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: Rural HF Patient (high-distance, limited support)

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@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 -------------------------------------------------------------------

<http://hl7.org/fhir/Patient/PatientExampleRural> a fhir:Patient ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "PatientExampleRural"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir.heartlandprotocol.org/StructureDefinition/heartland-patient" ;
       fhir:index -1 ;
       fhir:link <https://fhir.heartlandprotocol.org/StructureDefinition/heartland-patient>
     ]
  ] ;
  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: Patient PatientExampleRural</b></p><a name=\"PatientExampleRural\"> </a><a name=\"hcPatientExampleRural\"> </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-patient.html\">HEARTLAND Patient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Rural Patient Example  Female, DoB: 1947-06-15 ( https://fhir.heartlandprotocol.org/sid/example-mrn#EXAMPLE-001)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">MT US (home)</td></tr><tr><td style=\"background-color: #f3f5da\" 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).\"><a href=\"StructureDefinition-heartland-distance-to-cardiology.html\">HEARTLAND Distance to Cardiology</a></td><td colspan=\"3\">87 mi_us<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code[mi_us] = '[mi_us]')</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Boolean indicator of limited social support per the HEARTLAND risk score: true = patient lives alone or has limited social support, contributing 1 point. Perceived social isolation has been independently associated with a 3.74-fold increase in mortality among HF patients (HEARTLAND Protocol v3.2, Module 2).\"><a href=\"StructureDefinition-heartland-social-support-score.html\">HEARTLAND Social Support Score</a></td><td colspan=\"3\">true</td></tr></table></div>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "https://fhir.heartlandprotocol.org/StructureDefinition/heartland-distance-to-cardiology" ] ;
     fhir:Extension.valueQuantity [
       fhir:Quantity.value [ fhir:value "87"^^xsd:decimal ] ;
       fhir:Quantity.unit [ fhir:value "mi_us" ] ;
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
       fhir:Quantity.code [ fhir:value "[mi_us]" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "https://fhir.heartlandprotocol.org/StructureDefinition/heartland-social-support-score" ] ;
     fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
  ] ;
  fhir:Patient.identifier [
     fhir:index -1 ;
     fhir:Identifier.system [ fhir:value "https://fhir.heartlandprotocol.org/sid/example-mrn" ] ;
     fhir:Identifier.value [ fhir:value "EXAMPLE-001" ]
  ] ;
  fhir:Patient.active [ fhir:value "true"^^xsd:boolean] ;
  fhir:Patient.name [
     fhir:index -1 ;
     fhir:HumanName.family [ fhir:value "Example" ] ;
     fhir:HumanName.given [
       fhir:value "Rural" ;
       fhir:index -1
     ], [
       fhir:value "Patient" ;
       fhir:index -1
     ]
  ] ;
  fhir:Patient.gender [ fhir:value "female"] ;
  fhir:Patient.birthDate [ fhir:value "1947-06-15"^^xsd:date] ;
  fhir:Patient.address [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "https://fhir.heartlandprotocol.org/StructureDefinition/heartland-synthetic-county-code" ] ;
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "https://fhir.heartlandprotocol.org/sid/synthetic-county-code" ] ;
         fhir:Coding.code [ fhir:value "synthetic-example-001" ] ;
         fhir:Coding.display [ fhir:value "Synthetic county code (not an ANSI/FIPS county GEOID)" ]
       ]
     ] ;
     fhir:Address.use [ fhir:value "home" ] ;
     fhir:Address.state [ fhir:value "MT" ] ;
     fhir:Address.country [ fhir:value "US" ]
  ] .

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

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