This page is part of the Structured Data Capture FHIR IG (v3.0.0: STU 3) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: Congestive Heart Failure Logic - JSON Representation

Raw json | Download

{
  "resourceType" : "Library",
  "id" : "sdc-CHF",
  "text" : {
    "status" : "generated",
    "div" : "<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'\n\nusing FHIR version '4.0.1'\n\ninclude FHIRHelpers version '4.0.1'\n\ncodesystem &quot;SNOMED-CT&quot;: 'http://snomed.info/sct'\ncodesystem &quot;LOINC&quot;: 'http://loinc.org'\ncodesystem &quot;CHFCodes&quot;: 'http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes'\ncodesystem &quot;Condition Clinical Status Code&quot;: 'http://terminology.hl7.org/CodeSystem/condition-clinical'\ncodesystem &quot;Condition Verification Status Code&quot;: 'http://terminology.hl7.org/CodeSystem/condition-ver-status'\n\ncode &quot;Congestive heart failure&quot;: '42343007' from &quot;SNOMED-CT&quot;\n\ncode &quot;Body weight&quot;: '29463-7' from &quot;LOINC&quot;\ncode &quot;Body weight change&quot;: 'body-weight-change' from &quot;CHFCodes&quot;\ncode &quot;Urine output&quot;: '9192-6' from &quot;LOINC&quot;\ncode &quot;Net intake/output&quot;: 'net-intake-output' from &quot;CHFCodes&quot;\ncode &quot;Jugular venous pressure&quot;: 'jvp' from &quot;CHFCodes&quot;\ncode &quot;Oxygen saturation&quot;: '2708-6' from &quot;LOINC&quot;\ncode &quot;Potassium goal&quot;: '86919-8' from &quot;LOINC&quot; display 'Potassium goal [Moles/volume] Serum or Plasma' // meq/L\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?\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\n\ncode &quot;Active condition&quot;: 'active' from &quot;Condition Clinical Status Code&quot;\ncode &quot;Provisional condition&quot;: 'provisional' from &quot;Condition Verification Status Code&quot;\ncode &quot;Confirmed condition&quot;: 'confirmed' from &quot;Condition Verification Status Code&quot;\n\nparameter Encounter Encounter\n\ncontext Patient\n\n// Case Features\ndefine &quot;Body Weight&quot;:\n  [Observation: &quot;Body weight&quot;] O\n    where O.status = 'final'\n      and references(O.encounter, Encounter)\n\ndefine &quot;Body Weight Change Assertion&quot;:\n  [Observation: &quot;Body weight change&quot;] O\n    where O.status = 'final'\n      and references(O.encounter, Encounter)\n\ndefine &quot;Body Weight Change&quot;:\n  &quot;Daily Body Weight Change&quot; WC\n    return Observation {\n      id: id { value: Encounter.id + '-bodyweight-change' + ToString(WC.date) },\n      extension: {\n        Extension {\n          url: url { value: 'http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature' },\n          value: canonical { value: 'http://hl7.org/fhir/uv/cpg/StructureDefinition/chf-bodyweight-change' }\n        },\n        Extension {\n          url: url { value: 'http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType' },\n          value: code { value: 'asserted' }\n        }\n      },\n      status: ObservationStatus { value: 'final' },\n      code: CodeableConcept {\n        coding: {\n          Coding {\n            system: uri { value: 'http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes' },\n            code: code { value: 'body-weight-change' }\n          }\n        }\n      },\n      effective: dateTime { value: WC.date },\n      issued: instant { value: Now() },\n      subject: referenceTo(Patient),\n      encounter: referenceTo(Encounter),\n      value: Quantity {\n        value: decimal { value: WC.change.value },\n        unit: string { value: WC.change.unit },\n        system: uri { value: 'http://unitsofmeasure.org' },\n        code: code { value: WC.change.unit }\n      }\n    }\n\ndefine &quot;Daily Body Weight&quot;:\n  (expand Encounter.period per day) Date\n    let maxWeight: Max(&quot;Body Weight&quot; WT where WT.issued same day as Date return WT.value as FHIR.Quantity)\n    return { date: Date, weight: maxWeight }\n\ndefine &quot;Daily Body Weight Change&quot;:\n  &quot;Daily Body Weight&quot; WT\n    let priorWeight: First(&quot;Daily Body Weight&quot; PWT where PWT.date &lt; WT.date sort by date descending).weight\n    return { date: WT.date, weight: WT.weight, priorWeight: priorWeight, change: WT.weight - priorWeight}\n\ndefine &quot;Current Body Weight&quot;:\n  First(&quot;Body Weight&quot; WT where WT.issued same day as Today() sort by issued descending)\n\ndefine &quot;Previous Body Weight&quot;:\n  First(&quot;Body Weight&quot; WT where WT.issued 1 day before day of Today() sort by issued descending)\n\ndefine &quot;Current Body Weight Change&quot;:\n  &quot;Current Body Weight&quot;.value - &quot;Previous Body Weight&quot;.value\n\ndefine &quot;Urine Output&quot;:\n  [Observation: &quot;Urine output&quot;] O\n    where O.status = 'final'\n    and references(O.encounter, Encounter)\n\ndefine &quot;Current Urine Output&quot;:\n  First(&quot;Urine Output&quot; UO where UO.issued same day as Today() sort by issued descending)\n\ndefine &quot;Net Intake/Output&quot;:\n  [Observation: &quot;Net intake/output&quot;] O\n    where O.status = 'final'\n      and references(O.encounter, Encounter)\n\ndefine &quot;Current Net Intake/Output&quot;:\n  First(&quot;Net Intake/Output&quot; IO where IO.issued same day as Today() sort by issued descending)\n\ndefine &quot;Jugular Venous Pressure&quot;:\n  [Observation: &quot;Jugular venous pressure&quot;] O\n    where O.status = 'final'\n      and references(O.encounter, Encounter)\n\ndefine &quot;Oxygen Saturation&quot;:\n  [Observation: &quot;Oxygen saturation&quot;] O\n    where O.status = 'final'\n      and references(O.encounter, Encounter)\n\ndefine &quot;Potassium&quot;:\n  [Observation: &quot;Potassium goal&quot;] O\n    where O.status = 'final'\n      and references(O.encounter, Encounter)\n\ndefine &quot;Creatinine&quot;:\n  [Observation: &quot;Creatinine in serum&quot;] O\n    where O.status = 'final'\n      and references(O.encounter, Encounter)\n\ndefine &quot;eGFR&quot;:\n  [Observation: &quot;eGFR result&quot;] O\n    where O.status = 'final'\n      and references(O.encounter, Encounter)\n\n\n// Eligibility Criteria\ndefine &quot;Eligibility Criteria&quot;:\n  [Condition] C\n    where C.code ~ &quot;Congestive heart failure&quot;\n      and C.clinicalStatus ~ &quot;Active condition&quot;\n      and C.verificationStatus ~ &quot;Confirmed condition&quot;\n\n// TODO: Handle contained references\n// TODO: Handle bundle references\n// TODO: Handle remote references\ndefine function references(reference Reference, encounter Encounter):\n  EndsWith(reference.reference, '/' + encounter.id)\n\ndefine function referenceTo(encounter Encounter):\n  Reference { reference: string { value: 'Encounter/' + encounter.id } }\n\ndefine function referenceTo(patient Patient):\n  Reference { reference: string { value: 'Patient/' + patient.id } }\n</code></pre></div>"
  },
  "url" : "http://hl7.org/fhir/uv/sdc/Library/sdc-CHF",
  "version" : "3.0.0",
  "name" : "CHF",
  "title" : "Congestive Heart Failure Logic",
  "status" : "draft",
  "experimental" : true,
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/library-type",
        "code" : "logic-library",
        "display" : "Logic Library"
      }
    ]
  },
  "date" : "2020-11-29T15:54:22-07:00",
  "publisher" : "HL7 International - FHIR Infrastructure Work Group",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description" : "Logic for an example congestive heart failure pathway",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
      ]
    }
  ],
  "relatedArtifact" : [
    {
      "type" : "depends-on",
      "display" : "SNOMED CT",
      "url" : "http://snomed.info/sct",
      "document" : {
        "url" : "http://snomed.info/sct"
      },
      "resource" : "http://snomed.info/sct"
    },
    {
      "type" : "depends-on",
      "display" : "LOINC",
      "url" : "http://loinc.org",
      "document" : {
        "url" : "http://loinc.org"
      },
      "resource" : "http://loinc.org"
    },
    {
      "type" : "depends-on",
      "display" : "Congestive heart failure codes",
      "url" : "http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes",
      "document" : {
        "url" : "http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes"
      },
      "resource" : "http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes"
    },
    {
      "type" : "depends-on",
      "display" : "Clinical condition codes",
      "url" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
      "document" : {
        "url" : "http://terminology.hl7.org/CodeSystem/condition-clinical"
      },
      "resource" : "http://terminology.hl7.org/CodeSystem/condition-clinical"
    },
    {
      "type" : "depends-on",
      "display" : "Condition verification status",
      "url" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
      "document" : {
        "url" : "http://terminology.hl7.org/CodeSystem/condition-ver-status"
      },
      "resource" : "http://terminology.hl7.org/CodeSystem/condition-ver-status"
    }
  ],
  "parameter" : [
    {
      "name" : "Encounter",
      "use" : "in",
      "min" : 0,
      "max" : "1",
      "type" : "Encounter"
    },
    {
      "name" : "Patient",
      "use" : "out",
      "min" : 0,
      "max" : "1",
      "type" : "Patient"
    },
    {
      "name" : "Body Weight",
      "use" : "out",
      "min" : 0,
      "max" : "*",
      "type" : "Observation"
    },
    {
      "name" : "Body Weight Change Assertion",
      "use" : "out",
      "min" : 0,
      "max" : "*",
      "type" : "Observation"
    },
    {
      "name" : "Daily Body Weight",
      "use" : "out",
      "min" : 0,
      "max" : "*",
      "type" : "Any"
    },
    {
      "name" : "Daily Body Weight Change",
      "use" : "out",
      "min" : 0,
      "max" : "*",
      "type" : "Any"
    },
    {
      "name" : "Body Weight Change",
      "use" : "out",
      "min" : 0,
      "max" : "*",
      "type" : "Observation"
    },
    {
      "name" : "Current Body Weight",
      "use" : "out",
      "min" : 0,
      "max" : "1",
      "type" : "Observation"
    },
    {
      "name" : "Previous Body Weight",
      "use" : "out",
      "min" : 0,
      "max" : "1",
      "type" : "Observation"
    },
    {
      "name" : "Current Body Weight Change",
      "use" : "out",
      "min" : 0,
      "max" : "1",
      "type" : "integer"
    },
    {
      "name" : "Urine Output",
      "use" : "out",
      "min" : 0,
      "max" : "*",
      "type" : "Observation"
    },
    {
      "name" : "Current Urine Output",
      "use" : "out",
      "min" : 0,
      "max" : "1",
      "type" : "Observation"
    },
    {
      "name" : "Net Intake/Output",
      "use" : "out",
      "min" : 0,
      "max" : "*",
      "type" : "Observation"
    },
    {
      "name" : "Current Net Intake/Output",
      "use" : "out",
      "min" : 0,
      "max" : "1",
      "type" : "Observation"
    },
    {
      "name" : "Jugular Venous Pressure",
      "use" : "out",
      "min" : 0,
      "max" : "*",
      "type" : "Observation"
    },
    {
      "name" : "Oxygen Saturation",
      "use" : "out",
      "min" : 0,
      "max" : "*",
      "type" : "Observation"
    },
    {
      "name" : "Potassium",
      "use" : "out",
      "min" : 0,
      "max" : "*",
      "type" : "Observation"
    },
    {
      "name" : "Creatinine",
      "use" : "out",
      "min" : 0,
      "max" : "*",
      "type" : "Observation"
    },
    {
      "name" : "eGFR",
      "use" : "out",
      "min" : 0,
      "max" : "*",
      "type" : "Observation"
    },
    {
      "name" : "Eligibility Criteria",
      "use" : "out",
      "min" : 0,
      "max" : "*",
      "type" : "Condition"
    }
  ],
  "dataRequirement" : [
    {
      "type" : "Observation",
      "profile" : [
        "http://hl7.org/fhir/StructureDefinition/Observation"
      ],
      "codeFilter" : [
        {
          "path" : "code",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "29463-7"
            }
          ]
        }
      ]
    },
    {
      "type" : "Observation",
      "profile" : [
        "http://hl7.org/fhir/StructureDefinition/Observation"
      ],
      "codeFilter" : [
        {
          "path" : "code",
          "code" : [
            {
              "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes",
              "code" : "body-weight-change"
            }
          ]
        }
      ]
    },
    {
      "type" : "Observation",
      "profile" : [
        "http://hl7.org/fhir/StructureDefinition/Observation"
      ],
      "codeFilter" : [
        {
          "path" : "code",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "9192-6"
            }
          ]
        }
      ]
    },
    {
      "type" : "Observation",
      "profile" : [
        "http://hl7.org/fhir/StructureDefinition/Observation"
      ],
      "codeFilter" : [
        {
          "path" : "code",
          "code" : [
            {
              "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes",
              "code" : "net-intake-output"
            }
          ]
        }
      ]
    },
    {
      "type" : "Observation",
      "profile" : [
        "http://hl7.org/fhir/StructureDefinition/Observation"
      ],
      "codeFilter" : [
        {
          "path" : "code",
          "code" : [
            {
              "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes",
              "code" : "jvp"
            }
          ]
        }
      ]
    },
    {
      "type" : "Observation",
      "profile" : [
        "http://hl7.org/fhir/StructureDefinition/Observation"
      ],
      "codeFilter" : [
        {
          "path" : "code",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "2708-6"
            }
          ]
        }
      ]
    },
    {
      "type" : "Observation",
      "profile" : [
        "http://hl7.org/fhir/StructureDefinition/Observation"
      ],
      "codeFilter" : [
        {
          "path" : "code",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "86919-8",
              "display" : "Potassium goal [Moles/volume] Serum or Plasma"
            }
          ]
        }
      ]
    },
    {
      "type" : "Observation",
      "profile" : [
        "http://hl7.org/fhir/StructureDefinition/Observation"
      ],
      "codeFilter" : [
        {
          "path" : "code",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "39802-4",
              "display" : "Creatinine in dialysis fluid/Creatinine in serum or plasma"
            }
          ]
        }
      ]
    },
    {
      "type" : "Observation",
      "profile" : [
        "http://hl7.org/fhir/StructureDefinition/Observation"
      ],
      "codeFilter" : [
        {
          "path" : "code",
          "code" : [
            {
              "system" : "http://hl7.org/fhir/uv/sdc/CodeSystem/chf-codes",
              "code" : "egfr"
            }
          ]
        }
      ]
    },
    {
      "type" : "Condition",
      "profile" : [
        "http://hl7.org/fhir/StructureDefinition/Condition"
      ]
    }
  ],
  "content" : [
    {
      "contentType" : "text/cql",
      "data" : "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 } }
"
    }
  ]
}