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: High-Risk HEARTLAND Risk Assessment

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{
  "resourceType" : "RiskAssessment",
  "id" : "RiskAssessmentExampleHigh",
  "meta" : {
    "profile" : [
      🔗 "https://fhir.heartlandprotocol.org/StructureDefinition/heartland-risk-assessment"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: RiskAssessment RiskAssessmentExampleHigh</b></p><a name=\"RiskAssessmentExampleHigh\"> </a><a name=\"hcRiskAssessmentExampleHigh\"> </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-risk-assessment.html\">HEARTLAND Risk Assessment</a></p></div><p><b>status</b>: Final</p><p><b>method</b>: <span title=\"Codes:\">HEARTLAND Protocol v3.2 Risk Score</span></p><p><b>subject</b>: <a href=\"Patient-PatientExampleRural.html\">Rural Patient Example  Female, DoB: 1947-06-15 ( https://fhir.heartlandprotocol.org/sid/example-mrn#EXAMPLE-001)</a></p><p><b>occurrence</b>: 2026-04-16 14:30:00-0500</p><p><b>basis</b>: <a href=\"QuestionnaireResponse-QuestionnaireResponseExampleRiskInputs.html\">Response to Questionnaire '-&gt;HEARTLAND Risk Input Questionnaire' about '-&gt;Rural Patient Example  Female, DoB: 1947-06-15 ( https://fhir.heartlandprotocol.org/sid/example-mrn#EXAMPLE-001)'</a></p><h3>Predictions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>QualitativeRisk</b></td></tr><tr><td style=\"display: none\">*</td><td/><td><span title=\"Codes:{https://fhir.heartlandprotocol.org/CodeSystem/heartland-risk-tier high}\">High Risk</span></td></tr></table><p><b>note</b>: </p><blockquote><div><p>Synthetic educational example of an unvalidated heuristic; not an instruction for patient care.</p>\n</div></blockquote></div>"
  },
  "status" : "final",
  "method" : {
    "text" : "HEARTLAND Protocol v3.2 Risk Score"
  },
  "subject" : {
    🔗 "reference" : "Patient/PatientExampleRural"
  },
  "occurrenceDateTime" : "2026-04-16T14:30:00-05:00",
  "basis" : [
    {
      🔗 "reference" : "QuestionnaireResponse/QuestionnaireResponseExampleRiskInputs"
    }
  ],
  "prediction" : [
    {
      "extension" : [
        {
          "url" : "https://fhir.heartlandprotocol.org/StructureDefinition/heartland-risk-score-total",
          "valueInteger" : 11
        }
      ],
      "qualitativeRisk" : {
        "coding" : [
          {
            "system" : "https://fhir.heartlandprotocol.org/CodeSystem/heartland-risk-tier",
            "code" : "high",
            "display" : "High Risk"
          }
        ]
      }
    }
  ],
  "note" : [
    {
      "text" : "Synthetic educational example of an unvalidated heuristic; not an instruction for patient care."
    }
  ]
}