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

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• XML
• JSON
• TTL

: HEARTLAND Implementation Tier - TTL Representation

Active as of 2026-04-16

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "heartland-implementation-tier"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:url [
fhir:v "https://fhir.heartlandprotocol.org/CodeSystem/heartland-implementation-tier"^^xsd:anyURI ;
fhir:l <https://fhir.heartlandprotocol.org/CodeSystem/heartland-implementation-tier>
  ] ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "HeartlandImplementationTier"] ; # 
  fhir:title [ fhir:v "HEARTLAND Implementation Tier"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v false] ; # 
  fhir:date [ fhir:v "2026-04-16T20:13:50-04:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "Vicky Muller Ferreira, MD"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "Vicky Muller Ferreira, MD" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://heartlandprotocol.org" ]     ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "vickymuller@heartlandprotocol.org" ]     ] )
  ] [
fhir:name [ fhir:v "Vicky Muller Ferreira, MD" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "vickymuller@heartlandprotocol.org" ] ;
fhir:use [ fhir:v "work" ]     ] [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "https://heartlandprotocol.org" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "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."] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [
fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ;
fhir:l <urn:iso:std:iso:3166>       ] ;
fhir:code [ fhir:v "US" ]     ] )
  ] ) ; # 
  fhir:copyright [ fhir:v "CC-BY 4.0"] ; # 
  fhir:caseSensitive [ fhir:v true] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:count [ fhir:v "3"^^xsd:nonNegativeInteger] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "tier-1-minimal" ] ;
fhir:display [ fhir:v "Tier 1 - Minimal" ] ;
fhir:definition [ fhir:v "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." ]
  ] [
fhir:code [ fhir:v "tier-2-standard" ] ;
fhir:display [ fhir:v "Tier 2 - Standard" ] ;
fhir:definition [ fhir:v "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." ]
  ] [
fhir:code [ fhir:v "tier-3-advanced" ] ;
fhir:display [ fhir:v "Tier 3 - Advanced" ] ;
fhir:definition [ fhir:v "Well-resourced settings, such as a regional referral center. Track A primary with RPM, full multidisciplinary team, rapid-sequence GDMT initiation." ]
  ] ) . #