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.

Extension: HEARTLAND Risk Score Total (Experimental)

Official URL: https://fhir.heartlandprotocol.org/StructureDefinition/heartland-risk-score-total Version: 0.3.0
Draft as of 2026-09-29 Computable Name: HeartlandRiskScoreTotal

Total of the HEARTLAND risk score: an integer count of 0 to 18 points summed from ten weighted criteria. This is a non-validated implementation heuristic used to assign monitoring intensity; it is a point total, not a probability, not a predicted event rate and not a validated prognostic estimate. It is carried in this extension rather than in RiskAssessment.prediction.probabilityDecimal because that element is defined in FHIR R4 as the likelihood of a specified outcome, expressed as a percentage.

Context of Use

Usage info

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and their representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension HEARTLAND Risk Score Total
... extension 0..0 Extension
... url 1..1 uri "https://fhir.heartlandprotocol.org/StructureDefinition/heartland-risk-score-total"
... value[x] 1..1 integer HEARTLAND risk score point total (0-18), a heuristic count and not a probability

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension HEARTLAND Risk Score Total
... id 0..1 string Unique id for inter-element referencing
... extension 0..0 Extension
Slice: Unordered, Open by value:url
... url 1..1 uri "https://fhir.heartlandprotocol.org/StructureDefinition/heartland-risk-score-total"

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression

Summary

Simple Extension with the type integer: Total of the HEARTLAND risk score: an integer count of 0 to 18 points summed from ten weighted criteria. This is a non-validated implementation heuristic used to assign monitoring intensity; it is a point total, not a probability, not a predicted event rate and not a validated prognostic estimate. It is carried in this extension rather than in RiskAssessment.prediction.probabilityDecimal because that element is defined in FHIR R4 as the likelihood of a specified outcome, expressed as a percentage.

Differential ViewDifferential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension HEARTLAND Risk Score Total
... extension 0..0 Extension
... url 1..1 uri "https://fhir.heartlandprotocol.org/StructureDefinition/heartland-risk-score-total"
... value[x] 1..1 integer HEARTLAND risk score point total (0-18), a heuristic count and not a probability

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension HEARTLAND Risk Score Total
... id 0..1 string Unique id for inter-element referencing
... extension 0..0 Extension
Slice: Unordered, Open by value:url
... url 1..1 uri "https://fhir.heartlandprotocol.org/StructureDefinition/heartland-risk-score-total"

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression

Summary

Simple Extension with the type integer: Total of the HEARTLAND risk score: an integer count of 0 to 18 points summed from ten weighted criteria. This is a non-validated implementation heuristic used to assign monitoring intensity; it is a point total, not a probability, not a predicted event rate and not a validated prognostic estimate. It is carried in this extension rather than in RiskAssessment.prediction.probabilityDecimal because that element is defined in FHIR R4 as the likelihood of a specified outcome, expressed as a percentage.

 

Other representations of profile: CSV, Excel, Schematron