HEARTLAND Protocol

HEARTLAND Protocol FHIR Implementation Guide
0.3.0 - United States of America flag

HEARTLAND FHIR candidate 0.3.0 — draft, experimental R4 4.0.1 reference. Prepared for technical review; not evidence of clinical validation or vendor interoperability.

: Example: Synthetic Body Weight Observation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@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 -------------------------------------------------------------------

<http://hl7.org/fhir/Observation/ObservationExampleWeightRedFlag> a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "ObservationExampleWeightRedFlag"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir.heartlandprotocol.org/StructureDefinition/heartland-remote-monitoring-observation" ;
       fhir:index -1 ;
       fhir:link <https://fhir.heartlandprotocol.org/StructureDefinition/heartland-remote-monitoring-observation>
     ]
  ] ;
  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: Observation ObservationExampleWeightRedFlag</b></p><a name=\"ObservationExampleWeightRedFlag\"> </a><a name=\"hcObservationExampleWeightRedFlag\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-heartland-remote-monitoring-observation.html\">HEARTLAND Remote Monitoring Observation</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 29463-7}\">Body weight</span></p><p><b>subject</b>: <a href=\"Patient-PatientExampleRural.html\">Rural Patient Example  Female, DoB: 1947-06-15 ( https://fhir.heartlandprotocol.org/sid/example-mrn#EXAMPLE-001)</a></p><p><b>effective</b>: 2026-04-16 08:15:00-0500</p><p><b>value</b>: 79.4 kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codekg = 'kg')</span></p><p><b>note</b>: </p><blockquote><div><p>This single synthetic reading does not establish a change over time. Compare dated source measurements in compatible units under a separately governed clinical policy; no alert threshold or clinical action is asserted here.</p>\n</div></blockquote></div>"
  ] ;
  fhir:Observation.status [ fhir:value "final"] ;
  fhir:Observation.category [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ;
       fhir:Coding.code [ fhir:value "vital-signs" ]
     ]
  ] ;
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a loinc:29463-7 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "29463-7" ] ;
       fhir:Coding.display [ fhir:value "Body weight" ]
     ]
  ] ;
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/PatientExampleRural> ;
     fhir:Reference.reference [ fhir:value "Patient/PatientExampleRural" ]
  ] ;
  fhir:Observation.effectiveDateTime [ fhir:value "2026-04-16T08:15:00-05:00"^^xsd:dateTime] ;
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "79.4"^^xsd:decimal ] ;
     fhir:Quantity.unit [ fhir:value "kg" ] ;
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
     fhir:Quantity.code [ fhir:value "kg" ]
  ] ;
  fhir:Observation.note [
     fhir:index -1 ;
     fhir:Annotation.text [ fhir:value "This single synthetic reading does not establish a change over time. Compare dated source measurements in compatible units under a separately governed clinical policy; no alert threshold or clinical action is asserted here." ]
  ] .

<http://hl7.org/fhir/Patient/PatientExampleRural> a fhir:Patient .

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

<http://hl7.org/fhir/Observation/ObservationExampleWeightRedFlag.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Observation/ObservationExampleWeightRedFlag.ttl> .