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.

Questionnaire: HEARTLAND Facility Tier Questionnaire (Experimental)

Official URL: https://fhir.heartlandprotocol.org/Questionnaire/heartland-facility-tier-questionnaire Version: 0.3.0
Draft as of 2026-09-29 Computable Name: HeartlandFacilityTierQuestionnaire

Descriptive facility capacity capture; it does not score or assign a tier or establish clinical eligibility. All educational domains remain available at every tier.

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. HeartlandFacilityTierQuestionnaire Descriptive facility capacity capture; it does not score or assign a tier or establish clinical eligibility. All educational domains remain available at every tier. Questionnaire https://fhir.heartlandprotocol.org/Questionnaire/heartland-facility-tier-questionnaire#0.3.0
... staffing-level Which staffing model is available for heart failure care at your facility? 1..1 choice Value Set:
Options: 3 options
... pharmd-available Is a PharmD available on-site or by consult to support GDMT titration? 1..1 boolean Value Set:
... chw-program What level of community health worker (CHW) program does your facility have? 1..1 choice Value Set:
Options: 3 options
... financial-navigation What financial navigation capacity does your facility have for medication access? 1..1 choice Value Set:
Options: 2 options

doco Documentation for this format

Options Sets

Answer options for staffing-level

  • RN/MA + MD
  • RN champion + PharmD
  • Multidisciplinary team (RN, PharmD, social worker, CHW)

Answer options for chw-program

  • No CHW program documented
  • High-risk patients only
  • Full integration across all HF patients

Answer options for monitoring-tech

  • Analog only (telephone, paper diary)
  • Dual-track (analog and digital available based on patient)
  • Digital primary plus remote patient monitoring (RPM)

Answer options for financial-navigation

  • Generic Bridge pathway only (low-cost generics)
  • Patient assistance program (PAP) pursuit plus Generic Bridge

Which staffing model is available for heart failure care at your facility?*

Is a PharmD available on-site or by consult to support GDMT titration?*

  • linkId: pharmd-available
  • Answers:

What level of community health worker (CHW) program does your facility have?*

Which remote monitoring capability is available at your facility?*

What financial navigation capacity does your facility have for medication access?*

LinkIDDescription & Constraintsdoco
.. staffing-level Value Set:
Options: 3 options
.. pharmd-available Value Set:
.. chw-program Value Set:
Options: 3 options
.. monitoring-tech Value Set:
Options: 3 options
.. financial-navigation Value Set:
Options: 2 options

doco Documentation for this format

Test this Questionnaire

Try this questionnaire out:

Responses for this Questionnaire

There are currently no QuestionnaireResponse instances for this Questionnaire defined in this IG.