclear.

Other cardiac — Aortic dissection workup

CT angiography aorta, blood pressure control in both arms, surgical/cardiac surgery consult when suspected.

Other cardiac — Pericarditis workup

ECG, inflammatory markers, echocardiography; consider NSAIDs/colchicine per protocol.

Other — Heartburn / GERD

Trial of antacid or PPI; discharge advice; cardiology follow-up only if atypical features persist.

Other — Musculoskeletal chest pain

Reassurance, analgesia, avoid unnecessary cardiac workup when diagnosis is clear.

Patient Visit Feedback

Short OPD visit satisfaction questionnaire (NABH). Staff or patient captures ratings after checkout.

Pneumonia / infection workup

Cultures when sepsis suspected, inflammatory markers, and empiric antibiotics per local protocol.

Pneumothorax workup

Confirm with imaging or bedside ultrasound; decompress or place chest drain for tension or significant symptoms.

Pulmonary embolism workup

Risk stratify (Wells/PERC), D-dimer when appropriate, CT pulmonary angiography, and anticoagulation when indicated.

Radiology — Transthoracic echocardiogram

Bedside or formal transthoracic echocardiography for cardiac function and congestion assessment.

Referral — ENT consult

Otolaryngology (ENT) consultation for airway compromise, stridor, or suspected epiglottitis / foreign body.

Referral — Pulmonology / respiratory medicine

Respiratory medicine consultation for severe COPD/asthma or complex dyspnea.

Sepsis Management Bundle

SIRS-based sepsis screening with hour-1 bundle order set

SubscriptionTopic — Appointment changes

R4 backport Basic topic for Appointment create/update

SubscriptionTopic — Encounter admit

R4 backport Basic topic for Encounter admit (in-progress)

SubscriptionTopic — Encounter discharge

R4 backport Basic topic for Encounter discharge (finished)

SubscriptionTopic — Encounter lifecycle

R4 backport Basic topic for Encounter create/update (HIS bed board / ADT)

SubscriptionTopic — Encounter transfer

R4 backport Basic topic for Encounter location transfer

SubscriptionTopic — Lab Task lifecycle

R4 backport Basic topic for lab fulfillment Task create/update

SubscriptionTopic — Lab result critical

R4 backport Basic topic for critical laboratory Observation (CDS pipeline)

SubscriptionTopic — Lab result final

R4 backport Basic topic for final laboratory Observation

SubscriptionTopic — Medication administered

R4 backport Basic topic for MedicationAdministration completed (eMAR)

SubscriptionTopic — Medication order lifecycle

R4 backport Basic topic for MedicationRequest create/update

Surgical Safety Checklist Gate

Encounter-start reminder when a surgical encounter has no completed WHO checklist response

Surgical Safety Checklist Questionnaire

WHO surgical safety checklist (abridged) — sign-in, time-out, sign-out

Surgical Safety Checklist Workflow

Sequential WHO surgical safety checklist phases: sign-in, time-out, and sign-out.

Upper airway obstruction workup

Assess stridor, angioedema, foreign body, or epiglottitis; involve ENT/anesthesia early; avoid agitating the patient.