<status value="draft"/> <experimental value="true"/> <date value="2026-09-29T19:00:36-04:00"/> <publisher value="Vicky Muller Ferreira, MD"/> <contact> <name value="Vicky Muller Ferreira, MD"/> <telecom> <system value="url"/> <value value="https://heartlandprotocol.org"/> </telecom> <telecom> <system value="email"/> <value value="vickymuller@heartlandprotocol.org"/> </telecom> </contact> <contact> <name value="Vicky Muller Ferreira, MD"/> <telecom> <system value="email"/> <value value="vickymuller@heartlandprotocol.org"/> <use value="work"/> </telecom> <telecom> <system value="url"/> <value value="https://heartlandprotocol.org"/> </telecom> </contact> <description 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."/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="US"/> </coding> </jurisdiction> <copyright value="CC-BY 4.0"/> <caseSensitive value="true"/> <content value="complete"/> <count value="3"/> <concept> <code value="tier-1-minimal"/> <display value="Tier 1 - Minimal"/> <definition value="Resource-constrained capacity. Adapt format, sequence and support; document gaps, named coverage, alternatives and escalation without omitting required care or relevant education."/> </concept> <concept> <code value="tier-2-standard"/> <display value="Tier 2 - Standard"/> <definition value="Intermediate implementation capacity with locally documented staffing, monitoring routes and navigation support. Capacity alone does not establish treatment sequence or deadlines."/> </concept> <concept> <code value="tier-3-advanced"/> <display value="Tier 3 - Advanced"/> <definition value="Expanded implementation capacity, potentially including multidisciplinary and digital support. The label alone does not prove availability, coverage, patient access or better outcomes."/> </concept> </CodeSystem>

Generated Narrative: CodeSystem heartland-implementation-tier

This case-sensitive code system https://fhir.heartlandprotocol.org/CodeSystem/heartland-implementation-tier defines the following codes:

Code	Display	Definition
tier-1-minimal	Tier 1 - Minimal	Resource-constrained capacity. Adapt format, sequence and support; document gaps, named coverage, alternatives and escalation without omitting required care or relevant education.
tier-2-standard	Tier 2 - Standard	Intermediate implementation capacity with locally documented staffing, monitoring routes and navigation support. Capacity alone does not establish treatment sequence or deadlines.
tier-3-advanced	Tier 3 - Advanced	Expanded implementation capacity, potentially including multidisciplinary and digital support. The label alone does not prove availability, coverage, patient access or better outcomes.