Describes the expected capabilities of a system that is responsible for managing issues related to the physical activity level of a patient.

Describes the expected capabilities of a system intended for use by patients and caregivers of patients who are working to enhance or maintain their levels of physical activity. These will typically be web-based or mobile applications.

Describes the expected capabilities of a system used by a personal trainer, community fitness organization, or other entity that delivers services that help a patient to improve or maintain their level of physical activity. This set of capabilities is appropriate for service providers that CAN expose their own FHIR server and that store Tasks, reports and other resources locally and expose them for query by Care Managers and Patient Engagement systems.

Describes the expected capabilities of a system used by a personal trainer, community fitness organization, or other entity that delivers services that help a patient to improve or maintain their level of physical activity. This set of capabilities is appropriate for service providers that CANNOT expose their own FHIR server and that rely on the Care Manager to store Tasks, reports and other resources.

A profile describing base requirements for all primary physical activity observations.

A generic profile that encapsulates all the physical activity vital sign observations.

A plan describing the plan to improve or maintain a patient’s level of physical activity

A condition that conveys the fact that a patient has a clinically significant and insufficient level of physical activity

A goal that sets a target for a patient’s physical activity level

Conveys a summary of the interventions and patient interactions that have occurred over the course of the services delivered by a Service Provider, typically in response to a referral

A profile for observations that capture a patient’s average days per week of moderate-to-vigorous physical activity.

A profile for observations that capture a patient’s average minutes per day of moderate-to-vigorous physical activity.

A profile for observations that capture a patient’s average minutes per week of moderate-to-vigorous physical activity.

A profile for observations that capture a patient’s average days per week of muscle-strengthening physical activity.

A profile for observations that collects a set of activity-related measures that all pertain to the same physical activity instance.

A profile for observations that capture physical activity-related measures that are specific to a single physical activity.

A profile for observations that capture physical activity-related measures that apply over an extended period, such as a day or week.

A profile on RelatedPerson that mirrors the requirements of future US Core versions

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

Represents a request for fulfillment of a physical activity-related referral or order and supports management of the same.

A Reference data type where the referenced resource is expected to be resolvable RESTfully.

A Reference data type where the referenced resource could be resolvable RESTfully or pointed to logically.

Codes for Condition.verificationStatus for conditions that are appropriate for exchange for physical activity purposes. Excludes unconfirmed, provisional and differential.

Codes for DiagnosticReport.status for reports that are appropriate for exchange for physical activity purposes. Excludes non-completed and unknown-status Observations. Entered-in-error is retained to allow correction of previously shared results that should not have existed.

Codes for types of diagnostic reports relevant to physical activity referrals

Value set for measure codes used in the target element of a Physical Activity-related Goal

Codes to express the ‘experience’ of a physical activity.

Codes physical activity measures that relate to a single contiguous period of physical activity/exercise

Codes for Observation.status for Observations that are appropriate for exchange for physical activity purposes. Excludes non-completed and unknown-status Observations. Entered-in-error is retained to allow correction of previously shared results that should not have existed.

Codes for physical activity measures that aggregate or summarize activity over a time period, such as a day or week

Codes for Physical Activity Vital Sign components

A subset of US-Core ServiceRequest category codes that are applicable to physical activity interventions.

Codes for ServiceRequest.intent for exercise prescriptions and referrals.

Codes for types of physical activity interventions

The status values that are permitted for the PAServiceRequest resource, excluding ‘unknown’

Codes indicating allowed for Tasks seeking fulfillment of physical activity-related referrals

Codes that will eventually be proposed for LOINC or other code systems, but which do not yet exist in ‘official’ code systems

ExampleScenario instance illustrating how a patient app interacts with an EHR to manage and update an exercise plan. It covers the querying of resources such as CarePlan, Goal, and ServiceRequest, posting of Observations regarding physical activity levels, and how these resources are updated over time.

A detailed scenario involving the referral of a patient from a healthcare provider to personal training services post-rehabilitation. The scenario includes subscription creation, task updates, and queries related to service request, patient health conditions, observations, and diagnostic reports.

This scenario illustrates the process of a referral from a healthcare provider to a fitness service provider. It outlines the creation and monitoring of a ServiceRequest for a patient, communication of task updates between entities, and the eventual completion of the task.

This scenario outlines a patient-provider interaction for managing a physical activity plan. It involves creating and updating care plans and goals, posting patient activity observations, and asking patient to fill surveys. This adaptive care approach allows providers to modify plans and set new goals based on the patient’s progress.

Scenario illustrating creation and retrieval of a patient’s physical activity and blood glucose observations.

An example showing the results of a Bundle search returning listed Tasks and their associated ServiceRequests which might be used by a ‘light’ Service Provider after receiving a subscription notification

An example showing a subscription notification that identifies the specific new or changed tasks

Sample care plan.

Condition indicating a diagnosis of ‘lack of physical exercise’.

An example physical activity report

A goal of 100 minutes/week of moderate-vigorous physical activity by a specified date.

An example observation capturing the patient’s average heart rate during their run.

An example observation grouping a collection of observations specific to an exercise activity.

An example observation capturing the patient’s estimated calorie expenditure during their run.

An example observation capturing how long the run was.

An example observation capturing how many minutes of running were at moderate exertion level.

An example observation capturing the patient’s peak heart rate during their run.

An example observation capturing that a patient ran.

An example observation capturing how many minutes of running were at vigorous exertion level.

An example observation capturing a patient’s average resting heart rate over the course of a week.

An example observation capturing a patient’s calories burned over the last day.

An example observation the total number of steps the patient has taken over the course of a specific day.

An example observation capturing a patient’s average days per week of moderate to vigorous physical exercise.

An example observation capturing a patient’s average minutes per day of moderate to vigorous physical exercise.

An example observation capturing a patient’s average minutes per week of moderate to vigorous physical exercise.

An example observation capturing a patient’s average minutes per day of exercise.

An example observation showing the patient’s peak heart rate over the course of a day.

An example showing a subscription status instance containing Task ids that are new or changed

An example showing a subscription status instance indicating that there are new or changed tasks, without indicating which ones have changed

RelatedPerson conformant with future U.S. core profile used to show caregiver involvement in data sharing.

A referral to a gym.

An example showing a subscription notification that merely indicates there are new or changed tasks without indicating what they are

An example showing what a subscription request would look like to monitor Tasks created by a Care Manager, with notifications by web-hook

An example showing what a subscription request would look like to monitor Tasks created for a Patient, with notifications by SMS. (Could have used email instead.)

An example showing what a subscription request would look like to monitor Tasks created for a Service Provider, with notifications by email. (Could have used SMS instead.)

An example task seeking fulfillment of a referral

A search of all active or on-hold physical-activity related CarePlans for the patient. In this case, we return the updated version of the CarePlan.

A search of all active or on-hold physical-activity related CarePlans for the patient. In this case, there’s only one, but in theory there could be more than one.

A search of all active or on-hold physical-activity related Goals for the patient. In this case, there’s only one, but in theory there could be more than one.

A search of all active or on-hold physical-activity related Goals for the patient. In this case, we return the updated version of the Goal.

A search of all active or on-hold physical-activity related ServiceRequests for the patient. In this case, there’s only one, but in theory there could be more than one.

A CarePlan by Dr. Patel targeting physical activity for patient Jorin Khatun, including moderate to vigorous and muscle-strengthening exercises.

A revised CarePlan by Dr. Patel for Jorin Khatun, aiming at an increased level of physical activity including moderate to vigorous and muscle-strengthening exercises.

A goal set for Jorin Khatun to incrementally increase his physical activity to at least 100 minutes per week over the next 6 months.

A goal set for Jorin Khatun to incrementally increase his physical activity to at least 100 minutes per week over the next 6 months.

A new goal for Jorin Khatun to further increase his weekly exercise to 150 minutes, with notes on his progress and recommendations.

Observation record for Jorin Khatun indicating that he is exercising 5 days per week.

Observation record for Jorin Khatun indicating that he is exercising for 15 minutes per day.

Observation record for Jorin Khatun indicating that he is exercising for 80 minutes per week.

Observation record for Jorin Khatun indicating that he performs strength training exercises 3 days per week.

Good Health Clinic, a healthcare provider.

Profile of the patient Mr. Jorin Khatun.

Profile of Dr. Rajesh Patel.

Dr. Rajesh Patel’s role as a General Practitioner at Good Health Clinic

Exercise Prescription by Dr. Patel for Jorin Khatun to increase his physical activity level.

Bundle returning conditions for Patient Johansson

This bundle contains a diagnostic report and related observations for physical activity.

Bundle instance returning accepted Task to EHR, prompted by subscription notification

Bundle instance returning completed Task to EHR, prompted by subscription notification

This bundle includes Patient Johansson’s physical activity observations, including the number of days per week engaged in physical activity and the number of minutes per day spent on physical activity.

Bundle representing the search results for personal trainers within the specified postcode.

Bundle instance returning ServiceRequest and associated patient

Bundle represents a search response to a Task query made for tasks related to patient ‘Johansson’ and owned by ‘Get Fit Training’.

Bundle represents a subscription notification triggered by the creation of a new task.

This bundle contains notifications for updated tasks for Patient Johansson.

This bundle contains notifications for completed tasks related to physical activity.

This instance represents Patient Johansson’s hypertension condition, which is clinically active and confirmed.

This instance represents Patient Johansson’s condition, which is clinically active and confirmed.

A diagnostic report documenting the physical activity consultation for patient Aisha Khatun.

The length of a period of physical activity.

A grouping of observations associated with a single physical activity

Indicates that the specific activity was a run

The average heart rate achieved by the patient during physical activity.

The number of calories burned by the patient through physical activity in a 24-hour period.

This observation represents the number of days per week that Patient Johansson engages in physical activity.

The number of days per week the patient engages in physical activity.

The maximum heart rate achieved by the patient during physical activity.

This observation represents the number of minutes per day that Patient Johansson engages in physical activity.

The duration of physical activity in minutes per day for the patient.

The amount of pleasure/displeasure the patient experienced during the run.

A specialty exercise clinic named Fit 4 Life.

A fitness center named Get Fit Training.

An example cardiology clinic.

Parameters include the reference to the subscription, the type of notification, and the focus of the notification.

These parameters contain information about the updated task notification, including the associated subscription and the focus task.

These parameters contain information about the completed task notification.

Patient instance represents Nancy Johansson

Profile of Dr. Lopez.

Profile of Mr. Daniel Matthews who serves as a personal trainer at the Fit 4 Life organization.

Mrs. Kim Wang is a qualified personal trainer at Get Fit Training.

Role of Dr. Lopez who serves as a cardiologist at the Good Health Cardiology organization.

Role of Mr. Matthews who serves as a personal trainer at the Fit 4 Life organization.

Mrs. Kim Wang is a personal trainer working for Get Fit Training.

This ServiceRequest instance represents a physical activity request for patient Nancy Johansson

A subscription from Good Health Cardiology EHR to monitor Tasks it has created on Fit4Life.

A subscription from GetFit Training to monitor Tasks assigned to it on Good Health Cardiology EHR.

This updated Task instance (version 2) represents an in-progress task for patient Nancy Johansson.

This updated Task instance (version 3) represents a completed task for patient Nancy Johansson

Task instance represents a ‘Fulfill’ order task for patient Johansson.

The updated Task instance shows the ‘Fulfill’ order task for patient Johansson has been refused.

Task instance represents a ‘Fulfill’ order task for patient Johansson.

Bundle containing ServiceRequest and Patient referenced by Task received by the YMCA organization.

Bundle instance returning accepted Task to EHR, prompted by subscription notification

Bundle instance returning completed Task to EHR, prompted by subscription notification

Bundle containing the notification of an updated task related to physical activity.

Bundle containing the notification of a completed task related to physical activity.

Organization information for the Cincinnati Central YMCA.

Organization information for the Main Street Clinic.

Parameters include the reference to the subscription, the type of notification, and the focus of the notification.

Parameters include the reference to the subscription, the type of notification, and the focus of the notification.

Patient information for James Shevchenko.

Practitioner information for Dr. Blackrock, a general practitioner.

Practitioner role of Dr. Blackrock as a general practitioner at the Main Street Clinic.

Service request for a physical activity program, including counseling, for patient James Shevchenko.

Subscription to monitor tasks based on the criteria.

Task in progress assigned to the YMCA organization to fulfill a physical activity service request.

Task assigned to the YMCA organization to fulfill a physical activity service request.

Task successfully completed by the YMCA organization.

Results of a search of all active or on-hold physical-activity related care plans for the patient. In this case, there’s only one, but in theory there could be more than one.

Results of a second search of all active or on-hold physical-activity related care plans for the patient. In this case, there’s only one, but in theory there could be more than one.

Results of a search of all active, on-hold and completed physical-activity related goals for the patient.

Results of a second search of all active, on-hold and completed physical-activity related goals for the patient.

Results of a search of all active and on-hold tasks assigned to the patient.

Results of a second search of all active and on-hold tasks assigned to the patient.

Results of a third search of all active and on-hold tasks assigned to the patient.

A care plan for physical activity for patient Scarborough.

An updated care plan for physical activity for patient Scarborough.

An achieved goal of lifting for 30 minutes a day, 5 days a week, for patient Scarborough.

A goal to lift for 30 minutes a day, 5 days a week, for patient Scarborough.

A goal to lift for 45 minutes a day, 5 days a week, for patient Scarborough.

A sustaining goal of lifting for 45 minutes a day, 5 days a week, for patient Scarborough.

Observation of the exercise activity performed by patient Scarborough.

An observation of the number of calories burned per day by patient Scarborough.

An observation of the number of steps taken per day by patient Scarborough.

An observation of the number of minutes per day engaged in EVS activity by patient Scarborough.

An observation of the number of minutes per day engaged in physical activity.

An observation of the number of minutes per day engaged in physical activity.

An observation of the peak daily heart rate of patient Scarborough.

Patient information for Jessica Scarborough.

Practitioner information for Kim Rocha, a healthcare professional involved in patient care.

Practitioner information for Kim Rocha - no assigned organization.

A questionnaire to assess the patient’s satisfaction with the exercise plan, including questions about satisfaction and discomfort..

A completed questionnaire response indicating the patient’s satisfaction with the exercise plan, mentioning experiencing discomfort during shoulder exercises.

A completed questionnaire response indicating the patient’s satisfaction with the exercise plan, mentioning no discomfort during exercises.

A completed task of filling out a survey indicating discomfort with shoulder.

A task to fill out a survey indicating satisfaction with the physical activity plan for patient Scarborough.

A completed task of filling out a survey indicating satisfaction with the updated physical activity plan.

A task to fill out a survey indicating satisfaction with the updated physical activity plan.

A completed task of patient Scarborough reviewing an exercise video.

A task for patient Scarborough to review an exercise video.

Bundle of search results for observations related to physical activity and blood glucose for patient Rosalie.

The length of a period of physical activity calculated by Nadia’s phone based on information transmitted from Rosalie’s watch.

A sample observation reporting one of Rosalie’s soccer games

Indicates that the specific activity was a run (closest approximation to soccer)

The average heart rate achieved by the Rosalie over the course of the game.

The length of a period of moderate physical activity calculated by Nadia’s phone based on information transmitted from Rosalie’s watch.

Sample blood glucose reading captured by a glucometer andObservation of the exercise activity performed by patient Rosalie.

The length of a period of vigorous activity calculated by Nadia’s phone based on information transmitted from Rosalie’s watch.

Related person information for Nadia Belyaev, the mother of patient Rosalie.

Patient information for Rosalie Belyaev.