HL7.FHIR.UV.SDC\Congestive Heart Failure Logic - XML Representation

This page is part of the Structured Data Capture FHIR IG (v3.0.0-preview: STU 3 Draft) based on FHIR R4. The current version which supercedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions
: Congestive Heart Failure Logic - XML Representation

Page standards status: Informative
Raw xml | Download


<Library xmlns="http://hl7.org/fhir">
  <id value="sdc-CHF"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><h2>Related Artifacts</h2><table class="grid"><tr><td>depends-on</td><td><code>http://hl7.org/fhir/Library/FHIR-ModelInfo|4.0.1</code></td></tr><tr><td>depends-on</td><td><code>http://hl7.org/fhir/Library/FHIRHelpers|4.0.1</code></td></tr><tr><td>depends-on</td><td><a href="http://terminology.hl7.org/2.0.0/CodeSystem-v3-snomed-CT.html">SNOMED and CT International Edition</a></td></tr><tr><td>depends-on</td><td><a href="http://terminology.hl7.org/2.0.0/CodeSystem-v3-loinc.html">Logical Observation Identifiers, Names and Codes (LOINC)</a></td></tr><tr><td>depends-on</td><td><a href="CodeSystem-chf-codes.html">CHF Codes</a></td></tr><tr><td>depends-on</td><td><a href="http://terminology.hl7.org/2.0.0/CodeSystem-condition-clinical.html">Condition Clinical Status Codes</a></td></tr><tr><td>depends-on</td><td><a href="http://terminology.hl7.org/2.0.0/CodeSystem-condition-ver-status.html">ConditionVerificationStatus</a></td></tr></table><h2>Parameters</h2><table class="grid"><tr><td>Encounter</td><td>in</td><td>0</td><td>1</td><td>Encounter</td></tr><tr><td>Patient</td><td>out</td><td>0</td><td>1</td><td>Patient</td></tr><tr><td>Body Weight</td><td>out</td><td>0</td><td>*</td><td>Observation</td></tr><tr><td>Body Weight Change Assertion</td><td>out</td><td>0</td><td>*</td><td>Observation</td></tr><tr><td>Daily Body Weight</td><td>out</td><td>0</td><td>*</td><td>Any</td></tr><tr><td>Daily Body Weight Change</td><td>out</td><td>0</td><td>*</td><td>Any</td></tr><tr><td>Body Weight Change</td><td>out</td><td>0</td><td>*</td><td>Observation</td></tr><tr><td>Current Body Weight</td><td>out</td><td>0</td><td>1</td><td>Observation</td></tr><tr><td>Previous Body Weight</td><td>out</td><td>0</td><td>1</td><td>Observation</td></tr><tr><td>Current Body Weight Change</td><td>out</td><td>0</td><td>1</td><td>integer</td></tr><tr><td>Urine Output</td><td>out</td><td>0</td><td>*</td><td>Observation</td></tr><tr><td>Current Urine Output</td><td>out</td><td>0</td><td>1</td><td>Observation</td></tr><tr><td>Net Intake/Output</td><td>out</td><td>0</td><td>*</td><td>Observation</td></tr><tr><td>Current Net Intake/Output</td><td>out</td><td>0</td><td>1</td><td>Observation</td></tr><tr><td>Jugular Venous Pressure</td><td>out</td><td>0</td><td>*</td><td>Observation</td></tr><tr><td>Oxygen Saturation</td><td>out</td><td>0</td><td>*</td><td>Observation</td></tr><tr><td>Potassium</td><td>out</td><td>0</td><td>*</td><td>Observation</td></tr><tr><td>Creatinine</td><td>out</td><td>0</td><td>*</td><td>Observation</td></tr><tr><td>eGFR</td><td>out</td><td>0</td><td>*</td><td>Observation</td></tr><tr><td>Eligibility Criteria</td><td>out</td><td>0</td><td>*</td><td>Condition</td></tr></table><h2>Data Requirements</h2><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/observation.html">Observation</a> (<a href="http://hl7.org/fhir/R4/observation.html">Observation</a>)</td></tr><tr style="background-color: #efefef"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>One of these codes: <a href="https://loinc.org/">LOINC</a> 29463-7: Body weight</td></tr></table><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/observation.html">Observation</a> (<a href="http://hl7.org/fhir/R4/observation.html">Observation</a>)</td></tr><tr style="background-color: #efefef"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>One of these codes: <a href="CodeSystem-chf-codes.html">http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes</a> body-weight-change: Body weight change</td></tr></table><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/observation.html">Observation</a> (<a href="http://hl7.org/fhir/R4/observation.html">Observation</a>)</td></tr><tr style="background-color: #efefef"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>One of these codes: <a href="https://loinc.org/">LOINC</a> 9192-6: Urine output 24 hour</td></tr></table><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/observation.html">Observation</a> (<a href="http://hl7.org/fhir/R4/observation.html">Observation</a>)</td></tr><tr style="background-color: #efefef"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>One of these codes: <a href="CodeSystem-chf-codes.html">http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes</a> net-intake-output: Net intake/output</td></tr></table><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/observation.html">Observation</a> (<a href="http://hl7.org/fhir/R4/observation.html">Observation</a>)</td></tr><tr style="background-color: #efefef"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>One of these codes: <a href="CodeSystem-chf-codes.html">http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes</a> jvp: Jugular venous pressure</td></tr></table><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/observation.html">Observation</a> (<a href="http://hl7.org/fhir/R4/observation.html">Observation</a>)</td></tr><tr style="background-color: #efefef"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>One of these codes: <a href="https://loinc.org/">LOINC</a> 2708-6: Oxygen saturation in Arterial blood</td></tr></table><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/observation.html">Observation</a> (<a href="http://hl7.org/fhir/R4/observation.html">Observation</a>)</td></tr><tr style="background-color: #efefef"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>One of these codes: <a href="https://loinc.org/">LOINC</a> 86919-8: Potassium goal [Moles/volume] Serum or Plasma</td></tr></table><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/observation.html">Observation</a> (<a href="http://hl7.org/fhir/R4/observation.html">Observation</a>)</td></tr><tr style="background-color: #efefef"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>One of these codes: <a href="https://loinc.org/">LOINC</a> 39802-4: Creatinine in dialysis fluid/Creatinine in serum or plasma</td></tr></table><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/observation.html">Observation</a> (<a href="http://hl7.org/fhir/R4/observation.html">Observation</a>)</td></tr><tr style="background-color: #efefef"><td>Filter</td><td>Value</td></tr><tr><td>code</td><td>One of these codes: <a href="CodeSystem-chf-codes.html">http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes</a> egfr: eGFR result</td></tr></table><table class="grid"><tr><td colspan="2"><b>Type</b>: <a href="http://hl7.org/fhir/R4/condition.html">Condition</a> (<a href="http://hl7.org/fhir/R4/condition.html">Condition</a>)</td></tr></table><h2>Contents</h2><p><code>text/cql</code></p><pre><code class="language-sql">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/sdc/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/sdc/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></div>
  </text>
  <url value="http://hl7.org/fhir/uv/sdc/Library/sdc-CHF"/>
  <version value="3.0.0-preview"/>
  <name value="CHF"/>
  <title value="Congestive Heart Failure Logic"/>
  <status value="draft"/>
  <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 Work Group"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://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"/>
    </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"/>
  </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"/>
  </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="Any"/>
  </parameter>
  <parameter>
    <name value="Daily Body Weight Change"/>
    <use value="out"/>
    <min value="0"/>
    <max value="*"/>
    <type value="Any"/>
  </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://hl7.org/fhir/uv/sdc/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://hl7.org/fhir/uv/sdc/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://hl7.org/fhir/uv/sdc/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://hl7.org/fhir/uv/sdc/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>