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

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<Library xmlns="http://hl7.org/fhir">
  <id value="sdc-CHF"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-library"/>
  </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">Congestive Heart Failure Logic</td>


</tr>



<tr>


<th scope="row" class="row-header">Version</th>



<td class="content-container">4.0.0-ci-build</td>


</tr>







  
<tr>


<th scope="row" class="row-header">Identifier</th>



<td class="content-container">urn:oid:2.16.840.1.113883.4.642.40.17.28.1</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 / FHIR Infrastructure</td>


</tr>



<tr>


<th scope="row" class="row-header">Steward Contact</th>



<td class="content-container">HL7 International / FHIR Infrastructure</td>


</tr>









<tr>


<th scope="row" class="row-header">Description</th>



<td class="content-container"><div><p>Logic for an example congestive heart failure pathway</p>
</div></td>


</tr>






<tr>


<th scope="row" class="row-header">Type</th>



<td class="content-container">
    Logic Library


</td>


</tr>



<tr>
  
  
  
  
  

<th scope="row" class="row-header">Dependency</th>


  
  
  <td class="content-container">
    
    <em>Description</em>: SNOMED CT
    
    <br/>
    
    
    
    
    <em>Content URL</em>: <a href="https://browser.ihtsdotools.org/">http://snomed.info/sct</a>
    
    <br/>
    
    
    
    <em>Document</em>: null @ http://snomed.info/sct
    
    
    
    <em>Resource</em>: <a href="http://hl7.org/fhir/R4/codesystem-snomedct.html">SNOMED CT (all versions)</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://snomed.info/sct</tt>
    
    
    
  </td>
</tr>

<tr>
  
  
  
  
  

<th scope="row" class="row-header">Dependency</th>


  
  
  <td class="content-container">
    
    <em>Description</em>: LOINC
    
    <br/>
    
    
    
    
    <em>Content URL</em>: <a href="https://loinc.org/">http://loinc.org</a>
    
    <br/>
    
    
    
    <em>Document</em>: null @ http://loinc.org
    
    
    
    <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">Dependency</th>


  
  
  <td class="content-container">
    
    <em>Description</em>: Congestive heart failure codes
    
    <br/>
    
    
    
    
    <em>Content URL</em>: <a href="CodeSystem-chf-codes.html">http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes</a>
    
    <br/>
    
    
    
    <em>Document</em>: null @ http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes
    
    
    
    <em>Resource</em>: <a href="CodeSystem-chf-codes.html">CHF Codes</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes</tt>
    
    
    
  </td>
</tr>

<tr>
  
  
  
  
  

<th scope="row" class="row-header">Dependency</th>


  
  
  <td class="content-container">
    
    <em>Description</em>: Clinical condition codes
    
    <br/>
    
    
    
    
    <em>Content URL</em>: <a href="http://hl7.org/fhir/R4/codesystem-condition-clinical.html">http://terminology.hl7.org/CodeSystem/condition-clinical</a>
    
    <br/>
    
    
    
    <em>Document</em>: null @ http://terminology.hl7.org/CodeSystem/condition-clinical
    
    
    
    <em>Resource</em>: <a href="http://tx.fhir.org/r4/ValueSet/condition-clinical">Condition Clinical Status Codes</a> version: 4.0.1
    <br/>
    <em>Canonical URL</em>: <tt>http://terminology.hl7.org/CodeSystem/condition-clinical|4.0.1</tt>
    
    
    
  </td>
</tr>

<tr>
  
  
  
  
  

<th scope="row" class="row-header">Dependency</th>


  
  
  <td class="content-container">
    
    <em>Description</em>: Condition verification status
    
    <br/>
    
    
    
    
    <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>
    
    <br/>
    
    
    
    <em>Document</em>: null @ http://terminology.hl7.org/CodeSystem/condition-ver-status
    
    
    
    <em>Resource</em>: <a href="http://tx.fhir.org/r4/ValueSet/condition-ver-status">ConditionVerificationStatus</a> version: 4.0.1
    <br/>
    <em>Canonical URL</em>: <tt>http://terminology.hl7.org/CodeSystem/condition-ver-status|4.0.1</tt>
    
    
    
  </td>
</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>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/29463-7">LOINC: 29463-7</a> (Body weight)
      
    
    </span>
    <br/>
  
  
   
  </td>
</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>Code Filter(s)</em>: 
    <br/>
  
  
    <span class="tab-one"><em>Path</em>: code</span>
    <br/>
  
  
  
  
    <span class="tab-one"><em>Code(s)</em>: 
    
      
      chf-codes: body-weight-change (body-weight-change)
      
    
    </span>
    <br/>
  
  
   
  </td>
</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>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 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>Code Filter(s)</em>: 
    <br/>
  
  
    <span class="tab-one"><em>Path</em>: code</span>
    <br/>
  
  
  
  
    <span class="tab-one"><em>Code(s)</em>: 
    
      
      chf-codes: net-intake-output (net-intake-output)
      
    
    </span>
    <br/>
  
  
   
  </td>
</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>Code Filter(s)</em>: 
    <br/>
  
  
    <span class="tab-one"><em>Path</em>: code</span>
    <br/>
  
  
  
  
    <span class="tab-one"><em>Code(s)</em>: 
    
      
      chf-codes: jvp (jvp)
      
    
    </span>
    <br/>
  
  
   
  </td>
</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>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/2708-6">LOINC: 2708-6</a> (Oxygen saturation in Arterial blood)
      
    
    </span>
    <br/>
  
  
   
  </td>
</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>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/86919-8">LOINC: 86919-8</a> (Potassium goal [Moles/volume] Serum or Plasma)
      
    
    </span>
    <br/>
  
  
   
  </td>
</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>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/39802-4">LOINC: 39802-4</a> (Creatinine in dialysis fluid/Creatinine in serum or plasma)
      
    
    </span>
    <br/>
  
  
   
  </td>
</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>Code Filter(s)</em>: 
    <br/>
  
  
    <span class="tab-one"><em>Path</em>: code</span>
    <br/>
  
  
  
  
    <span class="tab-one"><em>Code(s)</em>: 
    
      
      chf-codes: egfr (egfr)
      
    
    </span>
    <br/>
  
  
   
  </td>
</tr>

<tr>
  <th scope="row" class="row-header">Data Requirement</th>
  <td class="content-container">
    <em>Type</em>: Condition
    <br/>
  
    <em>Profile(s)</em>: 
  
    <a href="http://hl7.org/fhir/R4/condition.html">Condition</a>
    <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>Patient</td>
          <td>Out</td>
          <td>0..1</td>
          <td>Patient</td>
          <td/>
        </tr>
      
        <tr>
          <td>Body Weight</td>
          <td>Out</td>
          <td>0..*</td>
          <td>Observation</td>
          <td/>
        </tr>
      
        <tr>
          <td>Body Weight Change Assertion</td>
          <td>Out</td>
          <td>0..*</td>
          <td>Observation</td>
          <td/>
        </tr>
      
        <tr>
          <td>Daily Body Weight</td>
          <td>Out</td>
          <td>0..*</td>
          <td>Resource</td>
          <td/>
        </tr>
      
        <tr>
          <td>Daily Body Weight Change</td>
          <td>Out</td>
          <td>0..*</td>
          <td>Resource</td>
          <td/>
        </tr>
      
        <tr>
          <td>Body Weight Change</td>
          <td>Out</td>
          <td>0..*</td>
          <td>Observation</td>
          <td/>
        </tr>
      
        <tr>
          <td>Current Body Weight</td>
          <td>Out</td>
          <td>0..1</td>
          <td>Observation</td>
          <td/>
        </tr>
      
        <tr>
          <td>Previous Body Weight</td>
          <td>Out</td>
          <td>0..1</td>
          <td>Observation</td>
          <td/>
        </tr>
      
        <tr>
          <td>Current Body Weight Change</td>
          <td>Out</td>
          <td>0..1</td>
          <td>integer</td>
          <td/>
        </tr>
      
        <tr>
          <td>Urine Output</td>
          <td>Out</td>
          <td>0..*</td>
          <td>Observation</td>
          <td/>
        </tr>
      
        <tr>
          <td>Current Urine Output</td>
          <td>Out</td>
          <td>0..1</td>
          <td>Observation</td>
          <td/>
        </tr>
      
        <tr>
          <td>Net Intake/Output</td>
          <td>Out</td>
          <td>0..*</td>
          <td>Observation</td>
          <td/>
        </tr>
      
        <tr>
          <td>Current Net Intake/Output</td>
          <td>Out</td>
          <td>0..1</td>
          <td>Observation</td>
          <td/>
        </tr>
      
        <tr>
          <td>Jugular Venous Pressure</td>
          <td>Out</td>
          <td>0..*</td>
          <td>Observation</td>
          <td/>
        </tr>
      
        <tr>
          <td>Oxygen Saturation</td>
          <td>Out</td>
          <td>0..*</td>
          <td>Observation</td>
          <td/>
        </tr>
      
        <tr>
          <td>Potassium</td>
          <td>Out</td>
          <td>0..*</td>
          <td>Observation</td>
          <td/>
        </tr>
      
        <tr>
          <td>Creatinine</td>
          <td>Out</td>
          <td>0..*</td>
          <td>Observation</td>
          <td/>
        </tr>
      
        <tr>
          <td>eGFR</td>
          <td>Out</td>
          <td>0..*</td>
          <td>Observation</td>
          <td/>
        </tr>
      
        <tr>
          <td>Eligibility Criteria</td>
          <td>Out</td>
          <td>0..*</td>
          <td>Condition</td>
          <td/>
        </tr>
      
      </tbody>
    </table>
  </td>
</tr>







  <tr>


<th colspan="2" scope="row" class="row-header">Library Content</th>


</tr>
  
    
    <tr>
      <th scope="row" class="row-header">CQL Content</th>
      <td>
        <a name="cql-content"> </a>
        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">library CHF version '1.0.0'

using FHIR version '4.0.1'

include FHIRHelpers version '4.0.1'

codesystem &quot;SNOMED-CT&quot;: 'http://snomed.info/sct'
codesystem &quot;LOINC&quot;: 'http://loinc.org'
codesystem &quot;CHFCodes&quot;: 'http://hl7.org/fhir/uv/cpg/CodeSystem/chf-codes'
codesystem &quot;Condition Clinical Status Code&quot;: 'http://terminology.hl7.org/CodeSystem/condition-clinical'
codesystem &quot;Condition Verification Status Code&quot;: 'http://terminology.hl7.org/CodeSystem/condition-ver-status'

code &quot;Congestive heart failure&quot;: '42343007' from &quot;SNOMED-CT&quot;

code &quot;Body weight&quot;: '29463-7' from &quot;LOINC&quot;
code &quot;Body weight change&quot;: 'body-weight-change' from &quot;CHFCodes&quot;
code &quot;Urine output&quot;: '9192-6' from &quot;LOINC&quot;
code &quot;Net intake/output&quot;: 'net-intake-output' from &quot;CHFCodes&quot;
code &quot;Jugular venous pressure&quot;: 'jvp' from &quot;CHFCodes&quot;
code &quot;Oxygen saturation&quot;: '2708-6' from &quot;LOINC&quot;
code &quot;Potassium goal&quot;: '86919-8' from &quot;LOINC&quot; display 'Potassium goal [Moles/volume] Serum or Plasma' // meq/L
code &quot;Creatinine in serum&quot;: '39802-4' from &quot;LOINC&quot; display 'Creatinine in serum or plasma' // NOTE: example shows mg/dL, but no LOINC code has those units?
code &quot;eGFR result&quot;: 'egfr' from &quot;CHFCodes&quot; // NOTE: Too many to pick from, needs clinical/terminological SME input, in mol/mm/m2

code &quot;Active condition&quot;: 'active' from &quot;Condition Clinical Status Code&quot;
code &quot;Provisional condition&quot;: 'provisional' from &quot;Condition Verification Status Code&quot;
code &quot;Confirmed condition&quot;: 'confirmed' from &quot;Condition Verification Status Code&quot;

parameter Encounter Encounter

context Patient

// Case Features
define &quot;Body Weight&quot;:
  [Observation: &quot;Body weight&quot;] O
    where O.status = 'final'
      and references(O.encounter, Encounter)

define &quot;Body Weight Change Assertion&quot;:
  [Observation: &quot;Body weight change&quot;] O
    where O.status = 'final'
      and references(O.encounter, Encounter)

define &quot;Body Weight Change&quot;:
  &quot;Daily Body Weight Change&quot; 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 &quot;Daily Body Weight&quot;:
  (expand Encounter.period per day) Date
    let maxWeight: Max(&quot;Body Weight&quot; WT where WT.issued same day as Date return WT.value as FHIR.Quantity)
    return { date: Date, weight: maxWeight }

define &quot;Daily Body Weight Change&quot;:
  &quot;Daily Body Weight&quot; WT
    let priorWeight: First(&quot;Daily Body Weight&quot; PWT where PWT.date &lt; WT.date sort by date descending).weight
    return { date: WT.date, weight: WT.weight, priorWeight: priorWeight, change: WT.weight - priorWeight}

define &quot;Current Body Weight&quot;:
  First(&quot;Body Weight&quot; WT where WT.issued same day as Today() sort by issued descending)

define &quot;Previous Body Weight&quot;:
  First(&quot;Body Weight&quot; WT where WT.issued 1 day before day of Today() sort by issued descending)

define &quot;Current Body Weight Change&quot;:
  &quot;Current Body Weight&quot;.value - &quot;Previous Body Weight&quot;.value

define &quot;Urine Output&quot;:
  [Observation: &quot;Urine output&quot;] O
    where O.status = 'final'
    and references(O.encounter, Encounter)

define &quot;Current Urine Output&quot;:
  First(&quot;Urine Output&quot; UO where UO.issued same day as Today() sort by issued descending)

define &quot;Net Intake/Output&quot;:
  [Observation: &quot;Net intake/output&quot;] O
    where O.status = 'final'
      and references(O.encounter, Encounter)

define &quot;Current Net Intake/Output&quot;:
  First(&quot;Net Intake/Output&quot; IO where IO.issued same day as Today() sort by issued descending)

define &quot;Jugular Venous Pressure&quot;:
  [Observation: &quot;Jugular venous pressure&quot;] O
    where O.status = 'final'
      and references(O.encounter, Encounter)

define &quot;Oxygen Saturation&quot;:
  [Observation: &quot;Oxygen saturation&quot;] O
    where O.status = 'final'
      and references(O.encounter, Encounter)

define &quot;Potassium&quot;:
  [Observation: &quot;Potassium goal&quot;] O
    where O.status = 'final'
      and references(O.encounter, Encounter)

define &quot;Creatinine&quot;:
  [Observation: &quot;Creatinine in serum&quot;] O
    where O.status = 'final'
      and references(O.encounter, Encounter)

define &quot;eGFR&quot;:
  [Observation: &quot;eGFR result&quot;] O
    where O.status = 'final'
      and references(O.encounter, Encounter)


// Eligibility Criteria
define &quot;Eligibility Criteria&quot;:
  [Condition] C
    where C.code ~ &quot;Congestive heart failure&quot;
      and C.clinicalStatus ~ &quot;Active condition&quot;
      and C.verificationStatus ~ &quot;Confirmed condition&quot;

// 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 } }
</code></pre>
      </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>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm">
    <valueCoding>
      <system value="http://hl7.org/fhir/version-algorithm"/>
      <code value="semver"/>
    </valueCoding>
  </extension>
  <url value="http://hl7.org/fhir/uv/sdc/Library/sdc-CHF"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.40.17.28.1"/>
  </identifier>
  <version value="4.0.0-ci-build"/>
  <name value="CHF"/>
  <title value="Congestive Heart Failure Logic"/>
  <status value="active"/>
  <experimental value="true"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
      <code value="logic-library"/>
      <display value="Logic Library"/>
    </coding>
  </type>
  <date value="2020-11-29T15:54:22-07:00"/>
  <publisher value="HL7 International / FHIR Infrastructure"/>
  <contact>
    <name value="HL7 International / FHIR Infrastructure"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fiwg"/>
    </telecom>
  </contact>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fiwg"/>
    </telecom>
  </contact>
  <description value="Logic for an example congestive heart failure pathway"/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <relatedArtifact>
    <type value="depends-on"/>
    <display value="SNOMED CT"/>
    <url value="http://snomed.info/sct"/>
    <document>
      <url value="http://snomed.info/sct"/>
    </document>
    <resource value="http://snomed.info/sct"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="depends-on"/>
    <display value="LOINC"/>
    <url value="http://loinc.org"/>
    <document>
      <url value="http://loinc.org"/>
    </document>
    <resource value="http://loinc.org"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="depends-on"/>
    <display value="Congestive heart failure codes"/>
    <url value="http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes"/>
    <document>
      <url value="http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes"/>
    </document>
    <resource value="http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="depends-on"/>
    <display value="Clinical condition codes"/>
    <url value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
    <document>
      <url value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
    </document>
    <resource
              value="http://terminology.hl7.org/CodeSystem/condition-clinical|4.0.1"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="depends-on"/>
    <display value="Condition verification status"/>
    <url value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
    <document>
      <url
           value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
    </document>
    <resource
              value="http://terminology.hl7.org/CodeSystem/condition-ver-status|4.0.1"/>
  </relatedArtifact>
  <parameter>
    <name value="Encounter"/>
    <use value="in"/>
    <min value="0"/>
    <max value="1"/>
    <type value="Encounter"/>
  </parameter>
  <parameter>
    <name value="Patient"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="Patient"/>
  </parameter>
  <parameter>
    <name value="Body Weight"/>
    <use value="out"/>
    <min value="0"/>
    <max value="*"/>
    <type value="Observation"/>
  </parameter>
  <parameter>
    <name value="Body Weight Change Assertion"/>
    <use value="out"/>
    <min value="0"/>
    <max value="*"/>
    <type value="Observation"/>
  </parameter>
  <parameter>
    <name value="Daily Body Weight"/>
    <use value="out"/>
    <min value="0"/>
    <max value="*"/>
    <type value="Resource"/>
  </parameter>
  <parameter>
    <name value="Daily Body Weight Change"/>
    <use value="out"/>
    <min value="0"/>
    <max value="*"/>
    <type value="Resource"/>
  </parameter>
  <parameter>
    <name value="Body Weight Change"/>
    <use value="out"/>
    <min value="0"/>
    <max value="*"/>
    <type value="Observation"/>
  </parameter>
  <parameter>
    <name value="Current Body Weight"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="Observation"/>
  </parameter>
  <parameter>
    <name value="Previous Body Weight"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="Observation"/>
  </parameter>
  <parameter>
    <name value="Current Body Weight Change"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="integer"/>
  </parameter>
  <parameter>
    <name value="Urine Output"/>
    <use value="out"/>
    <min value="0"/>
    <max value="*"/>
    <type value="Observation"/>
  </parameter>
  <parameter>
    <name value="Current Urine Output"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="Observation"/>
  </parameter>
  <parameter>
    <name value="Net Intake/Output"/>
    <use value="out"/>
    <min value="0"/>
    <max value="*"/>
    <type value="Observation"/>
  </parameter>
  <parameter>
    <name value="Current Net Intake/Output"/>
    <use value="out"/>
    <min value="0"/>
    <max value="1"/>
    <type value="Observation"/>
  </parameter>
  <parameter>
    <name value="Jugular Venous Pressure"/>
    <use value="out"/>
    <min value="0"/>
    <max value="*"/>
    <type value="Observation"/>
  </parameter>
  <parameter>
    <name value="Oxygen Saturation"/>
    <use value="out"/>
    <min value="0"/>
    <max value="*"/>
    <type value="Observation"/>
  </parameter>
  <parameter>
    <name value="Potassium"/>
    <use value="out"/>
    <min value="0"/>
    <max value="*"/>
    <type value="Observation"/>
  </parameter>
  <parameter>
    <name value="Creatinine"/>
    <use value="out"/>
    <min value="0"/>
    <max value="*"/>
    <type value="Observation"/>
  </parameter>
  <parameter>
    <name value="eGFR"/>
    <use value="out"/>
    <min value="0"/>
    <max value="*"/>
    <type value="Observation"/>
  </parameter>
  <parameter>
    <name value="Eligibility Criteria"/>
    <use value="out"/>
    <min value="0"/>
    <max value="*"/>
    <type value="Condition"/>
  </parameter>
  <dataRequirement>
    <type value="Observation"/>
    <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
    <codeFilter>
      <path value="code"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="29463-7"/>
      </code>
    </codeFilter>
  </dataRequirement>
  <dataRequirement>
    <type value="Observation"/>
    <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
    <codeFilter>
      <path value="code"/>
      <code>
        <system value="http://example.org/CodeSystem/chf-codes"/>
        <code value="body-weight-change"/>
      </code>
    </codeFilter>
  </dataRequirement>
  <dataRequirement>
    <type value="Observation"/>
    <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
    <codeFilter>
      <path value="code"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="9192-6"/>
      </code>
    </codeFilter>
  </dataRequirement>
  <dataRequirement>
    <type value="Observation"/>
    <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
    <codeFilter>
      <path value="code"/>
      <code>
        <system value="http://example.org/CodeSystem/chf-codes"/>
        <code value="net-intake-output"/>
      </code>
    </codeFilter>
  </dataRequirement>
  <dataRequirement>
    <type value="Observation"/>
    <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
    <codeFilter>
      <path value="code"/>
      <code>
        <system value="http://example.org/CodeSystem/chf-codes"/>
        <code value="jvp"/>
      </code>
    </codeFilter>
  </dataRequirement>
  <dataRequirement>
    <type value="Observation"/>
    <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
    <codeFilter>
      <path value="code"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="2708-6"/>
      </code>
    </codeFilter>
  </dataRequirement>
  <dataRequirement>
    <type value="Observation"/>
    <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
    <codeFilter>
      <path value="code"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="86919-8"/>
        <display value="Potassium goal [Moles/volume] Serum or Plasma"/>
      </code>
    </codeFilter>
  </dataRequirement>
  <dataRequirement>
    <type value="Observation"/>
    <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
    <codeFilter>
      <path value="code"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="39802-4"/>
        <display
                 value="Creatinine in dialysis fluid/Creatinine in serum or plasma"/>
      </code>
    </codeFilter>
  </dataRequirement>
  <dataRequirement>
    <type value="Observation"/>
    <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
    <codeFilter>
      <path value="code"/>
      <code>
        <system value="http://example.org/CodeSystem/chf-codes"/>
        <code value="egfr"/>
      </code>
    </codeFilter>
  </dataRequirement>
  <dataRequirement>
    <type value="Condition"/>
    <profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
  </dataRequirement>
  <content>
    <contentType value="text/cql"/>
    <data
          value="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 } }
"/>
  </content>
</Library>