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

Table of Contents

0 Table of Contents

1 Welcome to the Physical Activity IG

1.1 Importance of Physical Activity

1.2 Implementation Scenarios

1.3 FHIR Background

1.4 Design Considerations

1.5 Conformance Expectations

1.6 Physical Activity Measures

1.7 Plans & Interventions

1.8 Physical Activity Workflow

1.9 Privacy and Security Considerations

1.10 IG Artifacts

1.10.1 PA Care Manager

1.10.2 PA Patient Engagement

1.10.3 PA Service Provider (Full)

1.10.4 PA Service Provider (Light)

1.10.5 PA Observation Base

1.10.6 PA Observation EVS Base

1.10.7 PA Care Plan

1.10.8 PA Condition - Low Physical Activity

1.10.9 PA Goal

1.10.10 PA Intervention Report

1.10.11 PA Observation - EVS, Days/Week

1.10.12 PA Observation - EVS, Minutes/Day

1.10.13 PA Observation - EVS, Minutes/Week

1.10.14 PA Observation - EVS, Strength Days/Week

1.10.15 PA Observation - Supporting, Activity Group

1.10.16 PA Observation - Supporting, Activity-based

1.10.17 PA Observation - Supporting, Time-based

1.10.18 PA Related Person

1.10.19 PA Service Request

1.10.20 PA Task for Referral Management

1.10.21 Reference - RESTful

1.10.22 Reference - RESTful or Logical

1.10.23 PA Condition Verification Status

1.10.24 PA DiagnosticReport Statuses

1.10.25 PA DiagnosticReport Types

1.10.26 PA Goal Target Measure Codes

1.10.27 PA Observation Activity Feeling Scale

1.10.28 PA Observation Activity-related codes

1.10.29 PA Observation Statuses

1.10.30 PA Observation Time-related codes

1.10.31 PA Observation Vital Sign Codes

1.10.32 PA ServiceRequest Category - USCore

1.10.33 PA ServiceRequest Intents

1.10.34 PA ServiceRequest Intervention Codes

1.10.35 PA ServiceRequest Status

1.10.36 PA Task Fulfillment Status

1.10.37 Temporary Codes

1.10.38 Scenario 1 - Exercise Prescription

1.10.39 Scenario 2 - Provider to Personal Trainer Post-Rehabilitation Referral

1.10.40 Scenario 3 - Patient Seeks Referral for Exercise Program

1.10.41 Scenario 4 - Patient Works with Personal Trainer

1.10.42 Scenario 5 - Patient-Provider Communication on Activity and Blood Glucose Observations

1.10.43 Bundle (Search Set) - Task

1.10.44 Bundle (Subscription Notification) - Task with ids

1.10.45 CarePlan - simple

1.10.46 Condition - Low Physical Activity

1.10.47 DiagnosticReport - Physical Activity Report

1.10.48 Goal - 100 min/week

1.10.49 Observation - Activity Measure - Mean Heart Rate

1.10.50 Observation - Activity Group

1.10.51 Observation - Activity Measure - Calories

1.10.52 Observation - Activity Measure - Duration

1.10.53 Observation - Activity Measure - Moderate Minutes

1.10.54 Observation - Activity Measure - Peak Heart Rate

1.10.55 Observation - Activity Measure - Type

1.10.56 Observation - Activity Measure - Vigorous Minutes

1.10.57 Observation - Average Resting Heart Rate

1.10.58 Observation - Calories per Day

1.10.59 Observation - Daily Steps

1.10.60 Observation - Exercise Vital Sign Days per Week

1.10.61 Observation - Exercise Vital Sign Minutes per Day

1.10.62 Observation - Exercise Vital Sign Minutes per Week

1.10.63 Observation - Exercise Vital Sign Strength Days per Week

1.10.64 Observation - Peak Daily Heart Rate

1.10.65 Parameters (Subscription Status) - Task with Ids

1.10.66 Parameters (Subscription Status) - Task with no Ids

1.10.67 RelatedPerson - Relative

1.10.68 ServiceRequest - PA Referral

1.10.69 Subscription (Notification Bundle) - Task with no Ids

1.10.70 Subscription - Task - Care Manager

1.10.71 Subscription - Task - Patient by SMS

1.10.72 Subscription - Task - Service Provider by Email

1.10.73 Task - PA Referral Fulfillment Request

1.10.74 Bundle 'Search Set' - Care Plan - updated - Scenario 1

1.10.75 Bundle 'Search Set' - CarePlan - initial - Scenario 1

1.10.76 Bundle 'Search Set' - Goal - Initial goal - Scenario 1

1.10.77 Bundle 'Search Set' - Goal - Updated goals - Scenario 1

1.10.78 Bundle 'Search Set' - ServiceRequest - Scenario 1

1.10.79 CarePlan - initial - Scenario 1

1.10.80 CarePlan - updated - Scenario 1

1.10.81 Goal - 100 min/wk 'completed' - Scenario 1

1.10.82 Goal - 100 min/wk 'in-progress' - Scenario 1

1.10.83 Goal - 150 min/wk 'in-progress' - Scenario 1

1.10.84 Observation - Days per week - Scenario 1

1.10.85 Observation - Minutes per Day - Scenario 1

1.10.86 Observation - Minutes per Week - Scenario 1

1.10.87 Observation - Strength Days per Week - Scenario 1

1.10.88 Organization - Good Health Clinic - Scenario 1

1.10.89 Patient - Jorin Khatun - Scenario 1

1.10.90 Practitioner - Dr. Patel - Scenario 1

1.10.91 Practitioner Role - Dr. Patel - Scenario 1

1.10.92 ServiceRequest - Prescription - Scenario 1

1.10.93 Bundle 'Search Set' - Condition - Scenario 2

1.10.94 Bundle 'Search Set' - DiagnosticReport, Observations - Scenario 2

1.10.95 Bundle 'Search Set' - Fit 4 Life Task 'accepted' - Scenario 2

1.10.96 Bundle 'Search Set' - Fit 4 Life Task 'completed' - Scenario 2

1.10.97 Bundle 'Search Set' - Observations - Supporting Measures - Scenario 2

1.10.98 Bundle 'Search Set' - PractitionerRole - Personal Trainers - Scenario 2

1.10.99 Bundle 'Search Set' - ServiceRequest, Patient - Fit4Life Referral - Scenario 2

1.10.100 Bundle 'Search Set' - Task - GetFit Fulfillment Request - Scenario 2

1.10.101 Bundle 'Subscription Notification' - GetFit Task - Scenario 2

1.10.102 Bundle 'Subscription Notification' - Task - Fit 4 Life 'accepted' - Scenario 2

1.10.103 Bundle 'Subscription Notification' - Task - Fit 4 Life 'completed' - Scenario 2

1.10.104 Condition - Hypertension - Scenario 2

1.10.105 Condition - Lack of Physical Exercise - Scenario 2

1.10.106 DiagnosticReport - PA Consultation Report - Scenario 2

1.10.107 Observation - Activity Duration - Scenario 2

1.10.108 Observation - Activity Group - Scenario 2

1.10.109 Observation - Activity Type - Scenario 2

1.10.110 Observation - Average Activity Heart Rate - Scenario 2

1.10.111 Observation - Calories Burned in 24 Hours - Scenario 2

1.10.112 Observation - Days per week 'patient-submitted' - Scenario 2

1.10.113 Observation - Days per Week - Scenario 2

1.10.114 Observation - Maximum Activity Heart Rate - Scenario 2

1.10.115 Observation - Minutes per day 'patient-submitted' - Scenario 2

1.10.116 Observation - Minutes per Day - Scenario 2

1.10.117 Observation - Patient's Activity Experience - Scenario 2

1.10.118 Organization - Fit 4 Life - Scenario 2

1.10.119 Organization - Get Fit Training - Scenario 2

1.10.120 Organization - Good Health Cardiology - Scenario 2

1.10.121 Parameters 'Subscription Status' - GetFit Task - Scenario 2

1.10.122 Parameters 'Subscription Status' - Task - Fit 4 Life 'accepted' - Scenario 2

1.10.123 Parameters 'Subscription Status' - Task - Fit 4 Life 'completed' - Scenario 2

1.10.124 Patient - Johansson - Scenario 2

1.10.125 Practitioner - John Lopez - Scenario 2

1.10.126 Practitioner - Mr. Matthews - Scenario 2

1.10.127 Practitioner - Mrs. Wang - Scenario 2

1.10.128 PractitionerRole - John Lopez - Scenario 2

1.10.129 PractitionerRole - Mr. Matthews - Scenario 2

1.10.130 PractitionerRole - Mrs. Wang - Scenario 2

1.10.131 ServiceRequest - for Physical Activity Program - Scenario 2

1.10.132 Subscription - EHR Monitoring Task - Scenario 2

1.10.133 Subscription - GetFit Monitoring Task - Scenario 2

1.10.134 Task - Fit 4 Life Referral 'accepted' - Scenario 2

1.10.135 Task - Fit 4 Life Referral 'completed' - Scenario 2

1.10.136 Task - Fit 4 Life Referral 'requested' - Scenario 2

1.10.137 Task - Seeking fulfillment from GetFit 'refused' - Scenario 2

1.10.138 Task - Seeking fulfillment from GetFit 'requested' - Scenario 2

1.10.139 Bundle 'Search Set' - ServiceRequest - Exercise program referral - Scenario 3

1.10.140 Bundle 'Search Set' - YMCA Task 'accepted' - Scenario 3

1.10.141 Bundle 'Search Set' - YMCA Task 'completed' - Scenario 3

1.10.142 Bundle 'Subscription Notification' - Task - accepted - Scenario 3

1.10.143 Bundle 'Subscription Notification' - Task - completed - Scenario 3

1.10.144 Organization - Cincinnati Central YMCA - Scenario 3

1.10.145 Organization - Main Street Clinic - Scenario 3

1.10.146 Parameters 'Subscription Status' - Task - accepted - Scenario 3

1.10.147 Parameters 'Subscription Status' - Task - completed - Scenario 3

1.10.148 Patient - James Shevchenko - Scenario 3

1.10.149 Practitioner - Dr. Blackrock - Scenario 3

1.10.150 PractitionerRole - Dr. Blackrock - Scenario 3

1.10.151 ServiceRequest - PA Program Referral - Scenario 3

1.10.152 Subscription - EHR Monitoring Task - Scenario 3

1.10.153 Task - Seeking fufillment from YMCA 'in-progress' - Scenario 3

1.10.154 Task - Seeking fufillment from YMCA 'requested' - Scenario 3

1.10.155 Task - Seeking fulfillment from YMCA 'completed' - Scenario 3

1.10.156 Bundle 'Search Set' - CarePlan - Initial care plan - Scenario 4

1.10.157 Bundle 'Search Set' - CarePlan - Updated care plan - Scenario 4

1.10.158 Bundle 'Search Set' - Goal - Initial goal(s) - Scenario 4

1.10.159 Bundle 'Search Set' - Goal - Updated goal(s) - Scenario 4

1.10.160 Bundle 'Search Set' - Task - Initial task(s) - Scenario 4

1.10.161 Bundle 'Search Set' - Task - Second task(s) - Scenario 4

1.10.162 Bundle 'Search Set' - Task - Third task(s) - Scenario 4

1.10.163 CarePlan - initial version - Scenario 4

1.10.164 CarePlan - updated version - Scenario 4

1.10.165 Goal - Lifting 'achieved' - Scenario 4

1.10.166 Goal - Lifting 'active' - Scenario 4

1.10.167 Goal - Lifting2 'active' - Scenario 4

1.10.168 Goal - Lifting2 'sustaining' - Scenario 4

1.10.169 Observation - Activity Type - Scenario 4

1.10.170 Observation - Calories/Day - Scenario 4

1.10.171 Observation - Daily Steps - Scenario 4

1.10.172 Observation - Minutes/Day - Scenario 4

1.10.173 Observation - Minutes/Day#2 - Scenario 4

1.10.174 Observation - Minutes/Day#3 - Scenario 4

1.10.175 Observation - Peak Daily Heart Rate - Scenario 4

1.10.176 Patient - Ms. Scarborough - Scenario 4

1.10.177 Practitioner - Ms. Rocha - Scenario 4

1.10.178 PractitionerRole - Ms. Rocha - Scenario 4

1.10.179 Questionnaire - Exercise Satisfaction - Scenario 4

1.10.180 QuestionnaireResponse - Exercise Satisfaction - Scenario 4

1.10.181 QuestionnaireResponse - Exercise Satisfaction2 - Scenario 4

1.10.182 Task - fill Questionnaire#1 'completed' - Scenario 4

1.10.183 Task - fill Questionnaire#1 'requested' - Scenario 4

1.10.184 Task - fill Questionnaire#2 'completed' - Scenario 4

1.10.185 Task - fill Questionnaire#2 'requested' - Scenario 4

1.10.186 Task - view video 'completed' - Scenario 4

1.10.187 Task - view video 'requested' - Scenario 4

1.10.188 Bundle 'Search Set' - Observation - activity and blood glucose - Scenario 5

1.10.189 Observation - Activity Duration - Scenario 5

1.10.190 Observation - Activity Group - Scenario 5

1.10.191 Observation - Activity Type - Scenario 5

1.10.192 Observation - Average Activity Heart Rate - Scenario 5

1.10.193 Observation - Moderate Duration - Scenario 5

1.10.194 Observation - US Core Blood Glucose - Scenario 5

1.10.195 Observation - Vigorous Duration - Scenario 5

1.10.196 Patient - Nadia Belyaev - Scenario 5

1.10.197 RelatedPerson - Rosalie Belyaev - Scenario 5

1.11 Downloads

1.12 Credits

1.13 Changes and Publication History

1.14 Open Issues