@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 -------------------------------------------------------------------

<https://fhir.heartlandprotocol.org/StructureDefinition/heartland-distance-to-cardiology> a fhir:StructureDefinition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "heartland-distance-to-cardiology"] ; # 
  fhir:text [
     fhir:status [ fhir:v "extensions" ] ;
     fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Narrativa gerada: StructureDefinition heartland-distance-to-cardiology</b></p><a name=\"heartland-distance-to-cardiology\"> </a><a name=\"hcheartland-distance-to-cardiology\"> </a><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"O nome lógico do elemento\">Nome</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Informações sobre a utilização do elemento\">Bandeiras</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Número mínimo e máximo de vezes que o elemento pode aparecer na instância\">Card.</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Referência ao tipo do elemento\">Tipo</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Informações adicionais sobre o elemento\">Descrição e condicionalismos</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Elemento\" class=\"hierarchy\"/> <a href=\"StructureDefinition-heartland-distance-to-cardiology-definitions.html#Extension\" title=\"Driving distance in miles from the patient's residence to the nearest cardiologist. Used by the HEARTLAND risk score: distance >50 miles contributes 1 point. Rural counties without a cardiologist average 87 miles to nearest cardiology care vs 16 miles in counties with one (HEARTLAND Protocol v3.2, Module 2).\">Extension</a><a name=\"Extension\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/extensibility.html#Extension\">Extension</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">HEARTLAND Distance to Cardiology</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension_simple.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Extensão simples\" class=\"hierarchy\"/> <a style=\"text-decoration:line-through; text-decoration:line-through\" href=\"StructureDefinition-heartland-distance-to-cardiology-definitions.html#Extension.extension\">extension</a><a name=\"Extension.extension\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"text-decoration:line-through\"/><span style=\"text-decoration:line-through\">0</span><span style=\"text-decoration:line-through\">..</span><span style=\"text-decoration:line-through\">0</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\">Extension</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Elemento\" class=\"hierarchy\"/> <a href=\"StructureDefinition-heartland-distance-to-cardiology-definitions.html#Extension.url\">url</a><a name=\"Extension.url\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"color: darkgreen\">\"https://fhir.heartlandprotocol.org/StructureDefinition/heartland-distance-to-cardiology\"</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Tipo de dados\" class=\"hierarchy\"/> <a href=\"StructureDefinition-heartland-distance-to-cardiology-definitions.html#Extension.value[x]\">value[x]</a><a name=\"Extension.value_x_\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Quantity\">Quantity</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Value of extension</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Elemento\" class=\"hierarchy\"/> <a href=\"StructureDefinition-heartland-distance-to-cardiology-definitions.html#Extension.value[x].value\">value</a><a name=\"Extension.value_x_.value\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Numerical value (with implicit precision)</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Elemento\" class=\"hierarchy\"/> <a href=\"StructureDefinition-heartland-distance-to-cardiology-definitions.html#Extension.value[x].unit\">unit</a><a name=\"Extension.value_x_.unit\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Unit representation</span><br/><span style=\"font-weight:bold\">Padrão necessário: </span><span style=\"color: darkgreen\">mi_us</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Elemento\" class=\"hierarchy\"/> <a href=\"StructureDefinition-heartland-distance-to-cardiology-definitions.html#Extension.value[x].system\">system</a><a name=\"Extension.value_x_.system\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">System that defines coded unit form</span><br/><span style=\"font-weight:bold\">Padrão necessário: </span><span style=\"color: darkgreen\">http://unitsofmeasure.org</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Elemento\" class=\"hierarchy\"/> <a href=\"StructureDefinition-heartland-distance-to-cardiology-definitions.html#Extension.value[x].code\">code</a><a name=\"Extension.value_x_.code\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Coded form of the unit</span><br/><span style=\"font-weight:bold\">Padrão necessário: </span><span style=\"color: darkgreen\">[mi_us]</span></td></tr>#xD;\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legenda para este formato\"><img src=\"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC\" alt=\"doco\" style=\"background-color: inherit\"/> Documentação para este formato</a></td></tr></table></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:url [
     fhir:v "https://fhir.heartlandprotocol.org/StructureDefinition/heartland-distance-to-cardiology"^^xsd:anyURI ;
     fhir:l <https://fhir.heartlandprotocol.org/StructureDefinition/heartland-distance-to-cardiology>
  ] ; # 
  fhir:version [ fhir:v "0.1.0"] ; # 
  fhir:name [ fhir:v "HeartlandDistanceToCardiology"] ; # 
  fhir:title [ fhir:v "HEARTLAND Distance to Cardiology"] ; # 
  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 "Driving distance in miles from the patient's residence to the nearest cardiologist. Used by the HEARTLAND risk score: distance >50 miles contributes 1 point. Rural counties without a cardiologist average 87 miles to nearest cardiology care vs 16 miles in counties with one (HEARTLAND Protocol v3.2, Module 2)."] ; # 
  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:fhirVersion [ fhir:v "4.0.1"] ; # 
  fhir:mapping ( [
     fhir:identity [ fhir:v "rim" ] ;
     fhir:uri [
       fhir:v "http://hl7.org/v3"^^xsd:anyURI ;
       fhir:l <http://hl7.org/v3>
     ] ;
     fhir:name [ fhir:v "RIM Mapping" ]
  ] ) ; # 
  fhir:kind [ fhir:v "complex-type"] ; # 
  fhir:abstract [ fhir:v false] ; # 
  fhir:context ( [
     fhir:type [ fhir:v "element" ] ;
     fhir:expression [ fhir:v "Patient" ]
  ] ) ; # 
  fhir:type [
     fhir:v "Extension"^^xsd:anyURI ;
     fhir:l fhir:Extension
  ] ; # 
  fhir:baseDefinition [
     fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
     fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>
  ] ; # 
  fhir:derivation [ fhir:v "constraint"] ; # 
  fhir:snapshot [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version>
       ] ;
       fhir:value [
         a fhir:String ;
         fhir:v "4.0.1"
       ]
     ] ) ;
     fhir:element ( [
       fhir:id [ fhir:v "Extension" ] ;
       fhir:path [ fhir:v "Extension" ] ;
       fhir:short [ fhir:v "HEARTLAND Distance to Cardiology" ] ;
       fhir:definition [ fhir:v "Driving distance in miles from the patient's residence to the nearest cardiologist. Used by the HEARTLAND risk score: distance >50 miles contributes 1 point. Rural counties without a cardiologist average 87 miles to nearest cardiology care vs 16 miles in counties with one (HEARTLAND Protocol v3.2, Module 2)." ] ;
       fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "Extension" ] ;
         fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:condition ( [ fhir:v "ele-1" ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
         fhir:source [
           fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] [
         fhir:key [ fhir:v "ext-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
         fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
         fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ;
         fhir:source [
           fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ) ;
       fhir:isModifier [ fhir:v false ]
     ] [
       fhir:id [ fhir:v "Extension.id" ] ;
       fhir:path [ fhir:v "Extension.id" ] ;
       fhir:representation ( [ fhir:v "xmlAttr" ] ) ;
       fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
       fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Element.id" ] ;
         fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "string"^^xsd:anyURI ;
             fhir:l fhir:string
           ]
         ] ) ;
         fhir:code [
           fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhirpath/System.String>
         ]
       ] ) ;
       fhir:isModifier [ fhir:v false ] ;
       fhir:isSummary [ fhir:v false ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "n/a" ]
       ] )
     ] [
       fhir:id [ fhir:v "Extension.extension" ] ;
       fhir:path [ fhir:v "Extension.extension" ] ;
       fhir:slicing [
         fhir:discriminator ( [
           fhir:type [ fhir:v "value" ] ;
           fhir:path [ fhir:v "url" ]
         ] ) ;
         fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ;
         fhir:rules [ fhir:v "open" ]
       ] ;
       fhir:short [ fhir:v "Extension" ] ;
       fhir:definition [ fhir:v "An Extension" ] ;
       fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
       fhir:max [ fhir:v "0" ] ;
       fhir:base [
         fhir:path [ fhir:v "Element.extension" ] ;
         fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [
           fhir:v "Extension"^^xsd:anyURI ;
           fhir:l fhir:Extension
         ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
         fhir:source [
           fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] [
         fhir:key [ fhir:v "ext-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
         fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
         fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:source [
           fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ) ;
       fhir:isModifier [ fhir:v false ] ;
       fhir:isSummary [ fhir:v false ]
     ] [
       fhir:id [ fhir:v "Extension.url" ] ;
       fhir:path [ fhir:v "Extension.url" ] ;
       fhir:representation ( [ fhir:v "xmlAttr" ] ) ;
       fhir:short [ fhir:v "identifies the meaning of the extension" ] ;
       fhir:definition [ fhir:v "Source of the definition for the extension code - a logical name or a URL." ] ;
       fhir:comment [ fhir:v "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ] ;
       fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Extension.url" ] ;
         fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "uri"^^xsd:anyURI ;
             fhir:l fhir:uri
           ]
         ] ) ;
         fhir:code [
           fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhirpath/System.String>
         ]
       ] ) ;
       fhir:fixed [
         a fhir:Uri ;
         fhir:v "https://fhir.heartlandprotocol.org/StructureDefinition/heartland-distance-to-cardiology"^^xsd:anyURI ;
         fhir:l <https://fhir.heartlandprotocol.org/StructureDefinition/heartland-distance-to-cardiology>
       ] ;
       fhir:isModifier [ fhir:v false ] ;
       fhir:isSummary [ fhir:v false ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "N/A" ]
       ] )
     ] [
       fhir:id [ fhir:v "Extension.value[x]" ] ;
       fhir:path [ fhir:v "Extension.value[x]" ] ;
       fhir:short [ fhir:v "Value of extension" ] ;
       fhir:definition [ fhir:v "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list)." ] ;
       fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Extension.value[x]" ] ;
         fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [
           fhir:v "Quantity"^^xsd:anyURI ;
           fhir:l fhir:Quantity
         ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
         fhir:source [
           fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ) ;
       fhir:isModifier [ fhir:v false ] ;
       fhir:isSummary [ fhir:v false ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "N/A" ]
       ] )
     ] [
       fhir:id [ fhir:v "Extension.value[x].id" ] ;
       fhir:path [ fhir:v "Extension.value[x].id" ] ;
       fhir:representation ( [ fhir:v "xmlAttr" ] ) ;
       fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
       fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Element.id" ] ;
         fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "string"^^xsd:anyURI ;
             fhir:l fhir:string
           ]
         ] ) ;
         fhir:code [
           fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhirpath/System.String>
         ]
       ] ) ;
       fhir:isModifier [ fhir:v false ] ;
       fhir:isSummary [ fhir:v false ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "n/a" ]
       ] )
     ] [
       fhir:id [ fhir:v "Extension.value[x].extension" ] ;
       fhir:path [ fhir:v "Extension.value[x].extension" ] ;
       fhir:slicing [
         fhir:discriminator ( [
           fhir:type [ fhir:v "value" ] ;
           fhir:path [ fhir:v "url" ]
         ] ) ;
         fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ;
         fhir:rules [ fhir:v "open" ]
       ] ;
       fhir:short [ fhir:v "Additional content defined by implementations" ] ;
       fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
       fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
       fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
       fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "Element.extension" ] ;
         fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [
           fhir:v "Extension"^^xsd:anyURI ;
           fhir:l fhir:Extension
         ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
         fhir:source [
           fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] [
         fhir:key [ fhir:v "ext-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ;
         fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ;
         fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:source [
           fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ) ;
       fhir:isModifier [ fhir:v false ] ;
       fhir:isSummary [ fhir:v false ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "n/a" ]
       ] )
     ] [
       fhir:id [ fhir:v "Extension.value[x].value" ] ;
       fhir:path [ fhir:v "Extension.value[x].value" ] ;
       fhir:short [ fhir:v "Numerical value (with implicit precision)" ] ;
       fhir:definition [ fhir:v "The value of the measured amount. The value includes an implicit precision in the presentation of the value." ] ;
       fhir:comment [ fhir:v "The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books)." ] ;
       fhir:requirements [ fhir:v "Precision is handled implicitly in almost all cases of measurement." ] ;
       fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Quantity.value" ] ;
         fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [
           fhir:v "decimal"^^xsd:anyURI ;
           fhir:l fhir:decimal
         ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
         fhir:source [
           fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ) ;
       fhir:isModifier [ fhir:v false ] ;
       fhir:isSummary [ fhir:v true ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "v2" ] ;
         fhir:map [ fhir:v "SN.2  / CQ - N/A" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value" ]
       ] )
     ] [
       fhir:id [ fhir:v "Extension.value[x].comparator" ] ;
       fhir:path [ fhir:v "Extension.value[x].comparator" ] ;
       fhir:short [ fhir:v "< | <= | >= | > - how to understand the value" ] ;
       fhir:definition [ fhir:v "How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is \"<\" , then the real value is < stated value." ] ;
       fhir:requirements [ fhir:v "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology." ] ;
       fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Quantity.comparator" ] ;
         fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [
           fhir:v "code"^^xsd:anyURI ;
           fhir:l fhir:code
         ]
       ] ) ;
       fhir:meaningWhenMissing [ fhir:v "If there is no comparator, then there is no modification of the value" ] ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
         fhir:source [
           fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ) ;
       fhir:isModifier [ fhir:v true ] ;
       fhir:isModifierReason [ fhir:v "This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value" ] ;
       fhir:isSummary [ fhir:v true ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName>
           ] ;
           fhir:value [
             a fhir:String ;
             fhir:v "QuantityComparator"
           ]
         ] ) ;
         fhir:strength [ fhir:v "required" ] ;
         fhir:description [ fhir:v "How the Quantity should be understood and represented." ] ;
         fhir:valueSet [
           fhir:v "http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/ValueSet/quantity-comparator?version=4.0.1>
         ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "v2" ] ;
         fhir:map [ fhir:v "SN.1  / CQ.1" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "IVL properties" ]
       ] )
     ] [
       fhir:id [ fhir:v "Extension.value[x].unit" ] ;
       fhir:extension ( [
         fhir:url [
           fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable>
         ] ;
         fhir:value [
           a fhir:Boolean ;
           fhir:v true
         ]
       ] ) ;
       fhir:path [ fhir:v "Extension.value[x].unit" ] ;
       fhir:short [ fhir:v "Unit representation" ] ;
       fhir:definition [ fhir:v "A human-readable form of the unit." ] ;
       fhir:requirements [ fhir:v "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms." ] ;
       fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Quantity.unit" ] ;
         fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [
           fhir:v "string"^^xsd:anyURI ;
           fhir:l fhir:string
         ]
       ] ) ;
       fhir:pattern [
         a fhir:String ;
         fhir:v "mi_us"
       ] ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
         fhir:source [
           fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ) ;
       fhir:isModifier [ fhir:v false ] ;
       fhir:isSummary [ fhir:v true ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "v2" ] ;
         fhir:map [ fhir:v "(see OBX.6 etc.) / CQ.2" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "PQ.unit" ]
       ] )
     ] [
       fhir:id [ fhir:v "Extension.value[x].system" ] ;
       fhir:path [ fhir:v "Extension.value[x].system" ] ;
       fhir:short [ fhir:v "System that defines coded unit form" ] ;
       fhir:definition [ fhir:v "The identification of the system that provides the coded form of the unit." ] ;
       fhir:requirements [ fhir:v "Need to know the system that defines the coded form of the unit." ] ;
       fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Quantity.system" ] ;
         fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [
           fhir:v "uri"^^xsd:anyURI ;
           fhir:l fhir:uri
         ]
       ] ) ;
       fhir:pattern [
         a fhir:Uri ;
         fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
         fhir:l <http://unitsofmeasure.org>
       ] ;
       fhir:condition ( [ fhir:v "qty-3" ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
         fhir:source [
           fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ) ;
       fhir:isModifier [ fhir:v false ] ;
       fhir:isSummary [ fhir:v true ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "v2" ] ;
         fhir:map [ fhir:v "(see OBX.6 etc.) / CQ.2" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "CO.codeSystem, PQ.translation.codeSystem" ]
       ] )
     ] [
       fhir:id [ fhir:v "Extension.value[x].code" ] ;
       fhir:path [ fhir:v "Extension.value[x].code" ] ;
       fhir:short [ fhir:v "Coded form of the unit" ] ;
       fhir:definition [ fhir:v "A computer processable form of the unit in some unit representation system." ] ;
       fhir:comment [ fhir:v "The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency.  The context of use may additionally require a code from a particular system." ] ;
       fhir:requirements [ fhir:v "Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest." ] ;
       fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Quantity.code" ] ;
         fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [
           fhir:v "code"^^xsd:anyURI ;
           fhir:l fhir:code
         ]
       ] ) ;
       fhir:pattern [
         a fhir:Code ;
         fhir:v "[mi_us]"
       ] ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:xpath [ fhir:v "@value|f:*|h:div" ] ;
         fhir:source [
           fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ] ) ;
       fhir:isModifier [ fhir:v false ] ;
       fhir:isSummary [ fhir:v true ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "v2" ] ;
         fhir:map [ fhir:v "(see OBX.6 etc.) / CQ.2" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "PQ.code, MO.currency, PQ.translation.code" ]
       ] )
     ] )
  ] ; # 
  fhir:differential [
     fhir:element ( [
       fhir:id [ fhir:v "Extension" ] ;
       fhir:path [ fhir:v "Extension" ] ;
       fhir:short [ fhir:v "HEARTLAND Distance to Cardiology" ] ;
       fhir:definition [ fhir:v "Driving distance in miles from the patient's residence to the nearest cardiologist. Used by the HEARTLAND risk score: distance >50 miles contributes 1 point. Rural counties without a cardiologist average 87 miles to nearest cardiology care vs 16 miles in counties with one (HEARTLAND Protocol v3.2, Module 2)." ]
     ] [
       fhir:id [ fhir:v "Extension.extension" ] ;
       fhir:path [ fhir:v "Extension.extension" ] ;
       fhir:max [ fhir:v "0" ]
     ] [
       fhir:id [ fhir:v "Extension.url" ] ;
       fhir:path [ fhir:v "Extension.url" ] ;
       fhir:fixed [
         a fhir:Uri ;
         fhir:v "https://fhir.heartlandprotocol.org/StructureDefinition/heartland-distance-to-cardiology"^^xsd:anyURI ;
         fhir:l <https://fhir.heartlandprotocol.org/StructureDefinition/heartland-distance-to-cardiology>
       ]
     ] [
       fhir:id [ fhir:v "Extension.value[x]" ] ;
       fhir:path [ fhir:v "Extension.value[x]" ] ;
       fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
       fhir:type ( [
         fhir:code [
           fhir:v "Quantity"^^xsd:anyURI ;
           fhir:l fhir:Quantity
         ]
       ] )
     ] [
       fhir:id [ fhir:v "Extension.value[x].value" ] ;
       fhir:path [ fhir:v "Extension.value[x].value" ] ;
       fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ]
     ] [
       fhir:id [ fhir:v "Extension.value[x].unit" ] ;
       fhir:path [ fhir:v "Extension.value[x].unit" ] ;
       fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
       fhir:pattern [
         a fhir:String ;
         fhir:v "mi_us"
       ]
     ] [
       fhir:id [ fhir:v "Extension.value[x].system" ] ;
       fhir:path [ fhir:v "Extension.value[x].system" ] ;
       fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
       fhir:pattern [
         a fhir:Uri ;
         fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ;
         fhir:l <http://unitsofmeasure.org>
       ]
     ] [
       fhir:id [ fhir:v "Extension.value[x].code" ] ;
       fhir:path [ fhir:v "Extension.value[x].code" ] ;
       fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ;
       fhir:pattern [
         a fhir:Code ;
         fhir:v "[mi_us]"
       ]
     ] )
  ] . # 

# -------------------------------------------------------------------------------------

