{ "resourceType" : "ExampleScenario", "id" : "Scen1ExercisePrescriptionScenario", "text" : { "status" : "extensions", "div" : "

Generated Narrative: ExampleScenario

Resource ExampleScenario "Scen1ExercisePrescriptionScenario"

wg: pc

url: http://hl7.org/fhir/us/physical-activity/ExampleScenario/Scen1ExercisePrescriptionScenario

version: 1.0.1

name: ExercisePrescription

status: draft

date: 2024-03-12 17:26:10+0000

publisher: HL7 International / Patient Care

contact: HL7 International / Patient Care: http://www.hl7.org/Special/committees/patientcare

jurisdiction: United States of America (ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code#US)

actor

actorId: patientApp

type: entity

name: Patient App

description: A patient app used to query resources related to the exercise plan

actor

actorId: goodHealth

type: entity

name: EHR

description: EHR that records patient's exercise plan

instance

resourceId: Scen1query1

resourceType: Binary

name: Query for patient physical activity care plans

description: Query for CarePlans for a patient: `GET https://goodhealth.example.org/fhir/CarePlan?patient=Patient/Scen1PatientKhatun&status=active,on-hold&category=http%3A//hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes|PhysicalActivity`

instance

resourceId: Scen1query2

resourceType: Binary

name: Query for patient physical activity goals

description: Query for Goals for a patient: `GET https://goodhealth.example.org/fhir/Goal?patient=Patient/Scen1PatientKhatun&status=active,on-hold,completed&category=http%3A//hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes|PhysicalActivity`

instance

resourceId: Scen1query3

resourceType: Binary

name: Query for patient exercise prescriptions and referrals

description: Query for ServiceRequests for a patient: `GET https://goodhealth.example.org/fhir/ServiceRequest?patient=Patient/Scen1PatientKhatun&status=active,on-hold&category=http%3A//hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes|PhysicalActivity`

instance

resourceId: Scen1CarePlan

resourceType: CarePlan

name: Patient physical activity care plan

description: CarePlan describing proposed exercise regime

version

Extension Definition for ExampleScenario.instance.version.title for Version 5.0: Initial CarePlan

Extension Definition for ExampleScenario.instance.version.content for Version 5.0: CarePlan/Scen1CarePlanV1

versionId: 1

description: Planning for jogging and stationary bike

version

Extension Definition for ExampleScenario.instance.version.title for Version 5.0: Updated CarePlan

Extension Definition for ExampleScenario.instance.version.content for Version 5.0: CarePlan/Scen1CarePlanV2

versionId: 2

description: Planning for increased stationary bike

instance

resourceId: Scen1Goal

resourceType: Goal

name: Physical Activity weekly target

description: Goal indicating target number of minutes/week of moderate-vigorous physical activity

version

Extension Definition for ExampleScenario.instance.version.title for Version 5.0: Initial goal

Extension Definition for ExampleScenario.instance.version.content for Version 5.0: Goal/Scen1GoalV1

versionId: 1

description: Initial value of 100 mins/week

version

Extension Definition for ExampleScenario.instance.version.title for Version 5.0: Initial goal

Extension Definition for ExampleScenario.instance.version.content for Version 5.0: Goal/Scen1GoalV2

versionId: 1

description: Initial value of 100 mins/week-completed

instance

Extension Definition for ExampleScenario.instance.content for Version 5.0: Goal/Scen1Goal2

resourceId: Scen1Goal2

resourceType: Bundle

name: Updated goal

description: Updated value of 150 mins/week

instance

Extension Definition for ExampleScenario.instance.content for Version 5.0: Bundle/Scen1CarePlanBundle1

resourceId: Scen1CarePlanBundle1

resourceType: Bundle

name: Initial care plan search response bundle

description: Only contains 1 plan, though in practice, more than one is possible

ContainedInstances

-ResourceIdVersionId
*Scen1CarePlan1

instance

Extension Definition for ExampleScenario.instance.content for Version 5.0: Bundle/Scen1CarePlanBundle2

resourceId: Scen1CarePlanBundle2

resourceType: Bundle

name: Second care plan search response bundle

description: In a real system, the id would be the same as the original

ContainedInstances

-ResourceIdVersionId
*Scen1CarePlan2

instance

Extension Definition for ExampleScenario.instance.content for Version 5.0: Bundle/Scen1GoalBundle1

resourceId: Scen1GoalBundle1

resourceType: Bundle

name: Initial goal search response bundle

description: There could be multiple goals, but in the scenario there's only one.

ContainedInstances

-ResourceIdVersionId
*Scen1Goal1

instance

Extension Definition for ExampleScenario.instance.content for Version 5.0: Bundle/Scen1GoalBundle2

resourceId: Scen1GoalBundle2

resourceType: Bundle

name: Second goal search response bundle

description: In a real system, the id would be the same as the original

ContainedInstances

-ResourceId
*Scen1Goal2

instance

Extension Definition for ExampleScenario.instance.content for Version 5.0: ServiceRequest/Scen1ExerciseRx

resourceId: Scen1ExerciseRx

resourceType: ServiceRequest

name: Prescription for exercise

description: Expressed as a ServiceRequest with performer of the patient

instance

Extension Definition for ExampleScenario.instance.content for Version 5.0: Bundle/Scen1ExerciseRxBundle

resourceId: Scen1ExerciseRxBundle

resourceType: Bundle

name: Search result of exercise prescriptions and referrals

description: There could be a mix of an exercise prescription plus referrals, but in this case there's only the prescription.

ContainedInstances

-ResourceId
*Scen1ExerciseRx

instance

Extension Definition for ExampleScenario.instance.content for Version 5.0: Observation/Scen1ObservationDaysPerWeek

resourceId: Scen1ObservationDaysPerWeek

resourceType: Observation

name: Example physical activity days per week record

description: Average days per week of moderate-to-vigorous physical activity.

instance

Extension Definition for ExampleScenario.instance.content for Version 5.0: Observation/Scen1ObservationMinsPerDay

resourceId: Scen1ObservationMinsPerDay

resourceType: Observation

name: Example physical activity minutes per day record

description: Average minutes per day of moderate-to-vigorous physical activity.

instance

Extension Definition for ExampleScenario.instance.content for Version 5.0: Observation/Scen1ObservationMinsPerWeek

resourceId: Scen1ObservationMinsPerWeek

resourceType: Observation

name: Example physical activity minutes per week record

description: Average minutes per week of moderate-to-vigorous physical activity.

instance

Extension Definition for ExampleScenario.instance.content for Version 5.0: Observation/Scen1ObservationStrengthDaysPerWeek

resourceId: Scen1ObservationStrengthDaysPerWeek

resourceType: Observation

name: Example strength days per week record

description: Average days per week of muscle-strengthening physical activity.

process

title: Day after appointment

description: The patient accesses the care plan, goals and exercise prescription made available on the EHR

preConditions: Encounter (and other supporting) resources created

postConditions: Patient app has retrieved exercise plan related resources

step

operation

number: 1

type: search-type

name: Query CarePlan

initiator: patientApp

receiver: goodHealth

description: Patient app queries exercise CarePlan describing proposed exercise regime.

Requests

-ResourceId
*Scen1query1

Responses

-ResourceId
*Scen1CarePlanBundle1

step

operation

number: 2

type: search-type

name: Query Goal

initiator: patientApp

receiver: goodHealth

description: Patient app queries Goals (100 minutes/week).

Requests

-ResourceId
*Scen1query2

Responses

-ResourceId
*Scen1GoalBundle1

step

operation

number: 3

type: search-type

name: Query ServiceRequest

initiator: patientApp

receiver: goodHealth

description: Patient app queries ServiceRequest (order for ‘exercise’).

Requests

-ResourceId
*Scen1query3

Responses

-ResourceId
*Scen1ExerciseRxBundle

process

title: A couple of weeks later

description: The exchange noted here would actually occur many times (though not necessarily regularly). Only a single set of data is shown for simplicity.

preConditions: Patient app is able to write records to EHR

postConditions: EHR has weekly activity level observations

step

operation

number: 5

type: create

name: Post days/week

initiator: patientApp

receiver: goodHealth

description: Patient app posts average days per week of moderate-to-vigorous physical activity. `POST https://goodhealth.example.org/fhir/Observation`

Requests

-ResourceId
*Scen1ObservationDaysPerWeek

step

operation

number: 6

type: create

name: Post minutes/day

initiator: patientApp

receiver: goodHealth

description: Patient app posts average minutes per day of moderate-to-vigorous physical activity. `POST https://goodhealth.example.org/fhir/Observation`

Requests

-ResourceId
*Scen1ObservationMinsPerDay

step

operation

number: 7

type: create

name: Post minutes/week

initiator: patientApp

receiver: goodHealth

description: Patient app posts average minutes per week of moderate-to-vigorous physical activity. `POST https://goodhealth.example.org/fhir/Observation`

Requests

-ResourceId
*Scen1ObservationMinsPerWeek

step

operation

number: 8

type: create

name: Post stength days/week

initiator: patientApp

receiver: goodHealth

description: Patient app posts average days per week of muscle-strengthening physical activity. `POST https://goodhealth.example.org/fhir/Observation`

Requests

-ResourceId
*Scen1ObservationStrengthDaysPerWeek

process

title: A little more than 6 months after first appointment

description: In practice, the patient app would likely check for new CarePlans and Goals each time it launches. However, this is the first time there'd be something new to retrieve.

preConditions: CarePlan and Goal have been updated in EHR

postConditions: Patient app retrieves updated CarePlan and Goal

step

operation

number: 9

type: search-type

name: Query revised CarePlan

initiator: patientApp

receiver: goodHealth

description: Patient app queries revised CarePlan with providers notes.

Requests

-ResourceId
*Scen1query1

Responses

-ResourceId
*Scen1CarePlanBundle2

step

operation

number: 10

type: search-type

name: Query revised Goal

initiator: patientApp

receiver: goodHealth

description: Patient app queries new Goals.

Requests

-ResourceId
*Scen1query2

Responses

-ResourceId
*Scen1GoalBundle2

step

operation

number: 11

type: search-type

name: Query ServiceRequest

initiator: patientApp

receiver: goodHealth

description: The results of this search are the same as the initial call because the exercise 'prescription' has not changed.

Requests

-ResourceId
*Scen1query3

Responses

-ResourceId
*Scen1ExerciseRxBundle
" }, "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode" : "pc" }], "url" : "http://hl7.org/fhir/us/physical-activity/ExampleScenario/Scen1ExercisePrescriptionScenario", "version" : "1.0.1", "name" : "ExercisePrescription", "status" : "draft", "date" : "2024-03-12T17:26:10+00:00", "publisher" : "HL7 International / Patient Care", "contact" : [{ "name" : "HL7 International / Patient Care", "telecom" : [{ "system" : "url", "value" : "http://www.hl7.org/Special/committees/patientcare" }] }], "jurisdiction" : [{ "coding" : [{ "system" : "urn:iso:std:iso:3166", "code" : "US" }] }], "actor" : [{ "actorId" : "patientApp", "type" : "entity", "name" : "Patient App", "description" : "A patient app used to query resources related to the exercise plan" }, { "actorId" : "goodHealth", "type" : "entity", "name" : "EHR", "description" : "EHR that records patient's exercise plan" }], "instance" : [{ "resourceId" : "Scen1query1", "resourceType" : "Binary", "name" : "Query for patient physical activity care plans", "description" : "Query for CarePlans for a patient: `GET https://goodhealth.example.org/fhir/CarePlan?patient=Patient/Scen1PatientKhatun&status=active,on-hold&category=http%3A//hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes|PhysicalActivity`" }, { "resourceId" : "Scen1query2", "resourceType" : "Binary", "name" : "Query for patient physical activity goals", "description" : "Query for Goals for a patient: `GET https://goodhealth.example.org/fhir/Goal?patient=Patient/Scen1PatientKhatun&status=active,on-hold,completed&category=http%3A//hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes|PhysicalActivity`" }, { "resourceId" : "Scen1query3", "resourceType" : "Binary", "name" : "Query for patient exercise prescriptions and referrals", "description" : "Query for ServiceRequests for a patient: `GET https://goodhealth.example.org/fhir/ServiceRequest?patient=Patient/Scen1PatientKhatun&status=active,on-hold&category=http%3A//hl7.org/fhir/us/physical-activity/CodeSystem/pa-temporary-codes|PhysicalActivity`" }, { "resourceId" : "Scen1CarePlan", "resourceType" : "CarePlan", "name" : "Patient physical activity care plan", "description" : "CarePlan describing proposed exercise regime", "version" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.title", "valueString" : "Initial CarePlan" }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.content", "valueReference" : { "reference" : "CarePlan/Scen1CarePlanV1" } }], "versionId" : "1", "description" : "Planning for jogging and stationary bike" }, { "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.title", "valueString" : "Updated CarePlan" }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.content", "valueReference" : { "reference" : "CarePlan/Scen1CarePlanV2" } }], "versionId" : "2", "description" : "Planning for increased stationary bike" }] }, { "resourceId" : "Scen1Goal", "resourceType" : "Goal", "name" : "Physical Activity weekly target", "description" : "Goal indicating target number of minutes/week of moderate-vigorous physical activity", "version" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.title", "valueString" : "Initial goal" }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.content", "valueReference" : { "reference" : "Goal/Scen1GoalV1" } }], "versionId" : "1", "description" : "Initial value of 100 mins/week" }, { "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.title", "valueString" : "Initial goal" }, { "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.version.content", "valueReference" : { "reference" : "Goal/Scen1GoalV2" } }], "versionId" : "1", "description" : "Initial value of 100 mins/week-completed" }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content", "valueReference" : { "reference" : "Goal/Scen1Goal2" } }], "resourceId" : "Scen1Goal2", "resourceType" : "Bundle", "name" : "Updated goal", "description" : "Updated value of 150 mins/week" }, { "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content", "valueReference" : { "reference" : "Bundle/Scen1CarePlanBundle1" } }], "resourceId" : "Scen1CarePlanBundle1", "resourceType" : "Bundle", "name" : "Initial care plan search response bundle", "description" : "Only contains 1 plan, though in practice, more than one is possible", "containedInstance" : [{ "resourceId" : "Scen1CarePlan", "versionId" : "1" }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content", "valueReference" : { "reference" : "Bundle/Scen1CarePlanBundle2" } }], "resourceId" : "Scen1CarePlanBundle2", "resourceType" : "Bundle", "name" : "Second care plan search response bundle", "description" : "In a real system, the id would be the same as the original", "containedInstance" : [{ "resourceId" : "Scen1CarePlan", "versionId" : "2" }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content", "valueReference" : { "reference" : "Bundle/Scen1GoalBundle1" } }], "resourceId" : "Scen1GoalBundle1", "resourceType" : "Bundle", "name" : "Initial goal search response bundle", "description" : "There could be multiple goals, but in the scenario there's only one.", "containedInstance" : [{ "resourceId" : "Scen1Goal", "versionId" : "1" }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content", "valueReference" : { "reference" : "Bundle/Scen1GoalBundle2" } }], "resourceId" : "Scen1GoalBundle2", "resourceType" : "Bundle", "name" : "Second goal search response bundle", "description" : "In a real system, the id would be the same as the original", "containedInstance" : [{ "resourceId" : "Scen1Goal2" }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content", "valueReference" : { "reference" : "ServiceRequest/Scen1ExerciseRx" } }], "resourceId" : "Scen1ExerciseRx", "resourceType" : "ServiceRequest", "name" : "Prescription for exercise", "description" : "Expressed as a ServiceRequest with performer of the patient" }, { "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content", "valueReference" : { "reference" : "Bundle/Scen1ExerciseRxBundle" } }], "resourceId" : "Scen1ExerciseRxBundle", "resourceType" : "Bundle", "name" : "Search result of exercise prescriptions and referrals", "description" : "There could be a mix of an exercise prescription plus referrals, but in this case there's only the prescription.", "containedInstance" : [{ "resourceId" : "Scen1ExerciseRx" }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content", "valueReference" : { "reference" : "Observation/Scen1ObservationDaysPerWeek" } }], "resourceId" : "Scen1ObservationDaysPerWeek", "resourceType" : "Observation", "name" : "Example physical activity days per week record", "description" : "Average days per week of moderate-to-vigorous physical activity." }, { "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content", "valueReference" : { "reference" : "Observation/Scen1ObservationMinsPerDay" } }], "resourceId" : "Scen1ObservationMinsPerDay", "resourceType" : "Observation", "name" : "Example physical activity minutes per day record", "description" : "Average minutes per day of moderate-to-vigorous physical activity." }, { "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content", "valueReference" : { "reference" : "Observation/Scen1ObservationMinsPerWeek" } }], "resourceId" : "Scen1ObservationMinsPerWeek", "resourceType" : "Observation", "name" : "Example physical activity minutes per week record", "description" : "Average minutes per week of moderate-to-vigorous physical activity." }, { "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExampleScenario.instance.content", "valueReference" : { "reference" : "Observation/Scen1ObservationStrengthDaysPerWeek" } }], "resourceId" : "Scen1ObservationStrengthDaysPerWeek", "resourceType" : "Observation", "name" : "Example strength days per week record", "description" : "Average days per week of muscle-strengthening physical activity." }], "process" : [{ "title" : "Day after appointment", "description" : "The patient accesses the care plan, goals and exercise prescription made available on the EHR", "preConditions" : "Encounter (and other supporting) resources created", "postConditions" : "Patient app has retrieved exercise plan related resources", "step" : [{ "operation" : { "number" : "1", "type" : "search-type", "name" : "Query CarePlan", "initiator" : "patientApp", "receiver" : "goodHealth", "description" : "Patient app queries exercise CarePlan describing proposed exercise regime.", "request" : { "resourceId" : "Scen1query1" }, "response" : { "resourceId" : "Scen1CarePlanBundle1" } } }, { "operation" : { "number" : "2", "type" : "search-type", "name" : "Query Goal", "initiator" : "patientApp", "receiver" : "goodHealth", "description" : "Patient app queries Goals (100 minutes/week).", "request" : { "resourceId" : "Scen1query2" }, "response" : { "resourceId" : "Scen1GoalBundle1" } } }, { "operation" : { "number" : "3", "type" : "search-type", "name" : "Query ServiceRequest", "initiator" : "patientApp", "receiver" : "goodHealth", "description" : "Patient app queries ServiceRequest (order for ‘exercise’).", "request" : { "resourceId" : "Scen1query3" }, "response" : { "resourceId" : "Scen1ExerciseRxBundle" } } }] }, { "title" : "A couple of weeks later", "description" : "The exchange noted here would actually occur many times (though not necessarily regularly). Only a single set of data is shown for simplicity.", "preConditions" : "Patient app is able to write records to EHR", "postConditions" : "EHR has weekly activity level observations", "step" : [{ "operation" : { "number" : "5", "type" : "create", "name" : "Post days/week", "initiator" : "patientApp", "receiver" : "goodHealth", "description" : "Patient app posts average days per week of moderate-to-vigorous physical activity. `POST https://goodhealth.example.org/fhir/Observation`", "request" : { "resourceId" : "Scen1ObservationDaysPerWeek" } } }, { "operation" : { "number" : "6", "type" : "create", "name" : "Post minutes/day", "initiator" : "patientApp", "receiver" : "goodHealth", "description" : "Patient app posts average minutes per day of moderate-to-vigorous physical activity. `POST https://goodhealth.example.org/fhir/Observation`", "request" : { "resourceId" : "Scen1ObservationMinsPerDay" } } }, { "operation" : { "number" : "7", "type" : "create", "name" : "Post minutes/week", "initiator" : "patientApp", "receiver" : "goodHealth", "description" : "Patient app posts average minutes per week of moderate-to-vigorous physical activity. `POST https://goodhealth.example.org/fhir/Observation`", "request" : { "resourceId" : "Scen1ObservationMinsPerWeek" } } }, { "operation" : { "number" : "8", "type" : "create", "name" : "Post stength days/week", "initiator" : "patientApp", "receiver" : "goodHealth", "description" : "Patient app posts average days per week of muscle-strengthening physical activity. `POST https://goodhealth.example.org/fhir/Observation`", "request" : { "resourceId" : "Scen1ObservationStrengthDaysPerWeek" } } }] }, { "title" : "A little more than 6 months after first appointment", "description" : "In practice, the patient app would likely check for new CarePlans and Goals each time it launches. However, this is the first time there'd be something new to retrieve.", "preConditions" : "CarePlan and Goal have been updated in EHR", "postConditions" : "Patient app retrieves updated CarePlan and Goal", "step" : [{ "operation" : { "number" : "9", "type" : "search-type", "name" : "Query revised CarePlan", "initiator" : "patientApp", "receiver" : "goodHealth", "description" : "Patient app queries revised CarePlan with providers notes.", "request" : { "resourceId" : "Scen1query1" }, "response" : { "resourceId" : "Scen1CarePlanBundle2" } } }, { "operation" : { "number" : "10", "type" : "search-type", "name" : "Query revised Goal", "initiator" : "patientApp", "receiver" : "goodHealth", "description" : "Patient app queries new Goals.", "request" : { "resourceId" : "Scen1query2" }, "response" : { "resourceId" : "Scen1GoalBundle2" } } }, { "operation" : { "number" : "11", "type" : "search-type", "name" : "Query ServiceRequest", "initiator" : "patientApp", "receiver" : "goodHealth", "description" : "The results of this search are the same as the initial call because the exercise 'prescription' has not changed.", "request" : { "resourceId" : "Scen1query3" }, "response" : { "resourceId" : "Scen1ExerciseRxBundle" } } }] }] }