HEARTLAND Protocol FHIR Implementation Guide
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HEARTLAND Protocol FHIR Implementation Guide - Compilação de desenvolvimento local (v0.1.0) construída pelas ferramentas de compilação FHIR (HL7® FHIR® Standard). Veja o Diretório de versões publicadas

: HEARTLAND Implementation Tier - JSON Representation

Active as of 2026-04-16

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{
  "resourceType" : "CodeSystem",
  "id" : "heartland-implementation-tier",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Narrativa gerada: CodeSystem heartland-implementation-tier</b></p><a name=\"heartland-implementation-tier\"> </a><a name=\"hcheartland-implementation-tier\"> </a><p>Este case-sensitive sistema de código <code>https://fhir.heartlandprotocol.org/CodeSystem/heartland-implementation-tier</code> define o seguinte códigos:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Código</b></td><td><b>Ecrã</b></td><td><b>Definição</b></td></tr><tr><td style=\"white-space:nowrap\">tier-1-minimal<a name=\"heartland-implementation-tier-tier-1-minimal\"> </a></td><td>Tier 1 - Minimal</td><td>Severely constrained settings, such as a small Critical Access Hospital with one to two nurses. Analog monitoring (Track B), condensed education domains, prioritized GDMT initiation.</td></tr><tr><td style=\"white-space:nowrap\">tier-2-standard<a name=\"heartland-implementation-tier-tier-2-standard\"> </a></td><td>Tier 2 - Standard</td><td>Moderate-resource settings, such as a Federally Qualified Health Center (FQHC) or community hospital. Dual-track monitoring (A/B), full education, target all GDMT classes within 14 days.</td></tr><tr><td style=\"white-space:nowrap\">tier-3-advanced<a name=\"heartland-implementation-tier-tier-3-advanced\"> </a></td><td>Tier 3 - Advanced</td><td>Well-resourced settings, such as a regional referral center. Track A primary with RPM, full multidisciplinary team, rapid-sequence GDMT initiation.</td></tr></table></div>"
  },
  "url" : "https://fhir.heartlandprotocol.org/CodeSystem/heartland-implementation-tier",
  "version" : "0.1.0",
  "name" : "HeartlandImplementationTier",
  "title" : "HEARTLAND Implementation Tier",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-04-16T20:13:50-04:00",
  "publisher" : "Vicky Muller Ferreira, MD",
  "contact" : [
    {
      "name" : "Vicky Muller Ferreira, MD",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://heartlandprotocol.org"
        },
        {
          "system" : "email",
          "value" : "vickymuller@heartlandprotocol.org"
        }
      ]
    },
    {
      "name" : "Vicky Muller Ferreira, MD",
      "telecom" : [
        {
          "system" : "email",
          "value" : "vickymuller@heartlandprotocol.org",
          "use" : "work"
        },
        {
          "system" : "url",
          "value" : "https://heartlandprotocol.org"
        }
      ]
    }
  ],
  "description" : "Facility implementation tiers from HEARTLAND Protocol v3.2 Module 8. Tiers reflect available resources (staffing, technology, financial navigation) and dictate which protocol components are operationally feasible at a given site.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "copyright" : "CC-BY 4.0",
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 3,
  "concept" : [
    {
      "code" : "tier-1-minimal",
      "display" : "Tier 1 - Minimal",
      "definition" : "Severely constrained settings, such as a small Critical Access Hospital with one to two nurses. Analog monitoring (Track B), condensed education domains, prioritized GDMT initiation."
    },
    {
      "code" : "tier-2-standard",
      "display" : "Tier 2 - Standard",
      "definition" : "Moderate-resource settings, such as a Federally Qualified Health Center (FQHC) or community hospital. Dual-track monitoring (A/B), full education, target all GDMT classes within 14 days."
    },
    {
      "code" : "tier-3-advanced",
      "display" : "Tier 3 - Advanced",
      "definition" : "Well-resourced settings, such as a regional referral center. Track A primary with RPM, full multidisciplinary team, rapid-sequence GDMT initiation."
    }
  ]
}