@prefix fhir: . @prefix owl: . @prefix rdfs: . @prefix xsd: . # - resource ------------------------------------------------------------------- a fhir:Questionnaire ; fhir:nodeRole fhir:treeRoot ; fhir:Resource.id [ fhir:value "heartland-facility-tier-questionnaire"] ; fhir:Resource.language [ fhir:value "en"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "extensions" ] ; fhir:Narrative.div "

Generated Narrative: Questionnaire heartland-facility-tier-questionnaire

Structure#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n#xD;\n

LinkID	Text	Cardinality	Type	Description & Constraints $\"doco\"$
$\".\"$ $\".\"$ 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	Options: 3 options
$\".\"$ $\".\"$ $\".\"$ pharmd-available	Is a PharmD available on-site or by consult to support GDMT titration?	1..1	boolean
$\".\"$ $\".\"$ $\".\"$ chw-program	What level of community health worker (CHW) program does your facility have?	1..1	choice	Options: 3 options
$\".\"$ $\".\"$ $\".\"$ monitoring-tech	Which remote monitoring capability is available at your facility?	1..1	choice	Options: 3 options
$\".\"$ $\".\"$ $\".\"$ financial-navigation	What financial navigation capacity does your facility have for medication access?	1..1	choice	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

" ] ; fhir:Questionnaire.url [ fhir:value "https://fhir.heartlandprotocol.org/Questionnaire/heartland-facility-tier-questionnaire"] ; fhir:Questionnaire.version [ fhir:value "0.3.0"] ; fhir:Questionnaire.name [ fhir:value "HeartlandFacilityTierQuestionnaire"] ; fhir:Questionnaire.title [ fhir:value "HEARTLAND Facility Tier Questionnaire"] ; fhir:Questionnaire.status [ fhir:value "draft"] ; fhir:Questionnaire.experimental [ fhir:value "true"^^xsd:boolean] ; fhir:Questionnaire.subjectType [ fhir:value "Location" ; fhir:index -1 ], [ fhir:value "Organization" ; fhir:index -1 ] ; fhir:Questionnaire.date [ fhir:value "2026-09-29"^^xsd:date] ; fhir:Questionnaire.publisher [ fhir:value "Vicky Muller Ferreira, MD"] ; fhir:Questionnaire.contact [ fhir:index -1 ; fhir:ContactDetail.name [ fhir:value "Vicky Muller Ferreira, MD" ] ; fhir:ContactDetail.telecom [ fhir:index -1 ; fhir:ContactPoint.system [ fhir:value "url" ] ; fhir:ContactPoint.value [ fhir:value "https://heartlandprotocol.org" ] ], [ fhir:index -1 ; fhir:ContactPoint.system [ fhir:value "email" ] ; fhir:ContactPoint.value [ fhir:value "vickymuller@heartlandprotocol.org" ] ] ], [ fhir:index -1 ; fhir:ContactDetail.name [ fhir:value "Vicky Muller Ferreira, MD" ] ; fhir:ContactDetail.telecom [ fhir:index -1 ; fhir:ContactPoint.system [ fhir:value "email" ] ; fhir:ContactPoint.value [ fhir:value "vickymuller@heartlandprotocol.org" ] ; fhir:ContactPoint.use [ fhir:value "work" ] ], [ fhir:index -1 ; fhir:ContactPoint.system [ fhir:value "url" ] ; fhir:ContactPoint.value [ fhir:value "https://heartlandprotocol.org" ] ] ] ; fhir:Questionnaire.description [ fhir:value "Descriptive facility capacity capture; it does not score or assign a tier or establish clinical eligibility. All educational domains remain available at every tier."] ; fhir:Questionnaire.jurisdiction [ fhir:index -1 ; fhir:CodeableConcept.coding [ fhir:index -1 ; fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ; fhir:Coding.code [ fhir:value "US" ] ] ] ; fhir:Questionnaire.purpose [ fhir:value "Record selected implementation resources for a locally reviewed plan. No majority-vote tier algorithm, staffing authorization, clinical deadline or education exclusion is derived from these answers. The choices are illustrative and not an exhaustive readiness assessment."] ; fhir:Questionnaire.item [ fhir:index -1 ; fhir:Questionnaire.item.linkId [ fhir:value "staffing-level" ] ; fhir:Questionnaire.item.text [ fhir:value "Which staffing model is available for heart failure care at your facility?" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index -1 ; fhir:Questionnaire.item.answerOption.valueString [ fhir:value "RN/MA + MD" ] ], [ fhir:index -1 ; fhir:Questionnaire.item.answerOption.valueString [ fhir:value "RN champion + PharmD" ] ], [ fhir:index -1 ; fhir:Questionnaire.item.answerOption.valueString [ fhir:value "Multidisciplinary team (RN, PharmD, social worker, CHW)" ] ] ], [ fhir:index -1 ; fhir:Questionnaire.item.linkId [ fhir:value "pharmd-available" ] ; fhir:Questionnaire.item.text [ fhir:value "Is a PharmD available on-site or by consult to support GDMT titration?" ] ; fhir:Questionnaire.item.type [ fhir:value "boolean" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index -1 ; fhir:Questionnaire.item.linkId [ fhir:value "chw-program" ] ; fhir:Questionnaire.item.text [ fhir:value "What level of community health worker (CHW) program does your facility have?" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index -1 ; fhir:Questionnaire.item.answerOption.valueString [ fhir:value "No CHW program documented" ] ], [ fhir:index -1 ; fhir:Questionnaire.item.answerOption.valueString [ fhir:value "High-risk patients only" ] ], [ fhir:index -1 ; fhir:Questionnaire.item.answerOption.valueString [ fhir:value "Full integration across all HF patients" ] ] ], [ fhir:index -1 ; fhir:Questionnaire.item.linkId [ fhir:value "monitoring-tech" ] ; fhir:Questionnaire.item.text [ fhir:value "Which remote monitoring capability is available at your facility?" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index -1 ; fhir:Questionnaire.item.answerOption.valueString [ fhir:value "Analog only (telephone, paper diary)" ] ], [ fhir:index -1 ; fhir:Questionnaire.item.answerOption.valueString [ fhir:value "Dual-track (analog and digital available based on patient)" ] ], [ fhir:index -1 ; fhir:Questionnaire.item.answerOption.valueString [ fhir:value "Digital primary plus remote patient monitoring (RPM)" ] ] ], [ fhir:index -1 ; fhir:Questionnaire.item.linkId [ fhir:value "financial-navigation" ] ; fhir:Questionnaire.item.text [ fhir:value "What financial navigation capacity does your facility have for medication access?" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.repeats [ fhir:value "false"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index -1 ; fhir:Questionnaire.item.answerOption.valueString [ fhir:value "Generic Bridge pathway only (low-cost generics)" ] ], [ fhir:index -1 ; fhir:Questionnaire.item.answerOption.valueString [ fhir:value "Patient assistance program (PAP) pursuit plus Generic Bridge" ] ] ] . # - ontology header ------------------------------------------------------------ a owl:Ontology ; owl:imports fhir:fhir.ttl . # -------------------------------------------------------------------------------------