Physical Activity Implementation Guide
1.0.1 - STU Release 1 United States of America flag

Physical Activity Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 1.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/physical-activity/ and changes regularly. See the Directory of published versions

Resource Profile: PA Service Request

Official URL: http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-servicerequest Version: 1.0.1
Standards status: Trial-use Maturity Level: 2 Computable Name: PAServiceRequest

Represents orders and referrals for interventions that help to improve or maintain a patient’s level of physical activity

This resource is used both for exercise prescriptions where the performer is the Patient, as well as for referrals, where the performer will be a Practitioner, PractitionerRole, Organization or unspecified. In the case of referrals, the resource will be used in the workflow described here.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from ServiceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C0..*ServiceRequestA request for a service to be performed
pa-sr-1: At least one of reasonCode or reasonReference must be provided
... implicitRules 0..0
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... pertainsToGoal S0..*Reference(Goal)Pertains to goal
URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
.... value[x] 1..1ReferenceRest(PA Goal)Value of extension
.... value[x] 1..1Reference(PA Related Person)Value of extension
... modifierExtension 0..0
... status S1..1codedraft | active | on-hold | revoked | completed | entered-in-error
Binding: PA ServiceRequest Status (required)
... intent S1..1codeoriginal-order | order | filler-order
Binding: PA ServiceRequest Intents (required)
... Slices for category 1..*CodeableConceptClassification of service
Slice: Unordered, Open by pattern:$this
.... category:PA S1..1CodeableConceptClassification of service
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: PhysicalActivity
.... category:USCore 0..*CodeableConceptClassification of service
Binding: PA ServiceRequest Category - USCore (required)
... priority S0..1coderoutine | urgent | asap | stat
... doNotPerform 0..0
... code S1..1CodeableConceptWhat is being requested/ordered
Binding: PA ServiceRequest Intervention Codes (extensible)
... subject S1..1ReferenceRest(US Core Patient Profile)Individual or Entity the service is ordered for
... Slices for occurrence[x] S0..1When service should occur
Slice: Unordered, Open by type:$this
.... occurrenceDateTimedateTime
.... occurrencePeriodPeriod S
.... occurrenceTimingTiming
.... occurrence[x]:occurrencePeriod S0..1Period SWhen service should occur
..... start S0..1dateTimeStarting time with inclusive boundary
..... end S0..1dateTimeEnd time with inclusive boundary, if not ongoing
... authoredOn S1..1dateTimeDate request signed
... requester S1..1ReferenceRestOrLogical(US Core Practitioner Profile | US Core PractitionerRole Profile)Who/what is requesting service
... performer S0..*ReferenceRestOrLogical(US Core Patient Profile S | US Core Practitioner Profile S | US Core PractitionerRole Profile S | US Core Organization Profile S | PA Related Person)Requested performer
... reasonCode S0..*CodeableConceptExplanation/Justification for procedure or service
Binding: US Core Condition Code (extensible)
.... text S0..1stringPlain text representation of the concept
... Slices for reasonReference 0..*Reference(Condition | Observation | DiagnosticReport | DocumentReference)Explanation/Justification for service or service
Slice: Unordered, Open by profile:resolve()
.... reasonReference:SupportedReasonReference S0..*Reference(US Core Condition Profile)Explanation/Justification for service or service
... Slices for supportingInfo 0..*ReferenceRest(Resource)Additional clinical information
Slice: Unordered, Open by profile:resolve()
.... supportingInfo:SupportedSupportingInfo S0..*ReferenceRest(PA Observation EVS Base)Additional clinical information
... specimen 0..0
... note 0..*AnnotationAdditional details about the service request
.... author[x] S1..1ReferenceRest(US Core Practitioner Profile S | US Core Organization Profile S)Individual responsible for the annotation
.... time S1..1dateTimeWhen the annotation was made
.... text S1..1markdownThe annotation - text content (as markdown)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ServiceRequest.statusrequiredPAServiceRequestStatus
http://hl7.org/fhir/us/physical-activity/ValueSet/pa-servicerequest-status
from this IG
ServiceRequest.intentrequiredPAServiceRequestIntent
http://hl7.org/fhir/us/physical-activity/ValueSet/pa-servicerequest-intent
from this IG
ServiceRequest.category:USCorerequiredPAServiceRequestCategory
http://hl7.org/fhir/us/physical-activity/ValueSet/pa-diagnosticreport-category
from this IG
ServiceRequest.codeextensiblePAServiceRequestInterventions
http://hl7.org/fhir/us/physical-activity/ValueSet/pa-servicerequest-code
from this IG
ServiceRequest.reasonCodeextensibleUSCoreConditionCode
http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code

Constraints

IdGradePath(s)DetailsRequirements
pa-sr-1errorServiceRequestAt least one of reasonCode or reasonReference must be provided
: reasonCode.exists() or reasonReference.exists()

 

Other representations of profile: CSV, Excel, Schematron