Structured Data Capture
4.0.0-ci-build - STU 4 CI-build International flag

Structured Data Capture, published by HL7 International / FHIR Infrastructure. This guide is not an authorized publication; it is the continuous build for version 4.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/sdc/ and changes regularly. See the Directory of published versions

: Congestive Heart Failure Logic

Page standards status: Informative

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Library ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "sdc-CHF"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-library"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-library>     ] )
  ] ; # 
  fhir:language [ fhir:v "en"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<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\">Congestive Heart Failure Logic</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\">4.0.0-ci-build</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:2.16.840.1.113883.4.642.40.17.28.1</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 / FHIR Infrastructure</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 / FHIR Infrastructure</td>\n\n\n</tr>\n\n\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>Logic for an example congestive heart failure pathway</p>\n</div></td>\n\n\n</tr>\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Type</th>\n\n\n\n<td class=\"content-container\">\n    Logic Library\n\n\n</td>\n\n\n</tr>\n\n\n\n<tr>\n  \n  \n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: SNOMED CT\n    \n    <br/>\n    \n    \n    \n    \n    <em>Content URL</em>: <a href=\"https://browser.ihtsdotools.org/\">http://snomed.info/sct</a>\n    \n    <br/>\n    \n    \n    \n    <em>Document</em>: null @ http://snomed.info/sct\n    \n    \n    \n    <em>Resource</em>: <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://snomed.info/sct</tt>\n    \n    \n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: LOINC\n    \n    <br/>\n    \n    \n    \n    \n    <em>Content URL</em>: <a href=\"https://loinc.org/\">http://loinc.org</a>\n    \n    <br/>\n    \n    \n    \n    <em>Document</em>: null @ http://loinc.org\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    \n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Congestive heart failure codes\n    \n    <br/>\n    \n    \n    \n    \n    <em>Content URL</em>: <a href=\"CodeSystem-chf-codes.html\">http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes</a>\n    \n    <br/>\n    \n    \n    \n    <em>Document</em>: null @ http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes\n    \n    \n    \n    <em>Resource</em>: <a href=\"CodeSystem-chf-codes.html\">CHF Codes</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes</tt>\n    \n    \n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Clinical condition codes\n    \n    <br/>\n    \n    \n    \n    \n    <em>Content URL</em>: <a href=\"http://hl7.org/fhir/R4/codesystem-condition-clinical.html\">http://terminology.hl7.org/CodeSystem/condition-clinical</a>\n    \n    <br/>\n    \n    \n    \n    <em>Document</em>: null @ http://terminology.hl7.org/CodeSystem/condition-clinical\n    \n    \n    \n    <em>Resource</em>: <a href=\"http://tx.fhir.org/r4/ValueSet/condition-clinical\">Condition Clinical Status Codes</a> version: 4.0.1\n    <br/>\n    <em>Canonical URL</em>: <tt>http://terminology.hl7.org/CodeSystem/condition-clinical|4.0.1</tt>\n    \n    \n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Condition verification status\n    \n    <br/>\n    \n    \n    \n    \n    <em>Content URL</em>: <a href=\"http://hl7.org/fhir/R4/codesystem-condition-ver-status.html\">http://terminology.hl7.org/CodeSystem/condition-ver-status</a>\n    \n    <br/>\n    \n    \n    \n    <em>Document</em>: null @ http://terminology.hl7.org/CodeSystem/condition-ver-status\n    \n    \n    \n    <em>Resource</em>: <a href=\"http://tx.fhir.org/r4/ValueSet/condition-ver-status\">ConditionVerificationStatus</a> version: 4.0.1\n    <br/>\n    <em>Canonical URL</em>: <tt>http://terminology.hl7.org/CodeSystem/condition-ver-status|4.0.1</tt>\n    \n    \n    \n  </td>\n</tr>\n\n\n\n\n\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  \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/29463-7\">LOINC: 29463-7</a> (Body weight)\n      \n    \n    </span>\n    <br/>\n  \n  \n   \n  </td>\n</tr>\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  \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      chf-codes: body-weight-change (body-weight-change)\n      \n    \n    </span>\n    <br/>\n  \n  \n   \n  </td>\n</tr>\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  \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<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  \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      chf-codes: net-intake-output (net-intake-output)\n      \n    \n    </span>\n    <br/>\n  \n  \n   \n  </td>\n</tr>\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  \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      chf-codes: jvp (jvp)\n      \n    \n    </span>\n    <br/>\n  \n  \n   \n  </td>\n</tr>\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  \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/2708-6\">LOINC: 2708-6</a> (Oxygen saturation in Arterial blood)\n      \n    \n    </span>\n    <br/>\n  \n  \n   \n  </td>\n</tr>\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  \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/86919-8\">LOINC: 86919-8</a> (Potassium goal [Moles/volume] Serum or Plasma)\n      \n    \n    </span>\n    <br/>\n  \n  \n   \n  </td>\n</tr>\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  \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/39802-4\">LOINC: 39802-4</a> (Creatinine in dialysis fluid/Creatinine in serum or plasma)\n      \n    \n    </span>\n    <br/>\n  \n  \n   \n  </td>\n</tr>\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  \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      chf-codes: egfr (egfr)\n      \n    \n    </span>\n    <br/>\n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Condition\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/R4/condition.html\">Condition</a>\n    <br/>        \n  \n   \n   \n   \n  </td>\n</tr>\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<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>Patient</td>\n          <td>Out</td>\n          <td>0..1</td>\n          <td>Patient</td>\n          <td/>\n        </tr>\n      \n        <tr>\n          <td>Body Weight</td>\n          <td>Out</td>\n          <td>0..*</td>\n          <td>Observation</td>\n          <td/>\n        </tr>\n      \n        <tr>\n          <td>Body Weight Change Assertion</td>\n          <td>Out</td>\n          <td>0..*</td>\n          <td>Observation</td>\n          <td/>\n        </tr>\n      \n        <tr>\n          <td>Daily Body Weight</td>\n          <td>Out</td>\n          <td>0..*</td>\n          <td>Resource</td>\n          <td/>\n        </tr>\n      \n        <tr>\n          <td>Daily Body Weight Change</td>\n          <td>Out</td>\n          <td>0..*</td>\n          <td>Resource</td>\n          <td/>\n        </tr>\n      \n        <tr>\n          <td>Body Weight Change</td>\n          <td>Out</td>\n          <td>0..*</td>\n          <td>Observation</td>\n          <td/>\n        </tr>\n      \n        <tr>\n          <td>Current Body Weight</td>\n          <td>Out</td>\n          <td>0..1</td>\n          <td>Observation</td>\n          <td/>\n        </tr>\n      \n        <tr>\n          <td>Previous Body Weight</td>\n          <td>Out</td>\n          <td>0..1</td>\n          <td>Observation</td>\n          <td/>\n        </tr>\n      \n        <tr>\n          <td>Current Body Weight Change</td>\n          <td>Out</td>\n          <td>0..1</td>\n          <td>integer</td>\n          <td/>\n        </tr>\n      \n        <tr>\n          <td>Urine Output</td>\n          <td>Out</td>\n          <td>0..*</td>\n          <td>Observation</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        <tr>\n          <td>Net Intake/Output</td>\n          <td>Out</td>\n          <td>0..*</td>\n          <td>Observation</td>\n          <td/>\n        </tr>\n      \n        <tr>\n          <td>Current Net Intake/Output</td>\n          <td>Out</td>\n          <td>0..1</td>\n          <td>Observation</td>\n          <td/>\n        </tr>\n      \n        <tr>\n          <td>Jugular Venous Pressure</td>\n          <td>Out</td>\n          <td>0..*</td>\n          <td>Observation</td>\n          <td/>\n        </tr>\n      \n        <tr>\n          <td>Oxygen Saturation</td>\n          <td>Out</td>\n          <td>0..*</td>\n          <td>Observation</td>\n          <td/>\n        </tr>\n      \n        <tr>\n          <td>Potassium</td>\n          <td>Out</td>\n          <td>0..*</td>\n          <td>Observation</td>\n          <td/>\n        </tr>\n      \n        <tr>\n          <td>Creatinine</td>\n          <td>Out</td>\n          <td>0..*</td>\n          <td>Observation</td>\n          <td/>\n        </tr>\n      \n        <tr>\n          <td>eGFR</td>\n          <td>Out</td>\n          <td>0..*</td>\n          <td>Observation</td>\n          <td/>\n        </tr>\n      \n        <tr>\n          <td>Eligibility Criteria</td>\n          <td>Out</td>\n          <td>0..*</td>\n          <td>Condition</td>\n          <td/>\n        </tr>\n      \n      </tbody>\n    </table>\n  </td>\n</tr>\n\n\n\n\n\n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Library Content</th>\n\n\n</tr>\n  \n    \n    <tr>\n      <th scope=\"row\" class=\"row-header\">CQL Content</th>\n      <td>\n        <a name=\"cql-content\"> </a>\n        <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">library CHF version '1.0.0'#xD;\n#xD;\nusing FHIR version '4.0.1'#xD;\n#xD;\ninclude FHIRHelpers version '4.0.1'#xD;\n#xD;\ncodesystem \"SNOMED-CT\": 'http://snomed.info/sct'#xD;\ncodesystem \"LOINC\": 'http://loinc.org'#xD;\ncodesystem \"CHFCodes\": 'http://hl7.org/fhir/uv/cpg/CodeSystem/chf-codes'#xD;\ncodesystem \"Condition Clinical Status Code\": 'http://terminology.hl7.org/CodeSystem/condition-clinical'#xD;\ncodesystem \"Condition Verification Status Code\": 'http://terminology.hl7.org/CodeSystem/condition-ver-status'#xD;\n#xD;\ncode \"Congestive heart failure\": '42343007' from \"SNOMED-CT\"#xD;\n#xD;\ncode \"Body weight\": '29463-7' from \"LOINC\"#xD;\ncode \"Body weight change\": 'body-weight-change' from \"CHFCodes\"#xD;\ncode \"Urine output\": '9192-6' from \"LOINC\"#xD;\ncode \"Net intake/output\": 'net-intake-output' from \"CHFCodes\"#xD;\ncode \"Jugular venous pressure\": 'jvp' from \"CHFCodes\"#xD;\ncode \"Oxygen saturation\": '2708-6' from \"LOINC\"#xD;\ncode \"Potassium goal\": '86919-8' from \"LOINC\" display 'Potassium goal [Moles/volume] Serum or Plasma' // meq/L#xD;\ncode \"Creatinine in serum\": '39802-4' from \"LOINC\" display 'Creatinine in serum or plasma' // NOTE: example shows mg/dL, but no LOINC code has those units?#xD;\ncode \"eGFR result\": 'egfr' from \"CHFCodes\" // NOTE: Too many to pick from, needs clinical/terminological SME input, in mol/mm/m2#xD;\n#xD;\ncode \"Active condition\": 'active' from \"Condition Clinical Status Code\"#xD;\ncode \"Provisional condition\": 'provisional' from \"Condition Verification Status Code\"#xD;\ncode \"Confirmed condition\": 'confirmed' from \"Condition Verification Status Code\"#xD;\n#xD;\nparameter Encounter Encounter#xD;\n#xD;\ncontext Patient#xD;\n#xD;\n// Case Features#xD;\ndefine \"Body Weight\":#xD;\n  [Observation: \"Body weight\"] O#xD;\n    where O.status = 'final'#xD;\n      and references(O.encounter, Encounter)#xD;\n#xD;\ndefine \"Body Weight Change Assertion\":#xD;\n  [Observation: \"Body weight change\"] O#xD;\n    where O.status = 'final'#xD;\n      and references(O.encounter, Encounter)#xD;\n#xD;\ndefine \"Body Weight Change\":#xD;\n  \"Daily Body Weight Change\" WC#xD;\n    return Observation {#xD;\n      id: id { value: Encounter.id + '-bodyweight-change' + ToString(WC.date) },#xD;\n      extension: {#xD;\n        Extension {#xD;\n          url: url { value: 'http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature' },#xD;\n          value: canonical { value: 'http://hl7.org/fhir/uv/cpg/StructureDefinition/chf-bodyweight-change' }#xD;\n        },#xD;\n        Extension {#xD;\n          url: url { value: 'http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType' },#xD;\n          value: code { value: 'asserted' }#xD;\n        }#xD;\n      },#xD;\n      status: ObservationStatus { value: 'final' },#xD;\n      code: CodeableConcept {#xD;\n        coding: {#xD;\n          Coding {#xD;\n            system: uri { value: 'http://hl7.org/fhir/uv/cpg/CodeSystem/chf-codes' },#xD;\n            code: code { value: 'body-weight-change' }#xD;\n          }#xD;\n        }#xD;\n      },#xD;\n      effective: dateTime { value: WC.date },#xD;\n      issued: instant { value: Now() },#xD;\n      subject: referenceTo(Patient),#xD;\n      encounter: referenceTo(Encounter),#xD;\n      value: Quantity {#xD;\n        value: decimal { value: WC.change.value },#xD;\n        unit: string { value: WC.change.unit },#xD;\n        system: uri { value: 'http://unitsofmeasure.org' },#xD;\n        code: code { value: WC.change.unit }#xD;\n      }#xD;\n    }#xD;\n#xD;\ndefine \"Daily Body Weight\":#xD;\n  (expand Encounter.period per day) Date#xD;\n    let maxWeight: Max(\"Body Weight\" WT where WT.issued same day as Date return WT.value as FHIR.Quantity)#xD;\n    return { date: Date, weight: maxWeight }#xD;\n#xD;\ndefine \"Daily Body Weight Change\":#xD;\n  \"Daily Body Weight\" WT#xD;\n    let priorWeight: First(\"Daily Body Weight\" PWT where PWT.date &lt; WT.date sort by date descending).weight#xD;\n    return { date: WT.date, weight: WT.weight, priorWeight: priorWeight, change: WT.weight - priorWeight}#xD;\n#xD;\ndefine \"Current Body Weight\":#xD;\n  First(\"Body Weight\" WT where WT.issued same day as Today() sort by issued descending)#xD;\n#xD;\ndefine \"Previous Body Weight\":#xD;\n  First(\"Body Weight\" WT where WT.issued 1 day before day of Today() sort by issued descending)#xD;\n#xD;\ndefine \"Current Body Weight Change\":#xD;\n  \"Current Body Weight\".value - \"Previous Body Weight\".value#xD;\n#xD;\ndefine \"Urine Output\":#xD;\n  [Observation: \"Urine output\"] O#xD;\n    where O.status = 'final'#xD;\n    and references(O.encounter, Encounter)#xD;\n#xD;\ndefine \"Current Urine Output\":#xD;\n  First(\"Urine Output\" UO where UO.issued same day as Today() sort by issued descending)#xD;\n#xD;\ndefine \"Net Intake/Output\":#xD;\n  [Observation: \"Net intake/output\"] O#xD;\n    where O.status = 'final'#xD;\n      and references(O.encounter, Encounter)#xD;\n#xD;\ndefine \"Current Net Intake/Output\":#xD;\n  First(\"Net Intake/Output\" IO where IO.issued same day as Today() sort by issued descending)#xD;\n#xD;\ndefine \"Jugular Venous Pressure\":#xD;\n  [Observation: \"Jugular venous pressure\"] O#xD;\n    where O.status = 'final'#xD;\n      and references(O.encounter, Encounter)#xD;\n#xD;\ndefine \"Oxygen Saturation\":#xD;\n  [Observation: \"Oxygen saturation\"] O#xD;\n    where O.status = 'final'#xD;\n      and references(O.encounter, Encounter)#xD;\n#xD;\ndefine \"Potassium\":#xD;\n  [Observation: \"Potassium goal\"] O#xD;\n    where O.status = 'final'#xD;\n      and references(O.encounter, Encounter)#xD;\n#xD;\ndefine \"Creatinine\":#xD;\n  [Observation: \"Creatinine in serum\"] O#xD;\n    where O.status = 'final'#xD;\n      and references(O.encounter, Encounter)#xD;\n#xD;\ndefine \"eGFR\":#xD;\n  [Observation: \"eGFR result\"] O#xD;\n    where O.status = 'final'#xD;\n      and references(O.encounter, Encounter)#xD;\n#xD;\n#xD;\n// Eligibility Criteria#xD;\ndefine \"Eligibility Criteria\":#xD;\n  [Condition] C#xD;\n    where C.code ~ \"Congestive heart failure\"#xD;\n      and C.clinicalStatus ~ \"Active condition\"#xD;\n      and C.verificationStatus ~ \"Confirmed condition\"#xD;\n#xD;\n// TODO: Handle contained references#xD;\n// TODO: Handle bundle references#xD;\n// TODO: Handle remote references#xD;\ndefine function references(reference Reference, encounter Encounter):#xD;\n  EndsWith(reference.reference, '/' + encounter.id)#xD;\n#xD;\ndefine function referenceTo(encounter Encounter):#xD;\n  Reference { reference: string { value: 'Encounter/' + encounter.id } }#xD;\n#xD;\ndefine function referenceTo(patient Patient):#xD;\n  Reference { reference: string { value: 'Patient/' + patient.id } }#xD;\n</code></pre>\n      </td>\n    </tr>\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>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm>     ] ;
fhir:value [
a fhir:Coding ;
fhir:system [
fhir:v "http://hl7.org/fhir/version-algorithm"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/version-algorithm>       ] ;
fhir:code [ fhir:v "semver" ]     ]
  ] ) ; # 
  fhir:url [
fhir:v "http://hl7.org/fhir/uv/sdc/Library/sdc-CHF"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/uv/sdc/Library/sdc-CHF>
  ] ; # 
  fhir:identifier ( [
fhir:system [
fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ;
fhir:l <urn:ietf:rfc:3986>     ] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.40.17.28.1" ]
  ] ) ; # 
  fhir:version [ fhir:v "4.0.0-ci-build"] ; # 
  fhir:name [ fhir:v "CHF"] ; # 
  fhir:title [ fhir:v "Congestive Heart Failure Logic"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v true] ; # 
  fhir:type [
    ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/library-type"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/library-type>       ] ;
fhir:code [ fhir:v "logic-library" ] ;
fhir:display [ fhir:v "Logic Library" ]     ] )
  ] ; # 
  fhir:date [ fhir:v "2020-11-29T15:54:22-07:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "HL7 International / FHIR Infrastructure"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "HL7 International / FHIR Infrastructure" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/fiwg" ]     ] )
  ] [
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/fiwg" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Logic for an example congestive heart failure pathway"] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [
fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ;
fhir:l <http://unstats.un.org/unsd/methods/m49/m49.htm>       ] ;
fhir:code [ fhir:v "001" ] ;
fhir:display [ fhir:v "World" ]     ] )
  ] ) ; # 
  fhir:relatedArtifact ( [
fhir:type [ fhir:v "depends-on" ] ;
fhir:display [ fhir:v "SNOMED CT" ] ;
fhir:url [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>     ] ;
fhir:document [
fhir:url [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>       ]     ] ;
fhir:resource [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:l <http://snomed.info/sct>     ]
  ] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:display [ fhir:v "LOINC" ] ;
fhir:url [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>     ] ;
fhir:document [
fhir:url [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>       ]     ] ;
fhir:resource [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>     ]
  ] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:display [ fhir:v "Congestive heart failure codes" ] ;
fhir:url [
fhir:v "http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes>     ] ;
fhir:document [
fhir:url [
fhir:v "http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes>       ]     ] ;
fhir:resource [
fhir:v "http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes>     ]
  ] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:display [ fhir:v "Clinical condition codes" ] ;
fhir:url [
fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/condition-clinical>     ] ;
fhir:document [
fhir:url [
fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/condition-clinical>       ]     ] ;
fhir:resource [
fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical|4.0.1"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/condition-clinical?version=4.0.1>     ]
  ] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:display [ fhir:v "Condition verification status" ] ;
fhir:url [
fhir:v "http://terminology.hl7.org/CodeSystem/condition-ver-status"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/condition-ver-status>     ] ;
fhir:document [
fhir:url [
fhir:v "http://terminology.hl7.org/CodeSystem/condition-ver-status"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/condition-ver-status>       ]     ] ;
fhir:resource [
fhir:v "http://terminology.hl7.org/CodeSystem/condition-ver-status|4.0.1"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/condition-ver-status?version=4.0.1>     ]
  ] ) ; # 
  fhir:parameter ( [
fhir:name [ fhir:v "Encounter" ] ;
fhir:use [ fhir:v "in" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type [ fhir:v "Encounter" ]
  ] [
fhir:name [ fhir:v "Patient" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type [ fhir:v "Patient" ]
  ] [
fhir:name [ fhir:v "Body Weight" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "*" ] ;
fhir:type [ fhir:v "Observation" ]
  ] [
fhir:name [ fhir:v "Body Weight Change Assertion" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "*" ] ;
fhir:type [ fhir:v "Observation" ]
  ] [
fhir:name [ fhir:v "Daily Body Weight" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "*" ] ;
fhir:type [ fhir:v "Resource" ]
  ] [
fhir:name [ fhir:v "Daily Body Weight Change" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "*" ] ;
fhir:type [ fhir:v "Resource" ]
  ] [
fhir:name [ fhir:v "Body Weight Change" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "*" ] ;
fhir:type [ fhir:v "Observation" ]
  ] [
fhir:name [ fhir:v "Current Body Weight" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type [ fhir:v "Observation" ]
  ] [
fhir:name [ fhir:v "Previous Body Weight" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type [ fhir:v "Observation" ]
  ] [
fhir:name [ fhir:v "Current Body Weight Change" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type [ fhir:v "integer" ]
  ] [
fhir:name [ fhir:v "Urine Output" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "*" ] ;
fhir:type [ fhir:v "Observation" ]
  ] [
fhir:name [ fhir:v "Current Urine Output" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type [ fhir:v "Observation" ]
  ] [
fhir:name [ fhir:v "Net Intake/Output" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "*" ] ;
fhir:type [ fhir:v "Observation" ]
  ] [
fhir:name [ fhir:v "Current Net Intake/Output" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type [ fhir:v "Observation" ]
  ] [
fhir:name [ fhir:v "Jugular Venous Pressure" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "*" ] ;
fhir:type [ fhir:v "Observation" ]
  ] [
fhir:name [ fhir:v "Oxygen Saturation" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "*" ] ;
fhir:type [ fhir:v "Observation" ]
  ] [
fhir:name [ fhir:v "Potassium" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "*" ] ;
fhir:type [ fhir:v "Observation" ]
  ] [
fhir:name [ fhir:v "Creatinine" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "*" ] ;
fhir:type [ fhir:v "Observation" ]
  ] [
fhir:name [ fhir:v "eGFR" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "*" ] ;
fhir:type [ fhir:v "Observation" ]
  ] [
fhir:name [ fhir:v "Eligibility Criteria" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
fhir:max [ fhir:v "*" ] ;
fhir:type [ fhir:v "Condition" ]
  ] ) ; # 
  fhir:dataRequirement ( [
fhir:type [ fhir:v "Observation" ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Observation>     ] ) ;
    ( fhir:codeFilter [
fhir:path [ fhir:v "code" ] ;
      ( fhir:code [
a loinc:29463-7 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "29463-7" ]       ] )     ] )
  ] [
fhir:type [ fhir:v "Observation" ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Observation>     ] ) ;
    ( fhir:codeFilter [
fhir:path [ fhir:v "code" ] ;
      ( fhir:code [
fhir:system [
fhir:v "http://example.org/CodeSystem/chf-codes"^^xsd:anyURI ;
fhir:l <http://example.org/CodeSystem/chf-codes>         ] ;
fhir:code [ fhir:v "body-weight-change" ]       ] )     ] )
  ] [
fhir:type [ fhir:v "Observation" ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Observation>     ] ) ;
    ( fhir:codeFilter [
fhir:path [ fhir:v "code" ] ;
      ( fhir:code [
a loinc:9192-6 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "9192-6" ]       ] )     ] )
  ] [
fhir:type [ fhir:v "Observation" ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Observation>     ] ) ;
    ( fhir:codeFilter [
fhir:path [ fhir:v "code" ] ;
      ( fhir:code [
fhir:system [
fhir:v "http://example.org/CodeSystem/chf-codes"^^xsd:anyURI ;
fhir:l <http://example.org/CodeSystem/chf-codes>         ] ;
fhir:code [ fhir:v "net-intake-output" ]       ] )     ] )
  ] [
fhir:type [ fhir:v "Observation" ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Observation>     ] ) ;
    ( fhir:codeFilter [
fhir:path [ fhir:v "code" ] ;
      ( fhir:code [
fhir:system [
fhir:v "http://example.org/CodeSystem/chf-codes"^^xsd:anyURI ;
fhir:l <http://example.org/CodeSystem/chf-codes>         ] ;
fhir:code [ fhir:v "jvp" ]       ] )     ] )
  ] [
fhir:type [ fhir:v "Observation" ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Observation>     ] ) ;
    ( fhir:codeFilter [
fhir:path [ fhir:v "code" ] ;
      ( fhir:code [
a loinc:2708-6 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "2708-6" ]       ] )     ] )
  ] [
fhir:type [ fhir:v "Observation" ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Observation>     ] ) ;
    ( fhir:codeFilter [
fhir:path [ fhir:v "code" ] ;
      ( fhir:code [
a loinc:86919-8 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "86919-8" ] ;
fhir:display [ fhir:v "Potassium goal [Moles/volume] Serum or Plasma" ]       ] )     ] )
  ] [
fhir:type [ fhir:v "Observation" ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Observation>     ] ) ;
    ( fhir:codeFilter [
fhir:path [ fhir:v "code" ] ;
      ( fhir:code [
a loinc:39802-4 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org>         ] ;
fhir:code [ fhir:v "39802-4" ] ;
fhir:display [ fhir:v "Creatinine in dialysis fluid/Creatinine in serum or plasma" ]       ] )     ] )
  ] [
fhir:type [ fhir:v "Observation" ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Observation>     ] ) ;
    ( fhir:codeFilter [
fhir:path [ fhir:v "code" ] ;
      ( fhir:code [
fhir:system [
fhir:v "http://example.org/CodeSystem/chf-codes"^^xsd:anyURI ;
fhir:l <http://example.org/CodeSystem/chf-codes>         ] ;
fhir:code [ fhir:v "egfr" ]       ] )     ] )
  ] [
fhir:type [ fhir:v "Condition" ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Condition"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/Condition>     ] )
  ] ) ; # 
  fhir:content ( [
fhir:contentType [ fhir:v "text/cql" ] ;
fhir:data [ fhir:v "library CHF version '1.0.0'

using FHIR version '4.0.1'

include FHIRHelpers version '4.0.1'

codesystem "SNOMED-CT": 'http://snomed.info/sct'
codesystem "LOINC": 'http://loinc.org'
codesystem "CHFCodes": 'http://hl7.org/fhir/uv/cpg/CodeSystem/chf-codes'
codesystem "Condition Clinical Status Code": 'http://terminology.hl7.org/CodeSystem/condition-clinical'
codesystem "Condition Verification Status Code": 'http://terminology.hl7.org/CodeSystem/condition-ver-status'

code "Congestive heart failure": '42343007' from "SNOMED-CT"

code "Body weight": '29463-7' from "LOINC"
code "Body weight change": 'body-weight-change' from "CHFCodes"
code "Urine output": '9192-6' from "LOINC"
code "Net intake/output": 'net-intake-output' from "CHFCodes"
code "Jugular venous pressure": 'jvp' from "CHFCodes"
code "Oxygen saturation": '2708-6' from "LOINC"
code "Potassium goal": '86919-8' from "LOINC" display 'Potassium goal [Moles/volume] Serum or Plasma' // meq/L
code "Creatinine in serum": '39802-4' from "LOINC" display 'Creatinine in serum or plasma' // NOTE: example shows mg/dL, but no LOINC code has those units?
code "eGFR result": 'egfr' from "CHFCodes" // NOTE: Too many to pick from, needs clinical/terminological SME input, in mol/mm/m2

code "Active condition": 'active' from "Condition Clinical Status Code"
code "Provisional condition": 'provisional' from "Condition Verification Status Code"
code "Confirmed condition": 'confirmed' from "Condition Verification Status Code"

parameter Encounter Encounter

context Patient

// Case Features
define "Body Weight":
  [Observation: "Body weight"] O
    where O.status = 'final'
      and references(O.encounter, Encounter)

define "Body Weight Change Assertion":
  [Observation: "Body weight change"] O
    where O.status = 'final'
      and references(O.encounter, Encounter)

define "Body Weight Change":
  "Daily Body Weight Change" WC
    return Observation {
      id: id { value: Encounter.id + '-bodyweight-change' + ToString(WC.date) },
      extension: {
        Extension {
          url: url { value: 'http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature' },
          value: canonical { value: 'http://hl7.org/fhir/uv/cpg/StructureDefinition/chf-bodyweight-change' }
        },
        Extension {
          url: url { value: 'http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType' },
          value: code { value: 'asserted' }
        }
      },
      status: ObservationStatus { value: 'final' },
      code: CodeableConcept {
        coding: {
          Coding {
            system: uri { value: 'http://hl7.org/fhir/uv/cpg/CodeSystem/chf-codes' },
            code: code { value: 'body-weight-change' }
          }
        }
      },
      effective: dateTime { value: WC.date },
      issued: instant { value: Now() },
      subject: referenceTo(Patient),
      encounter: referenceTo(Encounter),
      value: Quantity {
        value: decimal { value: WC.change.value },
        unit: string { value: WC.change.unit },
        system: uri { value: 'http://unitsofmeasure.org' },
        code: code { value: WC.change.unit }
      }
    }

define "Daily Body Weight":
  (expand Encounter.period per day) Date
    let maxWeight: Max("Body Weight" WT where WT.issued same day as Date return WT.value as FHIR.Quantity)
    return { date: Date, weight: maxWeight }

define "Daily Body Weight Change":
  "Daily Body Weight" WT
    let priorWeight: First("Daily Body Weight" PWT where PWT.date < WT.date sort by date descending).weight
    return { date: WT.date, weight: WT.weight, priorWeight: priorWeight, change: WT.weight - priorWeight}

define "Current Body Weight":
  First("Body Weight" WT where WT.issued same day as Today() sort by issued descending)

define "Previous Body Weight":
  First("Body Weight" WT where WT.issued 1 day before day of Today() sort by issued descending)

define "Current Body Weight Change":
  "Current Body Weight".value - "Previous Body Weight".value

define "Urine Output":
  [Observation: "Urine output"] O
    where O.status = 'final'
    and references(O.encounter, Encounter)

define "Current Urine Output":
  First("Urine Output" UO where UO.issued same day as Today() sort by issued descending)

define "Net Intake/Output":
  [Observation: "Net intake/output"] O
    where O.status = 'final'
      and references(O.encounter, Encounter)

define "Current Net Intake/Output":
  First("Net Intake/Output" IO where IO.issued same day as Today() sort by issued descending)

define "Jugular Venous Pressure":
  [Observation: "Jugular venous pressure"] O
    where O.status = 'final'
      and references(O.encounter, Encounter)

define "Oxygen Saturation":
  [Observation: "Oxygen saturation"] O
    where O.status = 'final'
      and references(O.encounter, Encounter)

define "Potassium":
  [Observation: "Potassium goal"] O
    where O.status = 'final'
      and references(O.encounter, Encounter)

define "Creatinine":
  [Observation: "Creatinine in serum"] O
    where O.status = 'final'
      and references(O.encounter, Encounter)

define "eGFR":
  [Observation: "eGFR result"] O
    where O.status = 'final'
      and references(O.encounter, Encounter)


// Eligibility Criteria
define "Eligibility Criteria":
  [Condition] C
    where C.code ~ "Congestive heart failure"
      and C.clinicalStatus ~ "Active condition"
      and C.verificationStatus ~ "Confirmed condition"

// TODO: Handle contained references
// TODO: Handle bundle references
// TODO: Handle remote references
define function references(reference Reference, encounter Encounter):
  EndsWith(reference.reference, '/' + encounter.id)

define function referenceTo(encounter Encounter):
  Reference { reference: string { value: 'Encounter/' + encounter.id } }

define function referenceTo(patient Patient):
  Reference { reference: string { value: 'Patient/' + patient.id } }
"^^xsd:base64Binary ]
  ] ) . #