US Situational Awareness Framework for Reporting (US SAFR) Implementation Guide
1.0.0 - STU 1 ballot United States of America flag

US Situational Awareness Framework for Reporting (US SAFR) Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/us-safr/ and changes regularly. See the Directory of published versions

: HRDMeasure - TTL Representation

Page standards status: Trial-use Maturity Level: 1

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@prefix fhir: <http://hl7.org/fhir/> .
@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 "HRDMeasure"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<div>\n    <table class=\"grid dict\">\n        \n        \n\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Id: </b></th>\n            <td style=\"padding-left: 4px;\">HRDMeasure</td>\n        </tr>\n        \n\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Version: </b></th>\n            <td style=\"padding-left: 4px;\">1.0.0</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Url: </b></th>\n            <td style=\"padding-left: 4px;\"><a href=\"Library-HRDMeasure.html\">HRDMeasure</a></td>\n        </tr>\n        \n\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Status: </b></th>\n            <td style=\"padding-left: 4px;\">draft</td>\n        </tr>\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Type: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                    \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>system: </b> <span><a href=\"http://terminology.hl7.org/7.0.1/CodeSystem-library-type.html\">http://terminology.hl7.org/CodeSystem/library-type</a></span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>code: </b> <span>logic-library</span>\n                        </p>\n                        \n                        \n                    \n                \n                \n            </td>\n        </tr>\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Date: </b></th>\n            <td style=\"padding-left: 4px;\">2025-12-23 19:38:58+0000</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Publisher: </b></th>\n            <td style=\"padding-left: 4px;\">HL7 International / Public Health</td>\n        </tr>\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Jurisdiction: </b></th>\n            <td style=\"padding-left: 4px;\">US</td>\n        </tr>\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n        \n        <tr>\n          <td colspan=\"2\">\n            <table>\n              <tr><th><a id=\"cql-content\"><b>Content: </b></a> text/cql</th></tr>\n              <tr><td><pre><code class=\"language-cql\">library HRDMeasure version '1.0.0'#xD;\n#xD;\nusing FHIR version '4.0.1'#xD;\n#xD;\ninclude FHIRHelpers version '4.0.1' called FHIRHelpers#xD;\n#xD;\n// Terminology definitions#xD;\ncodesystem \"SNOMEDCT\": 'http://snomed.info/sct'#xD;\ncodesystem \"LocationPhysicalType\": 'http://terminology.hl7.org/CodeSystem/location-physical-type'#xD;\ncodesystem \"HealthcareCapacity\": 'http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-example-codes'#xD;\ncodesystem \"Observation Category\": 'http://terminology.hl7.org/CodeSystem/observation-category'#xD;\n#xD;\n// Value sets#xD;\nvalueset \"COVID_19 (Tests for SARS_CoV_2 Nucleic Acid)\": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1142'#xD;\nvalueset \"COVID_19 (Tests for SARS_CoV_2 Antigen)\": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1158'#xD;\nvalueset \"Influenza (Tests for influenza A or B virus Nucleic Acid)\": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.336'#xD;\nvalueset \"Influenza (Tests for influenza A or B virus Antigen)\": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.337'#xD;\nvalueset \"RSV (Tests for RSV Antigen)\": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1311'#xD;\nvalueset \"RSV (Tests for RSV Nucleic Acid)\": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1312'#xD;\n#xD;\n//Codes#xD;\ncode \"Bed\": 'bd' from \"LocationPhysicalType\" display 'Bed'#xD;\n#xD;\ncode \"HOSP\": 'HOSP' from \"HealthcareCapacity\" display 'Hospital'#xD;\ncode \"IRF\": 'IRF' from \"HealthcareCapacity\" display 'Inpatient Rehabilitation'#xD;\ncode \"IPF\": 'IPF' from \"HealthcareCapacity\" display 'Inpatient Psychiatric'#xD;\ncode \"CHLD\": 'CHLD' from \"HealthcareCapacity\" display 'Children\\'s or Pediatric'#xD;\ncode \"OTH\": 'OTH' from \"HealthcareCapacity\" display 'Other facility-within-facility or subunit'#xD;\n#xD;\ncode \"laboratory\": 'laboratory' from \"Observation Category\" display 'Laboratory'#xD;\n#xD;\ncode \"detected\": '260373001' from \"SNOMEDCT\" display 'Detected'#xD;\ncode \"N95 mask\": '409533008' from \"SNOMEDCT\" display 'Air-purifying respirator (physical object)'#xD;\ncode \"Surgical mask\": '409528009' from \"SNOMEDCT\" display 'Surgical face mask (physical object)'#xD;\ncode \"Face shield\": '706724001' from \"SNOMEDCT\" display 'Face shield (physical object)'#xD;\ncode \"Patient gown\": '1141676007' from \"SNOMEDCT\" display 'Patient gown (physical object)'#xD;\ncode \"Surgical glove\": '462245005' from \"SNOMEDCT\" display 'Nitrile surgical glove, powdered (physical object)'#xD;\n#xD;\n// Parameter for measurement period#xD;\nparameter \"Measurement Period\" Interval&lt;Date&gt;#xD;\n  default Interval[@2025-03-01, @2025-03-07]#xD;\n#xD;\ncontext Location#xD;\n#xD;\n//Initial Populations#xD;\ndefine \"Inpatient Beds Initial Population\":#xD;\n  IsBedLocation#xD;\n  and LocationIsHOSP#xD;\n  and (#xD;\n    LocationIsIPF#xD;\n    or LocationIsIRF#xD;\n    or LocationIsCHLD#xD;\n  )#xD;\n#xD;\ndefine \"Occupied Inpatient Beds Initial Population\":#xD;\n  \"Inpatient Beds Initial Population\"#xD;\n  and EncounterCheck#xD;\n  #xD;\ndefine \"Adult Inpatient Beds Initial Population\":#xD;\n  IsBedLocation#xD;\n  and LocationIsHOSP#xD;\n  and (#xD;\n    LocationIsIPF#xD;\n    or LocationIsIRF#xD;\n  )#xD;\n  and not LocationIsCHLD#xD;\n#xD;\ndefine \"Occupied Adult Inpatient Beds Initial Population\":#xD;\n  \"Adult Inpatient Beds Initial Population\"#xD;\n  and EncounterCheck#xD;\n#xD;\ndefine \"Pediatric Inpatient Beds Initial Population\":#xD;\n  IsBedLocation#xD;\n  and LocationIsHOSP#xD;\n  and LocationIsCHLD#xD;\n  and not (#xD;\n    LocationIsIPF#xD;\n    or LocationIsIRF#xD;\n  )#xD;\n#xD;\ndefine \"Occupied Pediatric Inpatient Beds Initial Population\":#xD;\n  \"Pediatric Inpatient Beds Initial Population\"#xD;\n  and EncounterCheck#xD;\n#xD;\ndefine \"ICU Beds Initial Population\":#xD;\n  IsBedLocation#xD;\n  and (#xD;\n    LocationIsHOSP#xD;\n    or LocationIsOTH#xD;\n  )#xD;\n#xD;\ndefine \"Occupied ICU Beds Initial Population\":#xD;\n  \"ICU Beds Initial Population\"#xD;\n  and EncounterCheck#xD;\n#xD;\ndefine \"Adult ICU Beds Initial Population\":#xD;\n  IsBedLocation#xD;\n  and (#xD;\n    LocationIsHOSP#xD;\n    or LocationIsOTH#xD;\n  )#xD;\n  and not LocationIsCHLD#xD;\n#xD;\ndefine \"Occupied Adult ICU Beds Initial Population\":#xD;\n  \"Adult ICU Beds Initial Population\"#xD;\n  and EncounterCheck#xD;\n#xD;\ndefine \"Pediatric ICU Beds Initial Population\":#xD;\n  IsBedLocation#xD;\n  and LocationIsCHLD#xD;\n  and (#xD;\n    LocationIsHOSP#xD;\n    or LocationIsOTH#xD;\n  )#xD;\n#xD;\ndefine \"Occupied Pediatric ICU Beds Initial Population\":#xD;\n  \"Pediatric ICU Beds Initial Population\"#xD;\n  and EncounterCheck#xD;\n#xD;\n//Stratifiers#xD;\n//COVID_19#xD;\ndefine \"Adult Inpatient COVID_19 Patients Stratifier\":#xD;\n  if \"Occupied Adult Inpatient Beds Initial Population\" then#xD;\n    \"Count Confirmed COVID_19 Patients in Bed Location\"#xD;\n  else 0#xD;\n#xD;\ndefine \"Pediatric Inpatient COVID_19 Patients Stratifier\":#xD;\n  if \"Occupied Pediatric Inpatient Beds Initial Population\" then#xD;\n    \"Count Confirmed COVID_19 Patients in Bed Location\"#xD;\n  else 0#xD;\n#xD;\ndefine \"Adult ICU COVID_19 Patients Stratifier\":#xD;\n  if \"Occupied Adult ICU Beds Initial Population\" then#xD;\n    \"Count Confirmed COVID_19 Patients in Bed Location\"#xD;\n  else 0#xD;\n#xD;\ndefine \"Pediatric ICU COVID_19 Patients Stratifier\":#xD;\n  if \"Occupied Pediatric ICU Beds Initial Population\" then#xD;\n    \"Count Confirmed COVID_19 Patients in Bed Location\"#xD;\n  else 0#xD;\n#xD;\ndefine \"New Pediatric COVID_19 Patients Between 0 to 4 Stratifier\":#xD;\n  Count(#xD;\n    \"Get Confirmed Patient IDs in Bed Location Between Specified Ages\"( \"Newly Admitted COVID_19 Patient IDs\" , 0, 4 )#xD;\n  )#xD;\n#xD;\ndefine \"New Pediatric COVID_19 Patients Between 5 to 17 Stratifier\":#xD;\n  Count(#xD;\n    \"Get Confirmed Patient IDs in Bed Location Between Specified Ages\"( \"Newly Admitted COVID_19 Patient IDs\", 5, 17 )#xD;\n  )#xD;\n#xD;\ndefine \"New Adult COVID_19 Patients Between 18 to 49 Stratifier\":#xD;\n  Count(#xD;\n    \"Get Confirmed Patient IDs in Bed Location Between Specified Ages\"( \"Newly Admitted COVID_19 Patient IDs\", 18, 49 )#xD;\n  )#xD;\n#xD;\ndefine \"New Adult COVID_19 Patients Between 50 to 64 Stratifier\":#xD;\n  Count(#xD;\n    \"Get Confirmed Patient IDs in Bed Location Between Specified Ages\"( \"Newly Admitted COVID_19 Patient IDs\", 50, 64 )#xD;\n  )#xD;\n#xD;\ndefine \"New Adult COVID_19 Patients Between 65 to 74 Stratifier\":#xD;\n  Count(#xD;\n    \"Get Confirmed Patient IDs in Bed Location Between Specified Ages\"( \"Newly Admitted COVID_19 Patient IDs\", 65, 74 )#xD;\n  )#xD;\n#xD;\ndefine \"New Adult COVID_19 Patients 75 and Above Stratifier\":#xD;\n  Count(#xD;\n    \"Get Confirmed Patient IDs in Bed Location Above Specified Age\"( \"Newly Admitted COVID_19 Patient IDs\", 75 )#xD;\n  )#xD;\n#xD;\ndefine \"New COVID_19 Patients with Unknown Age Stratifier\":#xD;\n  Count(#xD;\n    \"Get Confirmed Patient IDs in Bed Location and Unknown Age\"( \"Newly Admitted COVID_19 Patient IDs\" )#xD;\n  )#xD;\n  #xD;\n//Influenza#xD;\ndefine \"Adult Inpatient Influenza Patients Stratifier\":#xD;\n  if \"Occupied Adult Inpatient Beds Initial Population\" then#xD;\n    \"Count Confirmed Influenza Patients in Bed Location\"#xD;\n  else 0#xD;\n#xD;\ndefine \"Pediatric Inpatient Influenza Patients Stratifier\":#xD;\n  if \"Occupied Pediatric Inpatient Beds Initial Population\" then#xD;\n    \"Count Confirmed Influenza Patients in Bed Location\"#xD;\n  else 0#xD;\n#xD;\ndefine \"Adult ICU Influenza Patients Stratifier\":#xD;\n  if \"Occupied Adult ICU Beds Initial Population\" then#xD;\n    \"Count Confirmed Influenza Patients in Bed Location\"#xD;\n  else 0#xD;\n#xD;\ndefine \"Pediatric ICU Influenza Patients Stratifier\":#xD;\n  if \"Occupied Pediatric ICU Beds Initial Population\" then#xD;\n    \"Count Confirmed Influenza Patients in Bed Location\"#xD;\n  else 0#xD;\n#xD;\ndefine \"New Pediatric Influenza Patients Between 0 to 4 Stratifier\":#xD;\n  Count(#xD;\n    \"Get Confirmed Patient IDs in Bed Location Between Specified Ages\"( \"Newly Admitted Influenza Patient IDs\" , 0, 4 )#xD;\n  )#xD;\n#xD;\ndefine \"New Pediatric Influenza Patients Between 5 to 17 Stratifier\":#xD;\n  Count(#xD;\n    \"Get Confirmed Patient IDs in Bed Location Between Specified Ages\"( \"Newly Admitted Influenza Patient IDs\", 5, 17 )#xD;\n  )#xD;\n#xD;\ndefine \"New Adult Influenza Patients Between 18 to 49 Stratifier\":#xD;\n  Count(#xD;\n    \"Get Confirmed Patient IDs in Bed Location Between Specified Ages\"( \"Newly Admitted Influenza Patient IDs\", 18, 49 )#xD;\n  )#xD;\n#xD;\ndefine \"New Adult Influenza Patients Between 50 to 64 Stratifier\":#xD;\n  Count(#xD;\n    \"Get Confirmed Patient IDs in Bed Location Between Specified Ages\"( \"Newly Admitted Influenza Patient IDs\", 50, 64 )#xD;\n  )#xD;\n#xD;\ndefine \"New Adult Influenza Patients Between 65 to 74 Stratifier\":#xD;\n  Count(#xD;\n    \"Get Confirmed Patient IDs in Bed Location Between Specified Ages\"( \"Newly Admitted Influenza Patient IDs\", 65, 74 )#xD;\n  )#xD;\n#xD;\ndefine \"New Adult Influenza Patients 75 and Above Stratifier\":#xD;\n  Count(#xD;\n    \"Get Confirmed Patient IDs in Bed Location Above Specified Age\"( \"Newly Admitted Influenza Patient IDs\", 75 )#xD;\n  )#xD;\n#xD;\ndefine \"New Influenza Patients with Unknown Age Stratifier\":#xD;\n  Count(#xD;\n    \"Get Confirmed Patient IDs in Bed Location and Unknown Age\"( \"Newly Admitted Influenza Patient IDs\" )#xD;\n  )#xD;\n#xD;\n//RSV#xD;\ndefine \"Adult Inpatient RSV Patients Stratifier\":#xD;\n  if \"Occupied Adult Inpatient Beds Initial Population\" then#xD;\n    \"Count Confirmed RSV Patients in Bed Location\"#xD;\n  else 0#xD;\n#xD;\ndefine \"Pediatric Inpatient RSV Patients Stratifier\":#xD;\n  if \"Occupied Pediatric Inpatient Beds Initial Population\" then#xD;\n    \"Count Confirmed RSV Patients in Bed Location\"#xD;\n  else 0#xD;\n#xD;\ndefine \"Adult ICU RSV Patients Stratifier\":#xD;\n  if \"Occupied Adult ICU Beds Initial Population\" then#xD;\n    \"Count Confirmed RSV Patients in Bed Location\"#xD;\n  else 0#xD;\n#xD;\ndefine \"Pediatric ICU RSV Patients Stratifier\":#xD;\n  if \"Occupied Pediatric ICU Beds Initial Population\" then#xD;\n    \"Count Confirmed RSV Patients in Bed Location\"#xD;\n  else 0#xD;\n#xD;\ndefine \"New Pediatric RSV Patients Between 0 to 4 Stratifier\":#xD;\n  Count(#xD;\n    \"Get Confirmed Patient IDs in Bed Location Between Specified Ages\"( \"Newly Admitted RSV Patient IDs\" , 0, 4 )#xD;\n  )#xD;\n#xD;\ndefine \"New Pediatric RSV Patients Between 5 to 17 Stratifier\":#xD;\n  Count(#xD;\n    \"Get Confirmed Patient IDs in Bed Location Between Specified Ages\"( \"Newly Admitted RSV Patient IDs\", 5, 17 )#xD;\n  )#xD;\n#xD;\ndefine \"New Adult RSV Patients Between 18 to 49 Stratifier\":#xD;\n  Count(#xD;\n    \"Get Confirmed Patient IDs in Bed Location Between Specified Ages\"( \"Newly Admitted RSV Patient IDs\", 18, 49 )#xD;\n  )#xD;\n#xD;\ndefine \"New Adult RSV Patients Between 50 to 64 Stratifier\":#xD;\n  Count(#xD;\n    \"Get Confirmed Patient IDs in Bed Location Between Specified Ages\"( \"Newly Admitted RSV Patient IDs\", 50, 64 )#xD;\n  )#xD;\n#xD;\ndefine \"New Adult RSV Patients Between 65 to 74 Stratifier\":#xD;\n  Count(#xD;\n    \"Get Confirmed Patient IDs in Bed Location Between Specified Ages\"( \"Newly Admitted RSV Patient IDs\", 65, 74 )#xD;\n  )#xD;\n#xD;\ndefine \"New Adult RSV Patients 75 and Above Stratifier\":#xD;\n  Count(#xD;\n    \"Get Confirmed Patient IDs in Bed Location Above Specified Age\"( \"Newly Admitted RSV Patient IDs\", 75 )#xD;\n  )#xD;\n#xD;\ndefine \"New RSV Patients with Unknown Age Stratifier\":#xD;\n  Count(#xD;\n    \"Get Confirmed Patient IDs in Bed Location and Unknown Age\"( \"Newly Admitted RSV Patient IDs\" )#xD;\n  )#xD;\n#xD;\n//Devices (Supply is divided by average used per day (estimated))#xD;\ndefine \"N95 Mask Supply in Days Stratifier\":#xD;\n  Floor( Count(#xD;\n    \"Devices\" Devices#xD;\n    where Devices.type ~ \"N95 mask\"#xD;\n  ) / 10 )#xD;\n#xD;\ndefine \"N95 Mask 3 Day Supply Initial Population\":#xD;\n  \"N95 Mask Supply in Days Stratifier\" &gt; 3#xD;\n#xD;\ndefine \"OR Surgical Mask Supply in Days Stratifier\":#xD;\n  Floor( Count(#xD;\n    \"Devices\" Devices#xD;\n    where Devices.type ~ \"Surgical mask\"#xD;\n  ) / 10 )#xD;\n#xD;\ndefine \"OR Surgical Mask 3 Day Supply Initial Population\":#xD;\n  \"OR Surgical Mask Supply in Days Stratifier\" &gt; 3#xD;\n#xD;\ndefine \"Face Shield Supply in Days Stratifier\":#xD;\n  Floor( Count(#xD;\n    \"Devices\" Devices#xD;\n    where Devices.type ~ \"Face shield\"#xD;\n  ) / 10 )#xD;\n#xD;\ndefine \"Face Shield 3 Day Supply Initial Population\":#xD;\n  \"Face Shield Supply in Days Stratifier\" &gt; 3#xD;\n#xD;\ndefine \"Gown Supply in Days Stratifier\":#xD;\n  Floor( Count(#xD;\n    \"Devices\" Devices#xD;\n    where Devices.type ~ \"Patient gown\"#xD;\n  ) / 5 )#xD;\n#xD;\ndefine \"Gown 3 Day Supply Initial Population\":#xD;\n  \"Gown Supply in Days Stratifier\" &gt; 3#xD;\n#xD;\ndefine \"Glove Supply in Days Stratifier\":#xD;\n  Floor( Count(#xD;\n    \"Devices\" Devices#xD;\n    where Devices.type ~ \"Surgical glove\"#xD;\n  ) / 15 )#xD;\n#xD;\ndefine \"Glove 3 Day Supply Initial Population\":#xD;\n  \"Glove Supply in Days Stratifier\" &gt; 3#xD;\n#xD;\n//Functions and Helpers#xD;\ndefine \"COVID_19 Observations\":#xD;\n  [Observation: \"COVID_19 (Tests for SARS_CoV_2 Nucleic Acid)\"] #xD;\n    union [Observation: \"COVID_19 (Tests for SARS_CoV_2 Antigen)\"]#xD;\n#xD;\ndefine \"Newly Admitted COVID_19 Patient IDs\":#xD;\n  \"Get Confirmed Patient IDs\"( \"Newly Admitted Encounters\", \"COVID_19 Observations\" )#xD;\n#xD;\ndefine \"Count Confirmed COVID_19 Patients in Bed Location\":#xD;\n  Count(#xD;\n    \"Get Confirmed Patient IDs\"( \"Encounters\", \"COVID_19 Observations\" )#xD;\n  )#xD;\n#xD;\ndefine \"Influenza Observations\":#xD;\n  [Observation: \"Influenza (Tests for influenza A or B virus Nucleic Acid)\"] #xD;\n    union [Observation: \"Influenza (Tests for influenza A or B virus Antigen)\"]#xD;\n#xD;\ndefine \"Newly Admitted Influenza Patient IDs\":#xD;\n  \"Get Confirmed Patient IDs\"( \"Newly Admitted Encounters\", \"Influenza Observations\" )#xD;\n#xD;\ndefine \"Count Confirmed Influenza Patients in Bed Location\":#xD;\n  Count(#xD;\n    \"Get Confirmed Patient IDs\"( \"Encounters\", \"Influenza Observations\" )#xD;\n  )#xD;\n#xD;\ndefine \"RSV Observations\":#xD;\n  [Observation: \"RSV (Tests for RSV Antigen)\"] #xD;\n    union [Observation: \"RSV (Tests for RSV Nucleic Acid)\"]#xD;\n#xD;\ndefine \"Newly Admitted RSV Patient IDs\":#xD;\n  \"Get Confirmed Patient IDs\"( \"Newly Admitted Encounters\", \"RSV Observations\" )#xD;\n#xD;\ndefine \"Count Confirmed RSV Patients in Bed Location\":#xD;\n  Count(#xD;\n    \"Get Confirmed Patient IDs\"( \"Encounters\", \"RSV Observations\" )#xD;\n  )#xD;\n#xD;\ndefine \"IsBedLocation\":#xD;\n  Location.physicalType ~ \"Bed\"#xD;\n#xD;\ndefine \"Encounters\":#xD;\n  [Encounter]#xD;\n#xD;\ndefine \"Devices\":#xD;\n  [Device]#xD;\n#xD;\ndefine \"Newly Admitted Encounters\":#xD;\n  \"Encounters\" Encounters#xD;\n  where Encounters.status in { 'in-progress', 'arrived', 'triaged' }#xD;\n#xD;\ndefine \"Patients\":#xD;\n  [Patient]#xD;\n#xD;\ndefine function \"Get Confirmed Patient IDs\"( Encounters List&lt;FHIR.Encounter&gt;, Observations List&lt;FHIR.Observation&gt; ):#xD;\n  Distinct(#xD;\n    Encounters Encounter#xD;\n    where exists(#xD;\n      Observations Labs#xD;\n      where exists(#xD;\n        Labs.category category#xD;\n        where category ~ \"laboratory\"#xD;\n      )#xD;\n      and Encounter.subject = Labs.subject#xD;\n      and Labs.value ~ \"detected\"#xD;\n      and \"Normalize Interval\"( Labs.effective ) overlaps Encounter.period#xD;\n    )#xD;\n    return Encounter.subject#xD;\n  )#xD;\n#xD;\ndefine function \"Get Confirmed Patient IDs in Bed Location Between Specified Ages\"( PatientIDs List&lt;FHIR.Reference&gt;, low System.Integer, high System.Integer ):#xD;\n  PatientIDs PatientID#xD;\n  where exists(#xD;\n    \"Patients\" Patients#xD;\n    let PatientAge: CalculateAgeInYearsAt( Patients.birthDate, start of \"Measurement Period\" )#xD;\n    where Patients.id = GetId( PatientID.reference )#xD;\n    and PatientAge &gt;= low#xD;\n    and PatientAge &lt;= high#xD;\n  )#xD;\n#xD;\ndefine function \"Get Confirmed Patient IDs in Bed Location Above Specified Age\"( PatientIDs List&lt;FHIR.Reference&gt;, age System.Integer ):#xD;\n  PatientIDs PatientID#xD;\n  where exists(#xD;\n    \"Patients\" Patients#xD;\n    let PatientAge: CalculateAgeInYearsAt( Patients.birthDate, start of \"Measurement Period\" )#xD;\n    where Patients.id = GetId( PatientID.reference )#xD;\n    and PatientAge &gt;= age#xD;\n  )#xD;\n#xD;\ndefine function \"Get Confirmed Patient IDs in Bed Location and Unknown Age\"( PatientIDs List&lt;FHIR.Reference&gt; ):#xD;\n  PatientIDs PatientID#xD;\n  where exists(#xD;\n    \"Patients\" Patients#xD;\n    where Patients.id = GetId( PatientID.reference )#xD;\n    and Patients.birthDate = null#xD;\n  )#xD;\n#xD;\ndefine function \"GetCondition\"( reference Reference ):#xD;\n  singleton from (#xD;\n	[Condition] Conditions#xD;\n		where Conditions.id = GetId( reference.reference )#xD;\n  )#xD;\n#xD;\ndefine function \"GetId\"( uri String ):#xD;\n  Last(Split(uri, '/'))#xD;\n#xD;\ndefine function \"Normalize Interval\"( choice Choice&lt;FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instant&gt; ):#xD;\n  case#xD;\n	  when choice is FHIR.dateTime then#xD;\n    	Interval[FHIRHelpers.ToDateTime(choice as FHIR.dateTime), FHIRHelpers.ToDateTime(choice as FHIR.dateTime)]#xD;\n		when choice is FHIR.Period then#xD;\n  		FHIRHelpers.ToInterval(choice as FHIR.Period)#xD;\n		when choice is FHIR.instant then#xD;\n			Interval[FHIRHelpers.ToDateTime(choice as FHIR.instant), FHIRHelpers.ToDateTime(choice as FHIR.instant)]#xD;\n		when choice is FHIR.Timing then#xD;\n		  Message(null as Interval&lt;DateTime&gt;, true, '1', 'Error', 'Cannot compute a single interval from a Timing type')#xD;\n		else#xD;\n			null as Interval&lt;DateTime&gt;#xD;\n	end#xD;\n#xD;\ndefine \"EncounterCheck\":#xD;\n  exists(\"Encounters\" Encounters#xD;\n  where Encounters.period overlaps \"Measurement Period\")#xD;\n#xD;\ndefine \"LocationIsHOSP\":#xD;\n  exists(#xD;\n    Location.type types#xD;\n    where types ~ \"HOSP\"#xD;\n  )#xD;\n#xD;\ndefine \"LocationIsIPF\":#xD;\n  exists(#xD;\n    Location.type types#xD;\n    where types ~ \"IPF\"#xD;\n  )#xD;\n#xD;\ndefine \"LocationIsIRF\":#xD;\n  exists(#xD;\n    Location.type types#xD;\n    where types ~ \"IRF\"#xD;\n  )#xD;\n#xD;\ndefine \"LocationIsCHLD\":#xD;\n  exists(#xD;\n    Location.type types#xD;\n    where types ~ \"CHLD\"#xD;\n  )#xD;\n#xD;\ndefine \"LocationIsOTH\":#xD;\n  exists(#xD;\n    Location.type types#xD;\n    where types ~ \"OTH\"#xD;\n  )</code></pre></td></tr>\n            </table>\n          </td>\n        </tr>\n        \n        \n        \n    </table>\n</div>\n</div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-wg>     ] ;
fhir:value [
a fhir:Code ;
fhir:v "pher"     ]
  ] ) ; # 
  fhir:url [
fhir:v "http://hl7.org/fhir/us/safr/Library/HRDMeasure"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/safr/Library/HRDMeasure>
  ] ; # 
  fhir:version [ fhir:v "1.0.0"] ; # 
  fhir:name [ fhir:v "HRDMeasure"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  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:date [ fhir:v "2025-12-23T19:38:58+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "HL7 International / Public Health"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "HL7 International / Public Health" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/pher" ]     ] )
  ] ) ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [
fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ;
fhir:l <urn:iso:std:iso:3166>       ] ;
fhir:code [ fhir:v "US" ] ;
fhir:display [ fhir:v "United States of America" ]     ] )
  ] ) ; # 
  fhir:content ( [
fhir:contentType [ fhir:v "text/cql" ] ;
fhir:data [ fhir:v "library HRDMeasure version '1.0.0'

using FHIR version '4.0.1'

include FHIRHelpers version '4.0.1' called FHIRHelpers

// Terminology definitions
codesystem "SNOMEDCT": 'http://snomed.info/sct'
codesystem "LocationPhysicalType": 'http://terminology.hl7.org/CodeSystem/location-physical-type'
codesystem "HealthcareCapacity": 'http://hl7.org/fhir/us/safr/CodeSystem/us-safr-bed-capacity-example-codes'
codesystem "Observation Category": 'http://terminology.hl7.org/CodeSystem/observation-category'

// Value sets
valueset "COVID_19 (Tests for SARS_CoV_2 Nucleic Acid)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1142'
valueset "COVID_19 (Tests for SARS_CoV_2 Antigen)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1158'
valueset "Influenza (Tests for influenza A or B virus Nucleic Acid)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.336'
valueset "Influenza (Tests for influenza A or B virus Antigen)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.337'
valueset "RSV (Tests for RSV Antigen)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1311'
valueset "RSV (Tests for RSV Nucleic Acid)": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1312'

//Codes
code "Bed": 'bd' from "LocationPhysicalType" display 'Bed'

code "HOSP": 'HOSP' from "HealthcareCapacity" display 'Hospital'
code "IRF": 'IRF' from "HealthcareCapacity" display 'Inpatient Rehabilitation'
code "IPF": 'IPF' from "HealthcareCapacity" display 'Inpatient Psychiatric'
code "CHLD": 'CHLD' from "HealthcareCapacity" display 'Children\'s or Pediatric'
code "OTH": 'OTH' from "HealthcareCapacity" display 'Other facility-within-facility or subunit'

code "laboratory": 'laboratory' from "Observation Category" display 'Laboratory'

code "detected": '260373001' from "SNOMEDCT" display 'Detected'
code "N95 mask": '409533008' from "SNOMEDCT" display 'Air-purifying respirator (physical object)'
code "Surgical mask": '409528009' from "SNOMEDCT" display 'Surgical face mask (physical object)'
code "Face shield": '706724001' from "SNOMEDCT" display 'Face shield (physical object)'
code "Patient gown": '1141676007' from "SNOMEDCT" display 'Patient gown (physical object)'
code "Surgical glove": '462245005' from "SNOMEDCT" display 'Nitrile surgical glove, powdered (physical object)'

// Parameter for measurement period
parameter "Measurement Period" Interval<Date>
  default Interval[@2025-03-01, @2025-03-07]

context Location

//Initial Populations
define "Inpatient Beds Initial Population":
  IsBedLocation
  and LocationIsHOSP
  and (
    LocationIsIPF
    or LocationIsIRF
    or LocationIsCHLD
  )

define "Occupied Inpatient Beds Initial Population":
  "Inpatient Beds Initial Population"
  and EncounterCheck
  
define "Adult Inpatient Beds Initial Population":
  IsBedLocation
  and LocationIsHOSP
  and (
    LocationIsIPF
    or LocationIsIRF
  )
  and not LocationIsCHLD

define "Occupied Adult Inpatient Beds Initial Population":
  "Adult Inpatient Beds Initial Population"
  and EncounterCheck

define "Pediatric Inpatient Beds Initial Population":
  IsBedLocation
  and LocationIsHOSP
  and LocationIsCHLD
  and not (
    LocationIsIPF
    or LocationIsIRF
  )

define "Occupied Pediatric Inpatient Beds Initial Population":
  "Pediatric Inpatient Beds Initial Population"
  and EncounterCheck

define "ICU Beds Initial Population":
  IsBedLocation
  and (
    LocationIsHOSP
    or LocationIsOTH
  )

define "Occupied ICU Beds Initial Population":
  "ICU Beds Initial Population"
  and EncounterCheck

define "Adult ICU Beds Initial Population":
  IsBedLocation
  and (
    LocationIsHOSP
    or LocationIsOTH
  )
  and not LocationIsCHLD

define "Occupied Adult ICU Beds Initial Population":
  "Adult ICU Beds Initial Population"
  and EncounterCheck

define "Pediatric ICU Beds Initial Population":
  IsBedLocation
  and LocationIsCHLD
  and (
    LocationIsHOSP
    or LocationIsOTH
  )

define "Occupied Pediatric ICU Beds Initial Population":
  "Pediatric ICU Beds Initial Population"
  and EncounterCheck

//Stratifiers
//COVID_19
define "Adult Inpatient COVID_19 Patients Stratifier":
  if "Occupied Adult Inpatient Beds Initial Population" then
    "Count Confirmed COVID_19 Patients in Bed Location"
  else 0

define "Pediatric Inpatient COVID_19 Patients Stratifier":
  if "Occupied Pediatric Inpatient Beds Initial Population" then
    "Count Confirmed COVID_19 Patients in Bed Location"
  else 0

define "Adult ICU COVID_19 Patients Stratifier":
  if "Occupied Adult ICU Beds Initial Population" then
    "Count Confirmed COVID_19 Patients in Bed Location"
  else 0

define "Pediatric ICU COVID_19 Patients Stratifier":
  if "Occupied Pediatric ICU Beds Initial Population" then
    "Count Confirmed COVID_19 Patients in Bed Location"
  else 0

define "New Pediatric COVID_19 Patients Between 0 to 4 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted COVID_19 Patient IDs" , 0, 4 )
  )

define "New Pediatric COVID_19 Patients Between 5 to 17 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted COVID_19 Patient IDs", 5, 17 )
  )

define "New Adult COVID_19 Patients Between 18 to 49 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted COVID_19 Patient IDs", 18, 49 )
  )

define "New Adult COVID_19 Patients Between 50 to 64 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted COVID_19 Patient IDs", 50, 64 )
  )

define "New Adult COVID_19 Patients Between 65 to 74 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted COVID_19 Patient IDs", 65, 74 )
  )

define "New Adult COVID_19 Patients 75 and Above Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Above Specified Age"( "Newly Admitted COVID_19 Patient IDs", 75 )
  )

define "New COVID_19 Patients with Unknown Age Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location and Unknown Age"( "Newly Admitted COVID_19 Patient IDs" )
  )
  
//Influenza
define "Adult Inpatient Influenza Patients Stratifier":
  if "Occupied Adult Inpatient Beds Initial Population" then
    "Count Confirmed Influenza Patients in Bed Location"
  else 0

define "Pediatric Inpatient Influenza Patients Stratifier":
  if "Occupied Pediatric Inpatient Beds Initial Population" then
    "Count Confirmed Influenza Patients in Bed Location"
  else 0

define "Adult ICU Influenza Patients Stratifier":
  if "Occupied Adult ICU Beds Initial Population" then
    "Count Confirmed Influenza Patients in Bed Location"
  else 0

define "Pediatric ICU Influenza Patients Stratifier":
  if "Occupied Pediatric ICU Beds Initial Population" then
    "Count Confirmed Influenza Patients in Bed Location"
  else 0

define "New Pediatric Influenza Patients Between 0 to 4 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted Influenza Patient IDs" , 0, 4 )
  )

define "New Pediatric Influenza Patients Between 5 to 17 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted Influenza Patient IDs", 5, 17 )
  )

define "New Adult Influenza Patients Between 18 to 49 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted Influenza Patient IDs", 18, 49 )
  )

define "New Adult Influenza Patients Between 50 to 64 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted Influenza Patient IDs", 50, 64 )
  )

define "New Adult Influenza Patients Between 65 to 74 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted Influenza Patient IDs", 65, 74 )
  )

define "New Adult Influenza Patients 75 and Above Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Above Specified Age"( "Newly Admitted Influenza Patient IDs", 75 )
  )

define "New Influenza Patients with Unknown Age Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location and Unknown Age"( "Newly Admitted Influenza Patient IDs" )
  )

//RSV
define "Adult Inpatient RSV Patients Stratifier":
  if "Occupied Adult Inpatient Beds Initial Population" then
    "Count Confirmed RSV Patients in Bed Location"
  else 0

define "Pediatric Inpatient RSV Patients Stratifier":
  if "Occupied Pediatric Inpatient Beds Initial Population" then
    "Count Confirmed RSV Patients in Bed Location"
  else 0

define "Adult ICU RSV Patients Stratifier":
  if "Occupied Adult ICU Beds Initial Population" then
    "Count Confirmed RSV Patients in Bed Location"
  else 0

define "Pediatric ICU RSV Patients Stratifier":
  if "Occupied Pediatric ICU Beds Initial Population" then
    "Count Confirmed RSV Patients in Bed Location"
  else 0

define "New Pediatric RSV Patients Between 0 to 4 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted RSV Patient IDs" , 0, 4 )
  )

define "New Pediatric RSV Patients Between 5 to 17 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted RSV Patient IDs", 5, 17 )
  )

define "New Adult RSV Patients Between 18 to 49 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted RSV Patient IDs", 18, 49 )
  )

define "New Adult RSV Patients Between 50 to 64 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted RSV Patient IDs", 50, 64 )
  )

define "New Adult RSV Patients Between 65 to 74 Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( "Newly Admitted RSV Patient IDs", 65, 74 )
  )

define "New Adult RSV Patients 75 and Above Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location Above Specified Age"( "Newly Admitted RSV Patient IDs", 75 )
  )

define "New RSV Patients with Unknown Age Stratifier":
  Count(
    "Get Confirmed Patient IDs in Bed Location and Unknown Age"( "Newly Admitted RSV Patient IDs" )
  )

//Devices (Supply is divided by average used per day (estimated))
define "N95 Mask Supply in Days Stratifier":
  Floor( Count(
    "Devices" Devices
    where Devices.type ~ "N95 mask"
  ) / 10 )

define "N95 Mask 3 Day Supply Initial Population":
  "N95 Mask Supply in Days Stratifier" > 3

define "OR Surgical Mask Supply in Days Stratifier":
  Floor( Count(
    "Devices" Devices
    where Devices.type ~ "Surgical mask"
  ) / 10 )

define "OR Surgical Mask 3 Day Supply Initial Population":
  "OR Surgical Mask Supply in Days Stratifier" > 3

define "Face Shield Supply in Days Stratifier":
  Floor( Count(
    "Devices" Devices
    where Devices.type ~ "Face shield"
  ) / 10 )

define "Face Shield 3 Day Supply Initial Population":
  "Face Shield Supply in Days Stratifier" > 3

define "Gown Supply in Days Stratifier":
  Floor( Count(
    "Devices" Devices
    where Devices.type ~ "Patient gown"
  ) / 5 )

define "Gown 3 Day Supply Initial Population":
  "Gown Supply in Days Stratifier" > 3

define "Glove Supply in Days Stratifier":
  Floor( Count(
    "Devices" Devices
    where Devices.type ~ "Surgical glove"
  ) / 15 )

define "Glove 3 Day Supply Initial Population":
  "Glove Supply in Days Stratifier" > 3

//Functions and Helpers
define "COVID_19 Observations":
  [Observation: "COVID_19 (Tests for SARS_CoV_2 Nucleic Acid)"] 
    union [Observation: "COVID_19 (Tests for SARS_CoV_2 Antigen)"]

define "Newly Admitted COVID_19 Patient IDs":
  "Get Confirmed Patient IDs"( "Newly Admitted Encounters", "COVID_19 Observations" )

define "Count Confirmed COVID_19 Patients in Bed Location":
  Count(
    "Get Confirmed Patient IDs"( "Encounters", "COVID_19 Observations" )
  )

define "Influenza Observations":
  [Observation: "Influenza (Tests for influenza A or B virus Nucleic Acid)"] 
    union [Observation: "Influenza (Tests for influenza A or B virus Antigen)"]

define "Newly Admitted Influenza Patient IDs":
  "Get Confirmed Patient IDs"( "Newly Admitted Encounters", "Influenza Observations" )

define "Count Confirmed Influenza Patients in Bed Location":
  Count(
    "Get Confirmed Patient IDs"( "Encounters", "Influenza Observations" )
  )

define "RSV Observations":
  [Observation: "RSV (Tests for RSV Antigen)"] 
    union [Observation: "RSV (Tests for RSV Nucleic Acid)"]

define "Newly Admitted RSV Patient IDs":
  "Get Confirmed Patient IDs"( "Newly Admitted Encounters", "RSV Observations" )

define "Count Confirmed RSV Patients in Bed Location":
  Count(
    "Get Confirmed Patient IDs"( "Encounters", "RSV Observations" )
  )

define "IsBedLocation":
  Location.physicalType ~ "Bed"

define "Encounters":
  [Encounter]

define "Devices":
  [Device]

define "Newly Admitted Encounters":
  "Encounters" Encounters
  where Encounters.status in { 'in-progress', 'arrived', 'triaged' }

define "Patients":
  [Patient]

define function "Get Confirmed Patient IDs"( Encounters List<FHIR.Encounter>, Observations List<FHIR.Observation> ):
  Distinct(
    Encounters Encounter
    where exists(
      Observations Labs
      where exists(
        Labs.category category
        where category ~ "laboratory"
      )
      and Encounter.subject = Labs.subject
      and Labs.value ~ "detected"
      and "Normalize Interval"( Labs.effective ) overlaps Encounter.period
    )
    return Encounter.subject
  )

define function "Get Confirmed Patient IDs in Bed Location Between Specified Ages"( PatientIDs List<FHIR.Reference>, low System.Integer, high System.Integer ):
  PatientIDs PatientID
  where exists(
    "Patients" Patients
    let PatientAge: CalculateAgeInYearsAt( Patients.birthDate, start of "Measurement Period" )
    where Patients.id = GetId( PatientID.reference )
    and PatientAge >= low
    and PatientAge <= high
  )

define function "Get Confirmed Patient IDs in Bed Location Above Specified Age"( PatientIDs List<FHIR.Reference>, age System.Integer ):
  PatientIDs PatientID
  where exists(
    "Patients" Patients
    let PatientAge: CalculateAgeInYearsAt( Patients.birthDate, start of "Measurement Period" )
    where Patients.id = GetId( PatientID.reference )
    and PatientAge >= age
  )

define function "Get Confirmed Patient IDs in Bed Location and Unknown Age"( PatientIDs List<FHIR.Reference> ):
  PatientIDs PatientID
  where exists(
    "Patients" Patients
    where Patients.id = GetId( PatientID.reference )
    and Patients.birthDate = null
  )

define function "GetCondition"( reference Reference ):
  singleton from (
	[Condition] Conditions
		where Conditions.id = GetId( reference.reference )
  )

define function "GetId"( uri String ):
  Last(Split(uri, '/'))

define function "Normalize Interval"( choice Choice<FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instant> ):
  case
	  when choice is FHIR.dateTime then
    	Interval[FHIRHelpers.ToDateTime(choice as FHIR.dateTime), FHIRHelpers.ToDateTime(choice as FHIR.dateTime)]
		when choice is FHIR.Period then
  		FHIRHelpers.ToInterval(choice as FHIR.Period)
		when choice is FHIR.instant then
			Interval[FHIRHelpers.ToDateTime(choice as FHIR.instant), FHIRHelpers.ToDateTime(choice as FHIR.instant)]
		when choice is FHIR.Timing then
		  Message(null as Interval<DateTime>, true, '1', 'Error', 'Cannot compute a single interval from a Timing type')
		else
			null as Interval<DateTime>
	end

define "EncounterCheck":
  exists("Encounters" Encounters
  where Encounters.period overlaps "Measurement Period")

define "LocationIsHOSP":
  exists(
    Location.type types
    where types ~ "HOSP"
  )

define "LocationIsIPF":
  exists(
    Location.type types
    where types ~ "IPF"
  )

define "LocationIsIRF":
  exists(
    Location.type types
    where types ~ "IRF"
  )

define "LocationIsCHLD":
  exists(
    Location.type types
    where types ~ "CHLD"
  )

define "LocationIsOTH":
  exists(
    Location.type types
    where types ~ "OTH"
  )"^^xsd:base64Binary ]
  ] ) . #