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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<Observation xmlns="http://hl7.org/fhir">
  <id value="ObservationExampleWeightRedFlag"/>
  <meta>
    <profile
             value="https://fhir.heartlandprotocol.org/StructureDefinition/heartland-remote-monitoring-observation"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <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>
</div></blockquote></div>
  </text>
  <status value="final"/>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="vital-signs"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="29463-7"/>
      <display value="Body weight"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/PatientExampleRural"/>
  </subject>
  <effectiveDateTime value="2026-04-16T08:15:00-05:00"/>
  <valueQuantity>
    <value value="79.4"/>
    <unit value="kg"/>
    <system value="http://unitsofmeasure.org"/>
    <code value="kg"/>
  </valueQuantity>
  <note>
    <text
          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."/>
  </note>
</Observation>