{
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  "meta" : {
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  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n  <table class=\"narrative-table\">\n    <tbody>\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Metadata</th>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Title</th>\n\n\n\n<td class=\"content-container\">CHF Urine Out Metric</td>\n\n\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Version</th>\n\n\n\n<td class=\"content-container\">2.0.0</td>\n\n\n</tr>\n\n\n\n\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Identifier</th>\n\n\n\n<td class=\"content-container\">urn:oid:2.16.840.1.113883.4.642.40.48.29.4</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Experimental</th>\n\n\n\n<td class=\"content-container\">true</td>\n\n\n</tr>\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Jurisdiction</th>\n\n\n\n<td class=\"content-container\">\n    World\n\n\n</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Steward (Publisher)</th>\n\n\n\n<td class=\"content-container\">HL7 International / Clinical Decision Support</td>\n\n\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Steward Contact</th>\n\n\n\n<td class=\"content-container\">HL7 International / Clinical Decision Support</td>\n\n\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n\n\n<td class=\"content-container\"><div><p>Urine output metric as a feature of a congestive heart failure pathway</p>\n</div></td>\n\n\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Measure Scoring</th>\n\n\n\n<td class=\"content-container\">\n    continuous-variable from <a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-measure-scoring.html\">http://terminology.hl7.org/CodeSystem/measure-scoring</a> \n\n\n</td>\n\n\n</tr>\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Improvement Notation</th>\n\n\n\n<td class=\"content-container\">\n    decrease from <a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-measure-improvement-notation.html\">http://terminology.hl7.org/CodeSystem/measure-improvement-notation</a> \n\n\n</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n  \n  \n  \n    <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Group (Rate)</th>\n\n\n</tr>\n  \n  \n  \n\n\n\n\n\n\n\n\n\n\n\n  \n\n  \n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Logic</th>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Primary Library</th>\n\n\n\n<td class=\"content-container\"><a href=\"Library-CHF.html\">CHF</a></td>\n\n\n</tr>\n\n\n\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Contents</th>\n  <td class=\"content-container\">\n    <em><a href=\"#population-criteria\">Population Criteria</a></em>\n    <br/>\n    <em><a href=\"#definitions\">Logic Definitions</a></em>\n    <br/>\n    <em><a href=\"#terminology\">Terminology</a></em>\n    <br/>\n    <em><a href=\"#dependencies\">Dependencies</a></em>\n    <br/>\n    <em><a href=\"#data-requirements\">Data Requirements</a></em>\n    <br/>\n    <em><a href=\"#parameters\">Parameters</a></em>\n    <br/>\n  </td>\n</tr>\n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"population-criteria\"> </a>Population Criteria</th>\n\n\n</tr>\n  \n  \n  \n\n  \n  \n  \n    <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Group (Rate)</th>\n\n\n</tr>\n  \n  \n  \n\n  \n\n\n  \n\n  \n  \n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"definitions\"> </a>Logic Definitions</th>\n\n\n</tr>\n  \n  \n          \n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> CHF</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"chf-urine-output\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;Urine Output&quot;:\n  [Observation: &quot;Urine output&quot;] O\n    where O.status = 'final'\n    and references(O.encounter, Encounter)</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> CHF</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"chf-current-urine-output\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define &quot;Current Urine Output&quot;:\n  First(&quot;Urine Output&quot; UO where UO.issued same day as Today() sort by issued descending)</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> CHF</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"chf-references\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">// TODO: Handle contained references\n// TODO: Handle bundle references\n// TODO: Handle remote references\ndefine function references(reference Reference, encounter Encounter):\n  EndsWith(reference.reference, '/' + encounter.id)</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n\n\n        \n        \n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"fhirhelpers-tostring\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define function ToString(value ObservationStatus): value.value</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"fhirhelpers-tostring\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define function ToString(value string): value.value</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"fhirhelpers-todatetime\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define function ToDateTime(value instant): value.value</code></pre>\n  </td>\n\n</tr>\n\n\n\n\n\n  \n  \n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"terminology\"> </a>Terminology</th>\n\n\n</tr>\n  \n  \n  \n\n \n\n\n<tr>\n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Code System</th>\n\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Code system LOINC\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"http://tx.fhir.org/r4/ValueSet/x-loinc2.82\">LOINC</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://loinc.org</tt>\n    \n  </td>\n</tr>\n \n\n\n  \n  <tr>\n    <th scope=\"row\" class=\"row-header\">Direct Reference Code</th>\n    <td class=\"content-container\">\n      \n      <em>Code</em>: 9192-6\n      <br/>\n      <em>System</em>: <tt>http://loinc.org</tt>\n    </td>\n  </tr>\n\n  \n  \n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"dependencies\"> </a>Dependencies</th>\n\n\n</tr>\n  \n  \n  \n\n\n<tr>\n  \n\n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n\n  <td class=\"content-container\">\n    \n    <em>Description</em>: Library FHIRHelpers\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <code>http://hl7.org/fhir/Library/FHIRHelpers|4.0.1</code>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://hl7.org/fhir/Library/FHIRHelpers|4.0.1</tt>\n    \n  </td>\n</tr>\n \n\n \n\n\n  \n  \n\n\n\n\n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"data-requirements\"> </a>Data Requirements</th>\n\n\n</tr>\n  \n  \n  \n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Observation\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/R4/observation.html\">Observation</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: code, status, encounter, issued\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: code</span>\n    <br/>\n  \n  \n  \n  \n    <span class=\"tab-one\"><em>Code(s)</em>: \n    \n      \n      <a href=\"https://loinc.org/9192-6\">LOINC: 9192-6</a> (Urine output 24 hour)\n      \n    \n    </span>\n    <br/>\n  \n  \n   \n  </td>\n</tr>\n\n  \n  \n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"parameters\"> </a>Parameters</th>\n\n\n</tr>\n  \n  \n  <tr>\n  \n\n<th scope=\"row\" class=\"row-header\"/>\n\n\n  <td class=\"content-container\">\n    <table>\n      <thead>\n        <tr>\n          <td><em>Name</em></td>\n          <td><em>Use</em></td>\n          <td><em>Card.</em></td>\n          <td><em>Type</em></td>\n          <td><em>Documentation</em></td>\n        </tr>\n      </thead>\n      <tbody>\n      \n        <tr>\n          <td>Encounter</td>\n          <td>In</td>\n          <td>0..1</td>\n          <td>Encounter</td>\n          <td/>\n        </tr>\n      \n        <tr>\n          <td>Current Urine Output</td>\n          <td>Out</td>\n          <td>0..1</td>\n          <td>Observation</td>\n          <td/>\n        </tr>\n      \n      </tbody>\n    </table>\n  </td>\n</tr>\n\n  \n  \n\n<tr>\n  <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.5.4 of the sample-content-ig Liquid templates</th>\n</tr>\n\n    </tbody>\n  </table>\n</div>"
  },
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      }],
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    {
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    "dataRequirement" : [{
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  "url" : "http://hl7.org/fhir/uv/cpg/Measure/chf-urine-out-measure",
  "identifier" : [{
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    "value" : "urn:oid:2.16.840.1.113883.4.642.40.48.29.4"
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  "version" : "2.0.0",
  "name" : "CHFUrineOut",
  "title" : "CHF Urine Out Metric",
  "status" : "active",
  "experimental" : true,
  "date" : "2026-04-29T15:06:55+00:00",
  "publisher" : "HL7 International / Clinical Decision Support",
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  }],
  "description" : "Urine output metric as a feature of a congestive heart failure pathway",
  "jurisdiction" : [{
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      "code" : "001",
      "display" : "World"
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      },
      "criteria" : {
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        "expression" : "Current Urine Output"
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  }]
}