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 Risk Input Questionnaire (Experimental)

Official URL: https://fhir.heartlandprotocol.org/Questionnaire/heartland-risk-input-questionnaire Version: 0.3.0
Draft as of 2026-09-29 Computable Name: HeartlandRiskInputQuestionnaire

Ten weighted criteria scoring 0-18 points when all Boolean answers are present; tier cutoffs: low 0-4, moderate 5-8, high >=9.

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. HeartlandRiskInputQuestionnaire Ten weighted criteria scoring 0-18 points when all Boolean answers are present; tier cutoffs: low 0-4, moderate 5-8, high >=9. Questionnaire https://fhir.heartlandprotocol.org/Questionnaire/heartland-risk-input-questionnaire#0.3.0
... age-75 Age >=75 years 1..1 boolean Value Set:
... hf-hosp-6mo Prior heart failure hospitalization within 6 months 1..1 boolean Value Set:
... egfr-low eGFR <45 mL/min/1.73m^2 1..1 boolean Value Set:
... sbp-low Systolic BP <100 mmHg at admission 1..1 boolean Value Set:
... diabetes Diabetes mellitus 1..1 boolean Value Set:
... lvef-low LVEF <30% 1..1 boolean Value Set:
... ckm-stage Cardiovascular-kidney-metabolic (CKM) Stage 3 or 4 1..1 boolean Value Set:
... distance-far Distance to cardiology care >50 miles 1..1 boolean Value Set:
... social-support Lives alone or limited social support 1..1 boolean Value Set:

doco Documentation for this format

Age >=75 years*

  • linkId: age-75
  • Answers:

Prior heart failure hospitalization within 6 months*

  • linkId: hf-hosp-6mo
  • Answers:

eGFR <45 mL/min/1.73m^2*

  • linkId: egfr-low
  • Answers:

BNP >=500 pg/mL or NT-proBNP >=1500 pg/mL*

  • linkId: natriuretic-high
  • Answers:

Systolic BP <100 mmHg at admission*

  • linkId: sbp-low
  • Answers:

Diabetes mellitus*

  • linkId: diabetes
  • Answers:

LVEF <30%*

  • linkId: lvef-low
  • Answers:

Cardiovascular-kidney-metabolic (CKM) Stage 3 or 4*

  • linkId: ckm-stage
  • Answers:

Distance to cardiology care >50 miles*

  • linkId: distance-far
  • Answers:

Lives alone or limited social support*

  • linkId: social-support
  • Answers:

LinkIDDescription & Constraintsdoco
.. age-75 Value Set:
.. hf-hosp-6mo Value Set:
.. egfr-low Value Set:
.. natriuretic-high Value Set:
.. sbp-low Value Set:
.. diabetes Value Set:
.. lvef-low Value Set:
.. ckm-stage Value Set:
.. distance-far Value Set:
.. social-support Value Set:

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.