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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<Patient xmlns="http://hl7.org/fhir">
  <id value="PatientExampleRural"/>
  <meta>
    <profile
             value="https://fhir.heartlandprotocol.org/StructureDefinition/heartland-patient"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <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 &gt;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>
  </text>
  <extension
             url="https://fhir.heartlandprotocol.org/StructureDefinition/heartland-distance-to-cardiology">
    <valueQuantity>
      <value value="87"/>
      <unit value="mi_us"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="[mi_us]"/>
    </valueQuantity>
  </extension>
  <extension
             url="https://fhir.heartlandprotocol.org/StructureDefinition/heartland-social-support-score">
    <valueBoolean value="true"/>
  </extension>
  <identifier>
    <system value="https://fhir.heartlandprotocol.org/sid/example-mrn"/>
    <value value="EXAMPLE-001"/>
  </identifier>
  <active value="true"/>
  <name>
    <family value="Example"/>
    <given value="Rural"/>
    <given value="Patient"/>
  </name>
  <gender value="female"/>
  <birthDate value="1947-06-15"/>
  <address>
    <extension
               url="https://fhir.heartlandprotocol.org/StructureDefinition/heartland-synthetic-county-code">
      <valueCoding>
        <system
                value="https://fhir.heartlandprotocol.org/sid/synthetic-county-code"/>
        <code value="synthetic-example-001"/>
        <display
                 value="Synthetic county code (not an ANSI/FIPS county GEOID)"/>
      </valueCoding>
    </extension>
    <use value="home"/>
    <state value="MT"/>
    <country value="US"/>
  </address>
</Patient>