Primary-care linkage
Warm-handoff protocol: roles, triggers, and shared documentation between discharge and longitudinal primary care.
Phase 2
Not yet represented
FHIR R4 · v0.3.0 draft · CC‑BY 4.0
A draft FHIR R4 specification for structured HEARTLAND examples. Explicit risk-input weights, complete-response checks, and synthetic identifiers support technical evaluation. Vendor interoperability and clinical validation are not established.
For professional educational use, not direct patient care. Examples are synthetic. Do not enter real patient information. Software v0.3.0 is archived; its draft and experimental status is unchanged.
Why this IG exists
10
weighted criteria
Explicit true-answer weights; missing is not false.
0–18
heuristic points
A proposed framework pending validation, not an outcome probability.
R4
FHIR 4.0.1
Draft profiles and examples for reproducible technical evaluation.
A structured resource is only one part of an implementation. Compilation, terminology checks, cross-resource consistency and external EHR testing are separate checks. None proves clinical benefit.
What’s inside
Six profiles, seven extensions, five code systems, five value sets, three questionnaires and five synthetic examples, plus the IG manifest. Newer workflow coverage remains incomplete; the cards distinguish existing structures from planned work.
Ten weighted criteria, explicit true-answer weights and a complete Boolean response profile; missing inputs are not zero.
RiskAssessment + Questionnaire
Draft structure in v0.3.0
A draft care plan aligned with the Toolkit candidate. Tier does not prescribe treatment timing; a plan is not an authorized medication order.
CarePlan profile
Draft structure in v0.3.0
Digital and analog track codes record communication context; they do not prove contact, delivery or equivalent outcomes.
MonitoringTrack code system
Draft structure in v0.3.0
Eight education domains at every tier, plus a workflow resource map. The map is not an operational exporter or proof of completed care.
CarePlan + workflow mapping
Draft structure in v0.3.0
Draft body-weight, BP and oxygen-saturation observations. A single reading does not prove a change, alert or clinical response.
Observation profile + LOINC
Draft structure in v0.3.0
Patient context plus an opaque synthetic county identifier; the identifier is not a real county GEOID.
Patient and synthetic identifier
Draft structure in v0.3.0
Warm-handoff protocol: roles, triggers, and shared documentation between discharge and longitudinal primary care.
Phase 2
Not yet represented
Facility capacity questionnaire and tier codes; no validated automatic assignment or permission to reduce clinical requirements.
FacilityTierQuestionnaire + ext.
Draft structure in v0.3.0
Current state
v0.3.0 is an archived technical draft, not an assertion of deployment readiness or clinical approval. Tier and education content is aligned with the Toolkit candidate; operational exchange and external EHR validation remain separate checks.
| Cureus article | Published article; separate from software validation |
| HEARTLAND Toolkit | V3.3 published; V3.4 release candidate |
| FHIR IG | v0.3.0 archived release — draft and experimental |
| Zenodo archives | Software v0.3.0 archived; technical report 1.0 remains a separate historical work |
| Pilot site EHR validation | Phase 3 — not yet started |
Version 0.3.0 is draft and experimental, for technical evaluation with synthetic examples. Its source release is archived on Zenodo; publication is not clinical or EHR validation. R4B conversions are not included.
The Publisher QA report is included. The standalone validator separately reports unresolved tooling annotations in the IG manifest; see the documented limitation. Neither check establishes clinical validation or vendor interoperability.
Open science
The article, Toolkit, historical software and technical report have different versions and identifiers. These links do not identify or validate every later local software change.