Clinical Practice Guidelines
2.0.0 - STU2
Clinical Practice Guidelines
2.0.0 - STU2
Clinical Practice Guidelines, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cqf-recommendations/ and changes regularly. See the Directory of published versions
| Active as of 2026-04-29 |
<Measure xmlns="http://hl7.org/fhir">
<id value="chf-urine-out-measure"/>
<meta>
<profile
value="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-computablemetric"/>
</meta>
<language value="en"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table class="narrative-table">
<tbody>
<tr>
<th colspan="2" scope="row" class="row-header">Metadata</th>
</tr>
<tr>
<th scope="row" class="row-header">Title</th>
<td class="content-container">CHF Urine Out Metric</td>
</tr>
<tr>
<th scope="row" class="row-header">Version</th>
<td class="content-container">2.0.0</td>
</tr>
<tr>
<th scope="row" class="row-header">Identifier</th>
<td class="content-container">urn:oid:2.16.840.1.113883.4.642.40.48.29.4</td>
</tr>
<tr>
<th scope="row" class="row-header">Experimental</th>
<td class="content-container">true</td>
</tr>
<tr>
<th scope="row" class="row-header">Jurisdiction</th>
<td class="content-container">
World
</td>
</tr>
<tr>
<th scope="row" class="row-header">Steward (Publisher)</th>
<td class="content-container">HL7 International / Clinical Decision Support</td>
</tr>
<tr>
<th scope="row" class="row-header">Steward Contact</th>
<td class="content-container">HL7 International / Clinical Decision Support</td>
</tr>
<tr>
<th scope="row" class="row-header">Description</th>
<td class="content-container"><div><p>Urine output metric as a feature of a congestive heart failure pathway</p>
</div></td>
</tr>
<tr>
<th scope="row" class="row-header">Measure Scoring</th>
<td class="content-container">
continuous-variable from <a href="http://terminology.hl7.org/7.1.0/CodeSystem-measure-scoring.html">http://terminology.hl7.org/CodeSystem/measure-scoring</a>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Improvement Notation</th>
<td class="content-container">
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>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Measure Group (Rate)</th>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Measure Logic</th>
</tr>
<tr>
<th scope="row" class="row-header">Primary Library</th>
<td class="content-container"><a href="Library-CHF.html">CHF</a></td>
</tr>
<tr>
<th scope="row" class="row-header">Contents</th>
<td class="content-container">
<em><a href="#population-criteria">Population Criteria</a></em>
<br/>
<em><a href="#definitions">Logic Definitions</a></em>
<br/>
<em><a href="#terminology">Terminology</a></em>
<br/>
<em><a href="#dependencies">Dependencies</a></em>
<br/>
<em><a href="#data-requirements">Data Requirements</a></em>
<br/>
<em><a href="#parameters">Parameters</a></em>
<br/>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header"><a name="population-criteria"> </a>Population Criteria</th>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Measure Group (Rate)</th>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header"><a name="definitions"> </a>Logic Definitions</th>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> CHF</td>
</tr>
<tr>
<td>
<a name="chf-urine-output"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "Urine Output":
[Observation: "Urine output"] O
where O.status = 'final'
and references(O.encounter, Encounter)</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> CHF</td>
</tr>
<tr>
<td>
<a name="chf-current-urine-output"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define "Current Urine Output":
First("Urine Output" UO where UO.issued same day as Today() sort by issued descending)</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> CHF</td>
</tr>
<tr>
<td>
<a name="chf-references"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">// TODO: Handle contained references
// TODO: Handle bundle references
// TODO: Handle remote references
define function references(reference Reference, encounter Encounter):
EndsWith(reference.reference, '/' + encounter.id)</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> FHIRHelpers</td>
</tr>
<tr>
<td>
<a name="fhirhelpers-tostring"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToString(value ObservationStatus): value.value</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> FHIRHelpers</td>
</tr>
<tr>
<td>
<a name="fhirhelpers-tostring"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToString(value string): value.value</code></pre>
</td>
</tr>
<tr>
<th scope="row" rowspan="2" class="row-header">
Logic Definition
</th>
<td class="content-container"><em>Library Name:</em> FHIRHelpers</td>
</tr>
<tr>
<td>
<a name="fhirhelpers-todatetime"> </a>
<pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToDateTime(value instant): value.value</code></pre>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header"><a name="terminology"> </a>Terminology</th>
</tr>
<tr>
<th scope="row" class="row-header">Code System</th>
<td class="content-container">
<em>Description</em>: Code system LOINC
<br/>
<em>Resource</em>: <a href="http://tx.fhir.org/r4/ValueSet/x-loinc2.82">LOINC</a>
<br/>
<em>Canonical URL</em>: <tt>http://loinc.org</tt>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Direct Reference Code</th>
<td class="content-container">
<em>Code</em>: 9192-6
<br/>
<em>System</em>: <tt>http://loinc.org</tt>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header"><a name="dependencies"> </a>Dependencies</th>
</tr>
<tr>
<th scope="row" class="row-header">Dependency</th>
<td class="content-container">
<em>Description</em>: Library FHIRHelpers
<br/>
<em>Resource</em>: <code>http://hl7.org/fhir/Library/FHIRHelpers|4.0.1</code>
<br/>
<em>Canonical URL</em>: <tt>http://hl7.org/fhir/Library/FHIRHelpers|4.0.1</tt>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header"><a name="data-requirements"> </a>Data Requirements</th>
</tr>
<tr>
<th scope="row" class="row-header">Data Requirement</th>
<td class="content-container">
<em>Type</em>: Observation
<br/>
<em>Profile(s)</em>:
<a href="http://hl7.org/fhir/R4/observation.html">Observation</a>
<br/>
<em>Must Support Elements</em>: code, status, encounter, issued
<br/>
<em>Code Filter(s)</em>:
<br/>
<span class="tab-one"><em>Path</em>: code</span>
<br/>
<span class="tab-one"><em>Code(s)</em>:
<a href="https://loinc.org/9192-6">LOINC: 9192-6</a> (Urine output 24 hour)
</span>
<br/>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header"><a name="parameters"> </a>Parameters</th>
</tr>
<tr>
<th scope="row" class="row-header"/>
<td class="content-container">
<table>
<thead>
<tr>
<td><em>Name</em></td>
<td><em>Use</em></td>
<td><em>Card.</em></td>
<td><em>Type</em></td>
<td><em>Documentation</em></td>
</tr>
</thead>
<tbody>
<tr>
<td>Encounter</td>
<td>In</td>
<td>0..1</td>
<td>Encounter</td>
<td/>
</tr>
<tr>
<td>Current Urine Output</td>
<td>Out</td>
<td>0..1</td>
<td>Observation</td>
<td/>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Generated using version 0.5.4 of the sample-content-ig Liquid templates</th>
</tr>
</tbody>
</table>
</div>
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[Observation: "Urine output"] O
where O.status = 'final'
and references(O.encounter, Encounter)"/>
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// TODO: Handle bundle references
// TODO: Handle remote references
define function references(reference Reference, encounter Encounter):
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<type>
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<display value="Library FHIRHelpers"/>
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<type value="depends-on"/>
<display value="Code system LOINC"/>
<resource value="http://loinc.org"/>
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<parameter>
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<use value="in"/>
<min value="0"/>
<max value="1"/>
<type value="Encounter"/>
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<parameter>
<name value="Current Urine Output"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="Observation"/>
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<dataRequirement>
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<profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
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<mustSupport value="status"/>
<mustSupport value="encounter"/>
<mustSupport value="issued"/>
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<extension
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<valueCanonical value="#effective-data-requirements"/>
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<url value="http://hl7.org/fhir/uv/cpg/Measure/chf-urine-out-measure"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.16.840.1.113883.4.642.40.48.29.4"/>
</identifier>
<version value="2.0.0"/>
<name value="CHFUrineOut"/>
<title value="CHF Urine Out Metric"/>
<status value="active"/>
<experimental value="true"/>
<date value="2026-04-29T15:06:55+00:00"/>
<publisher value="HL7 International / Clinical Decision Support"/>
<contact>
<name value="HL7 International / Clinical Decision Support"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/dss"/>
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<description
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<code value="001"/>
<display value="World"/>
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<scoring>
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<code value="continuous-variable"/>
</coding>
</scoring>
<improvementNotation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="decrease"/>
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</improvementNotation>
<group>
<population>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="measure-observation"/>
</coding>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Current Urine Output"/>
</criteria>
</population>
</group>
</Measure>
IG © 2023+ HL7 International / Clinical Decision Support.
Package hl7.fhir.uv.cpg#2.0.0 based on FHIR 4.0.1.
Generated
2026-04-29
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