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

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

<https://fhir.heartlandprotocol.org/CodeSystem/heartland-implementation-tier> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "heartland-implementation-tier"] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem heartland-implementation-tier</b></p><a name=\"heartland-implementation-tier\"> </a><a name=\"hcheartland-implementation-tier\"> </a><p>This case-sensitive code system <code>https://fhir.heartlandprotocol.org/CodeSystem/heartland-implementation-tier</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</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>Resource-constrained capacity. Adapt format, sequence and support; document gaps, named coverage, alternatives and escalation without omitting required care or relevant education.</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>Intermediate implementation capacity with locally documented staffing, monitoring routes and navigation support. Capacity alone does not establish treatment sequence or deadlines.</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>Expanded implementation capacity, potentially including multidisciplinary and digital support. The label alone does not prove availability, coverage, patient access or better outcomes.</td></tr></table></div>"
  ] ;
  fhir:CodeSystem.url [ fhir:value "https://fhir.heartlandprotocol.org/CodeSystem/heartland-implementation-tier"] ;
  fhir:CodeSystem.version [ fhir:value "0.3.0"] ;
  fhir:CodeSystem.name [ fhir:value "HeartlandImplementationTier"] ;
  fhir:CodeSystem.title [ fhir:value "HEARTLAND Implementation Tier"] ;
  fhir:CodeSystem.status [ fhir:value "draft"] ;
  fhir:CodeSystem.experimental [ fhir:value "true"^^xsd:boolean] ;
  fhir:CodeSystem.date [ fhir:value "2026-09-29T19:00:36-04:00"^^xsd:dateTime] ;
  fhir:CodeSystem.publisher [ fhir:value "Vicky Muller Ferreira, MD"] ;
  fhir:CodeSystem.contact [
     fhir:index -1 ;
     fhir:ContactDetail.name [ fhir:value "Vicky Muller Ferreira, MD" ] ;
     fhir:ContactDetail.telecom [
       fhir:index -1 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://heartlandprotocol.org" ]
     ], [
       fhir:index -1 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "vickymuller@heartlandprotocol.org" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:ContactDetail.name [ fhir:value "Vicky Muller Ferreira, MD" ] ;
     fhir:ContactDetail.telecom [
       fhir:index -1 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "vickymuller@heartlandprotocol.org" ] ;
       fhir:ContactPoint.use [ fhir:value "work" ]
     ], [
       fhir:index -1 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://heartlandprotocol.org" ]
     ]
  ] ;
  fhir:CodeSystem.description [ fhir:value "Declared facility implementation capacity tiers, retaining historical code identities. Capacity informs delivery format, sequence and support; it does not determine clinical eligibility, permit delayed risk-led care or exclude educational domains. All eight domains are offered at every tier. These labels are not a scored readiness instrument or proof of actual coverage."] ;
  fhir:CodeSystem.jurisdiction [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
       fhir:Coding.code [ fhir:value "US" ]
     ]
  ] ;
  fhir:CodeSystem.copyright [ fhir:value "CC-BY 4.0"] ;
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean] ;
  fhir:CodeSystem.content [ fhir:value "complete"] ;
  fhir:CodeSystem.count [ fhir:value "3"^^xsd:nonNegativeInteger] ;
  fhir:CodeSystem.concept [
     fhir:index -1 ;
     fhir:CodeSystem.concept.code [ fhir:value "tier-1-minimal" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Tier 1 - Minimal" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Resource-constrained capacity. Adapt format, sequence and support; document gaps, named coverage, alternatives and escalation without omitting required care or relevant education." ]
  ], [
     fhir:index -1 ;
     fhir:CodeSystem.concept.code [ fhir:value "tier-2-standard" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Tier 2 - Standard" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Intermediate implementation capacity with locally documented staffing, monitoring routes and navigation support. Capacity alone does not establish treatment sequence or deadlines." ]
  ], [
     fhir:index -1 ;
     fhir:CodeSystem.concept.code [ fhir:value "tier-3-advanced" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Tier 3 - Advanced" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Expanded implementation capacity, potentially including multidisciplinary and digital support. The label alone does not prove availability, coverage, patient access or better outcomes." ]
  ] .

# - ontology header ------------------------------------------------------------

<https://fhir.heartlandprotocol.org/CodeSystem/heartland-implementation-tier.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl .

# -------------------------------------------------------------------------------------