Structured Data Capture
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This page is part of the Structured Data Capture FHIR IG (v4.0.0-ballot: STU 4 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions

: Congestive Heart Failure Logic - TTL Representation

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 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:link <http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-library>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<div>\n    <table class=\"grid dict\">\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Title: </b></th>\n            <td style=\"padding-left: 4px;\">Congestive Heart Failure Logic</td>\n        </tr>\n        \n\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Id: </b></th>\n            <td style=\"padding-left: 4px;\">sdc-CHF</td>\n        </tr>\n        \n\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Version: </b></th>\n            <td style=\"padding-left: 4px;\">4.0.0-ballot</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-sdc-CHF.html\">Congestive Heart Failure Logic</a></td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\">\n                <b>\n                    \n                        \n                    \n                </b>\n            </th>\n            <td style=\"padding-left: 4px;\">\n                \n                <p style=\"margin-bottom: 5px;\">\n                    <span>urn:oid:2.16.840.1.113883.4.642.40.17.28.1</span>\n                </p>\n                \n            </td>\n        </tr>\n        \n\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Experimental: </b></th>\n            <td style=\"padding-left: 4px;\">true</td>\n        </tr>\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/6.1.0/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                        <p style=\"margin-bottom: 5px;\">\n                            <b>display: </b> <span>Logic Library</span>\n                        </p>\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;\">2020-11-29 15:54:22-0700</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Publisher: </b></th>\n            <td style=\"padding-left: 4px;\">HL7 International / FHIR Infrastructure</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Description: </b></th>\n            <td style=\"padding-left: 4px;\"><div><p>Logic for an example congestive heart failure pathway</p>\n</div></td>\n        </tr>\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;\">001</td>\n        </tr>\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Related Artifacts: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                \n                \n                <p><b>Dependencies</b></p>\n                <ul>\n                  \n                    <li><a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></li>\n                  \n                    <li><a href=\"http://terminology.hl7.org/6.1.0/CodeSystem-v3-loinc.html\">Logical Observation Identifiers, Names and Codes (LOINC)</a></li>\n                  \n                    <li><a href=\"CodeSystem-chf-codes.html\">CHF Codes</a></li>\n                  \n                    <li><a href=\"http://terminology.hl7.org/6.1.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a></li>\n                  \n                    <li><a href=\"http://terminology.hl7.org/6.1.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a></li>\n                  \n                </ul>\n                \n                \n                \n                \n                \n            </td>\n        </tr>\n        \n\n        \n        <tr>\n          <th scope=\"row\"><b>Parameters: </b></th>\n          <td style=\"padding-left: 4px;\">\n            <table class=\"grid-dict\">\n              <tr><th><b>Name</b></th><th><b>Type</b></th><th><b>Min</b></th><th><b>Max</b></th><th><b>In/Out</b></th></tr>\n              \n                <tr><th>Encounter</th><th>Encounter</th><th>0</th><th>1</th><th>In</th></tr>\n              \n                <tr><th>Patient</th><th>Patient</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Body Weight</th><th>Observation</th><th>0</th><th>*</th><th>Out</th></tr>\n              \n                <tr><th>Body Weight Change Assertion</th><th>Observation</th><th>0</th><th>*</th><th>Out</th></tr>\n              \n                <tr><th>Daily Body Weight</th><th>Resource</th><th>0</th><th>*</th><th>Out</th></tr>\n              \n                <tr><th>Daily Body Weight Change</th><th>Resource</th><th>0</th><th>*</th><th>Out</th></tr>\n              \n                <tr><th>Body Weight Change</th><th>Observation</th><th>0</th><th>*</th><th>Out</th></tr>\n              \n                <tr><th>Current Body Weight</th><th>Observation</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Previous Body Weight</th><th>Observation</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Current Body Weight Change</th><th>integer</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Urine Output</th><th>Observation</th><th>0</th><th>*</th><th>Out</th></tr>\n              \n                <tr><th>Current Urine Output</th><th>Observation</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Net Intake/Output</th><th>Observation</th><th>0</th><th>*</th><th>Out</th></tr>\n              \n                <tr><th>Current Net Intake/Output</th><th>Observation</th><th>0</th><th>1</th><th>Out</th></tr>\n              \n                <tr><th>Jugular Venous Pressure</th><th>Observation</th><th>0</th><th>*</th><th>Out</th></tr>\n              \n                <tr><th>Oxygen Saturation</th><th>Observation</th><th>0</th><th>*</th><th>Out</th></tr>\n              \n                <tr><th>Potassium</th><th>Observation</th><th>0</th><th>*</th><th>Out</th></tr>\n              \n                <tr><th>Creatinine</th><th>Observation</th><th>0</th><th>*</th><th>Out</th></tr>\n              \n                <tr><th>eGFR</th><th>Observation</th><th>0</th><th>*</th><th>Out</th></tr>\n              \n                <tr><th>Eligibility Criteria</th><th>Condition</th><th>0</th><th>*</th><th>Out</th></tr>\n              \n            </table>\n          </td>\n        </tr>\n        \n\n        \n        <tr>\n          <th scope=\"row\"><b>Data Requirements:</b></th>\n          <td style=\"padding-left: 4px;\">\n            <table class=\"grid-dict\">\n              <tr><th><b>Type</b></th><th><b>Profile</b></th><th><b>MS</b></th><th><b>Code Filter</b></th></tr>\n              \n                <tr>\n                  <th>Observation</th>\n                  <th>http://hl7.org/fhir/StructureDefinition/Observation</th>\n                  <th/>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>code</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>system: </b> <span><a href=\"https://loinc.org/\">http://loinc.org</a></span>\n                          </p>\n                          \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>code: </b> <span>29463-7</span>\n                          </p>\n                          \n                          \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Observation</th>\n                  <th>http://hl7.org/fhir/StructureDefinition/Observation</th>\n                  <th/>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>code</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>system: </b> <span><a href=\"http://example.org/CodeSystem/chf-codes\">http://example.org/CodeSystem/chf-codes</a></span>\n                          </p>\n                          \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>code: </b> <span>body-weight-change</span>\n                          </p>\n                          \n                          \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Observation</th>\n                  <th>http://hl7.org/fhir/StructureDefinition/Observation</th>\n                  <th/>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>code</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>system: </b> <span><a href=\"https://loinc.org/\">http://loinc.org</a></span>\n                          </p>\n                          \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>code: </b> <span>9192-6</span>\n                          </p>\n                          \n                          \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Observation</th>\n                  <th>http://hl7.org/fhir/StructureDefinition/Observation</th>\n                  <th/>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>code</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>system: </b> <span><a href=\"http://example.org/CodeSystem/chf-codes\">http://example.org/CodeSystem/chf-codes</a></span>\n                          </p>\n                          \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>code: </b> <span>net-intake-output</span>\n                          </p>\n                          \n                          \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Observation</th>\n                  <th>http://hl7.org/fhir/StructureDefinition/Observation</th>\n                  <th/>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>code</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>system: </b> <span><a href=\"http://example.org/CodeSystem/chf-codes\">http://example.org/CodeSystem/chf-codes</a></span>\n                          </p>\n                          \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>code: </b> <span>jvp</span>\n                          </p>\n                          \n                          \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Observation</th>\n                  <th>http://hl7.org/fhir/StructureDefinition/Observation</th>\n                  <th/>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>code</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>system: </b> <span><a href=\"https://loinc.org/\">http://loinc.org</a></span>\n                          </p>\n                          \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>code: </b> <span>2708-6</span>\n                          </p>\n                          \n                          \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Observation</th>\n                  <th>http://hl7.org/fhir/StructureDefinition/Observation</th>\n                  <th/>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>code</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>system: </b> <span><a href=\"https://loinc.org/\">http://loinc.org</a></span>\n                          </p>\n                          \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>code: </b> <span>86919-8</span>\n                          </p>\n                          \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>display: </b> <span>Potassium goal [Moles/volume] Serum or Plasma</span>\n                          </p>\n                          \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Observation</th>\n                  <th>http://hl7.org/fhir/StructureDefinition/Observation</th>\n                  <th/>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>code</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>system: </b> <span><a href=\"https://loinc.org/\">http://loinc.org</a></span>\n                          </p>\n                          \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>code: </b> <span>39802-4</span>\n                          </p>\n                          \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>display: </b> <span>Creatinine in dialysis fluid/Creatinine in serum or plasma</span>\n                          </p>\n                          \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Observation</th>\n                  <th>http://hl7.org/fhir/StructureDefinition/Observation</th>\n                  <th/>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>code</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>system: </b> <span><a href=\"http://example.org/CodeSystem/chf-codes\">http://example.org/CodeSystem/chf-codes</a></span>\n                          </p>\n                          \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>code: </b> <span>egfr</span>\n                          </p>\n                          \n                          \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Condition</th>\n                  <th>http://hl7.org/fhir/StructureDefinition/Condition</th>\n                  <th/>\n                  <th>\n                    \n                  </th>\n                </tr>\n              \n            </table>\n          </td>\n        </tr>\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 CHF version '1.0.0'\r\n\r\nusing FHIR version '4.0.1'\r\n\r\ninclude FHIRHelpers version '4.0.1'\r\n\r\ncodesystem &quot;SNOMED-CT&quot;: 'http://snomed.info/sct'\r\ncodesystem &quot;LOINC&quot;: 'http://loinc.org'\r\ncodesystem &quot;CHFCodes&quot;: 'http://hl7.org/fhir/uv/cpg/CodeSystem/chf-codes'\r\ncodesystem &quot;Condition Clinical Status Code&quot;: 'http://terminology.hl7.org/CodeSystem/condition-clinical'\r\ncodesystem &quot;Condition Verification Status Code&quot;: 'http://terminology.hl7.org/CodeSystem/condition-ver-status'\r\n\r\ncode &quot;Congestive heart failure&quot;: '42343007' from &quot;SNOMED-CT&quot;\r\n\r\ncode &quot;Body weight&quot;: '29463-7' from &quot;LOINC&quot;\r\ncode &quot;Body weight change&quot;: 'body-weight-change' from &quot;CHFCodes&quot;\r\ncode &quot;Urine output&quot;: '9192-6' from &quot;LOINC&quot;\r\ncode &quot;Net intake/output&quot;: 'net-intake-output' from &quot;CHFCodes&quot;\r\ncode &quot;Jugular venous pressure&quot;: 'jvp' from &quot;CHFCodes&quot;\r\ncode &quot;Oxygen saturation&quot;: '2708-6' from &quot;LOINC&quot;\r\ncode &quot;Potassium goal&quot;: '86919-8' from &quot;LOINC&quot; display 'Potassium goal [Moles/volume] Serum or Plasma' // meq/L\r\ncode &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?\r\ncode &quot;eGFR result&quot;: 'egfr' from &quot;CHFCodes&quot; // NOTE: Too many to pick from, needs clinical/terminological SME input, in mol/mm/m2\r\n\r\ncode &quot;Active condition&quot;: 'active' from &quot;Condition Clinical Status Code&quot;\r\ncode &quot;Provisional condition&quot;: 'provisional' from &quot;Condition Verification Status Code&quot;\r\ncode &quot;Confirmed condition&quot;: 'confirmed' from &quot;Condition Verification Status Code&quot;\r\n\r\nparameter Encounter Encounter\r\n\r\ncontext Patient\r\n\r\n// Case Features\r\ndefine &quot;Body Weight&quot;:\r\n  [Observation: &quot;Body weight&quot;] O\r\n    where O.status = 'final'\r\n      and references(O.encounter, Encounter)\r\n\r\ndefine &quot;Body Weight Change Assertion&quot;:\r\n  [Observation: &quot;Body weight change&quot;] O\r\n    where O.status = 'final'\r\n      and references(O.encounter, Encounter)\r\n\r\ndefine &quot;Body Weight Change&quot;:\r\n  &quot;Daily Body Weight Change&quot; WC\r\n    return Observation {\r\n      id: id { value: Encounter.id + '-bodyweight-change' + ToString(WC.date) },\r\n      extension: {\r\n        Extension {\r\n          url: url { value: 'http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature' },\r\n          value: canonical { value: 'http://hl7.org/fhir/uv/cpg/StructureDefinition/chf-bodyweight-change' }\r\n        },\r\n        Extension {\r\n          url: url { value: 'http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType' },\r\n          value: code { value: 'asserted' }\r\n        }\r\n      },\r\n      status: ObservationStatus { value: 'final' },\r\n      code: CodeableConcept {\r\n        coding: {\r\n          Coding {\r\n            system: uri { value: 'http://hl7.org/fhir/uv/cpg/CodeSystem/chf-codes' },\r\n            code: code { value: 'body-weight-change' }\r\n          }\r\n        }\r\n      },\r\n      effective: dateTime { value: WC.date },\r\n      issued: instant { value: Now() },\r\n      subject: referenceTo(Patient),\r\n      encounter: referenceTo(Encounter),\r\n      value: Quantity {\r\n        value: decimal { value: WC.change.value },\r\n        unit: string { value: WC.change.unit },\r\n        system: uri { value: 'http://unitsofmeasure.org' },\r\n        code: code { value: WC.change.unit }\r\n      }\r\n    }\r\n\r\ndefine &quot;Daily Body Weight&quot;:\r\n  (expand Encounter.period per day) Date\r\n    let maxWeight: Max(&quot;Body Weight&quot; WT where WT.issued same day as Date return WT.value as FHIR.Quantity)\r\n    return { date: Date, weight: maxWeight }\r\n\r\ndefine &quot;Daily Body Weight Change&quot;:\r\n  &quot;Daily Body Weight&quot; WT\r\n    let priorWeight: First(&quot;Daily Body Weight&quot; PWT where PWT.date &lt; WT.date sort by date descending).weight\r\n    return { date: WT.date, weight: WT.weight, priorWeight: priorWeight, change: WT.weight - priorWeight}\r\n\r\ndefine &quot;Current Body Weight&quot;:\r\n  First(&quot;Body Weight&quot; WT where WT.issued same day as Today() sort by issued descending)\r\n\r\ndefine &quot;Previous Body Weight&quot;:\r\n  First(&quot;Body Weight&quot; WT where WT.issued 1 day before day of Today() sort by issued descending)\r\n\r\ndefine &quot;Current Body Weight Change&quot;:\r\n  &quot;Current Body Weight&quot;.value - &quot;Previous Body Weight&quot;.value\r\n\r\ndefine &quot;Urine Output&quot;:\r\n  [Observation: &quot;Urine output&quot;] O\r\n    where O.status = 'final'\r\n    and references(O.encounter, Encounter)\r\n\r\ndefine &quot;Current Urine Output&quot;:\r\n  First(&quot;Urine Output&quot; UO where UO.issued same day as Today() sort by issued descending)\r\n\r\ndefine &quot;Net Intake/Output&quot;:\r\n  [Observation: &quot;Net intake/output&quot;] O\r\n    where O.status = 'final'\r\n      and references(O.encounter, Encounter)\r\n\r\ndefine &quot;Current Net Intake/Output&quot;:\r\n  First(&quot;Net Intake/Output&quot; IO where IO.issued same day as Today() sort by issued descending)\r\n\r\ndefine &quot;Jugular Venous Pressure&quot;:\r\n  [Observation: &quot;Jugular venous pressure&quot;] O\r\n    where O.status = 'final'\r\n      and references(O.encounter, Encounter)\r\n\r\ndefine &quot;Oxygen Saturation&quot;:\r\n  [Observation: &quot;Oxygen saturation&quot;] O\r\n    where O.status = 'final'\r\n      and references(O.encounter, Encounter)\r\n\r\ndefine &quot;Potassium&quot;:\r\n  [Observation: &quot;Potassium goal&quot;] O\r\n    where O.status = 'final'\r\n      and references(O.encounter, Encounter)\r\n\r\ndefine &quot;Creatinine&quot;:\r\n  [Observation: &quot;Creatinine in serum&quot;] O\r\n    where O.status = 'final'\r\n      and references(O.encounter, Encounter)\r\n\r\ndefine &quot;eGFR&quot;:\r\n  [Observation: &quot;eGFR result&quot;] O\r\n    where O.status = 'final'\r\n      and references(O.encounter, Encounter)\r\n\r\n\r\n// Eligibility Criteria\r\ndefine &quot;Eligibility Criteria&quot;:\r\n  [Condition] C\r\n    where C.code ~ &quot;Congestive heart failure&quot;\r\n      and C.clinicalStatus ~ &quot;Active condition&quot;\r\n      and C.verificationStatus ~ &quot;Confirmed condition&quot;\r\n\r\n// TODO: Handle contained references\r\n// TODO: Handle bundle references\r\n// TODO: Handle remote references\r\ndefine function references(reference Reference, encounter Encounter):\r\n  EndsWith(reference.reference, '/' + encounter.id)\r\n\r\ndefine function referenceTo(encounter Encounter):\r\n  Reference { reference: string { value: 'Encounter/' + encounter.id } }\r\n\r\ndefine function referenceTo(patient Patient):\r\n  Reference { reference: string { value: 'Patient/' + patient.id } }\r\n</code></pre></td></tr>\n            </table>\n          </td>\n        </tr>\n        \n        \n        \n    </table>\n</div>\n</div>"
  ] ; # 
  fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/Library/sdc-CHF"^^xsd:anyURI] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.40.17.28.1" ]
  ] ) ; # 
  fhir:version [ fhir:v "4.0.0-ballot"] ; # 
  fhir:name [ fhir:v "CHF"] ; # 
  fhir:title [ fhir:v "Congestive Heart Failure Logic"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:type [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/library-type"^^xsd:anyURI ] ;
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: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:document [
fhir:url [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ]     ] ;
fhir:resource [
fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
fhir:link <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:document [
fhir:url [ fhir:v "http://loinc.org"^^xsd:anyURI ]     ] ;
fhir:resource [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:link <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:document [
fhir:url [ fhir:v "http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes"^^xsd:anyURI ]     ] ;
fhir:resource [
fhir:v "http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes"^^xsd:anyURI ;
fhir:link <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:document [
fhir:url [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical"^^xsd:anyURI ]     ] ;
fhir:resource [
fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical"^^xsd:anyURI ;
fhir:link <http://terminology.hl7.org/CodeSystem/condition-clinical>     ]
  ] [
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:document [
fhir:url [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-ver-status"^^xsd:anyURI ]     ] ;
fhir:resource [
fhir:v "http://terminology.hl7.org/CodeSystem/condition-ver-status"^^xsd:anyURI ;
fhir:link <http://terminology.hl7.org/CodeSystem/condition-ver-status>     ]
  ] ) ; # 
  fhir:parameter ( [
fhir:name [ fhir:v "Encounter" ] ;
fhir:use [ fhir:v "in" ] ;
fhir:min [ fhir:v "0"^^xsd:integer ] ;
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"^^xsd:integer ] ;
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"^^xsd:integer ] ;
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"^^xsd:integer ] ;
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"^^xsd:integer ] ;
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"^^xsd:integer ] ;
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"^^xsd:integer ] ;
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"^^xsd:integer ] ;
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"^^xsd:integer ] ;
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"^^xsd:integer ] ;
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"^^xsd:integer ] ;
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"^^xsd:integer ] ;
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"^^xsd:integer ] ;
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"^^xsd:integer ] ;
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"^^xsd:integer ] ;
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"^^xsd:integer ] ;
fhir:max [ fhir:v "*" ] ;
fhir:type [ fhir:v "Observation" ]
  ] [
fhir:name [ fhir:v "Potassium" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v "0"^^xsd:integer ] ;
fhir:max [ fhir:v "*" ] ;
fhir:type [ fhir:v "Observation" ]
  ] [
fhir:name [ fhir:v "Creatinine" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v "0"^^xsd:integer ] ;
fhir:max [ fhir:v "*" ] ;
fhir:type [ fhir:v "Observation" ]
  ] [
fhir:name [ fhir:v "eGFR" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v "0"^^xsd:integer ] ;
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"^^xsd:integer ] ;
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:link <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:code [ fhir:v "29463-7" ]       ] )     ] )
  ] [
fhir:type [ fhir:v "Observation" ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ;
fhir:link <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:code [ fhir:v "body-weight-change" ]       ] )     ] )
  ] [
fhir:type [ fhir:v "Observation" ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ;
fhir:link <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:code [ fhir:v "9192-6" ]       ] )     ] )
  ] [
fhir:type [ fhir:v "Observation" ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ;
fhir:link <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:code [ fhir:v "net-intake-output" ]       ] )     ] )
  ] [
fhir:type [ fhir:v "Observation" ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ;
fhir:link <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:code [ fhir:v "jvp" ]       ] )     ] )
  ] [
fhir:type [ fhir:v "Observation" ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ;
fhir:link <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:code [ fhir:v "2708-6" ]       ] )     ] )
  ] [
fhir:type [ fhir:v "Observation" ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Observation"^^xsd:anyURI ;
fhir:link <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: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:link <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: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:link <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:code [ fhir:v "egfr" ]       ] )     ] )
  ] [
fhir:type [ fhir:v "Condition" ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Condition"^^xsd:anyURI ;
fhir:link <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 ]
  ] ) . #