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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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/RiskAssessment/RiskAssessmentExampleHigh> a fhir:RiskAssessment ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "RiskAssessmentExampleHigh"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir.heartlandprotocol.org/StructureDefinition/heartland-risk-assessment" ;
       fhir:index -1 ;
       fhir:link <https://fhir.heartlandprotocol.org/StructureDefinition/heartland-risk-assessment>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:RiskAssessment.status [ fhir:value "final"] ;
  fhir:RiskAssessment.method [
     fhir:CodeableConcept.text [ fhir:value "HEARTLAND Protocol v3.2 Risk Score" ]
  ] ;
  fhir:RiskAssessment.subject [
     fhir:link <http://hl7.org/fhir/Patient/PatientExampleRural> ;
     fhir:Reference.reference [ fhir:value "Patient/PatientExampleRural" ]
  ] ;
  fhir:RiskAssessment.occurrenceDateTime [ fhir:value "2026-04-16T14:30:00-05:00"^^xsd:dateTime] ;
  fhir:RiskAssessment.basis [
     fhir:index -1 ;
     fhir:link <http://hl7.org/fhir/QuestionnaireResponse/QuestionnaireResponseExampleRiskInputs> ;
     fhir:Reference.reference [ fhir:value "QuestionnaireResponse/QuestionnaireResponseExampleRiskInputs" ]
  ] ;
  fhir:RiskAssessment.prediction [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "https://fhir.heartlandprotocol.org/StructureDefinition/heartland-risk-score-total" ] ;
       fhir:Extension.valueInteger [ fhir:value "11"^^xsd:integer ]
     ] ;
     fhir:RiskAssessment.prediction.qualitativeRisk [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "https://fhir.heartlandprotocol.org/CodeSystem/heartland-risk-tier" ] ;
         fhir:Coding.code [ fhir:value "high" ] ;
         fhir:Coding.display [ fhir:value "High Risk" ]
       ]
     ]
  ] ;
  fhir:RiskAssessment.note [
     fhir:index -1 ;
     fhir:Annotation.text [ fhir:value "Synthetic educational example of an unvalidated heuristic; not an instruction for patient care." ]
  ] .

<http://hl7.org/fhir/Patient/PatientExampleRural> a fhir:Patient .

<http://hl7.org/fhir/QuestionnaireResponse/QuestionnaireResponseExampleRiskInputs> a fhir:QuestionnaireResponse .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/RiskAssessment/RiskAssessmentExampleHigh.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/RiskAssessment/RiskAssessmentExampleHigh.ttl> .